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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5 Conditions Chiropractic Care Can Improve During Pregnancy

A recent study found that more than 75 percent of pregnant women experience pregnancy-related low back pain, pelvic pain, or a combination; and that this pain increases as pregnancy progresses. Chiropractic care is a safe, effective, and drug-free way to manage these and other musculoskeletal (MSK) symptoms during pregnancy. In this post, we review five common MSK conditions that respond well to chiropractic treatment. 

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Chiropractic Education and Radiography Best Practices

ACA’s Choosing Wisely recommendations are consistent with X-ray guidance in today’s classroom and trusted texts.

In the past year, many chiropractors have discussed indications for radiographic examination with renewed interest. In particular, they have questioned the X-ray recommendations of the Choosing Wisely initiative, a project of the American Board of Internal Medicine that seeks to promote more effective use of healthcare resources. The recommendations are hardly revolutionary, and well in line with current radiology education. In my own final radiology classes, professors emphasized that what we learned was only the foundation of what we would need in practice, and a mere fraction of what our peers would learn should they choose to become chiropractic radiologists. The recommendations in Choosing Wisely are shorthand for what we already know. 

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Essential Skills for Managing Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness and vertigo. The condition is characterized by brief episodes of dizziness, nausea, and/or nystagmus triggered by head movement. Over 7 percent of the population will experience BPPV at some point in their lifetime and 80 percent of those patients will require medical treatment. Chiropractors are uniquely suited to differentiate BPPV from the similar-looking cervicogenic vertigo. Both conditions are very amenable to treatment; however, each is managed quite differently. Successful outcomes are predicated upon a solid understanding of both.

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Language Matters: Spanish in the U.S.

Every year Sept. 15-Oct. 15 is recognized as National Hispanic Heritage Month in the United States. According to the United States Census Bureau, there are 58.9 million individuals of Hispanic heritage, making this group the largest minority group at 18.1 percent of the U.S. population.1 The data set, part of the department’s National Hispanic Heritage Month fact sheet, indicates a 10-state block with more than 1 million individuals of Hispanic heritage. ACA's new Commission on Diversity is developing projects and resources to help expand access to information about ACA and chiropractic to Spanish speakers as well as other populations.

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SACA Leadership Conference: A Tribe of Future Leaders

More than 120 Student ACA (SACA) members gathered Sept. 7-9 in Milwaukee, Wis., for the 2018 SACA Leadership Conference, an annual event promoting leadership development and community building. “The Leadership Conference is the place where it all seems to come together, where attendees not only learn how to be better leaders and better future healthcare providers, but also how to be great colleagues and even friends,” writes student Jocelyn Tierney, SACA national vice chair. Highlighting the event was a diverse line-up of the profession’s leaders, who shared their insights on leadership and personal development.

 

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Engaging the Community Through Diversity in Research

An Introduction to Diverse Needs

While a chiropractic student, I traveled with a group of medical providers to a community in Ghana to provide supplies, assist with health screens in remote villages, and work in a local hospital within a variety of departments. During my time there, I interviewed different community members employed by the hospital or by non-governmental organizations working with the hospital about their perceived health burdens and openness to chiropractic. Unexpectedly, interviewees expressed that while they practiced a Western medicine model, there was some uncertainty on how much that body of knowledge applied to them since they felt so underrepresented in the studies that contributed to that knowledge. The patients and study participants described were rarely people that came from similar geography, cultures, and lifestyles or had physical characteristics they identified with. 

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Learn ACA: You Have a New and Better Choice for Online Continuing Education

When ACA decided to make some transitions last year, we were determined that this process would go deeper than just a new logo design and some brighter website colors. Today, we are committed to “living our values” by putting patients at the center of all our decisions, using the best available evidence and by collaborating with other healthcare providers. Adhering to best practices and having a positive attitude are also paramount. To this end, we are launching a new learning system, called Learn ACA, that will make it easier for chiropractors to access top-quality online education and their required continuing education units (CEUs).

Author: N. Ray Tuck
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Choosing Wisely: It’s About Communication, Not Coverage

It’s been one year since the American Chiropractic Association released its Choosing Wisely list, which features recommendations designed to help patients start conversations with their chiropractors about appropriate care. In an era of evidence-based care and shared decision making, patients need this type of information to have meaningful discussions with their doctors that lead to better care and, ultimately, better outcomes.

Author: N. Ray Tuck
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Communicating Chiropractic: An Algorithm to Answer Difficult Questions

Although the culture of health care is shifting and complementary and alternative options are being implemented in hospital and primary care settings, many allopathic practitioners are not necessarily familiar with chiropractic. My biggest take-away from being exposed to interprofessional collaboration on a day-to-day basis in the VA is the need for chiropractors to prepare answers to questions regarding what chiropractic care is, common conditions seen, neurophysiological effects of treatment, and the incidence of adverse events.

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WHO Collaboration Presents Public Health Opportunities for Chiropractic

The World Health Organization (WHO) held its 71st Assembly May 21-26, 2018 at the United Nations headquarters in Geneva. WHO is the directing and coordinating authority on international health, and uses the annual Assembly to set norms and standards for ethical and evidence-based healthcare policy. I had the honor of attending the Assembly this year as part of the World Federation of Chiropractic (WFC) delegation. Over four days of plenary sessions, committee meetings, and technical briefings, I observed an impressive breadth and depth of operations at WHO—and a chiropractic profession that is primed for more meaningful engagement with the broader public health community.

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