ACA Today https://www.acatoday.org/ Mon, 21 Nov 2022 20:18:26 +0000 en-US hourly 1 https://wordpress.org/?v=6.1.1 Exercise for Low Back Pain: What Works Best? https://www.acatoday.org/news-publications/exercise-for-low-back-pain-what-works-best/ Wed, 16 Nov 2022 15:18:23 +0000 https://www.acatoday.org/?p=11323 For a given, well-defined musculoskeletal disorder, what works best? Is a question like this even fair to ask? More to the point, is such a question answerable? As practicing chiropractors, we get asked this “what works best” question for any number of health-related topics. High on this list might be this one: “Doctor, besides coming [...]

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For a given, well-defined musculoskeletal disorder, what works best? Is a question like this even fair to ask? More to the point, is such a question answerable? As practicing chiropractors, we get asked this “what works best” question for any number of health-related topics. High on this list might be this one: “Doctor, besides coming here for treatment is there anything I can do to relieve my pain?” If you recognize this as one of the most pivotal opportunities you will ever have with this patient, you are wise indeed. There is much at stake, hinging upon how you answer. This may be your one chance to garner a “trusted-for-life” award from this patient. And these are, far and away, our favorite patients!

Dr. Carmichael

Correctly, most of us answer this type of question from our experience. But here’s the hidden opportunity: Does your experience line up with high-quality evidence? And the crucial linchpin: Can you unpack this evidence in an understandable way to inspire your patient to do exactly what they are asking you to help them do?

Unpack This: One of the Most Important Papers of 2021!

In March of this year a virtual conference (CARLoquium) took place, allowing the chiropractic community to “meet, chat, and share research.” ACA was a proud sponsor of this 2nd annual international CARL conference. One of the five keynote presenters was Professor Jill Hayden, PhD, DC, the lead author of a paper entitled: “Some types of exercise are more effective than others in people with chronic low back pain: a network meta-analysis.” (Hayden et al., J Physiotherapy, 2021) On behalf of her co-authors, Dr. Hayden concisely reported the results of a brilliant, methodologically rigorous study that actually does answer the question: What works best?

Hayden et al.’s study was a systematic review and network meta-analysis of randomized controlled trials (RCTs). Adults with chronic ( 12 weeks) non-specific low back pain (cLBP) were exposed to 11 categories of exercise treatment prescribed or planned by a health professional. Pain intensity was measured with a visual analogue scale (VAS) or numeric rating scale (NRS) standardized to a 100-point scale. Back-related functional limitations were also measured by the Oswestry Disability Index or the Roland Morris Back Disability Questionnaire, also standardized to a 100-point scale for analysis. The review included 217 RCTs with 24,486 participants (59% female, mean age 44 years, baseline pain score of 51/100, and baseline functional score of 38/100). Outcomes collected at 30 and 90 days were used for analysis, and clinically meaningful differences were interpreted as a 15-point reduction in pain score and a 10-point reduction in functional score. Forty percent of participants reported leg pain accompanying their cLBP at baseline. There were 426 exercise treatment groups reported in these trials with a mean of 8 weeks duration and median of 12 hours cumulative exercise treatment exposure. The most common type of exercise investigated was core strengthening (30%), followed by mixed exercises (26%), and general strengthening exercises (12%). Group exercises were performed in 40% of participants, while another 40% received one-to-one exercise sessions. Reporting on pairwise comparisons between the 11 categories of exercise this study answers the question: What works best?

The Graphic Results, and “The Reveal”

Network meta-analysis results were presented graphically as two forest plots in Figure 4 (page 259) and two league tables in Figure 5 on page 260 of the paper (click on link to see figures). Please open this free article and check them out! The forest plots are standard output for a meta-analysis. These plots provide an easy visual summary of results. In addition, the league tables are brilliant, using depth-of-color shading to show strength of effect sizes for each of the 11 categories of exercise intervention compared with each other. The tables clearly illustrate which exercises for cLBP show the strongest clinically important differences.

Dr. Hayden and colleagues showed that for patients with chronic non-specific low back pain, Pilates exercise provided the largest reductions in self-reported pain and largest improvement in self-reported function. McKenzie exercise finished a close second, posting statistically significant and clinically meaningful changes in both self-reported pain and functional domains nearly as good as Pilates therapy (with no statistically significant differences between them). Remember that McKenzie extension exercises are notably intended to centralize radicular pain and that 40% of participants in this study had lower extremity pain at baseline, so patient characteristics may not be entirely comparable between these two groups.

This study is well worth a slow, careful read. Implementing the findings in your practice will likely improve outcomes for your patients, and practice satisfaction for you. This is one of the most rigorous studies (and study designs) you will encounter. While experience tells you that no singular exercise type is right for all patients, you are adding ballast to your confidence and credibility as an evidence-based practitioner and back pain expert.

