Texas Chiropractic eSource
The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events.
Republicans and Democrats Express Dissatisfaction with Drug Industry's Answers
Written by Editor   
Monday, October 23, 2017 07:25 AM

Do you think the federal government ought to be able to negotiate all drug prices? – Sen. Elizabeth Warren (D-Mass.)

“No, we don’t,” – Lori Reilly, executive vice-president for policy, research, and membership at the Pharmaceutical Research and Manufacturers of America (PhRMA), a lobbying group for drugmakers.

First-line Treatment of Chronic Spinal Pain
Written by Editor   
Friday, October 20, 2017 08:06 AM

Spinal manipulation should be considered as a first-line conservative treatment. It is now suggested as the first-line intervention by current research as not a single study examined in a recent systematic review found spinal manipulation less effective than conventional care.

Decades worth of research outcomes suggests that knowledge and guidelines related to both acute and chronic spinal pain are now available to inform practice.  The implementation of evidence-informed care services for persistent spinal pain have emerged along with published recommendations from recent systematic reviews. For example, exercise, tai chi, yoga, mindfulness-based stress reduction and other psychological therapies, spinal manipulation and massage, acupuncture, nonsteroidal anti-inflammatory drugs (NSAIDs; although less effective than previously reported), duloxetine, tramadol and skeletal muscle relaxants (short-term relief only) seem to have a positive role. 

Bipartisan Deal to Stabilize ACA Insurance Markets Announced
Written by Editor   
Thursday, October 19, 2017 08:47 AM

Senators Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) reached a tentative deal on legislation to stabilize the Affordable Care Act’s (ACA) health insurance marketplaces.

Alexander and Murray, the chairman and ranking member, respectively, of the Senate Health, Education, Labor, & Pensions (HELP) Committee, have been talking about a deal for several months, but announced on Sept. 19th that they had reach an impasse; that was shortly before the Senate was due to vote on a bill by senators Bill Cassidy, MD (R-La.) and Lindsey Graham (R-S.C.) to repeal and replace the ACA. But after that vote was canceled due to a lack of support from key Senate Republicans, Murray and Alexander resumed their discussions.

The impetus for continued talks gained additional momentum last week when the administration terminated the CSR payments -- which some observers speculated was President Trump's intent, although he did not say so publicly. Trump also had signed a controversial executive order that would allow formation of so-called association health plans that could operate across state lines.

ACA Calls White House Plan "a Race to the Bottom"
Written by Jeff Jenkins   
Wednesday, October 18, 2017 08:05 AM

The American Chiropractic Association (ACA) opposes action taken Oct. 12, 2017, by the White House, which directs various federal agencies to develop regulations that could strip state laws that protect patients’ access to chiropractic and other vital health services.

“Today’s executive order punts a very significant issue over to several departments that could adversely change the health insurance market and leave patients with little choice but to buy plans light on benefits and high in cost,” said ACA President David Herd, DC. “State patient protections, such as inclusion of important benefits, could be in serious jeopardy given this latest action by the president.”

While the direct policy implications of the executive order may not be clear for several months, it’s envisioned that the departments of Health and Human Services, Labor, and Treasury will go through the typical rule-making and comment period. This includes publishing draft regulations and allowing stakeholders, such as the American Chiropractic Association, an opportunity to provide comment.

“The American Chiropractic Association will be crystal clear in our opposition to any scheme that may eliminate state patient protections or impede access to quality plans,” said Dr. Herd. “Interstate sales, the core of association health plans championed by the president, will start a ‘race to the bottom’ by allowing insurers to choose their regulator. This is not sound policy for the consumer or the provider.”

ACA Hires Quality Expert Dr. Angela Kennedy to Expand Professional Development
Written by Editor   
Tuesday, October 17, 2017 09:52 AM

The American Chiropractic Association (ACA) welcomes quality care expert Angela Kennedy, DC, MBA, to its staff, where she will serve in the association’s new position of senior vice president of education and health policy.

