Monthly Archives: October 2011

Show Notes for October 21, 2011

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.
In this week’s news:  We’ll Be Looking At –

•    Low Back Pain In Adolescents
•    Managing Nonspecific Low Back Pain
•    And Finally, a Story about Elevated Production of Inflammatory Mediators in Patients With Neck Pain

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #328, recorded October 21, 2011.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at http://www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues.  Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community.  If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at http://www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community.  This podcast is made available thru the generous donations we receive and greatly appreciate.  If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

RSS Info – In this edition of HealthBeat, we discuss Low Back Pain In Adolescents, Managing Nonspecific Low Back Pain, And Finally, a Story about Elevated Production of Inflammatory Mediators in Patients With Neck Pain.

Low Back Pain In Adolescents

Low back pain in adolescents usually has an undiagnosable source, resolves spontaneously, and warrants a minimalist approach to tests and imaging, analysis of a large clinical series suggested.

Three-fourths of 2,846 patients had undiagnosable, or nonspecific, mechanical low back pain. The most common pathology associated with low back pain was spondylolysis, which accounted for less than 7% of cases and did not change the conservative approach to follow-up.

Among patients who had x-rays, two-view films proved to be as informative as four-view radiographs. When advanced imaging was used, bone scans were significantly more likely to yield positive results compared with CT, as reported here at the American Academy of Pediatrics meeting.

Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.

As always, COTs HealthBeat recommends discussing back related issues with your Doctor of Chiropractic for other possible diagnostic procedures.

Surf to our Show Notes for links – http://www.medpagetoday.com/MeetingCoverage/AAP/29064

Managing Nonspecific Low Back Pain

A study recently published in the November 2011 issue of the journal Spine, presented information to identify how nonclinical patient factors, specifically sex, patient presentation, and socioeconomic status, influence physician treatment recommendations for assessing and treating acute nonspecific low back pain.

Adherence to evidence-based practice guidelines for nonspecific low back pain remains inconsistent. Therefore, it is important to understand what factors guide physician management of these cases.

Multivariate logistic regression showed seven significant associations of patient factors with treatment recommendations for acute nonspecific low back pain.

The study concluded that all three assessed nonclinical factors influenced physician decisions regarding diagnostic and treatment recommendations for acute nonspecific low back pain. Patient presentation, suggestive of a patient’s emotional state, was shown to be the most influential.

Surf to our Show Notes for Links – http://journals.lww.com/spinejournal/Abstract/2011/11010/Managing_Nonspecific_Low_Back_Pain__Do_Nonclinical.14.aspx

Elevated Production of Inflammatory Mediators in Patients With Neck Pain

A recent study in the Journal of Manipulative and Physiological Therapeutics, JMPT, investigated whether the production of inflammatory mediators and chemotactic cytokines (chemokines) is altered in patients with chronic and recurrent neck pain (NP).

The levels of tumor necrosis factor α (TNF-α), monocyte chemotactic protein 1, and macrophage inflammatory protein 1α or CCL3 were determined by specific immunoassays. Serum levels of nitric oxide metabolites were evaluated simultaneously.

The study concluded that production of inflammatory mediators was consistently elevated in NP patients in this study, both in vitro and in vivo, and activation of inflammatory pathways was accompanied by up-regulation of CC chemokine synthesis.

This suggests that, in neck pain patients, CC chemokines may be involved in regulation of local inflammatory response through recruitment of immune cells to the inflamed tissue and exert pro-nociceptive effects.

Surf to our Show Notes for Links – http://www.jmptonline.org/article/S0161-4754%2811%2900193-X/abstract

This podcast is made available through the generous donations from our great Listeners, such as You!  If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you.  Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is:

healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com.  If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site.  For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing.  Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“A successful man is one who can lay a firm foundation with the bricks others have thrown at him.” — David Brinkley

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

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ShowNotes for October 14, 2011

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.
In this week’s news:  We’ll Be Looking At –
•    Update to Show Notes
•    Arthritis and Aging Workforce
•    And Finally, a recap of the week in studies released about Dietary Supplements

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #327, recorded October 14, 2011.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at http://www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues.  Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community.  If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at http://www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community.  This podcast is made available thru the generous donations we receive and greatly appreciate.  If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

RSS Info – In this edition of HealthBeat, we discuss Update to Show Notes, Arthritis and Aging Workforce, And Finally, a recap of the week in studies released about Dietary Supplements.

Update to Show Notes

Hi Everyone.

Just a quick update to our Show Notes pages.  We are now using Word Press to present our Weekly Show Notes.  Please continue to surf to http://www.ChiropracticRadio.com and click on the Show Notes links to access these notes.  They can also be accessed on your iPad in a friendly design.

Arthritis and Aging Workforce

A study recently reviewed on the Medscape.com web site, looked at how the working poor sometimes delay retirement to survive.

However, their higher risk of disease and disability threatens both their financial survival and their ability to work through the retirement years. We used the burden of disease attributable to arthritis by occupational class to illustrate the challenges faced by the older poor.

The Authors merged data from the National Health Interview Survey, Medical Expenditure Panel Survey, and the National Death Index into a single database. We then calculated and compared age- and occupational class–specific quality-adjusted life years (QALYs) between workers with and without arthritis by using unabridged life tables.

