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Chin Up

Chin Up

The following guest blog was authored by ChiroUp founding board member, Dr. David Flatt. Dr. Flatt practices within the Northwestern Medicine Health System in Chicago, IL.

12 Steps to Emerge Stronger than Ever – Phase 2 -Prepare

12 Steps to Emerge Stronger than Ever – Phase 2 -Prepare

Business success consists of providing an excellent product that many people want to buy at a fair price, then keeping slightly more profit than it costs to deliver. However, implementing this simple concept is sometimes more difficult than expected …say maybe in the face of a global pandemic.

Although the current challenge is unprecedented, the fundamental long-term strategies of execution will prove to be unwavering:
● Attract abundant business by selling a highly desirable product
● Develop a financial plan to keep revenue above the overhead

ChiroUp’s business success team has outlined a 4-phase plan of crisis recovery, including 12 essential steps that you can take to ensure that your practice emerges from the current challenge more robust than ever. This blog details Phase 2: Prepare – enhance the quality & delivery of your service. (Including a video interview about how to scale excellence with Dr. Jeff Mackey, who built 17 clinics!)

Expert Advice – Top Chiropractic Management For  Hip Pain

Expert Advice – Top Chiropractic Management For Hip Pain

Evidence-based providers can tell you the exact tissue origin of pain via history, physical examination, and possible diagnostic imaging. Without an understanding of specific tissue injury, deciding on appropriate treatment is futile. While many hip pathologies result in pain, it would be impractical to treat all hip pains with the same protocol. Today’s blog will cover one essential component of EB chiropractic practice—focused treatment.
The following information is from ChiroUp guest expert Dr. Micheal Braccio of the ACA Rehab Council.

Watch the full 50-minute interview.

12 Steps to Emerge Stronger than Ever Phase 1 -Survive – Decrease overhead & sustain revenue

12 Steps to Emerge Stronger than Ever Phase 1 -Survive – Decrease overhead & sustain revenue

Business success consists of providing an excellent product that many people want to buy at a fair price, then keeping slightly more profit than it costs to deliver. However, implementing this simple concept is sometimes more difficult than expected …say maybe in the face of a global pandemic.

Although the current challenge is unprecedented, the fundamental long-term strategies of execution will prove to be unwavering:
● Attract abundant business by selling a highly desirable product
● Develop a financial plan to keep revenue above the overhead

ChiroUp’s business success team has outlined a 4-phase plan of crisis recovery, including 12 essential steps that you can take to ensure that your practice emerges from the current challenge more robust than ever. This blog and video details Phase 1: Survive – Decrease overhead & sustain revenue

CARES Act FAQ: Paycheck Protection Program

CARES Act FAQ: Paycheck Protection Program

The world is dealing with an unprecedented challenge that has impacted countless businesses, including chiropractors. Many hands-on providers are seeing patient visits disappear …along with the resultant revenue. Fortunately, companies affected by the pandemic may have a new financial lifeline.

This blog will explain the United States CARES Act – Paycheck Protection Program (PPP) and what you need to do right now to benefit from this tremendous opportunity. We’ll talk one-on-one with accounting industry consultant, Jeff Pawlow, for expert answers to your essential questions.

Telehealth with ChiroUp

Telehealth with ChiroUp

Practices that are solely dependent on performing joint manipulation will struggle through this period of social distancing. Fortunately, managing patients using an evidence-based paradigm includes many other components that could be delivered remotely. Those utilizing multimodal therapies and diagnostics will continue to work in this changing business model forced upon us by a global pandemic.

Our goal to provide the best conservative care for our patients must remain the same regardless of location. However, chiropractors must implement new mechanisms to change patient behavior from a distance. The good news is that it’s possible, but it will require a change from providers too. In this blog, you will learn how to listen to your patients, modify their ADLs, direct their rehabilitation programs, and assess their problems via telehealth.

Lowering Your Overhead: What To Do & What Not To Do

Lowering Your Overhead: What To Do & What Not To Do

New challenges require business owners to review the past, then plan for the future. Clinics are looking at their balance sheet and asking how they can improve their financial stability. Every business leader understands this entails spending less and/or generating more revenue. Watch Tim and Brandon review the keys to understanding what people, products, and services are vital to your business. And, provide suggestions to eliminate or reduce non-essential costs.

Advice from Champions: 3 Essentials for Working with Pro Athletes

Advice from Champions: 3 Essentials for Working with Pro Athletes

There is undeniable irony discussing professional sports in a week where most athletes have been sidelined. However, the fact remains that professional and Olympic athletes appreciate the value of peak performance more than almost any other patient population. At the highest competitive level, tiny performance disparities can make the difference between being a champion and being unemployed.

Not surprisingly, these athletes rely upon a large cadre of strength coaches, trainers, therapists, nutritionists, psychologists, and other providers. In recent years those support networks have consistently included chiropractic care. Various studies show that approximately 9-14% of Americans utilize chiropractic care each year. (1) In contrast, more than 95% of NFL and MLB pro athletes have a chiropractor on their team. (2,3)  Likewise, a large number of Olympic athletes rely on chiropractors to stay healthy. In fact, the Team USA chief medical officer for the past four Olympics was a chiropractor. (4)

This blog will discuss how chiropractors can successfully integrate into sports and why these relationships benefit our profession, highlighted by a one-on-one interview with Dr. Hirad Najaf Bagy, team chiropractor for the Washington Redskins, Washington Nationals, and DC United Soccer.