As part of her role, Dr. Kennedy will lead ACA’s newly formed education and health policy department and will craft a plan to expand ACA’s professional development offerings and educational programming with a strong focus on health policy. 

Pain Experience Consistencies
Written by Editor   
Tuesday, October 17, 2017 08:11 AM

Patients experiencing chronic, persistent spinal pain each have a unique story, yet there are consistencies.  The quality of life in all these consumers is markedly reduced, confirming that while there may be some similarities in the pain experience, it is often more unique and individual. 

Criticisms of care services were also consistent. Often there is dissatisfaction with access to care, overall management of pain, and noteworthy variations in the treatment they received from the medical community. 

More than 33 million adults in the U.S. have seen a chiropractor in the last 12 months, and twice as many say that a chiropractor would be their first choice to see for neck or back pain. 

National Subsidies to Insurers to Stop
Written by Editor   
Monday, October 16, 2017 07:08 AM

Leadership at the Department of Health and Human Services (HHS) issued a statement explaining that  subsidy payments to insurers intended to help defray the expenses of low-income patients  would be “discontinued immediately" because of a legal opinion from the Attorney General.  

“After a thorough legal review by HHS, Treasury, OMB [the Office of Management and Budget], and an opinion from the Attorney General, we believe that the last Administration overstepped the legal boundaries drawn by our Constitution. Congress has not appropriated money for CSRs, and we will discontinue these payments immediately,” noted a statement from HHS.

"Based on guidance from the Department of Justice, the Department of Health and Human Services has concluded that there is no appropriation for cost-sharing reduction payments to insurance companies under Obamacare. In light of this analysis, the Government cannot lawfully make the cost-sharing reduction payments,” said the White House press secretary.

In all, these cost-sharing subsidies amounted to about $7 billion in fiscal year 2017.

Presidents Message TCA Is All About Community
Written by Andrea Howard   
Friday, October 13, 2017 12:56 PM
By Dr. Max Vige, TCA President
The Texas Chiropractic Association’s main purpose is to protect the chiropractic profession through advocacy and legal means. It’s a 52-week, 365-day job, although it commands the most attention during years in which the Texas Legislature meets, such as 2017, when a record four pro-chiropractic bills were signed into law.
But TCA is much more than that: it’s also about community. And that was on full display last weekend, both in Dallas and Houston.
TCA Tour of Texas Returns
Written by Andrea Howard   
Friday, October 13, 2017 09:30 AM
Back by popular demand, the Texas Chiropractic Association is reviving the TCA Tour of Texas, our grass-roots effort to reach every licensed doctor of chiropractic in Texas. The TCA Tour of Texas will stop at cities throughout Lone Star State over the next year. There’s no cost to attend a TCA Tour of Texas event, although a contribution to the Chiropractic Development Initiative (CDI), which funds TCA’s advocacy, legal and public relations efforts, or to the TCA Political Action Committee (TCA PAC) which is dedicated to getting pro-chiropractic candidates elected to public office in Texas.
The kick-off TCA Tour of Texas stop will be held in conjunction with the District 11 meeting at 7:30 p.m. Thursday, November 16, at Sable Gate Winery in Midtown Houston (2600 Travis St., Ste. 104, Houston, TX 77006). To RSVP, email Dr. Alayna Pagnani.
Here are some of the reasons why you need to be there when the TCA Tour of Texas comes to your town:
Thank You to TCA Premium and Elite Members
Written by Andrea Howard   
Thursday, October 12, 2017 03:59 PM
A Big Thank You to TCA Elite and Premium Members 

