News & Information
Canadian Medical Association's Guideline for Opioid Therapy and Chronic Noncancer Pain
Written by Editor   
Tuesday, August 01, 2017 07:30 AM

The harms associated with opioid therapy are substantial. Although the evidence supports dose limits for patients beginning opioid therapy, those currently receiving high-dose opioid therapy constitute a distinct population, and tapering efforts should be individualized and should consider patients’ values and preferences.

This guideline recommends:

  • Optimization of nonopioid pharmacotherapy and nonpharmacologic therapy, rather than a trial of opioids, for patients with chronic noncancer pain.

  • Patients with chronic noncancer pain may be offered a trial of opioids only after they have been optimized on nonopioid therapy, including nondrug measures.

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Relative Energy Deficiency in Sport (RED-S)
Written by Editor   
Monday, July 31, 2017 07:11 AM

In 1992, the American College of Sports Medicine (ACSM) encouraged and supported scientific inquiry into and public awareness of a condition that became known as the Female Athlete Triad.  The hallmark components of the triad include eating disorders, functional hypothalamic amenorrhea and osteoporosis. A person diagnosed with the triad may present with one, two or three component conditions. In high school athletes, the prevalence can be as high as 60% for a single diagnosis, 27% for two, and 16% for all three elements. Despite a high prevalence of component conditions physicians lack a widespread knowledge about the triad diagnosis and clinical management options.

The term “Female Athlete Triad” is misleading because the condition can occur in males, females, athletes and non-athletes. Also, the “triad” can present as a single condition or two to three co-existing conditions. In 2015, the International Olympic Committee (IOC) introduced a revised term for the condition called Relative Energy Deficiency in Sport (RED-S). RED-S includes a broader scope of related conditions and removes the female emphasis. Disorders arising from RED-S can include: abnormal metabolic rate, menstrual dysfunction, bone disorders such as low mineral density and stress fracture, depressed immunity status, abnormal protein synthesis, cardiovascular dysfunction and compromised psychological health. RED-S can be thought of as a constellation of conditions arising from nutrient deficiency relative to physical activity demands.

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Congress to Soon Head Home, Kicking Off Constituent Outreach Sessions
Written by Editor   
Sunday, July 30, 2017 07:27 AM

The August congressional recess provides opportunity for DCs to meet and talk to their federal legislators.  Members of both the U.S. House of Representatives and the Senate will soon head home to their states and districts. The start of the traditional summer recess comes after, what both parties will tell you, was a less than productive session, leaving several issues unresolved. Nonetheless, in August, members will hold town hall forums, listening sessions, and other public events geared toward gauging constituent views and interests.

Doctors of chiropractic are especially encouraged to seek out their federal legislators at these public town hall meetings because they are a great way to begin establishing a relationship, or strengthening an existing one, with your lawmaker's office. Town hall meetings are free and open to the public. Typically, the legislator will make some remarks about what is happening on Capitol Hill and specifically about what he or she has accomplished or working on. In addition, there is usually time set aside for questions and answers.

If you’ve never attended a town hall meeting before, or even if you’re a seasoned pro, it might feel a bit intimidating. Here are five tips to help you navigate the political town halls:

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Include Doctors of Chiropractic in the National Health Service Corps
Written by Editor   
Saturday, July 29, 2017 10:13 AM

Representative Gregg Harper (R-MS) introduced H.R.1378, National Health Service Corps Improvement Act, legislation that seeks to amend the Public Health Service Act to specifically provide for the participation of Doctors of Chiropractic in the National Health Service Corps (NHSC) scholarship and loan repayment programs.  

This legislation will achieve a long-desired goal of the chiropractic profession – to be able to serve in the NHSC – remedying an unfair and arbitrary exclusion in federal law, whose correction is long overdue.  Doctors of Chiropractic should have an opportunity to participate in this program on a fair and competitive basis, along with other health provider types that have been designated as being eligible to be included in the existing NHSC scholarship and loan repayment programs.  

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Take the Clinical Compass Chiropractic Guideline for Low Back Pain Challenge
Written by Christine Goertz, DC, PhD   
Wednesday, July 26, 2017 11:29 AM

I have talked about the unprecedented opportunity the chiropractic profession has to make a critical difference in areas of great public health impact, such as low back pain. I strongly believe that if we do the right thing right now, the chiropractic profession is uniquely positioned to significantly impact the quality of spine care delivery, increasing access to chiropractic care for millions of patients who desperately need conservative treatment for spine-related conditions. The flipside is that if we don't take right action now, chiropractic risks becoming a marginalized profession that's on the outside looking in as other health care providers take ownership of musculoskeletal conditions and spinal manipulation.

So what is right action?  Recently, I asked this question of several of my colleagues who influence policy at the highest levels of research and/or health care delivery in the United States. One of those people was Francis Collins, MD, PhD, director of the National Institutes of Health. Dr. Collins responded by saying:

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