Joel Carmichael, DC, PhD practices at The Center for Spine, Sport & Physical Medicine in Colorado. He teaches at Universidad Central del Caribe in Puerto Rico and maintains volunteer clinical faculty status at the University of Colorado School of Medicine. His research seeks to improve the practice habits of sport and spine professionals. Dr. Carmichael loves teaching, latté art, C.S. Lewis, and an occasional morsel of chocolate. He and his wife enjoy morning strolls with their golden retrievers, Stella and Noli.

 

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Pain is Multifaceted, Your Treatment Should Be Too https://www.acatoday.org/news-publications/pain-is-multifaceted-your-treatment-should-be-too/ Tue, 15 Nov 2022 20:09:27 +0000 https://www.acatoday.org/?p=11315 Vanessa Morales, DC, is a professor and director of clinical assessment at Parker University in Dallas, Texas. She developed an online clinical curriculum focused on evidence-based practices, utilizing best practice guidelines and applying them to various clinical scenarios, from documentation to care plan creation and progressions. Dr. Morales also focuses on interdisciplinary communication and co- management, [...]

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Vanessa Morales, DC, is a professor and director of clinical assessment at Parker University in Dallas, Texas. She developed an online clinical curriculum focused on evidence-based practices, utilizing best practice guidelines and applying them to various clinical scenarios, from documentation to care plan creation and progressions. Dr. Morales also focuses on interdisciplinary communication and co-

Dr. Morales

management, performs critical appraisals of musculoskeletal-related literature, incorporates telehealth, and places heavy emphasis on social determinants of health and the biopsychosocial model.

Dr. Morales, along with Kristi Carbonelli, DC, will present “Pain is Multifaceted, Your Treatment Should Be, Too” on Friday, Jan. 27, 2023, at ACA’s annual meeting, Engage 2023. Below, we learn more about what doctors can expert:

How is the topic you are presenting at Engage 2022 relevant to today’s chiropractor?

Dr. Morales: Pain is the No. 1 reason individuals seek help from a provider. Our understanding of pain has evolved greatly in the past few decades. These changes influence how we communicate with those seeking aid, our diagnoses, how we work and care for them, how we collaborate care with others, how we can involve our communities, and more. Best practice guidelines recommend utilizing a biopsychosocial approach, but what this actually looks like in practice is still relatively new and can get lost in translation. Our session aims to bridge the gaps between the evidence and applications in practice.

What first made you interested in the topic?

Dr. Morales: I first became interested in this topic in early 2012, after I had recently graduated and ended up having a very difficult pregnancy. I became very depressed and anxious after doing everything I thought I knew to be true and seeing no change in my outcomes. I knew there had to be more to learn, understand and apply.

What practical knowledge or skills can attendees expect to take away?

Dr. Morales: Our session will strengthen attendees’ knowledge and understanding of the most up-to-date evidence on pain and conservative management. Topics that will be explored during the presentation range from easy-to-make changes on intake forms and learning how the history and exam process can be the start of an individual’s healing, to applying motivational interviewing techniques to increase patients’ participation in care and learning about evidence-supported co-management and referral options.

How will what attendees take away make them better doctors?

Dr. Morales: The information from this session will help attendees focus on the patient as a whole, socioeconomic factors and all. When we can better understand the many factors influencing someone’s pain, we can improve how we communicate it to them and work together to create meaningful outcomes. This has changed how I work with others — in and out of the clinic environment — for the better.

What benefits do you gain from attending ACA Engage?

Dr. Morales: When the ACA changed the name for its annual conference from “National Chiropractic Leadership Conference” to be “Engage” in 2020, I was excited and on board for the transition. Engage is not only easier to say and write (we sure do love our acronyms in this profession!), but it’s a great action word that perfectly captures what I love most about attending: engaging with colleagues about treatments, research, difficulties in practice; working together to help create policy changes that improve our communities; and just getting away from the normal work routine to be around like-minded individuals who want to be better. The energy is contagious and ongoing beyond the conference.

Want to learn more? Plan to attend Dr. Morales’ presentation at Engage 2023. Click here to view the ACA Engage schedule and all that the program has to offer, including up to 20 CE available.

Register for Engage 2023

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2022 Opioid Prescribing Guideline Acknowledges Value and Barriers to Non-drug Treatments for Pain https://www.acatoday.org/news-publications/2022-opioid-prescribing-guideline-acknowledges-value-and-barriers-to-nonpharmacologic-treatments-for-pain/ Wed, 09 Nov 2022 17:11:17 +0000 https://www.acatoday.org/?p=11279 The Centers for Disease Control and Prevention (CDC) last week released its 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain. CDC offers clinicians 12 recommendations for treating acute, subacute and chronic pain, providing specific guidance for the use of prescription opioids as well as information on the value of nonopioid and noninvasive, nonpharmacologic [...]