The Texas Chiropractic Association wants to thank our Elite and Premium Members for their extra support of TCA and your efforts to advance the chiropractic profession in Texas.
The Elite Membership is an upgraded membership that includes unlimited access to all TCA events such as the Mid-Winter Conference, Texas Sports Chiropractic Conference and Chiro Texpo, TCA’s annual convention. Cost is $1,100/year or, if you prefer, you can pay $275/quarter.
The Premium Membership is a high-level membership that features 16 CE hours in the price of membership. Cost is $800/year or $200/quarter.
A significant discount off conference registration fees isn’t the only benefit of the Elite and Premium memberships. A portion of Elite and Premium membership dues support TCA’s Chiropractic Development Initiative (CDI), which funds TCA’s advocacy, legal and public relations efforts.
To join as a TCA Elite or Premium Member or upgrade your membership, contact the TCA office at (512) 477-9292 or email info@chirotexas.org. You also can join online or complete and return the Elite application and Premium application.
The Future and Chronic Spinal Pain Management
Written by Editor   
Wednesday, October 11, 2017 07:52 AM

In discussions with patients from pain management groups, consumers (patients) experiencing chronic, persistent spinal pain each have a unique story, their experiences and perceived causes of their pain differed, yet the quality of life in all these consumers was markedly reduced.  This was the only clear similarity.  It confirms that there may be some similarities in the pain experience, but it is often more unique and individual. These consumers’ criticisms of care services were consistent, however, with dissatisfaction with their access to care, overall management of their pain, and noteworthy variations in the treatment they received.

These criticisms are commonplace. The problems associated with care delivery are confounded by a number of patient/consumer factors, such as lifestyle habits, nutrition, body weight, depression, health literacy, geographical isolation and poor socioeconomic conditions, making the management of persistent pain even more complicated.  In the future, matching the care service and treatment with the individual patient will become an essential component of care services.

Call for Nominations for P. A. Willmon Memorial Award
Written by Editor   
Tuesday, October 10, 2017 05:34 PM

The P. A. Willmon Memorial Award is an award presented by the Texas Chiropractic Association to recognize a recipient from, or serving the people of a rural area. 

If you are aware of a TCA member who is from a rural area of fewer than 100,000 or who has served the TCA and/or chiropractic patients within a rural area, please forward a nomination and your reasons for consideration to the TCA office at 1122 Colorado, suite 307, Austin, TX 78701.

Deadlines for nomination are January 19th, 2018.

Amazon is Thinking of Selling Medicine Online
Written by Editor   
Monday, October 09, 2017 03:10 PM

There might come a time when you can order prescription meds with household items and groceries from Amazon. 

Call for Nominations for Executive Offices of TCA
Monday, October 09, 2017 12:16 PM

TCA is putting out a call for nominations for the offices of secretary/treasurer and vice president. Nominations are due in the TCA office by Jan. 31, 2018.

TCA’s membership elects all executive officers every year. The next annual elections will take place early in 2018. Each executive officer serves a one-year term. The vice president succeeds to the to office of president of the association.  

Candidates must also meet the following qualifications:

TBCE Proposed Rules, September 2017
Written by Editor   
Monday, October 09, 2017 10:33 AM

The Texas Board of Chiropractic Examiners (Board) proposes amending several of its rules to comply with the changes wrought by this year's Legislative session. The proposed amendments would 1) permit a unlimited number of attempts to pass the jurisprudence exam in order to achieve a passing score, 2) repeal chiropractic facility registration, and 3) provide for license renewal every two years.

Call for Keeler Award Nominations
Monday, October 09, 2017 12:00 AM

Keeler Plaque Call for Nominations

TCA is accepting nominations for the Keeler Plaque, the Texas Chiropractic Association’s most prestigious award.  The Keeler Plaque designates the chiropractor of the year in Texas.

TCA members are encouraged to nominate a colleague who is a fellow TCA member. The list of nominations is presented to the Keeler Plaque Committee, which will select the honoree. Nominations are not held over from year to year.

Nominations for the 2018 Keeler Plaque are due by May 17.

A candidate shall be:

  • A member in good standing in the TCA;
  • Of good moral character;
  • A promoter or supporter of chiropractic advancement, such as research, public relations or school participation, in at least one of the three years immediately preceding the year in which the award is to be presented.
  • The candidate’s main endeavor must be in the practice of chiropractic and must have promoted chiropractic throughout their career.
  • Civic, church, community involvement and other chiropractic work may also be considered. 