How To Automate 95% of Your Patient’s Care

How To Automate 95% of Your Patient’s Care

Recently, The Journal of Physiotherapy (2019) published a paper finding that patients have a desire for a specific diagnosis. From which, they want “clear, consistent and personalized information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues.” (1)

How practical is it for an evidence-based provider to create a personalized treatment plan for every patient? Extremely!

Patients want to get out of pain quickly. This week’s blog is going to break down the strategies that I use in my clinic to alleviate my patients’ pain quickly and allow them to heal faster. Check out the video below for a demonstration of these strategies.

5 Tools for Treating Patients with Plantar Fasciitis

5 Tools for Treating Patients with Plantar Fasciitis

“The projected yearly costs of plantar fascia treatment could range from 192 to 376 million dollars in the United States, which are huge economic burdens for both the society and individuals.” (1) And almost half of plantar fasciitis sufferers will continue to report symptoms ten years after onset. (2)

Fortunately, well-equipped evidence-based chiropractors can have a significant impact on both of these statistics. This blog will cover five home-based tools that will compliment your in-office care and improve outcomes; including a new therapeutic taping technique that has shown promise.

Scapular Retraction Test: 5 Reasons to Consider this Modified Version

Scapular Retraction Test: 5 Reasons to Consider this Modified Version

The Scapular Retraction Test (SRT) is quite possibly the most critical component in my shoulder exam. It provides valuable information as to the etiology of shoulder dysfunction. Plus, the maneuver often provides instant pain reduction, and serves as a confidence booster for both you and your patient. The SRT has recently been criticized for its validity when performed in isolation—like every other orthopedic test!(1) However, when performed in conjunction with complementary tests, it can be a game changer for your shoulder exam, rehabilitation protocols, and patient education. In today’s blog, you will learn simple modifications to the SRT that will provide valuable clinical information and subsequent improved adherence to care.

February Chiropractic Research Roundup

February Chiropractic Research Roundup

This week’s blog covers 15 practical research studies from the past few weeks. We reviewed hundreds and highlighted only those papers that have the ability to enrich our practice, then summarized each with one or two sentences. We hope that you’ll enjoy this month’s “quick hits.”

Maigne Syndrome: Sciatica of the Thoraco-Lumbar Junction

Maigne Syndrome: Sciatica of the Thoraco-Lumbar Junction

Lateral hip, lumbosacral, and groin pain are often due to lumbar spine or hip joint dysfunction. However, the next time you see these symptoms, be sure to assess the thoracolumbar junction (TLJ). TLJ dysfunction, often described as Mainge Syndrome, may result in nerve irritation with referral to the lumbopelvic region. Proper assessment and treatment results in highly satisfied patients. In the next ten minutes, you will learn five tips about why Mainge syndrome should be on your shortlist of differential diagnoses.

Cervicogenic Headache: 3 Tips for Treatment, Assessment, & Management

Cervicogenic Headache: 3 Tips for Treatment, Assessment, & Management

Headaches affect almost half of the population. Up to one-fourth of all headaches are referred from the cervical spine and are classified as “cervicogenic” (1,2). Cervicogenic headache can be as debilitating as migraine headaches, and a loss of cervical spine function compounds the problem.

Chiropractors generally enjoy treating cervicogenic headache patients. Our primary tool of cervical SMT is a highly effective treatment, as demonstrated by multiple studies. (3-16) However, the successful long-term resolution of CGH patients often requires a multifaceted approach, including more than isolated SMT.

This week’s blog provides three invaluable tools and a video tutorial to help you assess and manage this problem more quickly and thoroughly.

The Best Shoes For Running: What To Recommend To Your Patients

The Best Shoes For Running: What To Recommend To Your Patients

In 2019, male marathon runners recorded the five fastest times ever. Eliud Kipchogebroke broke the two-hour mark running the Vienna marathon in 1 hour 59 minutes 40 seconds. In the same weekend, Brigid Kosgei ran a 2:14 in the Chicago marathon. Two extraordinary feats, (pun intended), with one common denominator—the shoe. Shoe companies have been inserting (another pun… I know, the lowest form of humor) their technology into shoe construction for years. However, many health professionals and consumers do not understand the importance of these modifications. Chiropractors must be up-to-date on how shoe technology may affect athleticism, performance, and injury prevention.

Watch Dr. Steele explain shoe technology and how to choose the most appropriate style.

Clinical Findings: The Top 6 Threatening Spinal Diagnoses

Clinical Findings: The Top 6 Threatening Spinal Diagnoses

Repeatedly hearing familiar presentations for common diagnoses can lull clinicians into a false sense of security. Even astute clinicians develop a bias toward statically probable benign neuromusculoskeletal diagnoses. Unfortunately, this complacency can lead to disastrous outcomes when a more threatening problem masquerades as something less serious.

A recent American Journal of Medicine systematic review of 22 studies involving 41,320 patients concluded that up to 5% of LBP patients presenting to an emergency department have a serious underlying pathology (fracture, infection, cancer, cauda equina, etc.) (1) Prior studies have suggested that the same threatening diagnosis present to primary care offices at a rate of approximately 1%. (2)

Spinal compressive disorders rank high on the list of back pain emergencies due to the threat of cord ischemia and nerve cell death. This blog will cover the six most common spinal-compressive diagnoses and the clinical findings that can alert us to these ominous problems- including a video tutorial with at tip so that you’ll never forget what UMNL pathology looks like.