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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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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Taxes, Football and Conflicting Rules

When you play in a sport and follow the rules there is an expectation of a fair game with a winner and loser. If you watched the recent Super Bowl you may have seen two touchdowns by the Philadelphia Eagles that were scored and upheld. The National Football League (NFL) "catch rule" has garnered much consternation as being interpreted differently by officials. Confusing may be an understatement. This rule seems to vex coaches, players, fans and media announcers, causing much head scratching. Whether your team won or lost, this rule is maddening. Those who love the game agree that this rule needs to be carefully reviewed and changed. So, what does this have to do with taxes?

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10 Tips for Building Professional Relationships

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

Whether your desire is to work in private practice or in an integrated setting such as a hospital, working with other health care providers is critical in the management of patient health and wellness. No one professional has all the answers and no one type of treatment will work for all people. Therefore, building professional relationships will help you to create a network for referral and to receive insight or feedback on specific patient conditions.  The following 10 tips will outline ways to cultivate these relationships, gain the trust of other providers and secure your place in the community health system.

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Q&A with NCLC Presenters: Dr. Jerrold Simon

The Centers for Disease Control and Prevention estimates that 1.6 to 3.8 million concussions occur in sports and recreational activities annually. While these figures are immense, research indicates they do not represent the total scope of the problem as many people suffering from mild or moderate traumatic brain injury (mTBI) do not seek help. Jerrold Simon, DC, president of the ACA Rehab Council, says there are new tests that can be valuable to chiropractors who treat athletes at risk of concussions.
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Q&A with NCLC Presenters: Dr. Austin McMillin

Dr. McMillin's initial and ongoing interest in rehab and active care for the spine is centered on enhancing the basic chiropractic care he can provide to patients and more effectively managing a broader range of musculoskeletal conditions. "It’s my opinion that the chiropractic profession should be leading the way in improving functional musculoskeletal care, especially as it relates to the spine in central body fitness," he writes. "New, evidenced-based approaches in rehab and active care for the spine and central body fit perfectly within chiropractic practice. They also help raise the bar in musculoskeletal care. They allow for better care continuum for patients and provide another level of connection to natural health care and wellness."

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Collaboration for Low Back Pain Treatment in Older Adults

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

The inclusion of chiropractic practitioners into various collaborative health systems has increased over the past decade. The addition of chiropractic within these multi-disciplinary settings has been embraced by many as a way to manage spinal conditions, such as back and neck pain, using noninvasive therapies. However, taking a patient-centered approach to such integration involving various health care practitioners leads to new questions and challenges and requires novel research to optimize patient outcomes in these settings.

Author: Zac Shannon
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Budget Bill Passed by Congress Contains Several Important Health Provisions

In the early morning hours of Friday, Feb. 9, the House passed a bill that was passed by the Senate several hours earlier to keep the government funded for another two years.  This action by Congress ensures fiscal “peace” through this year’s mid-term election and into 2019.  Shortly after the House passed the measure, the president signed the bill, again effectively ending the threat of a government shutdown for the foreseeable future.


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Blues Plans Issuing Denials for Certain Modifiers

ACA has recently heard from members in a few states that some Blue Cross Blue Shield plans are automatically denying claims that contain the -25 and -59 modifiers. The states we have heard from to date include Illinois, Oklahoma and Texas. The Blues plans in these states are owned by Health Care Service Corporation (HCSC), an umbrella company that also owns the Blues plans in Montana and New Mexico. ACA has since learned that a new code-auditing enhancement is the source of the denials. 

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