American Chiropractic Association - chronic pain

Chronic Pain: Screening for Potential Psychological Factors

Chronic pain symptoms and the ability to manage and cope with them can be strongly influenced by what are generally referred to as psychological factors. These factors have the capacity to substantially hinder clinical improvement, cause symptom aggravation and reduce self-management capacity. Though these concepts are well-supported in the scientific literature, they are not inherently usable. Practical methods of revealing relevant psychological factors are needed. To explore whether psychological factors are clinically relevant, clinicians can ask questions during the consultation and/or use one of several screening questionnaires.


Article rating: 5.0

Support H.R. 3654 and Medicare Parity for Chiropractors and Their Patients

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.

Author: Robert Jones
Article rating: 5.0

Social Factors: A Sometimes-overlooked Opportunity

The biopsychosocial model is a widely recommended method of clinical evaluation and management. The model identifies three important areas. “Bio” refers to evaluating/treating biological problems (e.g., pathology), “psych” refers to psychological health, and “social” refers to a person’s relationships with others and the environment. However, some evidence suggests that practitioners, as a group, may not be addressing “social” components of health as much as they could.

Article rating: 4.9

My VA Experience with Cognitive Behavioral Therapy for Chronic Pain

Chronic pain is a complex condition influencing behaviors, thoughts and mood. With opioid issues coming to light, there has been more emphasis and research into multi-faceted, biopsychosocial models to treatment. Cognitive Behavioral Therapy (CBT) is a type of talk-therapy treatment that focuses on addressing and removing the negative impacts chronic pain has on thoughts and functions. The Office of Mental Health and Suicide Prevention (OMHSP) has implemented a national initiative to disseminate Cognitive Behavioral Therapy for Chronic Pain throughout the Veterans Health Administration to make this treatment widely available to veterans.

Author: Jamie Zeman
Article rating: No rating

Psychological, Social Factors in Chronic Pain: The Impact on Chiropractic Patients

The current opioid epidemic in the United States brings long overdue attention to nonpharmacological approaches to managing pain.  Among the recommended therapies for low back pain by the American College of Physicians, for example, are spinal manipulation, acupuncture, yoga and cognitive behavioral therapy.  While it may be clear why body-based therapies were recommended, the inclusion of a psychological approach, such as cognitive behavioral therapy, may raise some eyebrows. Researchers Margaret Chesney, PhD, and Christine Goertz, DC, PhD, explore how psychological factors play a role in the experience of chronic pain as well as what patients and their providers should know.

Article rating: 5.0

Mindfulness-Based Stress Reduction Techniques as a Treatment for Healthcare Provider Burnout

Burnout syndrome has been defined as a three-dimensional syndrome characterized by exhaustion, cynicism and inefficiency. It has also been described as the opposite to engagement, which is defined as energy, involvement and efficacy.  One aspect of inefficiency may be a sense of low personal accomplishment – an area often examined in studies on healthcare provider burnout. In her latest ACA Blogs post, VA resident Danielle Aslan, DC, explores how mindfulness-based stress reduction utilized in the VA for patients with chronic pain may also aid healthcare providers.

Article rating: 5.0

Research Review: Manipulation and Mobilization for Treating Chronic Low Back Pain: a Systematic Review and Meta-analysis

Spinal manipulation and mobilization for the treatment of back and neck pain have been the topic of several systematic reviews, with some suggesting that the evidence in support of the view that spinal manipulative therapy is superior to other standard treatments for chronic low back pain is sparse. On the other hand, more recent systematic reviews have reported that spinal manipulation and mobilization are “viable” options for treating pain. Despite this degree of variability among studies, manipulation and mobilization are still considered to be effective treatments when compared with other therapies. The purpose of this systematic review was to unravel these differences and inconsistent findings. 

Article rating: 4.0

A Typical Week at the St. Louis VA Medical Center

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

I’ve had more than a handful of family and friends ask me, “What’s it like working for the VA in St Louis?” and my response is always the same—“It’s great!”  I usually then proceed to give them a rundown of what a typical week looks like as my activities vary from day to day and sometimes from month to month.  An average week is broken down into four different segments: outpatient clinic, interdisciplinary pain rehabilitation (IPR) program, scholarly activities, and clinical rotations. The majority of my time is spent in clinic helping veterans manage their pain and develop healthy habits for self-care. However, the time spent outside the clinic has also been beneficial for personal development and education.

Article rating: 4.8

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