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The Centers for Disease Control and Prevention (CDC) last week released its 2022 CDC Clinical Practice Guideline for Prescribing Opioids for Pain. CDC offers clinicians 12 recommendations for treating acute, subacute and chronic pain, providing specific guidance for the use of prescription opioids as well as information on the value of nonopioid and noninvasive, nonpharmacologic approaches in treatment plans.

The guideline updates and expands CDC’s 2016 opioid prescribing guideline using the best available evidence as well as extensive feedback collected from clinicians, patients and caregivers during a public comment period earlier this year (read ACA’s comments to CDC).

Responding to concerns that the previous guideline was implemented too rigidly by some, the 2022 guideline puts added emphasis on clinical decision making and the importance of patient-centered care that is tailored to each person’s circumstances. It promotes the use where appropriate of nonopioid and nonpharmacologic approaches and addresses health insurance inequities that prevent some patients from accessing nonpharmacologic options for their pain.

Highlighting the role that nonopioid and nonpharmacologic treatments can play in helping patients avoid unnecessary opioid use, Recommendations 1 and 2 under the section “Determining Whether or Not to Initiate Opioids for Pain,” state in part, “Clinicians should maximize use of nonpharmacologic and nonopioid pharmacologic therapies as appropriate for the specific condition and patient” and only consider opioid therapy if benefits are anticipated to outweigh risks.

Likewise, under “Noninvasive Nonpharmacologic Approaches to Acute Pain,” the guideline states that nonpharmacologic approaches “have the potential to improve pain and function without risk for serious harms.” In example, it cites spinal manipulation as one treatment that might be helpful for patients with acute low back pain with radiculopathy.

While the CDC guideline highlights the benefits and effectiveness of nonpharmacologic treatments as part of a multimodal, multidisciplinary approach to pain management, the agency acknowledges that not all health insurance covers these services, creating significant barriers for some patients.

“Health insurers and health systems can contribute to improved pain management and reduced medication use by increasing access to noninvasive nonpharmacologic therapies with evidence of effectiveness,” the guideline states.

Elsewhere in the guideline, CDC notes specifically that, “Public and private payers can support a broader array of nonpharmacologic interventions such as exercise, multidisciplinary rehabilitation, mind-body interventions, cognitive behavioral therapy, and certain complementary and integrative medicine therapies (e.g., acupuncture and spinal manipulation) that increasingly are known to be effective.”

To read the CDC recommendations in full, click here. In addition, CDC will hold a webinar about the new opioid prescribing guideline on Nov. 17 from 2-3 p.m. ET. For more information and to register, click here.

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Chiropractic and Fall Prevention: What We Know https://www.acatoday.org/news-publications/chiropractic-and-fall-prevention-what-we-know/ Wed, 09 Nov 2022 00:02:54 +0000 https://www.acatoday.org/?p=11258 Wren Burton, DC, is completing a research fellowship at the Osher Center for Integrative Medicine, based at Harvard Medical School and Brigham and Women’s Hospital in Boston. She is concurrently pursuing a Master of Public Health degree at Harvard T.H. Chan School of Public Health. Dr. Burton and her team at the Osher Center recently [...]

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Wren Burton, DC, is completing a research fellowship at the Osher Center for Integrative Medicine, based at Harvard Medical School and Brigham and Women’s Hospital in Boston. She is concurrently

Dr. Wren Burton

pursuing a Master of Public Health degree at Harvard T.H. Chan School of Public Health. Dr. Burton and her team at the Osher Center recently published a systemic review examining chiropractic care for fall prevention. Pulling from this work, she will present “Chiropractic Care and Fall Prevention In Older Adults: What We Know, What We Can Do, and Steps We Can Take Going Forward” at ACA’s upcoming annual meeting, ACA Engage.

Below, the ACA Blog learns more about Dr. Burton and what doctors can expect from her Engage 2023 program.

How is the topic you are presenting at Engage 2022 relevant to today’s chiropractor?

It’s no secret that the world’s population is aging, and the prevalence of falls and limitations with mobility that accompany the natural aging process can be detrimental to the quality of life in older adults. However, much of this is preventable; in fact, our team just published a paper, where we identified modifiable fall risk factors that have the potential to be positively impacted by multimodal chiropractic care. Even more promising news is that older adults are seeking out chiropractic care and nonpharmacologic therapies for their musculoskeletal conditions.

What first made you interested in the topic?

Like most, I have a personal story that sparked my interest and drives my motivation for wanting to help. When I was away at college, my grandfather experienced an injurious fall. He lived alone, and two days went by before a neighbor stopped in and called for help. At the time, I didn’t know how commonly falls occur, and wasn’t aware that it could have been prevented. This experience reminds me how important it is for older adults to maintain not only their quality of life, but also their independence.

