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Peeing in the Wind

Peeing in the Wind

As a parent, I appreciate this phrase – in a way that only a father of two young boys could. We’ve all stopped on the highway to rush little Johnny out of the car, run to the side of the road, and brace ourselves for the impending mayhem. You see, three-year old’s that “need to pee” can hit a target from ten feet away. But if you don’t give them a goal… lookout. And heaven forbid if the wind is blowing in the opposite direction! Simply telling little Johnny to let it rip can yield damp consequences reaching from the tire of your car to your shoes, and sometimes even the family dog. However, if you tell Johnny to hit the nearest pine tree, he will spell his name on the trunk.

Herein lies the difference between a chiropractor and an evidence-informed chiropractor. Providing the same unfocused treatment to every patient, for every condition isn’t acceptable. Research-driven diagnosis and treatment strategies allow evidence-based chiropractors to become the most clinically competent musculoskeletal providers. Today’s blog will explain how accurately identifying the source of tissue dysfunction will focus your management and prevent undesirable outcomes.

Watch Dr. Steele explain how to achieve better clinical results and increase patient satisfaction with this two-step process.

Top Clinical Pearls for Lumbar Supports

Top Clinical Pearls for Lumbar Supports

Evidence-based chiropractors employ data to establish treatment algorithms. But what happens when that data changes? While we may have performed due diligence to develop a management protocol, new research will likely change that protocol over time. The best example would be how, in the past decade(s), the management of chronic tendinopathy has flipped from suppressing inflammation (tendonitis), toward generating a controlled inflammatory response (tendinopathy).

Providing “best practices” requires continual testing and evolution. But when was the last time you questioned the utility of an everyday practice? For me, this occurred last week, when a long-time patient told me how much better she felt after her physiatrist prescribed a lumbar support belt. My long-held belief was that lumbosacral support belts had value in isolated instances… but I needed to know- was my belief still correct, or had new literature surpassed my understanding?

This week’s blog will highlight the most up-to-date evidence on four types of lumbosacral supports, then provide clinical pearls for indications, contraindications, and implementation -including a live video demonstration.

Top Four Tips for Lateral Elbow Pain

Top Four Tips for Lateral Elbow Pain

Treating elbow pain sounds simple, and with the correct information, it is. Evidence-based chiropractors DO NOT (and cannot) memorize every evaluation, treatment, patient education tip, ADL modification, and exercise for every condition; however, the most effective providers DO understand how to use clinical tools, prediction rules, and practice resources to remind them of everything necessary to make the most of each visit for both the patient and provider.

This week’s blog covers the top four tips (Including downloadable resources) to assess and treat lateral elbow pain effectively.

Watch Dr. Steele explain why the management of lateral elbow pain should be straightforward. The limiting factors are how well YOU and your PATIENT understand the condition.

October Chiropractic Research Roundup

October Chiropractic Research Roundup

It’s that time again! Your ChiroUp research team has compiled clinical tips for 15 common conditions from this past month’s research. From concussions to plantar fasciitis, we’ve got you covered on the latest news.

Top Sleep Positions for 6 Common Conditions

Top Sleep Positions for 6 Common Conditions

Detrimental positions, postures, and activities are obstacles to healing. Today, we will discuss ONE significant variable that, when corrected, allows patients to heal more quickly—sleep posture. This blog will identify six condition-specific sleep faults, and recommend clear-cut solutions through modifications of the sleeping routine.

20 Tips for Enhancing Patient Satisfaction Today

20 Tips for Enhancing Patient Satisfaction Today

Healthcare is changing, and providers can soon expect to be paid based upon their performance… but more than merely clinical performance. The fee-for-outcomes reimbursement model requires that providers deliver three key metrics:

Fee-for-outcomes Reimbursement

1. Timely clinical outcomes
2. Cost-effective management
3. High patient satisfaction

Check out the following tutorial video, including several user-inspired tips on how to excel and grow your business with highly satisfied patients.

Chiropractic Management of Spinal Curves

Chiropractic Management of Spinal Curves

Do Spinal Curves Matter?
Scientific knowledge changes with newly published research. What we know today may not be entirely true in the years to come. Chiropractors today are asked the same questions they encountered 50 years ago. However, have the answers changed?

In today’s blog, let’s look at three commonly asked questions, and see how the answers have changed (or not changed) over the past 50 years.

The answers may directly impact your future clinical decision-making process and patient education as it relates to spinal curves…

7 Tips for Solving Unresponsive Problems

7 Tips for Solving Unresponsive Problems

While the majority of musculoskeletal cases respond quickly and favorably to conservative care, some conditions are less cooperative. When a patient is not meeting outcome goals, evidence-based chiropractors must be willing to abandon their familiar recipe, and “do something different.”

In a value-based healthcare model, there’s a vast difference between merely treating someone vs. delivering best practices. The essential step for improving clinical outcomes is to provide the most effective care for every patient on every visit- including those cases that challenge us.

Check out this week’s blog and video to review our top seven tips for solving unresponsive problems. Then download our new Case Review Checklist to help boost your clinical outcomes even higher!

