Q&A with Program Presenter Dr. Linda Wheatland Smith
Linda Wheatland Smith, DC, who has practiced for 38 years and owns an integrated clinic, has managed very severe cases of low back pain, leg pain, disc ruptures, and radiculopathy over her career. She has studied how the medical model has failed the low back pain patient, and what chiropractic has to offer this patient, including acupuncture, massage therapy, chiropractic care, and rehabilitation. She will present "Mechanics and Management of Acute Recurrent Low Back Pain” at this year’s virtual Engage 2021 conference on Saturday, Feb. 6 (1 CE available). ACA Blogs asks Dr. Smith what doctors can expect.
In April, about a month after COVID-19 stay-at-home guidance went into effect in many places across the United States, the American Chiropractic Association (ACA) worked with the Wall Street Journal on an article about musculoskeletal injuries. At the time, millions of adults had been sent home to work remotely with little or no preparation. ACA worked with the WSJ to determine whether doctors of chiropractic had noticed an increase in cases involving pain from working at home and, if so, to collaborate in bringing this information to the attention of the public. The association developed a poll, posted on Facebook, to gauge whether chiropractors were in fact seeing a trend. As it turns out, they were.
This October during National Chiropractic Health Month (NCHM), chiropractors nationwide will do their part to help people navigate the new normal without adding extra aches, pains and injuries to their concerns. With the theme “Active and Adaptive,” NCHM 2020 aims to raise awareness of the importance of movement, posture and stress management to our musculoskeletal health.
Doctors of chiropractic have an opportunity to play a new, innovative role in the healthcare system. This new role, the Primary Spine Practitioner, necessitates the establishment of a clear identity and an easily understood means of communicating chiropractic’s value to others in health care. Never has there been a greater need for an efficient, evidence-based clinical approach that enhances our credibility, maximizes our skills and allows us to apply the highest level of excellence in patient care.
This year, National Chiropractic Health Month focuses on how improved musculoskeletal health leads to strength, stability and ultimately the success of a life lived more fully and actively. The 2019 campaign, “Strength. Stability. Success.”, offers the public steps to take toward bone, muscle and joint health, low back pain prevention, better posture, and improved balance. In this blog post, ACA offers chiropractors steps to take to launch their local NCHM campaign participation.
The Chiropractic Medicare Coverage Modernization Act of 2019 (H.R. 3654) is bipartisan legislation championed by ACA and introduced in Congress on July 9 by Reps. Brian Higgins (D-N.Y.) and Tom Reed (R-N.Y.). The bill would correct a longstanding oversight and give seniors access to the full array of Medicare services that their doctors of chiropractic are qualified and licensed to provide in their respective states.
Is weightlifting safe for adolescents? No, well yes, okay maybe…in the right situations. That is about as clear as it gets concerning the growing epidemic of adolescent injuries via weightlifting and competitive sports. There is no disputing the facts that plague childhood athletics. A September 2018 systematic review found that injuries increase in proportion to sports specialization. However, few studies have linked the detrimental effects that any single sport has on the progression of spinal degeneration—until now.
Lumbar spinal stenosis (LSS) is caused by age-related degenerative changes in older adults and is a leading cause of pain, disability and loss of independence. LSS is also the most common reason for spinal surgery in older adults. However, most patients are managed non-surgically, despite the fact systematic reviews of non-surgical management suggest unproven benefit for improving walking outcomes. This research review looks at a recent, randomized controlled trial designed to compare the effectiveness of a structured, comprehensive, conservative treatment program with a focus on self-management and improved walking ability to a self-directed program in improving walking ability in patients with neurogenic claudication due to LSS.
Current guidelines for the management of chronic low back pain (CLBP) suggest staying as active as possible and even increasing levels of physical activity, as reduced mobility can cause significant decreases in quality of life and overall health status. Walking can increase cardio-respiratory capacity, maximum oxygen uptake and endurance with a low risk of injury. As well, it is simple, accessible, and free. This review aimed to provide an up-to-date, specific systematic review and meta-analysis in order to determine the effectiveness of walking compared with other forms of physical exercise on pain, disability, quality of life and fear-avoidance in patients with CLBP.
Following a successful nine-year collaboration between the American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA), a new CPT® code for dry needling will likely be available to providers sometime in late 2019, paving the way potentially for proper coverage, national standards and a greater understanding of how this relatively new modality helps patients in pain.