What practical knowledge or skills can attendees take away from your presentation?

Clinically speaking, much of fall prevention can be done quickly and easily for one’s older adult patients. Attendees will be given evidence-based strategies on implementing fall prevention into practice.

How will what attendees take away make them better doctors?

Assessing your older patient’s risk of falls can allow attendees to make their treatment as patient centered as possible. By conducting a proper assessment, chiropractors can work with their older patients to create functional and realistic goals for their treatment.

What benefits do you gain from attending ACA Engage?

I always look forward to the knowledge sharing that occurs at ACA Engage conferences. The breadth of information covered in the various sessions and keynote presentations is engaging, and a reminder of the importance of lobbying throughout the remainder of the conference.

Want to learn more? Plan to attend Dr. Burton’s presentation at Engage 2023. Click here to view the ACA Engage schedule and all that the program has to offer, including up to 20 CE available

Register for Engage 2023

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Looking Forward: Engage 2023, Medicare, Student Leadership https://www.acatoday.org/news-publications/looking-forward-engage-2023-medicare-student-leadership/ Wed, 02 Nov 2022 15:52:44 +0000 https://www.acatoday.org/?p=11181 While I try my best to live in the moment, lately I find myself looking forward to 2023 and anticipating coming together as an organization at ACA’s annual meeting, ACA Engage. I look forward to  reconnecting with so many special people that I have known and worked with since my days as a student. Let [...]

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Dr. Michele Maiers, ACA President

While I try my best to live in the moment, lately I find myself looking forward to 2023 and anticipating coming together as an organization at ACA’s annual meeting, ACA Engage. I look forward to  reconnecting with so many special people that I have known and worked with since my days as a student. Let me encourage all of you to save Jan. 25 – 28, 2023, for some “professional/personal time” to expand your clinical knowledge as well as reconnect with friends and colleagues at Engage 2023.

After two years of going virtual, we will once again convene in person for Engage at the Omni Shoreham Hotel in Washington, D.C. Engage is a great opportunity to build community, learn, grow and become better connected with what is happening in chiropractic and the wider healthcare arena. We are grateful for the chance to bring ACA members together again, and I really think you will want to be there.

Engage 2023 will offer a wide range of education programs with plenty of CE credits (up to 20 are available) so it’s very worth your time in that respect. It’s also an opportunity for doctors of chiropractic and students to learn about new products and services in the chiropractic industry and to make their voices heard in Washington.

House of Delegates to Convene at Engage

The ACA House of Delegates will also meet during the event to hold elections, deliberate important issues and conduct other association business. Importantly, we will be discussing the opportunities and challenges most important to the chiropractic profession in the years ahead, as we plan for the next iteration of ACA’s strategic plan. Note, all our activities at ACA are aligned with the objectives of the strategic plan, and ACA’s success is reflected in our fidelity to it.

As we look forward and cast a vision for the next five years at ACA, your input is essential. I encourage members to spend a little time sitting in on the HOD meeting to learn about the work of this important governing body. If you haven’t met your state delegate, this is also a great time to introduce yourself and discuss your vision for the future of ACA and the profession. As a member organization, your voice matters, so opening communication with your delegate is a good move anytime.

Push to Pass Medicare Bill Intensifies

Of course, we all hope that Engage 2023 will be a victory lap for the Chiropractic Medicare Modernization Act (H.R. 2654/S. 4042). We are coming into the home stretch as I write this, having achieved the milestone of 150-plus cosponsors – which is the most that any chiropractic legislation has had in the recent history of the profession. Congratulations, and many thanks to each of you who have advocated for this legislation. As ACA members, you understand how important these bills are, not only for our patients but for the standing of the chiropractic profession as we look forward to greater access, parity and participation in the broader healthcare system.

But we are not across the finish line yet. Please take the time today to contact your members of Congress to push for passage of the bill or to thank them for being one of our cosponsors. My challenge to you: solicit five patients, friends, or colleagues this week to do the same. This campaign is by no means over and done. If we want this change, the chiropractic profession must keep pushing as hard as possible until the very end of the congressional year in December. Find out how to reach out to Congress at www.acatoday.org/Medicare.

Student Leaders Receive DEI Training

Looking forward, we will need chiropractic doctors who can provide not only quality care to Medicare beneficiaries and other patients but also culturally competent care that connects with each person’s individual needs. With this in mind, “Authentic Acceptance” was the theme of the recent Student American Chiropractic Association (SACA) Leadership Conference, held at the University of Western States (UWS) in Portland, Ore., and attended by about 80 students from chiropractic colleges around the country. Special thanks to UWS students Gretchen Gatzke, Aimee Tanner and Jessica Settle, and faculty advisor Gary Schultz, DC, DACBR, who were the onsite organizers of this year’s gathering.

