Everett Chiropractic Center Blog

October 25, 2017

“I had no idea chiropractic was covered by insurance.”

That from today’s new patient. If you know anyone suffering from back pain, neck pain, or headaches (or knee pain, or shoulder pain, or… or…), you would be doing them a great service to mention that chiropractic might help them.

A chiropractic patient is qualified as a chiropractic patient because they need chiropractic care, not because of their complaints, or lack of complaints.

We look for a condition that is often no painful – it will likely eventually become painful. It may be painful, it may not. The condition we look for and attempt to prevent, correct, or manage is a progressive condition: it will get worse if it is left uncared for. It will lead to degenerative changes, eventually. And this process will lead to disease labels.

If a patient waits too long, there may be little that chiropractic care can do. But you will not know that without an examination, and usually a trial of care.

And if someone you know, work with or are related to is suffering, does have the condition that chiropractors look for and correct, and does not get chiropractic care, there is a good chance that, symptom relief or not, they will still have that condition afterwards. By this I mean medication, physical therapy, massage, may give symptomatic relief; if may not correct the underlying condition causing the symptoms.

It is an old story. We who have been telling it for decades tend to assume everyone knows it. But like insurance coverage, which has been standard for chiropractic care since the early 70’s, not everyone knows.

You need to tell them.

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July 12, 2017

Pony Tails and Headaches

http://neurosciencenews.com/headache-ponytails-7065/

 

 

March 3, 2017

Biome on the Brian (Parkinson’s)

It’s been coming for a while; now it’s all the rage. Everyone will have something to say about. Experts will sprout like mushrooms. And everything that isn’t blamed on President Trump will be blamed on disrupting the biome.

Below is an example. And don’t get me wrong: the importance of the biome (new word maybe but it just refers to friendly bacteria in the body) is not news really, it is just getting to be the popular topic as more and more is learned about the details. But how to have a healthy biome and the kinds of things that mess it up – much of it anyway – has been known and spoken of by health advocates for a very long time.

Anyway, here is some news that you can use: http://neurosciencenews.com/microbiome-gut-parkinsons-6191/

Oh, and I forgot to mention, everyone will have something to sell: here, this Post, is the lead-in kind of talk (“microbiota-directed therapies”): http://neurosciencenews.com/microbiota-gut-brain-6183/

JP+ has offered added probiotics in its Capsule products since the beginning over 20 years ago, by the way.

February 3, 2017

Soccer Mom News From Neurosciences.com

I have always told the story about how this issue relates to chiropractic, courts, and car accidents. Here is the latest update from the scientific community:

http://neurosciencenews.com/headers-soccer-concussion-6046/

And if you are saying to yourself, “Well, it’s better than football,” you are right. But being right in this case doesn’t get you the prize – safety.

January 25, 2017

Left Knee Pain

Today a patient wanted me to know that her left knee pain, a pain that she didn’t even tell me about (that part impressed her the most), went away immediately after her last visit – and she hasn’t had that pain since.

Patients often like to hold back from telling me what is bothering them when they come in for any particular visit; and I don’t always  ask. They like to see if I can ‘find’ it without them telling me. Then, when I do, they make a big deal out of that.

When we accept people as patients we try to explain that ours is an “alternative” approach. That we are looking for something (the subluxation complex), and if that have that, they can be a chiropractic patient – as long as it is safe for us to address the subluxation with what we do (in our case the Activator Method). If they do not have that particular condition, they do not qualify as a chiropractic patient; if it wouldn’t be safe to adjust them in the way that we do in this office, they still do not qualify as a chiropractic patient, in this office at least.

Most all of that is lost on most people. They hurt, that is the problem. And they think that it is critically important for them to tell us where they hurt for us to do our job. We go along with the conversation and keep trying to help them understand the difference between a symptom-based approach and the chiropractic approach. First patients have to feel better. We know that. The rest is a bonus.

 

January 8, 2017

Tips for choosing the right Chiropractor

The Val-U-Pak coupons came in the mail last week; I just throw them in Helen’s IN basket. Today I saw that she had pulled one out and put where I could find it: “5 Tips for choosing the right Chiropractor” – I had to read it.

And now I am compelled to share my thoughts on it with you – no, I am not going to address the marketing dynamics, or the low ball offer, and all that that implies. But let’s just look at the tips and go from there.

Tip #1:  Get a thorough consultation – Make sure your doctor truly listens to your problems and concerns. Now who going to argue with that: not me. (Falls under ‘goes without saying’ though I know it may not be what many patients have encountered in the offices that they have visited, chiropractic or otherwise.)

Tip #2: Detailed Computerized Examination – The doctor should provide you with access to the latest technology. Gosh that sounds good on the face of it, doesn’t it? All I can say it think this one through, all the way through. The trouble for patients is that they are way over their head when it comes to this and are ripe for picking for those who with less than stellar ethics.

Tip #3: On-Site X-Ray Facility – see your problems for the most effective care. This presupposes quite a bit. Nowadays it is pretty well recognized that most of the time the problems that we chiropractic doctors are addressing directly are safely and effectively addressed without having to expose the patient to either the radiation risks, or the expense of x-rays. Sometimes we do, then, having an on-site x-ray facility makes sense. The most “effective” care is the care the gets the results both the patient and doctor want in the least amount of time, for the least amount of money, and in the safest way possible. I would put ‘see’, ‘problems’ and ‘most effective’ in quotes and go from there:-)

Tip #4: Report of Clinical Findings – Prior to receiving care, you should know what’s wrong, if they can help, how long the process will take, and how much it will cost. Great ideal, but this promises more that any of us can deliver. First, you should know if the chiropractor believes that you have the problem/condition that chiropractors’ attempt to prevent, correct, or manage and if they think that it is safe to address it in the way that they specifically work. And those, by the way, are the two questions that the doctor is trying to answer in the consult and exam: do they have the problem we fix; and would it be safe to fix it the way we fix things around here? That is the “if they can help” part. But don’t be fooled – it isn’t if they can help. It’s if they think that they can help. We don’t really know if we can help for sure until we try. Which leads to how long the process will take: no one knows! In our office we make the following “promise”: that the patient will feel different in two weeks and better in four weeks. We offer that knowing full well that the vast majority will feel different and better before they get to the door to leave on their first visit. BUT, there is no guarantee! I tell them that’s the promise, and that that way if results come quickly chiropractic is a hero, if not, we are still on schedule weeks into it – it’s a reality check. Patients bring us spinal conditions that have been developing, often pain-free, for years (sometimes decades). They have developed degenerative changes, habits, lifestyles, and other conditions that affect recovery. But we live in a society that expects instant results, so… it’s an attempt to interject the truth about their conditions seriousness and the potential limitations to recovery.

Tip #5: Education – it is critical to be instructed on how to get better faster, stay better longer, and achieve maximum results for less money. Yep. And I dedicated a whole Category of our office Blog to “Be Careful Who You Listen To”. In our office we offer the following basic education to all patients, not all want all of it, some don’t want any; some want some of it, but it is always offered: (a) The problem(subluxation): how it was created, what makes it worse, and what makes it better; (b) Our solution (the adjustment via the Activator Method) to restoring function to the joints; this includes the use of basic back first aid tricks, such as the proper use of ice; (c) how their lifestyle might be the cause of or a contributing factor, and what they might be able to do about it; (d) how to correctly move and use their back, knees, and shoulders (as a minimum) because often their history is that they do not know – and/or it is revealed in our examination – and moving poorly prevents recovery and promotes relapse; (e) exercises that the patient can do at home to promote joint motion in the joints that we had to adjust, so they can go longer between visits. From there, and not before covering that ground, we will go into strengthening, flexibility, balance or coordination exercises addressing whatever is revealed as the weak areas, or according what will help the patient hold their adjustments longer.

So, for $38, you can have a posture analysis (computerized no doubt), consultation, examination and two X-rays, and save $172 – and you can get $10 off a one hour massage to boot! And… well, stop by the office if you want this coupon (it’s first come – first served).

I hope that my comments were helpful to you and that you choose a chiropractor that delivers on all their promises and gives you all the results that you seek. Happy New Year!

 

December 27, 2016

2016 Questions & Answers

Some of these questions came up only once; others come up now and then, but I thought it would be nice to cover them for those who wonder.

  1. Yes, we do take new patients. A patient asked this question a while back, saying that she thought we were so busy and had been here for so long (30 years) that we probably couldn’t take new patients any more. We do.
  2. No, I will not teach you how to use the Activator Instrument if you find one to buy on eBay. A patient did actually ask.
  3. Yes, we are open on Fridays. Our hours changed many years ago – there was a time when we were closed on Fridays. Now our hours are: Monday, Tuesday, Wednesday, and Friday, 10 a.m. until 7 p.m. Sometimes, though rarely, I come in on a Saturday; if that is the only thing that will work for you just call and let us know, we will work something out.
  4. Our fee, when you pay us at the time of service, cash, is $43. That’s right, only $43. We don’t money to be the reason you don’t get the care you need. We ‘fiddle’ with that for kids – usually, if we charge at all for kids, it’s $20. (We certainly don’t want money to be the reason you don’t get the kids the care that they need!!)
  5. Yes, we sell Biofreeze. And the folks who regularly buy it here, as well as the random stranger who buys it, say that our prices are great. I wouldn’t know; I don’t know what everyone else charges.
  6. Yes, we sell Kangen water machines. This Blog has about a dozen Posts on the subject of water and we routinely recommend it and the machine that makes it. There is no healthier water – though sometimes it is actually too healthy (Like everything else, powerfully healthy choices are best made by reasonably healthy people. People who are very sick can not just blindly change to what would otherwise be a very healthy habit. Seek professional advice!) P.S. – we strive to make what we offer the very best in it’s class. So whether it is Activator Method chiropractic care, tai chi (exercise), JuicePlus+ (supplements) or Kangen water, as far as I know, there is no better (healthier, more effective) choice: and usually whatever is in second place is way back there! When we say that we take your health seriously, we are not kidding.

There are going to be other questions – I will add them as I think of them:-)

Happy New Year!

DrD

December 26, 2016

If This Describes You, Maybe We Can Help

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November 9, 2016

Chiropractic IS Effective, Cost-Effective, and Safe

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Bishop, et al. (2010) The Chiropractic Hospital-based Interventions Research Outcomes (CHIRO) Study: a randomized controlled trial on the effectiveness of clinical practice guidelines in the medical and chiropractic management of patients with acute mechanical low back pain. The Spine Journal 10: 1055-64

 

“This is the first reported randomized controlled trial comparing CPG-based treatment, including spinal manipulative therapy administered by chiropractors, to family physician-directed usual care in the treatment of patients with acute mechanical low back pain.”

“Compared to family physician-led usual care, full clinical guidelines-based treatment including chiropractic spinal manipulative therapy is associated with significantly greater improvement in condition specific functioning.”

November 7, 2016

A Tale of Two Studies

Workers’ Back Pain: Causes, Costs & Solution

By Donald M. Petersen Jr., BS, HCD(hc), FICC(h), Publisher

You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.

Examining Workplace Risk Factors for LBP

The first paper comes from the Journal of Manipulative and Physiological Therapeutics(JMPT).1 The authors examined how certain workplace risk factors impact the prevalence of low-back pain (LBP). Here are some of their important findings:

  • More than a fourth of workers experienced LBP in the previous three months (25.7 percent).
  • Female and older workers were at increased risk for LBP.
  • Women working 41-45 hours a week and young people working more than 60 hours had an increased risk of LBP.
  • Work-family imbalance, a hostile work environment and job insecurity were significantly associated
    with LBP.

Treatment Options: DC vs. MD vs. PT Care

The second paper, published in the Journal of Occupational Rehabilitation, also looked at workers’ back pain.2 This paper examines provider effectiveness through the lens of worker’s compensation costs. The authors evaluated the experience of workers with back pain who saw a DC, MD or PT and discovered the following:

  • [T]he median number of days of the ï¬ï¿½rst episode of any wage compensation were 8.0 (95% CI 6.6–9.4), 10.0 (95% CI 9.5–10.0) and 25.0 (95% CI 20.3–29.7) for the workers who ï¬ï¿½rst consulted chiropractors, physicians and physiotherapists, respectively.”
  • 15.0% (n = 92) of the chiropractic care seekers, 16.2% (n = 738) of the physician care seekers and 23.7% (n = 40) of the physiotherapist care seekers had a second compensation episode.”
  • When compared with medical doctors, chiropractors were associated with shorter durations of compensation and physiotherapists with longer ones. Physiotherapists were also associated with higher odds of a second episode of ï¬ï¿½nancial compensation.”
  • These differences raise concerns regarding the use of physiotherapists as gatekeepers for the worker’s compensation system.”

Together, these studies tell employers that one-fourth of their workers will have back pain each quarter. Women, older workers, those working significant overtime and workers under certain psychosocial pressures will experience more back pain, leading to more time off work and lost productivity.

However, they can help offset these challenges by encouraging their workers to seek chiropractic care. Chiropractic care has been shown to shorten the time off work, reduce the likelihood of relapse and save substantial amounts of money in worker’s compensation claims and lost production – more than any other provider.

Let Employers Know

Unfortunately, most employers will never see these studies or hear this important information. This is where you come in.

Begin to share this information with your patients, particularly the ones who are in management positions. Make an appointment with local businesspeople in your area regarding how to reduce worker’s compensation costs and lost production in their company. Write a cover letter (use the content in this article shamelessly) and let the business leaders in your community know you have important information that can save them money.

A little action on your part can change the understanding and appreciation of chiropractic for literally thousands of workers. It’s well-worth the time and effort required.

References

  1. Yang H, Haldeman S, Lu M-L, Baker D. Low back pain prevalence and related workplace psychosocial risk factors: a study using data from the 2010 National Health Interview Survey. J Manipulative Physiol Ther, 2016;39:459-472.
  2. Blanchette M, Rivard M, Dionne CE, et al. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. J Occup Rehabil, 2016 Sep 17 (epub ahead of print).

October 31, 2016

Chiropractic IS Effective, Cost-Effective, and Safe

Schifrin, L.G. (1992). Mandated Health Insurance Coverage for Chiropractic Treatment: An Economic Arrangement with Implications for the Commonwealth of Virginia. Richmond, Virginia. 

“A fair interpretation of the evidence accumulated to date indicates that the impact of chiropractic mandates comes close to the “best case” scenario of low costs and high benefits.”

“Accordingly, the continuation of mandated chiropractic provider services in health care appears both reasonable and sound. It is a cost-effective provision in health insurance, and one that also serves the important goal of health care cost containment.”

what-controls-the-heart

October 1, 2016

Now That Your Are Up

I recently wrote about stretching briefly before getting out of bed in the morning; then I talked about how to safely get out of bed. Now, that business of putting on socks, pants and shoes: the reported cause of so many episodes of lower back pain.

This is about how to move. How to move properly is basic new patient stuff: what we talk about in those first half dozen or so visits. It’s about bracing, and about breathing. It’s about bending and lifting (you don’t think that you are lifting much but the mechanics are the same, and the forces in your low back when you bend to do shoes or socks would shock you. And it’s about knowing a few tricks.

Here is one trick and I know that for some folks, when I talk about the stretch or lifting you foot onto your knee while in the sitting position and putting on socks or shoes from there, it is already too late: they have lost that level of flexibility and can not do it. Sorry, that is a different level of intervention and not Blog Post stuff.

If you can grab your feet then do it sitting down; bring that foot all the way across so that you are not bent over at the low back just to deal with feet: the flexibility should be in the hip. Use the shock and shoe opportunity to stretch out the hip a little, in sitting position. And it’s the same with pants if you know putting them on standing up is a challenge (remember ‘challenge’, ‘struggle’ and easy from earlier Posts? If not search those terms.)

Most important, probably, is that just like older folks may have to ‘gather’ themselves (be mindful) when they get upright or they could fall down faster than they got up, it is important for you to be paying attention to each step in the process and move deliberately.

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