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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.

Get Ready. Change Is Coming, and It’s Going to Be Incredible.

Get Ready. Change Is Coming, and It’s Going to Be Incredible.

More than 10,000 chiropractors rely on this blog for news about the latest test, treatment, finding, or concept to advance our clinical and business excellence. But this week’s blog won’t be discussing any of these topics in isolation. Instead, you’ll learn about a new highly potent tool that incorporates all of these proficiencies into one efficient system – ChiroUp Version 2.0!

So instead of dissecting a new journal article, we’ll relay something that we understand even better – how to efficiently integrate best practices for superior clinical outcomes, then market those outcomes to the people who matter.

Our team has spent the past eight months developing and coding new functionality that will make your life more comfortable. In less than two weeks, your ChiroUp account is going to look very different, but in the best way possible — Consider it a digital facelift gone right.

Here’s a summary and video preview of what you can expect:

Stop Following “Gurus” and People Running Their Business from the Seat of Their Car

Stop Following “Gurus” and People Running Their Business from the Seat of Their Car

Who or what guides your clinical decisions? Is it a particular person, technique, school of thought, or practice management expert? Influential teachers and charismatic “experts” have dominated the chiropractic landscape for a hundred years. They stand on stages to amaze the masses with their knowledge and success. They teach mindsets, techniques, philosophies, business practices, and “fail-safe” marketing schemes. Many of us envy their intelligence and perceived business success. We leave their seminars (i.e., revivals) energized, and ready to emulate them during our next patient encounter.
Each one of us needs to stop imitating other people, systems, and funnels – and start creating OUR practice. While learning evidence-based skills and techniques from others is essential; ultimately, there should only be one guru directing your care in the treatment room: research.
Check out the following video on how evidence-based chiropractors utilize proven evaluations, treatments, and patient educational pieces to guide their decision-making process.

Fall Prevention: Assessment and Management of Elderly Patients

Fall Prevention: Assessment and Management of Elderly Patients

Whether you want to hear it or not—your senior patients fall. These events are significant YET preventable. Elderly falls account for millions of injuries; resulting in loss of independence and reduced quality of life.
Aging is associated with declines in physical capabilities, activities of daily living, and maintaining proper postural control. Fortunately, evidence-based chiropractors are uniquely suited to help this population.
Watch this quick video to hear Dr. Steele’s thoughts on treating seniors and others at risk of falling.

4 Tools for Pregnancy-Related LBP

4 Tools for Pregnancy-Related LBP

A new study from Anesthesia: Essays & Research concluded that up to 80% of pregnant women suffer from low back pain. Of those, one in three lost sleep and nearly twice as many limited their physical activity due to pain. (1) To make matters worse, a history of lower back pain doubles the risk of developing pregnancy-related low back pain.

Fortunately, almost 75% of women undergoing chiropractic management report significant pain reduction and clinically significant improvements in disability. (2,3) Check out the following synopsis of four evidence-based tools to help manage pregnancy-related LBP.

What You Need to Know About TOS

What You Need to Know About TOS

Thoracic outlet syndrome (TOS) is a common diagnosis for evidence-based chiropractors. The condition is characterized by upper extremity pain and paresthesia secondary to occlusion, compression, injury, or irritation to the neurovascular structures traversing the thoracic outlet.
The majority of TOS cases are relatively benign and will respond favorably to conservative care, however, approximately 5% of TOS presentations arise from more threatening origins. This video blog will give you tools to spot ominous presentations and review current best practice evaluations for the remainder.

May Research Roundup

May Research Roundup

The research is out! Our ChiroUp data collection team reviewed more than a thousand abstracts last month to mine out the essential, best practices that will impact your practice today.

Review the latest news:

• Manipulation Helps Migraines
• Coronary Artery Disease Linked to CTS
• Therapeutic Tape Reduces LBP & Disability
• What’s the Best Position for Shoulder Exercise?
• Gyroscope Exercise for Upper Extremity Rehab
• Skipping Breakfast Increases Diabetes Risk

Check out the top 21 summaries and clinical pearls that will enhance your assessment and management.

2 Simple Tips for Treating Shoulder Pain

2 Simple Tips for Treating Shoulder Pain

Shoulder pain is second only to back pain for visits to a doctor. The good thing is that evidence-based chiropractors are uniquely positioned to treat shoulder dysfunction better and faster than any other health care professional. Not because we are gurus, but because the research supports our approach. Manual therapy, ADL advice, joint manipulation, and specific rehabilitation are proven methods to reduce shoulder pain. Tissue injury and the resultant pain are consequences of sustained compression or repetitive stress to sub-acromial structures in nearly all shoulder pathologies. Two primary factors resulting in tissue injury are:

1. Loss of humeral inferior glide
2. Decreased shoulder stabilization form the rotator cuff

Nearly 100% of non-traumatic shoulder pain is due to these two factors! Today, Dr. Steele will discuss the shoulder dysfunction continuum as it relates to loss of inferior glide and weakness in the rotator cuff. He will also explain how a failure to address these components will lead to ongoing complaints.

Insider Knowledge: Four Reasons Why MD’s Won’t Refer

Insider Knowledge: Four Reasons Why MD’s Won’t Refer

Dr. Steele and I have spent our professional lifetimes building relationships with medical providers. Those efforts pay off to the tune of more than 300 new patient MD referrals each year. We consider that statistic a “win”… but we’re still not satisfied.

We recognize that MD referral patterns span the gamut from you being the leading option, to “well…if you insist on visiting a chiropractor, then I want you to see Dr. ______”. And despite connecting multiple times per year for the past few decades, some obstinate medical providers are still reluctant to refer anyone.

We wanted to know why, so we asked more than a dozen primary care MD’s why they or their peers would be reluctant to refer to a chiropractor. Their candid replies allowed us to assemble this list of the top four factors that chiropractors MUST address in order to successfully attract medical referrals.

Please recognize the following statements are not our words. We tried to relay each MD’s concern verbatim, whether we agreed or not. We encourage you to read each statement with an open mind; recognizing that perception and reality sometimes differ, depending upon the view from where you stand.

Ready? OK… Hold your breath, we’re going in. Here are the MD’s answers to our question: “Why would a PCP not refer to a chiropractor?”:

What are SNAGs…

What are SNAGs…

The use of SNAG (sustained natural apophyseal glide) mobilizations may increase patient compliance and improve your clinical outcomes.  A recent publication by Mohamed et al. (2019) utilized cervical SNAGs to treat cervicogenic headaches and dizziness related to upper cervical joint dysfunction.  Incorporation of two special SNAGs provided significant symptomatic relief:

Running into Good Form

Running into Good Form

Years of research and decades of experience in treating runners yields one conclusion: FORM MATTERS. There is one simple gait-retraining cue used by specialists to help avoid running injuries. This cue will alleviate symptoms and return runners to their sport quickly. What is the prompt? Watch this video from Dr. Steele to understand what it is and how to incorporate this strategy into your treatments on Monday.

Top 10 Tips for Hips: Assessment & Management of Gluteal Tendinopathy

Top 10 Tips for Hips: Assessment & Management of Gluteal Tendinopathy

Clinical Question: A post-40-year old female presents with insidious-onset, persistent lateral hip pain that extends slightly into the buttock and upper lateral thigh. Symptoms are exacerbated by walking, climbing stairs or hills, standing on one leg to dress, and following prolonged sitting. Nighttime pain interferes with sleep. What is your most likely diagnosis?