7 Things You Must Know About Chronic Shoulder Pain

7 Things You Must Know About Chronic Shoulder Pain

Shoulder problems are often multifactorial and difficult to treat. Acute shoulder pain frequently morphs into chronic shoulder pain from a failure to identify what is generating the problem, and a lack of understanding about why that tissue is it not healing. Independent of the anatomical origin, here are the seven top recommendations for successfully managing shoulder pain!

Watch Dr. Steele explain why these seven tips are so crucial.

Imaging Guidelines for Acute Trauma

Imaging Guidelines for Acute Trauma

Last weekend, we all woke up to College Football Gameday on ESPN, or as I like to call it—Christmas morning! These games bring joy to many lives. Unfortunately, not all of the athletes finish contests with the same level of satisfaction… or health. High impact sports and increased physical demands inherently result in problems.

Many players fell victim to acute injuries from traumatic blows. As players limped off the field, I found myself guessing at orthopedic injuries. My differential diagnoses were significantly enhanced by instant replays that granted the opportunity to review the exact mechanism of an injury. As chiropractic physicians, we do not generally have the same luxury of playing back the precise moment injury; and traumatic events don’t happen in slow motion.

As radiographic imaging remains one the most fundamental ways to access an orthopedic injury, I found myself wondering: Which of those limping players would I x-ray? The decision to image a patient is not always straightforward. Luckily research helps guide this decision-making process.

Check out this week’s blog to watch an assessment of the most commonly injured joint and review the current imaging guidelines for the lower extremity and spine.

Antibiotics Double the Risk Of CAD

Antibiotics Double the Risk Of CAD

Fluoroquinolone antibiotics are commonly used to treat a variety of illnesses such as respiratory, skin, and urinary tract infections. According to CDC data, nearly 30 million fluoroquinolone prescriptions are dispensed in the United states each year. (1)

Musculoskeletal providers are painfully aware of how those drugs endanger connective tissues; including a nearly four-fold risk of tendonitis and tendinopathy. (2) Now, researchers have established a new and more threatening link to cervical arterial dissection (CAD). Check out the new findings, and review the essential question that you need to ask your patients before treatment.

Top Tips for Treating Sciatica

Top Tips for Treating Sciatica

Is There Anything Else You Can Do for My Leg Pain?

How many times have you heard this from frustrated sciatica patients, or worse yet, felt this as a provider? If a patient presents with a problem amenable to your skillset, you beam with confidence in knowing that you hold the key to their recovery. But…when symptoms persist following treatment; patients and providers leave with differing levels of frustration and disappointment.

Symptom reduction depends on many variables; however, joint mobilization and nerve flossing are generally beneficial for the treatment of sciatica. This blog will review these skills and discuss a proven new technique that combines both. This procedure is called Spinal Mobilization with Leg Movement (SMWLM).

To learn more, check out this 3-minute tutorial.

Running From Arthritis?

Running From Arthritis?

Abundant data is proving that running does not cause or exacerbate osteoarthritis in healthy subjects. (1-10) In fact, some studies have shown that running may help to prevent joint degeneration. (8-11) However, running does not necessarily impart the same protective benefit to the entire kinetic chain. Studies show that one-year lower extremity injury rates for distance runners may reach an astonishing 79%. (12,13) This stat is supported by our own clinical experience and the fact that very few first-time marathoners ever run again competitively.
The good news is that running-related injuries are often preventable. Check out this blog/video that will arm you with the knowledge to help your runners recover and stay injury free. As a bonus, you can download our new running infographic to share with your patients and social media followers.

Impact of Age on Elbow Injuries

Impact of Age on Elbow Injuries

An orthopedic diagnosis identifies a tissue that has failed. Patients engage in activities, play sports, pursue hobbies, develop postures, and traumatically injure themselves to end up in your office. The patient’s age can help narrow the list of potential tissue failures.

Proper diagnosis and subsequent treatment will vary based on your understanding of tissue maturation, and more specifically, growth plates. Understanding tissue injury based upon age will make you more efficient in practice and improve your clinical effectiveness. Watch this quick three-minute video about how pitching impacts the elbow differently, depending upon the patient’s age.

Top 10 Head-to-Toe Research Quotes

This month’s research roundup is going head-to-toe! Check out what ChiroUp’s research team has pulled from the most up-to-date literature that impacts our profession & standard of care.

Review the latest news:

✔ Upper cervical restrictions linked to TMD
✔ Yergasons test is best
✔ Clinical prediction rule for lumbar traction
✔ One exercise that halves hamstring injuries
✔ When not to MRI a rotator cuff

Top Clinical Pearls For Radicular Arm Pain

Top Clinical Pearls For Radicular Arm Pain

Top Clinical Pearls For Radicular Arm Pain
Patients often associate pain with muscle, tendon, or ligament injury. However, irritated NERVES may also become the primary source of pain. Tensile stretch or compression of nerves often results in symptoms. Unfortunately, radiculopathies are often the most difficult diagnoses to treat. Without quick symptomatic relief, patient compliance diminishes.

Achieve Quick and Measurable Results for Radiculopathies
This blog will discuss how to incorporate neurodynamic testing into your management of radicular arm pain – including a video demonstration from Dr. Taylor Premer.