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FDA Endorses SMT

2017 is shaping up as a great year to be a chiropractor. In February, the American College of Physicians published a Clinical Practice Guideline recommending spinal manipulation for acute, sub-acute, and chronic LBP. (1) Last month JAMA published a systematic review of 26 randomized clinical trials that highlighted the safety and effectiveness of spinal manipulation for low back pain. (2)

Now, The FDA has published a Blueprint for Healthcare Providers designed to decrease the utilization of Opioids and increase provider’s awareness of safer, effective conservative options for musculoskeletal pain. (3) Among the FDA recommendations:

“A number of nonpharmacologic therapies are available that can play an important role in managing pain, particularly musculoskeletal pain and chronic pain: (Specifically including) Complimentary therapies i.e. acupuncture and chiropractic.

HCPs should be knowledgeable about the range of available therapies, when they may be helpful, and when they should be used as part of a multidisciplinary approach to pain management.”

Two prominent medical journals have told the medical community what chiropractors and their patient have known for many years- Chiropractic Spinal Manipulation is safe and effective and should be the first choice for musculoskeletal pain. Now the FDA is advising all healthcare providers to learn more about these options and incorporate them into care plans.

This is not only a time to celebrate, but more importantly, to become a source of knowledge for your local medical community. Contact the CME coordinator for your local hospital and offer to give a short presentation on MD/DC co-management of LBP. (We would be happy to share a powerpoint that we have used for this purpose). Contact the primary care providers in your community to schedule a lunch meet and greet. Bring along the papers from Annals, JAMA, and the FDA. Also bring a printed copy of the ChiroUp Clinical Evidence Synopsis, listing the most significant studies that highlight the clinical effectiveness, cost-effectiveness, and safety of SMT.

If you would like to learn more about enhancing relationships with medical providers, Dr.’s Bertelsman and Steele will be speaking in Chicago, Illinois on Saturday, June 10th 2017. Attendees will learn real-world skills that can be used on Mondaymorning, including:

  • How to identify and correct 7 common functional problems that delay recovery
  • How to spot threatening diagnoses that masquerade as common symptoms
  • A step-by-step process to market your clinical excellence and earn abundant medical referrals

We invite you to check out this 5-minute video preview for their class: “Becoming The Provider of Choice in Your Medical Community”. This continuing education event will be hosted by the Illinois Chiropractic Society and non-members can attend for only $129. Click here to register today!

P.S. If you missed the earlier blogs, here’s a link to our Annals and JAMA Studies endorse spinal manipulation for LBP.  ChiroUp subscribers who are looking for ways to enhance MD referrals should check out all of the resources in the Market and Grow My Practice tab. We are proud to be your partner for advancing chiropractic best practices and making evidence-based chiropractic practice the undeniable best choice for patients and payors alike.

1. Qaseem A, Wilt TJ, McLean RM, Forciea MA, for the Clinical Guidelines Committee of the American College of Physicians. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. [Epub ahead of print 14 February 2017]
2. Paige NM, Miake-Lye IM, Booth MS, et al. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain; Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460.
3. FDA Education Blueprint for Health Care Providers Involved in the Management or Support of Patients with Pain. May 2017. Accessed from https://www.fda.gov/downloads/Drugs/NewsEvents/UCM557071.pdf on May 12, 2015


About the Author

Dr. Tim Bertelsman

Dr. Tim Bertelsman


Dr. Tim Bertelsman graduated with honors from Logan College of Chiropractic and has been practicing in Belleville, IL since 1992. He has lectured nationally on various clinical and business topics and has been published extensively. He has served in several leadership positions within the Illinois Chiropractic Society and currently serves as President of the executive board.

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