Have you been doing your home exercises?
That routine question yields various amusing responses, most of which could be summed up with a simple “no.”
Somewhere between 1/3 and 2/3 of all home exercise recommendations are not implemented by patients. (1-4) Many well-developed plans end up sitting in a drawer because the patient did not understand the importance of rehab or was not sufficiently motivated. Here are seven proven ways to improve patient adherence to your exercise prescription.
There is one orthopedic test you must add to your physical exam this month. It’s called the Dynamic Isokinetic Manipulation Evaluation (DIME) of the shoulder.
Today’s blog will cover how to perform the test, how the DIME can be a valuable addition to your shoulder exam, and provide direction into how evidence-based chiropractors are using this test to confidently rule out the need for an MRI or surgical referral.
Emerging best practice research never fails to teach us something new. And ChiroUp uses that data to keep each of your 100 management protocols up-to-date.
In fact, in the past 24 months, your ChiroUp protocol for Migraine Headache has been updated 21 times with game-changing research!
This blog highlights several current evidence-based conservative tools to help you manage migraine headaches more successfully.
Educated patients are compliant patients.
This blog will detail three proven concepts to generate life-long promoters of your chiropractic practice.
On July 4, 2020, the European Journal of Pain published a study that would pique the interest of most evidence-based chiropractors – Spinal manipulation for the management of cervicogenic headache: a systematic review and meta-analysis. While this review highlighted the utility of SMT, the paper’s conclusion was slightly disparaging:
For cervicogenic headache, SMT provides superior short-term benefits for pain intensity, frequency and disability…The long-term impact is not significant. (25)
“Not significant” ???
For patients, payors, and non-DC healthcare providers, the take-away is not ideal: SMT is a relatively costly analgesic when used in isolation. Not so exciting anymore, huh?
Fortunately, we can change that message. This week’s blog and video will detail three tools that evidence-based chiropractors can employ, in addition to SMT, to provide lasting benefit for cervicogenic headache patients.
Despite the criticism and decline in utilization, there is an extensive and growing list of research demonstrating the clinical and cost-utility of epidural procedures in managing spinal pain.
Literature in the form of randomized controlled trials (RCTs), systematic reviews, and third party cost-effectiveness studies show that injections may be useful for diagnostic purposes and pain relief. While injections fall out of our scope as chiropractors, that doesn’t mean we can deny the science and possible positive results from these procedures.
Check out this week’s blog for 5 important considerations when discussing cervical epidural steroid injections (ESI) with your patients.
2020 has spit out more business challenges that most any other period in recent history. The upside is that leaders who have accepted and survived those challenges are not merely returning to “normal.” Instead, they have been forced to evolve and are better equipped to survive & thrive in the future.
The best leaders continually prepare for transformation. They embrace uncertainty and see the opportunities hiding behind challenges. Influential leaders exhibit “buck naked” vulnerability. They take responsibility for problems and deflect credit to their teams. They advocate for their employees and place quality relationships above anything else- through good times and bad.
ChiroUp recently connected with one of our profession’s most recognized leaders, Dr. Jay Greenstein. Jay’s experience in evidence-based practice is lengthy, including being the Vice Chairman of the CCGPP and running a large system of successful practices near Washington DC.
In this week’s blog, we wanted to give our community the opportunity to hear what Jay has to say about leadership and scaling a successful practice.
Chronic pain is an outward manifestation of inner adaptations to pain processing. The brain is responsible for pain perception and remembering pain patterns. However, in addition to the brain, the dorsal horn of the spinal cord and peripheral tissue can also LEARN to be in pain.
Learning is a physiologic process and not an intellectual feat, and it doesn’t happen only in the brain. Each site adapts physiologically in response to constant stimulation. Today’s blog will highlight six evidence-based treatment concepts to help stop peripheral nociception- the instigator of chronic pain.
This blog covers 12 practical research studies from the past few weeks. We reviewed hundreds and highlighted only those papers that can enrich our practice. We changed up this week’s blog to include both the research, as well as the associated ChiroUp resource.
Review the latest news:
✔ Water and Melatonin for Migraines
✔ Cutaneous Clues to Carpal Tunnel
✔ Top Test to Rule Out FAI
✔ Throwing Injuries May Start at the Hip
✔ Obesity Increases Tendinopathy Risk
Read more (and learn how to incorporate this research into your care automatically).