Our SACA students and advisors did a fantastic job this year, pulling together a program that featured presentations that discussed the chiropractic experience through a Diversity/Equity/Inclusion (DEI) lens. Among other things, the excellent presenters helped participants to understand the concepts of cultural humility and inclusive leadership and how they relate to one another, as well as how inclusive leadership assures that patients and colleagues feel respected, valued, included, confident, and inspired. This forward thinking by our students and advisors is incredibly valuable, as we all prepare to meet the challenges of the next year and the next decade.

As speakers Bola Majekobaje and Nikki Hinshaw pointed out, we all need to clarify for ourselves the “why” behind inclusive leadership. That answer may be different for all of us, but in all cases that “why” is so very impactful for those who experience it through our care, leadership and interactions.

My “why” has always been centered around building capacity for chiropractic to be at the leading edge of healthcare transformation. It is an honor and a privilege to realize my “why” alongside you as members and leaders in ACA.

Dr. Maiers is president of the American Chiropractic Association.

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Celebrating a Successful NCHM: Chiropractic is ‘On the Frontline for Pain’ Year Round https://www.acatoday.org/news-publications/celebrating-a-successful-nchm-chiropractic-is-on-the-frontline-for-pain-year-round/ Tue, 01 Nov 2022 20:15:33 +0000 https://www.acatoday.org/?p=11099 Throughout October, doctors of chiropractic nationwide joined ACA in celebrating National Chiropractic Health Month (NCHM) 2022 with the theme “Chiropractic: On the Frontline for Pain.” This theme brought attention to research and growing support in the healthcare community for non-drug pain management as a first line of defense against common musculoskeletal pain. Doctors of chiropractic, [...]

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Throughout October, doctors of chiropractic nationwide joined ACA in celebrating National Chiropractic Health Month (NCHM) 2022 with the theme “Chiropractic: On the Frontline for Pain.” This theme brought attention to research and growing support in the healthcare community for non-drug pain management as a first line of defense against common musculoskeletal pain.

Chiropractors in Henderson, N.C., celebrate their NCHM proclamation

Doctors of chiropractic, who focus on the whole person with their non-drug, noninvasive treatments for pain management – most notably spinal manipulation – can play an important role in helping patients lessen their reliance on pain medications. This was just one of many points in ACA’s 2022 NCHM proclamation. Chiropractors and state chiropractic associations worked with state and local governments across the country on a record 74 proclamations this year. Seventeen state governments and 57 cities put chiropractic “On the Frontline for Pain” this year, with a few adapting their proclamations for Chiropractic Health Week or Day. A full list of proclamations is available below, and photos are available on Hands Down Better.

On the Healthy Living blog, ACA’s consumer blog, ACA featured Q&A interviews with four ACA members who are “On the Frontline for Pain” in different areas of the chiropractic profession. Their specialties range from sports chiropractic and occupational health to veterans health and community health centers. Each doctor shared what a “day in the life” looks like in their jobs, the common issues their patients face, and their thoughts on what it means to be “On the Frontline for Pain.”

50 cities in Texas proclaimed October as Chiropractic Health Month

All month long, the chiropractic community took to social media to highlight the benefits of chiropractic services and promote this year’s National Chiropractic Health Month theme. ACA shared daily posts from its 2022 NCHM toolkit, promoting chiropractic research and facts about chiropractic with the hashtag #FrontlineForPain. Hundreds of posts across social media platforms used this hashtag to promote chiropractic and its non-drug approach to pain management.

Chiropractic clinics and colleges shared ACA social media posts and came up with their own ways to celebrate NCHM. Logan University highlighted current chiropractic students on their social media channels and asked them what it means to be “On the Frontline for Pain.” Reza Eftekhar, DC, gave interviews about chiropractic on local radio and television in the Washington, D.C., area. Watch his Good Day DC interview here.

Thanks to everyone who participated in this year’s National Chiropractic Health Month campaign! Though October is over, chiropractic is “On the Frontline for Pain” year-round. Chiropractic offers evidence-based treatments that are safe and effective and that may help some patients to reduce or eliminate their dependence on prescription opioids. ACA encourages chiropractors to continue educating their communities about the benefits of chiropractic care and non-drug pain management. Patient-facing information is available all year long at handsdownbetter.org.

Did you participate in NCHM this year? Do you have feedback you would like to share with ACA to help us make the campaign better? Please email us with your ideas or suggestions at communications@acatoday.org.

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NCHM 2022 Proclamations

Government officials signed National Chiropractic Health Month proclamations in the following states and localities:

States:

The NCHM proclamation for the state of Maryland

Alaska
Colorado
Connecticut
Illinois
Indiana – Chiropractic Health Week
Maryland
Missouri
Nebraska
Nevada
New Mexico
New York
North Carolina
North Dakota
Pennsylvania
South Carolina
Tennessee
Texas

 

Spencer, Iowa

Cities and Counties:

Elkhart, Ind.
Spencer, Iowa
Henderson, N.C.
Grand Forks, N.D.
Dekalb County, Tenn.
Smithville, Tenn.
Livingston, Tenn.

