News & Information
Regular Use of Medication for Musculoskeletal Pain and Risk of Long-term Absence
Written by Editor   
Sunday, November 19, 2017 10:15 PM

The aim of this study was to determine the prospective association between use of pain medication – due to musculoskeletal pain in the low back, neck/shoulder and hand/wrist – and long-term sickness absence.  The study concludes that regular use of pain medication due to musculoskeletal pain is prospectively associated with long-term sickness absence (LTSA) even when adjusted for pain intensity.

This study suggests that use of pain medication can be an important factor to be aware of in the prevention of sickness absence. Thus, regular use of pain medication – and not solely the intensity of pain – can be an early indicator that musculoskeletal pain can lead to serious consequences such as long-term sickness absence.

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Pediatric Concussion 'Grossly' Underdiagnosed in Hospital Emergency Departments
Written by Editor   
Friday, November 17, 2017 07:34 AM

Concussions were "grossly" underdiagnosed among children presenting to a Level 1 trauma center's pediatric emergency department, according to a study.  “We aren’t very good at diagnosing concussions in an emergency department setting,” the study author said.

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TCA Statement on TDI-DWC Designated Doctor Proposed Changes
Written by Andrea Howard   
Thursday, November 16, 2017 11:20 AM

The Texas Department of Insurance – Division of Workers’ Compensation (“the Division”) has recently proposed changes to the Designated Doctor (“DD”) program. Specifically, the Division has proposed amending the types of examinations Doctors of Chiropractic are “qualified” to handle and changing the way DD examinations are scheduled.

The Texas Chiropractic Association (“TCA”) appreciates the Division’s attempts to improve the DD program, and we were particularly pleased that the Division revised its proposal regarding the scheduling of DD examinations. We are currently reviewing those revisions with our members.

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Perspectives on Opioids and Alternative Treatments for Chronic Pain
Written by Editor   
Thursday, November 16, 2017 08:01 AM

Current literature describes the limits and pitfalls of using opioid pharmacotherapy for chronic pain and the importance of identifying alternatives.

The objective of this study was to identify the practical issues patients and providers face when accessing alternatives to opioids, and how multiple parties view these issues. The results suggest that education about realistic expectations for chronic pain management and therapy options, as well as making chiropractic and acupuncture (A/C) care more easily accessible, might lead to more satisfaction for patients and providers, and provide important input to policy makers.

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"Know Your Herbal Supplier": Unlabeled Ingredients in Herbal Supplements Seen Causing Liver Injury
Written by Editor   
Wednesday, November 15, 2017 02:44 PM

Herbal products and supplements are frequently mislabeled and may contain unlisted ingredients that are harmful to the liver, researchers said.

Of 272 herbal dietary supplements analyzed, 51% had inaccurate labels in which some or all of the listed ingredients were not detected in the product. “Herbal supplements are a common cause of liver injury,” one research stated.  “There are lots of products that are difficult to identify what they are and what they’re used for.” In 20% of cases, the injury was caused by dietary supplement. Many of the products are sold as body-building supplements or weight-loss supplements.

“A lot of the literature tells us supplements can be mislabeled or adulterated" -- the latter occurring when something is secretly included to support the purpose for which it is being marketed, such as for sexual enhancement, he added.

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