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Preventing the Common ColdEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cold prevention research was the emphasis of several studies in 2009. This work included both new clinical trials and additional reviews of past literature. The status of Vitamin C remains the same. It may decrease the duration of common colds but the evidence does not support a role in prevention. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - November 17, 2009 Category: Complementary Medicine Source Type: info

The Attitude of Orthopedic Surgeons toward ChiropractorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Several surveys of the medical community suggest that collegial interaction and education of other health providers can translate into an effective means of ethically building your practice. The results of a survey of orthopedic surgeons, published and released today by Spine, indicate that opinions about chiropractic vary significantly. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - November 17, 2009 Category: Complementary Medicine Source Type: info

Practice Economics: How Much Do Chiropractors Make?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The average income of chiropractors is difficult to identify precisely but several sources give at least a ballpark estimation. One important factor to keep in mind with most of these surveys is that they do not take into account the fact that many doctors do not work full time. This is especially true of doctors in their later years of practice. The primary sources of information about income, like the U.S. Department of Labor, don’t take these part time numbers into consideration. This could have the effect of underestimating the earning potential of those in full time practice. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - November 11, 2009 Category: Complementary Medicine Source Type: info

Cell Phones, Brain Tumors and Sperm DNA DamageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
During the past year numerous epidemiological studies have increased the concern over cell phone use. Although some researchers suggest that it could be a number of years before we know the full extent of the problem. The early research was equivocal and the majority concluded that cell phones could be a concern but there was not enough evidence. The recent studies seem to be painting a more reliable picture with strong evidence of male sperm DNA damage and growing confirmation that cell phones contribute to ipsilateral brain tumors. Some researchers note that some of tumors are slow developing and for this reason it could...
Source: ChiroACCESS: Tools for Better Patient Care - October 21, 2009 Category: Complementary Medicine Source Type: info

The Implications of Vitamin D Insufficiency in a Chiropractic and Wellness PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As the chiropractic profession moves into the 21st century a renewed emphasis is being placed on the concept of the wellness practice. This paper addresses the evidence relating to vitamin D (ViD) in the prevention of many serious health conditions as well as its role in conditions which confront the chiropractic physician on a daily basis. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - October 12, 2009 Category: Complementary Medicine Source Type: info

Methicillin-Resistant Staphylococcus aureus (MRSA) and Chiropractic: What you need to knowEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Methicillin-Resistant Staphylococcus aureus (MRSA) is a type of Staph bacteria that resists an entire family of antibiotic therapies. Infection with MRSA is becoming more and more prevalent and is also surfacing more outside of a health care or hospital environments. Two categories are noted with one being community-associated MRSA (CA-MRSA) and the other hospital-associated MRSA (HA-MRSA). MRSA can be isolated from the surfaces of various treatment equipment and instruments including stethoscopes and otoscopes, clothing or gowns, gym training surfaces, and recently, chiropractic treatment tables. (Source: ChiroACCESS: Too...
Source: ChiroACCESS: Tools for Better Patient Care - September 14, 2009 Category: Complementary Medicine Source Type: info

Sciatica: A Look at Recent ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Orthopedic testing plays an important role in physical diagnosis yet little research has been conducted to establish the reliability and validity of these tests. For the majority of tests we still have no support for their sensitivity or specificity and many are being evaluated for the very first time. When research is conducted, many tests are being shown to be useless or at least not useful unless if used in conjunction with other tests. The following is a brief update of some of the research from the last year related to the diagnosis of sciatica. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - August 12, 2009 Category: Complementary Medicine Source Type: info

Sciatica: A look at Recent ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Orthopedic testing plays an important role in physical diagnosis yet little research has been conducted to establish the reliability and validity of these tests. For the majority of tests we still have no support for their sensitivity or specificity and many are being evaluated for the very first time. When research is conducted, many tests are being shown to be useless or at least not useful unless if used in conjunction with other tests. The following is a brief update of some of the research from the last year related to the diagnosis of sciatica. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - August 12, 2009 Category: Complementary Medicine Source Type: info