Established in 1934 by Texas chiropractic pioneer Dr. Clyde Keeler, the Keeler Plaque has designated the chiropractor of the year for the past 84 years.

Nominations for the Keeler Plaque should include a description of how the nominee meets the above qualifications.  They should be sent to:

ATTN:  Keeler Plaque Committee
402 15th Street 

Canyon, TX  79015

Better Treatment of Pain Is Key to Ending Opioid Abuse
Written by Editor   
Thursday, October 05, 2017 07:08 PM

The solution to ending the opioid addiction crisis is “to attack pain.” 

“We are in an epidemic of opioid addiction, but the solution is not just to attack opioids, it's to attack pain," said Eric Schoomaker, MD, PhD, professor and vice-chair for Leadership, Centers and Programs in the Department of Military & Emergency Medicine at the Uniformed Services University of the Health Sciences in Bethesda, Md.

One key challenge to addressing pain management is the inability to objectively assess it, he said.

Journal of Performance Health Research
Written by Editor   
Thursday, October 05, 2017 06:43 PM

Performance Health is pleased to announce the availability of the Journal of Performance Health Research (JPHR), the official research journal of Performance Health Academy. JPHR is a bi-annual, peer-reviewed, open-access research journal sponsored by Performance Health. 

This inaugural journal presents eight original research projects with findings ranging from sports performance to exercise prescription to neck and knee pain treatments. The Journal of Performance Health Research can be viewed athttp://www.performancehealthresearch.com/

Palmer Center for Chiropractic Research Commits $1.9 million
Written by Editor   
Thursday, October 05, 2017 06:36 PM

The Palmer Center for Chiropractic Research announces a commitment of $1.9 million to the Yale Center for Medical Informatics to support a partnership to form an Inter-Institutional Network for Chiropractic Research. The Network is a five-year multidisciplinary effort designed to facilitate chiropractic research across multiple institutions and disciplines.

This partnership is a collaborative effort between the Palmer Center for Chiropractic Research and the Yale Center for Medical Informatics. The first action step will be to convene a steering committee of renowned experts to develop a chiropractic research agenda and establish teams of interdisciplinary researchers. These scientists will conduct projects aimed at improving the quality of chiropractic patient care. They also will collaborate on future grant applications to funding agencies such as the National Institutes of Health and the Department of Veterans Affairs.

National Clinical Guidelines for Non-surgical Treatment of Low Back Pain or Lumbar Radiculopathy
Written by Editor   
Monday, October 02, 2017 02:52 PM

Two multidisciplinary working groups formulated recommendations to summarize recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority.

Sixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active. If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids.

Executive Directors Message Oct 2017
Written by Andrea Howard   
Friday, September 29, 2017 02:37 PM

Executive Director’s Message

October 2017 is Texas Chiropractic Health Month. That’s right … Gov. Greg Abbott signed a proclamation recognizing Texas chiropractors and the unparalleled care you provide to your patients. It shows the respect that our state’s top leader has for our profession and he acknowledges that chiropractic is a solution to the nation’s healthcare crisis.

It’s our job as a community to spread the word. So, I encourage you to do the following:

1) Like and follow the Texas Chiropractic Association Facebook page, and follow @TexasChiroAssn on Twitter. Both are open forums and TCA members, non-members and fans of chiropractic are invited to join.

2) Find the Texas Chiropractic Health Month post and be sure to “like” it and share it on your Facebook page and retweet it on Twitter!

3) Look for positive PR from TCA on social media and on our website. It’s yours to use.

Foot Levelers Presented TCA Friend of Chiropractic
Written by Andrea Howard   
Friday, September 29, 2017 12:52 PM


The Texas Chiropractic Association (TCA) recently recognized Foot Levelers, Inc., with the prestigious TCA Friend of Chiropractic Award. TCA presented the award last month at the Foot Levelers Extremity Seminar Benefiting the Fight for Chiropractic in Texas in San Antonio.

