News & Information
Use of Integrative Medicine in the US Military Health System
Written by Editor   
Monday, November 13, 2017 07:45 AM

Integrative medicine (IM) is a model of care which uses both conventional and nonconventional therapies in a “whole person” approach to achieve optimum mental, physical, emotional, spiritual, and environmental health, and is increasingly popular among patients and providers seeking to relieve chronic or multifactorial conditions. 

The US Department of Defense (DoD) shows particular interest in and usage of IM for managing chronic conditions including the signature “polytrauma triad” of chronic pain, traumatic brain injury (TBI), and posttraumatic stress disorder (PTSD) among its beneficiaries in the Military Health System (MHS).

These modalities range from conventional nondrug, nonsurgical options such as cognitive-behavioral therapy to nonconventional options such as acupuncture, chiropractic, and mind-body techniques. These are of particular interest for their potential to relieve symptoms without relying on opiates, which impair performance and show high potential for abuse while often failing to provide full relief.

On-Site Chiropractic Care as an Employee Benefit: A Single-Location Case Study
Written by Editor   
Thursday, November 09, 2017 08:48 AM

The purpose of this report is to describe the role of on-site chiropractic care in one corporate environment.  Absenteeism for the employee–patients was lower than equivalent national figures in this sample of workers. Though these results may or may not be related to the chiropractic care, these findings prompt further investigation into this relationship.

Patient Expectations of Benefit from Common Interventions for Low Back Pain and Effects on Outcome
Written by Editor   
Tuesday, November 07, 2017 08:12 AM

The findings of this secondary analysis indicate that patients seeking intervention for LBP expect active interventions and manual therapy to significantly help improve their pain more than interventions like traction, rest, surgery, or medication. Additionally, in patients who meet the clinical prediction rule for good prognosis when managed with thrust techniques, treating with thrust techniques is more important than matching treatment to patient expectation.

'Choosing Wisely' Praised and Sometimes Feared
Written by editor   
Friday, November 03, 2017 07:37 AM

The “Choosing Wisely” initiative has done a lot to change the culture around performing unnecessary procedures. In 2012, the American Board of Internal Medicine (ABIM) debuted “Choosing Wisely," asking specialty groups to produce a list of five tests or procedures that may be overutilized. 

There were four rules that the groups had to follow:

  • It needed to be in their discipline
  • It needed to have an impact -- that is, it had to be a test or procedure that was very expensive or performed a lot
  • It needed to have evidence that it was being done too much
  • There needed to be a transparent process for choosing each item

Five years later 80 medical societies have lent their intellectual capital to thinking about this.

TBCE: Massage Therapy Risks in the Chiropractic Practice
Written by TBCE   
Wednesday, November 01, 2017 11:47 AM

Integrating massage therapy into a chiropractic practice can benefit patients as well as provide additional income to a clinic owner. However, performing massage techniques on patients in a massage therapy setting (i.e. patient disrobed, covered with sheet, dim lighting, etc.) can become a risky endeavor. In fact, it is the most common scenario leading to sexual misconduct complaints against licensees. 

Whether you administer the massage yourself or have someone in your office perform the procedure, your license and your professional liability are at risk. NCMIC notes that even when you have a licensed massage therapist in your office, providing an environment where the sexual misconduct occurs could make you legally liable. 

We asked our colleagues at the massage therapy board how their therapists protect themselves and their clients from misunderstandings. Accordingly, we put together a best practices list that may assist chiropractors when utilizing massage therapy in practice.

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