Communicating with Your Patient 101: What does the evidence say?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Every clinician communicates with their patients. Some are good at it and some are not so good. Believe it or not, there are studies that indicate what one should do if they are to be successful in communicating health messages to patients. How does a patient prefer to be greeted by the doctor? Do you state, “I’m Dr. So-and-so…pleased to meet you?” If so, you may not be starting off on the right foot. A study in the Archives of Internal Medicine in 2007 found patients prefer to be greeted by their doctor by first and last name and to be called by their first name rather than Mr. or Mrs. They also preferred a handsh...
Source: ChiroACCESS: Tools for Better Patient Care - August 4, 2009 Category: Complementary Medicine Source Type: info

Where the Money Is: A Case of Tracking Suspects in Reforming Healthcare DeliveryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As everyone knows, this is a period of a major economic downturn and bailouts to major economic institutions, including our banks. With obsessions as to how safe our funds are, some have even gone so far as to revive interest in such storied bank robbers of the Depression Era, such as John Dillinger or Willie Sutton. So with apologies to Willie Sutton's infamous remark as to why he robbed banks ["Because that's where the money is"], it may be useful to reconsider the cost-effectiveness-in-healthcare delivery issue from another perspective which may tell us exactly what Mr. Sutton was driving at. In other words, where are t...
Source: ChiroACCESS: Tools for Better Patient Care - July 6, 2009 Category: Complementary Medicine Source Type: info

The "D" DebateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Recommended Dietary Allowance (RDA) for vitamin D is set at 200 IU per day for individuals up to age 50 in the United States. These recommendations were developed in the 1940’s and were based on levels necessary to prevent rickets. No consideration was given at that time to the possible long term effects that dosing at a low level may produce over a lifetime. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - June 23, 2009 Category: Complementary Medicine Source Type: info

Great Expectations in Randomization, or 'I Was an RCT Dropout'Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The situation is just as absurd if we take a hard look at unblinded randomized clinical trials, which in most cases is what we are stuck with when it comes to comparing chiropractic intervention with either a placebo or alternative treatment. Think for a moment how a patient would react knowing which arm of a clinical trial he or she were assigned to in an unblinded randomized trial. Given the choice of things, being ordered to the conventional treatment might appear to some to be equivalent to drawing the short straw, if a crossover design were not employed. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - May 5, 2009 Category: Complementary Medicine Source Type: info

Preventing Low Back PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In a systematic review of high quality clinical trials, exercise was demonstrated to be the most successful strategy for preventing low back pain in working age adults. In addition to exercise, the interventions evaluated included lumbar supports, shoe orthotics, lifting techniques, education programs, back schools and stress management. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - April 20, 2009 Category: Complementary Medicine Source Type: info

Evidence-Based Medicine: Changing with the TidesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Evidence-based medicine, to which all clinical researchers strive and all third party payors genuflect, is anything but the immutable Gold Standard of medical decision-making in recent years. Rather than being viewed as a Rock of Gibraltar, EBM almost appears more like a sand castle subject to the shifting sands of changing public sentiment as well as the updated scientific findings themselves. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - March 5, 2009 Category: Complementary Medicine Source Type: info

Acai, is it Berry, Berry Good for You?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Driven by remarkable health claims and aggressive marketing, acai berry products sales have soared from $435,000 in the 52 weeks prior to October 2003 to $13,800,000 annual sales just two years later. Touted as one of the most potent anti-inflammatory foods available this small purplish berry from the rain forests of Brazil has captured the imagination of a health conscious world. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - February 23, 2009 Category: Complementary Medicine Source Type: info

Disc Degeneration and Low Back Pain: An Emerging Etiological PictureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Disc degeneration has historically been believed to play a key role in a low back pain and sciatica. Research studies during the last few years give us reason to take another look at our previous model of disc degeneration. Until very recently, “Wear and tear” was believed to be the major cause of disc degeneration. However, a growing body of contemporary research is suggesting that this is not the case. It appears from many studies including some interesting epidemiological investigations, that the major factor in disc degeneration is genetics. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - February 5, 2009 Category: Complementary Medicine Source Type: info

Smoking Cessation Counseling and Health Care Providers: Evidence-Based ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Smoking is on the decline in the United States with about 20% of American adults reporting that they currently smoke and although it has declined in adults, it is increasing in certain groups including adolescents and females. Still, tobacco use in general remains the most preventable cause of death in the United States leading to over 400,000 deaths and billions of dollars in medical expenses. The Centers for Disease Control and Prevention (CDC) stated that it should be the goal of every health care provider to ascertain the use status of their patients and advise them to make a quit attempt. (Source: ChiroACCESS: Tools f...
Source: ChiroACCESS: Tools for Better Patient Care - April 23, 2008 Category: Complementary Medicine Source Type: info