The TCA Friend of Chiropractic Award is given to individuals and companies who consistently support TCA and have shown a commitment to advance the chiropractic profession in Texas. Previous winners include Parker University and Texas Chiropractic College.

“The Texas Chiropractic Association is thrilled to honor Foot Levelers with the prestigious Friend of Chiropractic Award,” said TCA President Max Vige, DC, of League City, who owns and operates a practice in Dickinson. “For decades, the chiropractic profession has been under assault in Texas, with legislative and legal threats designed to limit what chiropractors can do and restrict access to chiropractic care for all Texans. Foot Levelers is a true partner and is dedicated to keeping chiropractic strong and viable in the Lone Star State. While chiropractic picked up several key victories during the 2017 Texas Legislative Session, there is still much work to do, but it helps to have friends like Foot Levelers.”

October is Texas Chiropractic Health Month
Written by Andrea Howard   
Friday, September 29, 2017 08:22 AM


AUSTIN, SEPT. 29 – The Texas Chiropractic Association (TCA) is pleased to announce that Gov. Greg Abbott has signed a declaration proclaiming October 2017 as “Chiropractic Health Month.” 

“Pain is an important public health problem and a major reason why people seek medical care. As many as 100 million Americans live with chronic pain as a result of serious illnesses and injuries. Chronic pain negatively impacts many aspects of a person’s life as well as the lives of pain sufferers’ families and caregivers,” said Gov. Abbott in the proclamation.

“Thankfully, Texas chiropractors are dedicated to treating pain effectively and safely. Doctors of Chiropractic focus on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. As physician-level providers, chiropractors employ conservative, drug-free approaches to health care and pain management. Focusing on, but not limited to, back pain, neck pain, pain in the joints of the arms or legs and headaches, chiropractors’ approach to these conditions can save the public from physical and financial tolls, as well as help individuals heal naturally without the need for drugs or surgery.”

Chiropractic in Texas: New Threats and What TCA Is Doing to Protect the Profession
Written by Editor   
Wednesday, September 20, 2017 09:58 AM

The conference call recording, Chiropractic in Texas: New Threats and What TCA Is Doing to Protect the Profession, created on 09/19/2017 05:30 PM has been made available for dial-in access. To listen to this recording by telephone please dial 1-862-902-0129 and enter Recording ID: 60927572 when prompted for it.

TBCE Hurricane Harvey Response
Written by Editor   
Monday, September 18, 2017 05:02 PM

In the wake of Hurricane Harvey, the TBCE reports that it has received many calls and inquiries from Texas-based and out-of-state chiropractic licensees regarding how they can assist Texas residents affected by the storm. Texas chiropractors have inquired about how they can provide temporary space to local chiropractors. Out-of-state chiropractors have inquired about how they can provide temporary services within legal parameters. The following information may assist in these two scenarios.

Chiropractic Cares: Harvey Help
Written by Editor   
Thursday, September 07, 2017 05:35 PM

How to Help Those Affected by Hurricane Harvey

The Texas Chiropractic Association, Texas Chiropractic College and Parker University have teamed up to create a fund for Texan chiropractors who have been affected by the storm. Monetary and chiropractic equipment donations are being requested. Learn more about C.H.I.R.O.

ACA leadership requests that if you know of any member who has been seriously affected by the storm and subsequent flooding, please pass that information on to ACA Vice President Dr. Karen Konarski-Hart at communications@acatoday.org. Dr. Konarski-Hart, a trained disaster relief responder, offers this additional information for those who wish to help in some way:

TCA Member Issues 100 x $100 Challenge to Benefit CDI
Thursday, June 29, 2017 02:02 PM

Congratulations, Texas chiropractors! Because of your generous contributions over the past year, the 85th Texas Legislative Session was TCA’s most productive in decades. Your donations to the Chiropractic Development Initiative (CDI) allowed TCA to allocate additional resources to our advocacy efforts in Austin, resulting in four chiropractic bills that were signed into law – most notably SB 304 (which affirmed your right to diagnose).