There is something about going to a beach that makes me happy. I can remember growing up in North Carolina and taking day trips to the ocean. I can visualize opening the car door, the salty air hitting my face, the sun’s heat, and the anticipation of a fun day in the water. Even at the tender age of 38, ☺ I still have the same positive visceral response to visiting the coast.
On the other hand, my ten-year-old daughter was stung by a jellyfish last year in Florida. Her visits to the ocean provoke anxiety and avoidance. Although I will travel any distance to visit any beach at any time, my daughter is not equally enthusiastic. Our unique experiences have etched permanent memories that will forever shape our mood, personality, and expectations.
This blog will describe four simple steps to improve routine patient encounters and create overwhelmingly positive experiences.
Maigne syndrome and cluneal neuropathy are commonly overlooked causes of pain in the lumbosacral region, iliac crest, and buttock. (1-3) In fact, the pair are causative or contributory in up to 40% of LBP cases. (5,40,41) And that prospect increases as symptoms extend over the posterior iliac crest. (2)
Maigne syndrome typically results from irritation of a thoracolumbar dorsal ramus. (3) Facet joint dysfunction, degeneration, and instability are common culprits. Maigne syndrome is particularly elusive because the anatomical site of origin is often asymptomatic. (3)
This blog will cover the essentials of management, including a 5-minute video tutorial detailing the top assessments, treatments, and exercises, plus our top 10 clinical pearls.
Effective and efficient chiropractors ask the right questions; allowing them to perform the most sensitive orthopedic testing to identify damaged tissue. A recent article by Jin et al. (2020) identified a new orthopedic test to do just that. The Back Pain-Inducing Test (BPIT) recognizes symptomatic vertebral fractures (VF) with high sensitivity (99.1%) and specificity (67.9%). This isolated paper also reports good accuracy (89.0%), positive predictive value (86.6%), and negative predictive value (97.4%).*
This blog will review exactly how to perform this and other useful tests for identifying vertebral fractures.
Traditional chiropractic training has primarily focused on the mechanical aspects of pathology. Evidence-based chiropractors routinely seek to answer questions like:
• Which anatomical tissue is irritated?
• What habits and postures caused or perpetuated the dysfunction?
• What physical treatments and recommendations are most appropriate?
While mechanically-based assessment is essential, sometimes examining the non-mechanical issues is equally important. Many experts believe that biopsychosocial aspects of pain, particularly chronic pain, will become significantly higher areas of focus for neuromusculoskeletal providers.
This blog includes three valuable patient education tools that you can download, plus a video interview with Dr. Anthony Nicholson – a practicing chiropractic clinician and leading expert on chronic pain neuroscience.
Recently, I had the pleasure of speaking with Dr. Brad Russell from Birmingham, Alabama. His clinic regularly prescribes the MOST initial and release reports within ChiroUp as compared to the rest of our network. In this entertaining interview, I learned several tips that I will incorporate in my practice. I hope you will find it as informative as I did.
The pandemic has whipped most everyone’s overbooked calendar into something much more manageable. That wouldn’t sound so bad had it not hit our chiropractic patient appointment schedule equally hard with canceled appointments and missed visits. But as society returns to a functional state, chiropractors will seek to prudently fully re-open their practices and refill their appointment books.
Re-activations will be a crucial component of our return to meaningful production. This blog will answer the question: How to start patient recalls & reactivate.
Check it out as we cover the essentials of effective patient recall and patient re-activation programs, including an interview outlining the specific steps to make that happen, along with a customizable template for your reactivation message.
Identifying reliable sources of credible information is difficult. Harvesting new knowledge is necessary for evidence-based practice; however, it is becoming more difficult as the news and social media can sometimes polarize content to push an agenda. We understand the dilemma of knowing what sites, resources, and people are trusted sources of information. Our mission at ChiroUp is to change the perception of the chiropractic profession by educating the public, professional organizations, and our subscribers with unbiased and factual information.
Today’s blog will interview a highly respected source of information–Dr. Marc Bronson from the Evidence-Based Chiropractic Facebook group. We’ll break down Dr. Bronson’s standard for credible evidence, and then explain how ChiroUp utilizes similar peer-reviewed literature sources and automatically delivers content to you and your patients.