Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Medicare Trends in Low-Value Health Service Use and Spending
- And Finally, a Story about Manual Therapy and Neuromuscular Inflammation
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #751 recorded May 14, 2021
HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.
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And Now for some news ….
Medicare Trends in Low-Value Health Service Use and Spending
A recent study was published in JAMA Network Open, to assess national trends in low-value care use and spending.
Low-value care, defined as care offering no net benefit in specific clinical scenarios, is associated with harmful outcomes in patients and wasteful spending.
Despite a national education campaign and increasing attention on reducing health care waste, recent trends in low-value care delivery remain unknown.
Three services comprised approximately two-thirds of uses among 32 low-value services per 1000 individuals. Related to Back Pain, it was found that
- opioids for back pain increased
Conclusions and Relevance found that this cross-sectional study found that among individuals with fee-for-service Medicare receiving any of 32 measured services, low-value care use and spending decreased marginally from 2014 to 2018, despite a national education campaign in collaboration with clinician specialty societies and increased attention on low-value care.
While most use of low-value care came from 3 services, 1 of these was opioid prescriptions, which increased over time despite the harms associated with their use.
These findings may represent several opportunities to prevent patient harm and lower spending.
Surf to our Show Notes for Links – https://pubmed.ncbi.nlm.nih.gov/33591365/
Manual Therapy and neuromuscular inflammation
A recent study published in the journal BMC Musculoskeletal Disorders examined the effectiveness of a manual therapy consisting of forearm skin rolling, muscle mobilization, and upper extremity traction as a preventive treatment for rats performing an intensive lever-pulling task.
The authors hypothesized that this treatment would reduce task-induced neuromuscular and tendon inflammation, fibrosis, and sensorimotor declines.
Conclusions found that manual therapy of forelimbs involved in performing the reaching and grasping task prevented the development of inflammatory and fibrogenic changes in forearm nerves, muscle, and tendons, and sensorimotor declines.
Surf to our Show Notes for Links – https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-021-04270-0
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Finally, I leave you with the following quote:
“Happiness is a butterfly, which when pursued, is always beyond your grasp, but which, if you will sit down quietly, may alight upon you.” ― Nathaniel Hawthorne
For Chiropractic OnLine Today’s HealthBeat, Wishing everyone to stay Safe and Healthy, This has been Dr. Todd Eglow.