Texas Chiropractic eSource
The Texas Chiropractic eSource is your biweekly connection to Texas Chiropractic news, updates and events.
Frequently Asked Questions of the TBCE: Acupuncture
Written by Editor   
Wednesday, June 28, 2017 07:11 AM

Question: May I utilize acupuncture and other needle therapeutics in my chiropractic practice?

Yes, if adequately trained. A chiropractor can incorporate the use of acupuncture needles as a therapeutic modality in the practice of chiropractic if s/he obtains a requisite 100 hours of training by an accredited chiropractic college, acupuncture college or other educational organization approved by the TBCE. Training should include hands-on clinical practice hours (not to be substituted by online hours) and clean/safe needle technique. All chiropractors licensed January 1, 2010, or after, are required to pass the NBCE acupuncture examination prior to use of acupuncture in practice. The requirements to practice acupuncture under a Doctor of Chiropractic license can be found under Board Rule 78.14 Acupuncture. Licensees should provide the TBCE with confirmation of all acupuncture training and examination certification to ensure that their licensee file is current.

Question: What can I treat with acupuncture as a Doctor of Chiropractic in Texas?

Did You Know: An Obligation to Report Child Abuse
Written by Christopher Dalrymple   
Wednesday, June 28, 2017 07:01 AM

The State of Texas amended its Family Code during the 85th Legislature.  You may want to take note that “if a professional has cause to believe that a child has been abused or neglected or may be abused or neglected, … and the professional has cause to believe that the child has been abused … , the professional shall make a report not later than the 48th hour after the hour the professional first suspects that the child has been or may be abused or neglected.… A professional may not delegate to or rely on another person to make the report.”  

Also note that “professional’ means an individual who is licensed or certified by the state … and who, in the normal course of official duties or duties for which a license or certification is required, has direct contact with children. The term includes teachers, nurses, doctors, day-care employees, employees of a clinic or health care facility that provides reproductive services, juvenile probation officers, and juvenile detention or correctional officers.

A DC who, in the normal course of official duties has direct contact with children, has an obligation to report child abuse or neglect, either actual or suspected.

Get Ready for New Medicare Cards
Written by Editor   
Wednesday, June 28, 2017 06:42 AM

Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare & Medicaid Services (CMS) will prevent fraud, fight identity theft and protect essential program funding and the private healthcare and financial information of our Medicare beneficiaries.

CMS will issue new Medicare cards with a new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security-based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems we use now. We’ll start mailing new cards to people with Medicare benefits in April 2018. All Medicare cards will be replaced by April 2019.

AMA's New Policies
Written by Editor   
Wednesday, June 28, 2017 06:38 AM

Having concluded their annual meeting recently it is worth looking at some of the policies that the AMA believes to be important.

For decades the AMA House of Delegates was a really large old boys club, really old as in they were old enough to vote when Kennedy and Nixon debated in 1960, and that’s when the voting age was 21. This year the delegates made it AMA policy to meet only in venues that offer gender-neutral restroom facilities. and in the future will consider a state or city’s policy on physician gag rules (e.g., making it against the law for a physician to ask patients if there are guns in the home) before booking a meeting in that locale.

The American Medical Association now agrees that it is time to study the feasibility of a public option for the individual insurance market, a new policy that would have been unheard of from the AMA as recently as 10 years ago.

Is Chiropractic Care Safe and Effective for Older Adults?
Written by Editor   
Wednesday, June 28, 2017 06:35 AM

Chiropractic care represents a safe and effective treatment alternative for older adults, according to evidence-based recommendations published in the May issue of the Journal of Manipulative and Physiological Therapeutics.

“The most important take-home point from this updated document is that given the growing need for evidence-based, cost-efficient care in the older adult population, chiropractic care is a very attractive alternative,” explained lead author Cheryl Hawk, DC, PhD, Professor at Texas Chiropractic College in Pasadena, Texas.

“Chiropractic care incorporates many different treatment modalities, as outlined in the document. One of the key treatments that chiropractors deliver is spinal manipulative therapy (SMT). The evidence base for SMT continues to grow.”

The Biopsychosocial Model and Chiropractic
Written by Editor   
Wednesday, June 28, 2017 06:31 AM

There is an increasing awareness, interest and acceptance of the biopsychosocial (BPS) model by all health care professionals involved with patient care. The areas of spine care and pain medicine are no exception, and in fact, these areas of health care are a major centerpiece of the movement from the traditional biomedical model to a BPS model of patient assessment and delivery of care. 

Biological influences are an important component of health and disease, particularly in the area of spine care and pain management. Acknowledging this aspect of patient presentation holds value in guiding appropriate management approaches. Appreciation of the psychological and social aspects of patient care carries significance as well and should not be overlooked.

Leg Pain Location and Neurological Signs Relate to Outcomes
Written by Editor   
Wednesday, June 28, 2017 06:29 AM

Low back pain (LBP) patients with related leg pain and signs of nerve root involvement are considered to have a worse prognosis than patients with LBP alone. However, it is unclear whether leg pain location above or below the knee and the presence of neurological signs are important in primary care patients. The objectives of this study were to explore whether the four Quebec Task Force categories (QTFC) based on the location of pain and on neurological signs have different characteristics at the time of care seeking, whether these QTFC are associated with outcome, and if so whether there is an obvious ranking of the four QTFC on the severity of outcomes.