 

 

Texas Cities:

Edinburg, Texas

Abilene
Amarillo
Austin
Benbrook
Brenham
Bryan
Cedar Park
Conroe – Chiropractic Health Day
Corpus Christi
Dallas
Denton
Edinburg
El Paso
Farmersville
Fort Worth
Frisco
Galveston
Georgetown
Grapevine
Houston
Irving
Jarrell
Jonestown
Killeen
Lago Vista
Lampasas
Leander
Liberty Hill
Lubbock
Magnolia
Mansfield
McAllen
Mission
Nacogdoches
New Braunfels
Odessa
Palestine
Palmhurst
Pearland
Port Arthur
Prosper
River Oaks
Round Rock
Shenandoah
Southlake
Sugar Land
Taylor
The Colony
Tomball
Waco

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Chiropractic Medicare Modernization Bill Surpasses 150 Cosponsors https://www.acatoday.org/news-publications/chiropractic-medicare-modernization-bill-surpasses-150-cosponsors/ Mon, 31 Oct 2022 17:26:27 +0000 https://www.acatoday.org/?p=11078 The Chiropractic Medicare Coverage Modernization Act reached a milestone recently by surpassing 150 cosponsors in the U.S. House of Representatives. The bill (H.R. 2654), which has received strong bipartisan support since it was introduced in 2021 by Rep. Brian Higgins (D-N.Y.), gained additional momentum this year with the introduction of a Senate companion bill (S. [...]

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The Chiropractic Medicare Coverage Modernization Act reached a milestone recently by surpassing 150 cosponsors in the U.S. House of Representatives.

The bill (H.R. 2654), which has received strong bipartisan support since it was introduced in 2021 by Rep. Brian Higgins (D-N.Y.), gained additional momentum this year with the introduction of a Senate companion bill (S. 4042) by Sen. Richard Blumenthal (R-Conn.).

“We are immensely grateful to the many members of the chiropractic profession and their patients who have contacted their members of Congress in support of H.R. 2654/S. 4042. The 150-plus cosponsors and bipartisan support this bill has attained represents historic progress toward our goal of achieving equity for chiropractic patients and their doctors,” said ACA President Michele Maiers, DC, MPH, PhD.

The statute that currently regulates chiropractic in Medicare has been unchanged since 1972 and limits Medicare beneficiaries to coverage of a single chiropractic service, manual manipulation of the spine. H.R. 2654/S. 4042 would update this and bring Medicare in alignment with chiropractic coverage in most private plans by enabling beneficiaries to access the chiropractic profession’s broad-based, non-drug approach to pain management, which includes not only manual manipulation of the spine and extremities, but also evaluation and management services, diagnostic imaging and utilization of other non-drug approaches.

The use of non-drug pain management as a first line of defense against common musculoskeletal pain is widely supported by clinical guidelines and has become a key strategy in national efforts to stem the epidemic of prescription opioid overuse and abuse.

For a full list of H.R. 2654/S. 4042 cosponsors, and to learn how you can support this important legislation, visit www.acatoday.org/Medicare.

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About the American Chiropractic Association

The American Chiropractic Association (ACA) is the largest professional chiropractic organization in the United States. ACA attracts the most principled and accomplished chiropractors, who understand that it takes more to be called an ACA chiropractor. We are leading our profession in the most constructive and far-reaching ways–by working hand in hand with other health care professionals, by lobbying for pro-chiropractic legislation and policies, by supporting meaningful research and by using that research to inform our treatment practices. We also provide professional and educational opportunities for all our members and are committed to being a positive and unifying force for the practice of modern chiropractic. To learn more, visit www.acatoday.org.

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ACA Chiropractors ‘On the Frontline for Pain’ https://www.acatoday.org/news-publications/aca-chiropractors-on-the-frontline-for-pain-this-october/ Wed, 26 Oct 2022 18:13:17 +0000 https://www.acatoday.org/?p=11012 During National Chiropractic Health Month (NCHM), ACA and doctors of chiropractic nationwide have been working together to promote better access to non-drug therapies and remind people that chiropractic’s non-drug approach is on the “Frontline for Pain” management, offering evidence-based treatments that are safe and effective and that may help some patients to reduce or eliminate [...]

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During National Chiropractic Health Month (NCHM), ACA and doctors of chiropractic nationwide have been working together to promote better access to non-drug therapies and remind people that chiropractic’s non-drug approach is on the “Frontline for Pain” management, offering evidence-based treatments that are safe and effective and that may help some patients to reduce or eliminate their dependence on prescription opioids. In honor of NCHM, the Healthy Living blog on ACA’s consumer website is sharing the stories of ACA members who are “On the Frontline for Pain.”

