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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.

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?”: