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Does Spinal Manipulation Affect Central Nervous System Pain Mechanisms?

Part of the Evidence in Action series by the Palmer Center for Chiropractic Research

Clinical guidelines for adults with acute, subacute, and chronic low back pain support conservative management with spinal manipulative therapy (SMT). Research shows SMT is comparable to other noninvasive treatments in reducing low back pain and disability with relatively low risk for adverse events. However, the mechanisms leading to pain relief from SMT are poorly understood. Identifying therapeutic mechanisms of SMT can inform treatment strategies and lead to more effective care. 

Author: Zac Shannon
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Gaining a New Perspective from Geriatric Medicine

Part of a series on the chiropractic residency program in the VA health care system

As chiropractors, we have such an opportunity to make an impact on musculoskeletal pain in the elderly, and it often begins with education. Fall prevention, diet and nutrition, exercise and encouraging socialization are just a few ways in which we can make a difference. Fear can be crippling, and depression is not uncommon. Dr. Rachel (Mooers) Clark, a participant in the VA chiropractic residency program, recalls that learning to communicate effectively and motivate this population is one of the greatest things she gained from her experience in the geriatric clinic at the Sepulveda Ambulatory Care Center in Los Angeles. 

Author: Rachel Clark
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Q&A with NCLC 2018 Presenters: Dr. James Cox

An early setback in his career inspired Dr. Cox to search for a better treatment for spinal stenosis.

Spinal stenosis is one of the most challenging spine pain conditions. Disc herniation and disc and facet degeneration are primary causes and represent major pain and disability in the world. "You will be surprised at the relief possible with distraction spinal manipulation," writes James Cox, DC, a presenter at NCLC 2018, who answers some questions about his upcoming talk. "Having had this condition with cauda equina syndrome personally (necessitating decompression laminectomy), my spine’s own care is the technique presented. It is a stimulus to study and apply superior spinal manipulation when it is your own condition. I started out in practice with a challenge of low back pain and sciatica in a patient, lived it myself and then devoted my life to seeking the best evidence-based clinical treatment for spinal stenosis."

Author: James Cox II
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Q&A with NCLC 2018 Presenters: Jeff Miller

Entrespace technology and development fellow discusses tailoring your practice to millennial preferences

"The millennials have a unique style, a set of preferences, and their behavior is quite different from other generations. They are different in how they learn and adopt technologies, and how they interact with businesses," writes Jeff Miller, technology and development fellow with Entrespace, who will be speaking March 2 at the 2018 National Chiropractic Leadership Conference in Washington, D.C. Miller and his colleagues have conducted extensive research into the behavior and preferences of millenials that can help chiropractic practices adapt to this important demographic. Here he answers some questions about his upcoming presentation, “Designing the Patient Experience to Successfully Attract Millennials."  
Author: Jeff Miller
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Research Review: Best Practices for Chiropractic Care of Children

Integrating high-quality evidence into our clinical acumen is a crucial aspect of the evolution of the chiropractic profession. However, we must also continue to respect and include expert consensus, based on years of clinical experience. Papers like this help us achieve this valuable combination! Dr. Cheryl Hawk and colleagues give us a great overview of the literature pertaining to chiropractic care for children, incorporating evidence and consensus-based advice you can apply in your practice…enjoy! -- Shawn Thistle, DC, RRS Education 

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Q&A with NCLC 2018 Presenters: Dr. Jay Greenstein

Presentation Reviews the Relevance of Clinical Practice Guidelines to Better Patient Care and Proper Reimbursement

ACA’s annual meeting, the National Chiropractic Leadership Conference (NCLC), is packed with great educational content and world-class presenters. Join us Feb. 28-March 3 in Washington, D.C., to hear from some of the profession’s most compelling thought leaders. Here we pose several questions to one of our featured speakers: Jay Greenstein, DC. Dr. Greenstein will be speaking about the relevance of clinical practice guidelines.   

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10 Changes for the Better in Chiropractic History

Driven by rising health care costs, the constant barrage of new research knowledge and the increasing integration of technology, the way in which all health care providers take care of patients in this country--in this world--is changing rapidly. This evolving health care environment means that, while we remain steadfast at the core of who we are and what we do stand for as a chiropractic profession, expectations regarding some of the ways in which we practice are beginning to change.

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