The ACA blog provides readers with information to help them advance their knowledge, achieve their professional goals and strive for excellence, while also creating a greater sense of community among chiropractors nationwide through online engagement and information-sharing with their colleagues.

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United States Bone and Joint Initiative: Programs Designed to Advance Knowledge, Improve Care

*Member-Exclusive Content* The United States Bone and Joint Initiative (USBJI) developed in 2011 as a continuation of the work of the United States Bone and Joint Decade, which began in 2002. The American Chiropractic Association (ACA) was an original founding member of the United States Bone and Joint Decade and has held a seat on the board since the beginning. USBJI’s mission is to advocate for and promote multidisciplinary, coordinated and patient-centered care to improve the prevention, diagnosis and treatment of musculoskeletal disorders. To that end, it has launched a number of programs to advance knowledge and improve patient care. 

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Author: John Ventura
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Improving Interprofessional Communication

Part of the Evidence in Action series by Palmer College of Chiropractic

The public primarily perceives the chiropractic profession as a healthcare discipline involved with the management of spine-related pain and disability. Unfortunately, the current state of spine care in the United States is dominated by specialists, who tend to function in isolation, with minimal communication between providers. While this may have been the way it has been in the past, we feel it doesn’t have to--and shouldn’t--stay this way. Regardless of the practice setting, we believe all DCs have opportunities to improve patient care by adopting a more interprofessional approach to care.

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Back Pain Treatment Is Harming Patients: The Lancet Low Back Pain Series

*Member-Exclusive Content* Low back pain (LBP) is by far the most common reason people seek care from chiropractors all over the world. The Lancet, one of the world’s leading medical journals, just published a series of three papers dealing with LBP in a global perspective. The main conclusion from the series is that worldwide easy access to, and overuse of, inappropriate tests and treatments such as imaging, opioids and surgery means patients are not receiving the right care. As a result, patients are harmed and resources are wasted. Jan Hartvigsen, DC, PhD, one of the authors of the series as well as ACA's 2017 Researcher of the Year, provides a summary for members. 

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Cooking Techniques and Financial Management

Whether baking a cake or preparing unique dishes, both require the necessary and assorted ingredients: time, expertise, finesse and the ability to tweak the recipe to obtain the desired results. Guess what? Portfolio construction and financial management may not be all that different. In effect, a financial professional is expected to build an investor’s portfolio after carefully ascertaining precisely what is the individual’s risk tolerance, challenges, goals, timeline for investing and end-point needs. Yet how does an investor go about locating a financial professional in the universe of available services and the multitude of different titles?

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Congressional Caucus on Integrative Health, Wellness Holds Inaugural Meeting

*Member-Exclusive Content* With the burgeoning opioid epidemic serving as backdrop, the Integrative Health and Wellness Caucus (IHWC) held its inaugural meeting March 15 on Capitol Hill. The Caucus was founded by Reps. Jared Polis (D-Colo.) and Mike Coffman (R-Colo.) with the goal of providing a non-partisan educational forum to increase understanding of how shifting the focus in health care to prevention and health promotion can create cost savings and improve health outcomes for Americans.

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Author: Jack Dusik
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VA Chiropractic Residents: Where Are They Now?

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

The blog posts in the VA Chiropractic Residencies series thus far have been focused solely on the current residents’ experiences as they unfold throughout the year. For many, the question remains: What happens after the residency ends? In this post, I summarize what Brian Giuliani, DC, the 2016 graduate of the VA Connecticut Healthcare System, and Kelsey Corcoran, DC, the 2017 graduate of the VA of Western New York Healthcare System, learned from their respective programs, their favorite rotations, where they are now, and what advice they have for students interested in applying for the VA Chiropractic Residency.

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On Leadership: Lighting the Way for the Future with Grilled Cheese, Candles and Beer

Anticipation for the McAndrews Leadership Lecture at this year’s National Chiropractic Leadership Conference (NCLC 2018) was heightened by the mystery surrounding the title of the talk – “Grilled Cheese, Candles and Beer”—and what it could possibly have to do with leadership. Presenter Stephen M. Perle, DC, MS, a respected author, journal editor, lecturer and professor of clinical sciences at the University of Bridgeport College of Chiropractic, not only served some valuable lessons based on his personal experiences and observations on leading “from the middle,” in the end he gave all gathered plenty to chew on.

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Despite Obstacles NCLC 2018’s Advocates Boost Chiropractic on Capitol Hill

Regular attendees of ACA’s National Chiropractic Leadership Conference (NCLC) have learned to expect nature to play a supporting role during this action-packed event, and this year did not disappoint. With wind storms topping out at more than 70 mph, and the cancelling of votes in the U.S. House of Representatives to make way for the late Rev. Billy Graham to lie in honor in the Capitol Rotunda, NCLC 2018 was especially challenging. Nevertheless, hundreds of chiropractors and students forged ahead, enthusiastically delivering the profession’s message to more than 300 officials and their staff members in the House and Senate.

Author: Jack Dusik
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Research Review: Spinal Manipulation vs. NSAID (Diclofenac) for Acute Low Back Pain

The purpose of this randomized, double-blinded, placebo-controlled, parallel trial was to compare high-velocity low-amplitude spinal manipulation with chemical treatment. In this case, the chemical treatment was diclofenac, a nonsteroidal anti-inflammatory. The trial also included comparison with placebo. Considering the staggering impact of low back pain, the authors of this trial felt there were too few studies comparing spinal manipulation to nonsteroidal anti-inflammatory drugs or placebo. They aimed to test patient satisfaction and function, time off from work, and rescue medication, specifically.

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Evidence-based Diagnosis for Low Back Pain

Health professionals from different disciplines use diverse diagnostic methods to inform clinical management for patients with low back pain. One person may diagnose someone as suffering from sacroiliac joint pain while another might classify the same patient with a movement disorder caused by poor muscle coordination. In a given circumstance, either or both individuals could be right or wrong. However, we can’t realistically discern this until we understand the underlying strength of the diagnostic tests we use.

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