Individual Expectation, a Pertinent, Factor in the Treatment of Musculoskeletal Pain
Written by Editor   
Wednesday, June 28, 2017 06:24 AM

Many factors in the treatment of patients with musculoskeletal pain are considered. The current literature suggests expectation is an influential component of clinical outcomes related to musculoskeletal pain for which physical therapists frequently do not account. The purpose of the clinical perspective reported here is to highlight the potential role of expectation in the clinical outcomes associated with the rehabilitation of individuals experiencing musculoskeletal pain. 

Interventions for musculoskeletal pain conditions often address impairments with the implication that pain and function will improve in response to stretching a tight muscle or strengthening a weak muscle. Realistically, the mechanisms through which physical therapy interventions alter musculoskeletal pain are likely multifaceted and dependent upon a variety of factors. The current literature indicates factors other than the correction of physical impairments influence clinical outcomes in the conservative management of patients experiencing musculoskeletal pain.

Eating Fish May Ease Rheumatoid Arthritis
Written by Editor   
Wednesday, June 28, 2017 06:22 AM

Eating fish -- tuna, salmon, sardines, trout, sole, halibut, poke, and grouper -- may help reduce joint pain and inflammation in rheumatoid arthritis (RA) patients, according to a new study in Arthritis Care & Research.

RA patients who ate baked, steamed, broiled, or raw fish 2 or more times per week had a significantly lower Disease Activity Score in 28 Joints with C-Reactive Protein (DAS28-CRP) -- a score that measures tender and swollen joints, subjective disease activity, and C-reactive protein -- than those who never ate fish or ate it less than once a month. 

Obituary: Kurt Brown, DC
Written by Editor   
Wednesday, June 28, 2017 06:17 AM

Dr. Kurt Brown passed away on June 5th, 2017 at his home in Graham surrounded by his family, after a two year triumphant battle with ALS.  

Kurt Thomas Brown was born on September 22nd, 1960 in Columbia, Missouri to the late Dr. William Donald Brown and Diane Jeanine (Hydeman) Brown. Kurt moved to Graham in 1990 and spent his life as a chiropractor, endeavoring to help those in pain regardless of their ability to pay.

TCA Launches Inaugural Texas Sports Chiropractic Conference This Fall at TCC
Tuesday, June 27, 2017 09:38 AM

Sports have always been huge in Texas and doctors of chiropractic have become more involved in the training and care of athletes at all levels – high school, collegiate, professional and amateur.

As a result, TCA, in conjunction with Southeast Sports Seminars, is launching the 2017 Texas Sports Chiropractic Conference on September 29-October 1 at Texas Chiropractic College in Pasadena.

Earn all 16 CE hours toward your Texas license and increase your knowledge of sports chiropractic.

Spring 2017 Issue
Written by Editor   
Friday, June 16, 2017 05:52 PM

Click the magazine cover to go to the digital Journal.

85th Legislative Session TCA Recap
Thursday, June 15, 2017 04:15 PM

Texas’ 85th Legislative Session came to an end on May 29. While 6,631 bills were filed this session (more than in 10 of the past 11 sessions), only 1,211 bills passed (the fewest in 20 years) – statistically making this legislative session one of the most difficult bill-passing environments in two decades.

While it was a difficult session for many, the Texas Chiropractic Association experienced its most successful legislative session in recent memory. TCA actively pursued six pieces of legislation (discussed below), three of which were passed by the Legislature and signed by Gov. Greg Abbott.

In addition to passing these three pieces of legislation, TCA prevented consolidation of the Texas Board of Chiropractic Examiners (TBCE) into the Texas Department of Licensing and Regulation and defeated a proposal to eliminate chiropractic acupuncture. TCA also worked with Sen. Judith Zaffirini, Sen. Bryan Hughes and Rep. J.D. Sheffield to amend SB 55 (authorizing a study on establishing a patient-reported outcomes registry for musculoskeletal care provided in the ERS and TRS systems) to include chiropractic colleges. This outcomes registry could prove the efficacy of chiropractic care.

Foot Levelers Extremities Seminar Benefiting the Fight for Chiropractic in Texas
Wednesday, May 24, 2017 09:34 AM

Support the ongoing battle for chiropractic in Texas and earn valuable continuing education hours at an upcoming seminar sponsored by TCA Gold Sponsor Foot Levelers.

Don’t miss the Foot Levelers Extremities Seminar Benefiting the Fight for Chiropractic in Texas coming up Sept. 16-17 in San Antonio. All money raised at the seminar will go TCA’s Chiropractic Development Initiative (CDI), which funds TCA’s advocacy, legal and public relations initiatives on behalf of the chiropractic profession in Texas.

TAKE NOTE: New Medicare ABN Form Required
Written by Editor   
Sunday, April 16, 2017 12:29 PM

Take note that the government has issued new ABN forms.  Nothing has really changed on the form but the expiration date, but you must use the new form effective June 21, 2017.