Chiropractic: the Challenge of Avoiding InjuryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The chiropractic profession relies largely upon specialized manual therapy procedures (adjustment/manipulation) as a means of patient care. The methods of delivering chiropractic adjustments are not homogeneous and often require complex motor skills. These manipulative procedures involve biomechanical variables such as velocity, amplitude and the line of drive of force. Consideration of these variables is important in order to render them therapeutically safe and functionally effective. Learning these techniques in private practice or in chiropractic colleges is a process that involves significant repetition. These teachi...
Source: ChiroACCESS: Tools for Better Patient Care - February 5, 2008 Category: Complementary Medicine Source Type: info

Cryotherapy: A Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cold application (cryotherapy) is the simplest and most commonly used method for treatment of acute musculoskeletal injury. Among chiropractic practitioners it is the most often utilized (94.5%) passive adjunctive therapy. The pathophysiological effects of cold have been well documented. Studies have shown that cold applications can reduce the metabolic rate of a tissue, decrease pain and swelling, and reduce muscle spasm. Most health care practitioners are taught to use ice therapy for treatment of bruises, strains, sprains, or muscle tears and most are familiar with the rest, ice, compression, and elevation (RICE) prin...
Source: ChiroACCESS: Tools for Better Patient Care - February 4, 2008 Category: Complementary Medicine Source Type: info

PICO Is Big When Searching the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Evidence-based practice is a combination of the judicious use of the best external evidence, doctor's expertise and patient's wishes and desires. External evidence means retrieving and evaluating published scientific studies. The first part in finding the evidence is to formulate a searchable question that one will use when searching an appropriate database. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - December 18, 2007 Category: Complementary Medicine Source Type: info

Fall Prevention: How Can Chiropractors Be Involved?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Falls in older adults are becoming an increasingly important issue for the public, for health care providers, and for society in general. Each year, approximately one-third of community-dwelling adults aged 65 or older experience a fall. Falls cause two thirds of all unintentional injury deaths in older adults. Of those older adults hospitalized due to falls, 40-50% lose their independence and enter a nursing home as a result. According to a 2005 study, the direct medical costs of falls are estimated to be $6-8 billion per year. Furthermore, not only is the population of older adults growing rapidly, but fall death rates a...
Source: ChiroACCESS: Tools for Better Patient Care - November 11, 2007 Category: Complementary Medicine Source Type: info

Non-Surgical Spinal Decompression Therapy: A Review of the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Traction as a therapeutic intervention in the treatment of low back pain has existed for many years. Its use has progressed from simple static traction to intermittent motorized traction. A recent systematic review found only seven randomized controlled trials for intermittent motorized traction and six reported no difference between the traction groups and the control groups. The most recent incarnation of traction has been a form of intermittent motorized traction commonly referred to as spinal decompression therapy. Developers and manufacturers of the equipment and often physicians as well consider it to be a unique for...
Source: ChiroACCESS: Tools for Better Patient Care - June 1, 2007 Category: Complementary Medicine Source Type: info

Evidence-Based Practice: Method of Rating the EvidenceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This series of reviews of the scientific literature explores Wellness risk factors, diagnostic strategies and treatment options for a variety of conditions. Data was gathered from the MEDLINE, MANTIS and CINAHL databases with an effective date listed on each review as the "as of" date. A variety of search strategies were used such as "prevention AND condition", "diagnosis AND condition", "therapy AND condition" as well as searching the specific condition under review. (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - May 28, 2007 Category: Complementary Medicine Source Type: info

Aspirin Therapy and Prevention of Cardio-vascular EventsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
According to the new 2006 US Preventive Services Task Force (USPSTF) guidelines clinicians should discuss the potential benefits and risks associated with aspirin therapy with patients who have an increased risk of cardio-vascular disease (CVD). (Source: ChiroACCESS: Tools for Better Patient Care)
Source: ChiroACCESS: Tools for Better Patient Care - May 15, 2007 Category: Complementary Medicine Source Type: info