The series features chiropractors who work in different areas, ranging from sports chiropractic and occupational health to veterans health and community health centers. Each doctor shares what a “day in the life” looks like in their jobs, the common issues their patients face, and their thoughts on what it means to be “On the Frontline for Pain.”

Alan Sokoloff, DC – Sports Chiropractic

Alan Sokoloff, DC, is the owner and clinic director of Yalich Clinic Performance and Rehabilitation in Glen Burnie, Md. He has worked in many capacities as a sports chiropractor: he has been a

Dr. Sokoloff

member of the University of Maryland sports medicine team since 1991 and has served as team chiropractor for the Baltimore Ravens of the NFL since 1999. He is also a medical team member for the Bowie Baysox, the minor league affiliate of the Baltimore Orioles baseball team. When not treating patients, Dr. Sokoloff works to educate the public about concussion and injury prevention and the benefits of chiropractic.

When asked what it means to be “On the Frontline for Pain,” Dr. Sokoloff said: “From a sports perspective, I am very happy to report that every NFL team has a chiropractor, every Major League Baseball team utilizes chiropractic, and most professional hockey and basketball teams have a chiropractic affiliate. So, if something is good enough for these professional athletes, it should be good enough for the general population of people. [We are] working on the frontline to help with pain before it leads to other problems.”

Read more about Dr. Sokoloff.

David Paris, DC – Chiropractic in the VA

David Paris, DC, works full time at the Veterans Healthcare Administration (VA) Redding Outpatient Clinic in Redding, Calif. He was previously in private practice for several years, exploring his interest in multidisciplinary healthcare settings via work with an occupational medicine clinic and the Sutter Health hospital system in Northern California. He started part time at the Redding VA Clinic in 2005 and transitioned to full time in 2008. Dr. Paris also serves as adjunct clinical faculty at several chiropractic colleges.

Dr. Paris

Dr. Paris says that being “On the Frontline for Pain” is an honor: “It’s a responsibility, and a challenge, that I take very seriously. We now know that what is said and what happens in the initial stages of a pain patient’s experience can determine their future health. As Dr. [Scott] Haldeman wrote about in Spine in 2008, the “supermarket” approach can still be presented to patients whether in our healthcare system, direct-to-consumer advertising or simply their own Google searches. It’s a daunting experience to be a pain sufferer, maybe now more than ever. My approach is to really have a discussion with veterans, not just about what hurts but about all the things that might be meaningful to them. I love doing informed consent from this perspective and laying out options for them, including my honest expectations for their involvement in self-care, etc. To have them choose to stay with not just conservative care or chiropractic but to choose to stay with me and at the VA is something that makes my job so personally rewarding.”

Read more about Dr. Paris.

Aric Frisina-Deyo, DC, MS – Chiropractic in Community Health Centers

Dr. Frisina-Deyo

Aric Frisina-Deyo, DC, MS, is a resident in the neuromusculoskeletal program at the University of Bridgeport. Through the residency program, he provides chiropractic services to Federally Qualified Health Centers in Connecticut. He was also previously an assistant adjunct professor of clinical sciences in the University of Bridgeport School of Chiropractic.

Dr. Frisina-Deyo says: “To be “on the frontline for pain” means that I am actively engaged in caring for patients dealing with pain. Treatment, whether it be education, adjustments, soft tissue techniques or exercise prescription, all function to help each patient understand, control and overcome their pain and prepare for a brighter tomorrow.”

Read more about Dr. Frisina-Deyo.

Therese Miller, DC – Occupational Health Chiropractic

Therese Miller, DC, is a chiropractor who specializes in occupational health. Trained in Active Release Technique (ART), she works as an independent contractor with ART Corporate Solutions, providing treatment onsite to improve employee health and reduce OSHA and workers’ compensation reportable injuries. She is also the founder and president of Linchpin Health, which provides employee safety trainings to educate and empower employees regarding occupational health and injury prevention.

Dr. Miller

For Dr. Miller, being “On the Frontline for Pain” means an opportunity to change health care: “I have an opportunity to help numerous employees across different industries look at their health care differently, ask different questions, maybe pursue non-drug options more readily than they might have been able to, so it’s a great opportunity to impact health care. From the patient side, I think it’s an opportunity for them to educate themselves, become their own advocates, start to learn more, and feel better about asking questions about their health. I think that’s becoming more and more important to people.”

Read more about Dr. Miller.

 

For more information about ACA’s National Chiropractic Health Month campaign, visit handsdownbetter.org/nchm.