Unfortunately, the fight is far from over. In order to appeal the decision in the TMA vs. TBCE lawsuit (which threatens your right to treat nerves and the subluxation complex), it will take $100,000 in legal fees per year, every year. Dr. James Fowler, a member of the CDI Committee, is challenging all DCs to participate in the 100 x $100 Challenge! Donate $100 a month over the next three years or make a one-time donation of $2,500.

The goal is to sign up 100 more doctors in the program. Check out Dr. Fowler’s video message on the TCA YouTube Channel for more details. To make a donation or get on monthly autodraft, please visitwww.chirotexas.org/CDI or call the TCA office at (512) 477-9292.

TCA Texas Sports Chiropractic Conference
Tuesday, June 27, 2017 09:38 AM


 April 6-8, 2018 | Texas Chiropractic College | Pasadena, TX

Sports means big business in Texas and doctors of chiropractic have never been more involved in the training and care of athletes at all levels. If you see high school, collegiate, professional or amateur athletes, you don’t want to miss the 2018 Texas Sports Chiropractic Conference.

Join TCA, in conjunction with Southeast Sports Seminars, April 6-8, 2018 at Texas Chiropractic College in Pasadena for this unique opportunity to earn all 16 CE hours toward your Texas license and increase your knowledge of sports chiropractic.  


  Schedule | Sessions | Speakers

Sports chiropractic legend Dr. Tom Hyde headlines an all-star speaker line-up that includes Drs. Ron Grabowski, Jake Harden, Jennifer Illes, Ti Pence, Todd Riddle, and Rob Silverman. View the complete schedule.

Earn all 16 CE hours and increase your sports chiropractic knowledge by attending these sessions:


  Tom Hyde, DC
    - FAKTER Master Class
        Sponsored by Southeast Sports Seminars
    - The Knee: Common Injuries, Assessment and Treatment
        Sponsored by Performance Health
    - How to Build a Sports Practice

Rob Silverman, DC  
- Breakthroughs in the Treatment of Concussions  
   Sponsored by Erchonia   

  Jennifer Illes, DC 
    - Special Considerations When Managing Female Athletes
        Sponsored by Performance Health

Todd Riddle, DC   
 - Biomechanical Taping for Movement Control     

  Ron Grabowski, DC
    - Nutritional Considerations for Optimal Sports Performance
        Sponsored by SpectraCell Laboratories 

Additional Sessions:
Upper and Lower Extremity Adjusting | Ti Pence, DC and Rhiannon Dickison, DC, CCCPS
     Sponsored by Pattern Functional Adjusting
Advanced Training for Office Managers and Experienced CA | Kelli Moore MCS-P, CCCPC 
     Sponsored by The Collection Coach
Social 101: Building Your Practice Through Social Media | Jake Harden, DC
TBCE Required Hours | Michele Quattlebaum
ASHI Basic Life Support (CPR) | Scott Reichel


Register today online or fill out the registration form and email it to tca@chirotexas.org or fax to (512) 477-9296. 
Prices good through March 18, 2018
TCA Member DC $245                              
Non-Member DC $295
Student/Associate Educator $95
CA/ Chiropractic Staff $95
One Day Pass or TBCE Hours only $125
ASHI Class (CPR) Materials $50 additional
NOTE: FAKTR sessions require a separate registration through Southeast Sports Seminars.

Sponsors and Exhibitors

Thank you to the following Session Sponsors:

Thank you to our Exhibitors:
For sponsorship and exhibitor information
email marketing@chirotexas.org or call the TCA office at (512) 477-9292.


   Home 2 Suites by Hilton
   Special $90/night room rate
   Book online with code TSC
   Call (281) 991-1055 and mention TSC, Texas Sports Chiropractic 
   Reservation deadline is March 21, 2018.
   Book now to secure your room!
Contact the TCA office at (512) 477-9292 or email tca@chirotexas.org
for more information or to register.