 

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Rehabilitation for Lower Extremity Tendinopathies https://www.acatoday.org/news-publications/lower-extremity-tendinopathy-rehabilitation/ Wed, 19 Oct 2022 15:42:18 +0000 https://www.acatoday.org/?p=10961 Michael Braccio, DC DACRB, was always interested in treating sports injuries when he launched his career in chiropractic. He has had the opportunity over the years to assist athletes of all levels at events such as the National Senior Games, the Ironman Kona Championship, the U.S. Half Marathon and the Susan G. Komen 3-Day Breast [...]

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Michael Braccio, DC DACRB, was always interested in treating sports injuries when he launched his career in chiropractic. He has had the opportunity over the years to assist athletes of all levels at events such as the National Senior Games, the Ironman Kona Championship, the U.S. Half Marathon and the Susan G. Komen 3-Day Breast Cancer Walk. Over time, he also developed a particular interest in pain science, tendinopathies, and performance rehabilitation. Combining his field experience and clinical knowledge, Dr. Braccio will present “Lower Extremity Tendinopathy Rehab” at ACA’s annual meeting, Engage 2023.

Dr. Michael Braccio

Below, the ACA Blog learns more about Dr. Braccio and what doctors can expect from his Engage 2023 program.

How is the topic you are presenting at Engage 2022 relevant to today’s chiropractor?

As people begin to resume and increase their physical activity, chiropractors are likely to see an increase in overuse syndromes such as lower extremity tendinopathy.

What first made you interested in the topic?

I was always interested in treating sports injuries. But as I worked in private practice, I began to see more and more cases of proximal hamstring tendinopathy. And that eventually led me into treating other tendinopathies.

What practical knowledge or skills can attendees take away from your presentation?

I will cover the rehabilitation of the most common lower extremity tendinopathies: achilles, patellar, proximal hamstring and gluteal. This presentation is primarily a hands-on walk-through of the exercise programs, so that attendees will be able to create and demonstrate an exercise program for their patients with acute and persistent tendinopathy.

How will what attendees take away make them better doctors?

Having a solid understanding of tendinopathy rehabilitation will enable doctors who attend my program to be confident in providing an evidence-based treatment and improving their clinical outcomes. Additionally, the rehab principles I share can be applied to other lower extremity overuse conditions.

What benefits do you gain from attending ACA Engage?

The best thing about attending Engage is being able to network with all the leaders in the profession from all over the country!

Want to learn more? Plan to attend Dr. Braccio’s presentation at Engage 2023. Click here to view the ACA Engage schedule and all that the program has to offer. Click here for conference details and to register!

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ACA Annual Meeting Returns to Washington, D.C. https://www.acatoday.org/news-publications/aca-annual-meeting-returns-to-washington-d-c/ Wed, 19 Oct 2022 13:43:54 +0000 https://www.acatoday.org/?p=10958 Arlington, Va. – The American Chiropractic Association (ACA) will hold its annual meeting, ACA Engage, in person Jan. 25-28, 2023, at the Omni Shoreham Hotel in Washington, D.C. It will be the first time the event will be held on location since the beginning of the pandemic. Engage 2023 will feature a wide range of [...]

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Arlington, Va. – The American Chiropractic Association (ACA) will hold its annual meeting, ACA Engage, in person Jan. 25-28, 2023, at the Omni Shoreham Hotel in Washington, D.C. It will be the first time the event will be held on location since the beginning of the pandemic.

Engage 2023 will feature a wide range of education programs (with up to 20 CE credits available), as well as opportunities for doctors of chiropractic and students to lobby for pro-chiropractic legislation, learn about new products and services in the chiropractic industry, and network with colleagues and friends from across the nation. The ACA House of Delegates will also convene during the event to hold elections, deliberate important issues and conduct other association business.

“We are very excited to hold Engage 2023 in person again,” said ACA President Michele Maiers, DC, MPH, PhD. “Nothing beats coming together as a community to learn, grow and become better connected with what is happening in chiropractic and the wider healthcare arena. ACA Engage is an enriching experience for all participants.”

The Engage 2023 full schedule is now available online, along with information about registration rates (discounts available through Dec. 16), booking a hotel room, and education sessions that touch on themes related to innovation, integration and inclusivity. For details, visit www.acatoday.org/Engage.

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About the American Chiropractic Association
The American Chiropractic Association (ACA) is the largest professional chiropractic organization in the United States. ACA attracts the most principled and accomplished chiropractors, who understand that it takes more to be called an ACA chiropractor. We are leading our profession in the most constructive and far-reaching ways—by working hand in hand with other health care professionals, by lobbying for pro-chiropractic legislation and policies, by supporting meaningful research and by using that research to inform our treatment practices. We also provide professional and educational opportunities for all our members and are committed to being a positive and unifying force for the practice of modern chiropractic. To learn more, visit www.acatoday.org.

 

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