In the United States, people aged 65 years and older are the fastest growing demographic group. The percentage of people aged 65 years and older is projected to almost double between the present day and 2050, rising from 6% to 11%, and about 1 in 5 of these elderly are poor.[

The study concluded that to meet the needs of the aging workforce, more extensive health and disability insurance will be needed.

Surf to our Show Notes for more the full study – http://www.medscape.com/viewarticle/750935?src=nl_topic

Bad Week for Dietary Supplements

The week of October 10th has not been a good one for studies related to usage Nutritional Supplements.

The OrthoSupersite web site released an article titled – “Herbal supplements may cause dangerous drug interactions in orthopedic surgery patients”.

The study, published in the October, 2011 issue of the Journal of the American Academy of Orthopedic Surgeons stated – The use of complementary and alternative medicine is widespread and popular with the lay public.

Although prevalence of use varies among specific patient populations, complementary and alternative medicine, in particular herbal remedies, are widely marketed and used by orthopedic patients. Herbal supplements can have a negative impact on the perioperative period and may interact with conventional medicines used to manage chronic conditions.

Physician-patient communication often does not include the subject of alternative medicines, leading to underreporting of use. Orthopaedic surgeons should adopt methods to routinely elicit from their patients the use of complementary and alternative medicine and should monitor and counsel patients on potential side effects and drug-herb interactions. Preoperative instructions should include cessation of the use of herbal supplements.

Earlier in the week, the Journal for the American Medical Association, JAMA, released a study related to Vitamin E and the Risk of Prostate Cancer.

The initial report of the Selenium and Vitamin E Cancer Prevention Trial (SELECT) found no reduction in risk of prostate cancer with either selenium or vitamin E supplements but a statistically non-significant increase in prostate cancer risk with vitamin E.

Longer follow-up and more prostate cancer events provide further insight into the relationship of vitamin E and prostate cancer.  A total of 35 533 men from 427 study sites in the United States, Canada, and Puerto Rico were randomized between August 22, 2001, and June 24, 2004.

The study concluded that Dietary supplementation with vitamin E significantly increased the risk of prostate cancer among healthy men.

Finally, a study published in the Archives of Internal Medicine, looked at the relationship between Dietary Supplements and Mortality Rate in Older Women.

Although dietary supplements are commonly taken to prevent chronic disease, the long-term health consequences of many compounds are unknown.   The Authors of the study assessed the use of vitamin and mineral supplements in relation to total mortality in 38 772 older women in the Iowa Women’s Health Study.

The Study concluded that in older women, several commonly used
Dietary vitamin and mineral supplements may be associated with increased total mortality risk; this association is strongest with supplemental iron. In contrast to the findings of many studies, calcium is associated with decreased risk.

With the confusion generated by these studies, COT’s HealthBeat again recommends discussing all Nutritionally related questions with your Qualified Health Care Provider.

Surf to our Show Notes for Links and various opinions – http://www.jaaos.org/content/19/10/634.abstract

http://www.orthosupersite.com/view.aspx?rid=88471

http://junksciencecom.files.wordpress.com/2011/10/aim-multivitamin-older-women-mortality.pdf

http://jama.ama-assn.org/content/306/14/1549.full.pdf

http://www.anh-usa.org/shame-on-ama-archives-of-internal-medicine/

This podcast is made available through the generous donations from our great Listeners, such as You!  If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you.  Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is:

healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com.  If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site.  For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing.  Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“Any idiot can face a crisis – it’s day to day living that wears you out.”
– Anton Chekhov

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.


ShowNotes for October 7, 2011

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news:  We’ll Be Looking At –

•    Prehypertension and Risk of Stroke
•    Adjustments to Common Shoulder Exercise
•    And Finally, a Story about Exercise and Insulin Resistance

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #326, recorded October 7, 2011.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at http://www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues.  Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community.  If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at http://www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community.  This podcast is made available thru the generous donations we receive and greatly appreciate.  If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

RSS Info – In this edition of HealthBeat, we discuss Prehypertension and Risk of Stroke, Adjustments to Common Shoulder Exercise, And Finally, a Story about Exercise and Insulin Resistance.

Listen to this week’s Podcast in Web Browser – http://www.chiropracticradio.com/healthbeat/healthbeat0326.mp3

Prehypertension and Risk of Stroke

A recent report has implicated Prehypertension – Systolic between 120-139/Diastolic between 80-89 – independently raises the risk for stroke by about 50%, according to results of a new review of relevant research.

“Importantly,” the authors say, the risk for stroke appeared more strongly driven by higher systolic or diastolic BP values within the prehypertensive range.

It’s appropriate to “recommend and monitor therapeutic lifestyle changes” in patients who have a BP that falls within the higher range of prehypertension (ie, systolic BP, 130 – 139 mm Hg; or diastolic BP, 85 – 89 mm Hg), first author Bruce Ovbiagele, MD, from the University of California, San Diego, told Medscape Medical News.

In most studies reviewed, baseline BP was obtained by a single-day measurement, which may lead to misclassification of BP levels and a dilution bias, the authors note. In contrast, previous epidemiologic evidence suggests that BP measurements taken on a single day may be adequate, they point out.

However, a single-day measurement is not sufficient to characterize BP variability, and data on BP variability were not available in the studies analyzed.

Despite these and other potential limitations, “the results of this systematic review probably represent the most precise and accurate estimate of the strength of the relation between prehypertension and incident stroke currently available,” the authors conclude.

On the basis of their findings, they suggest that randomized trials to evaluate the efficacy of lowering BP levels in those with higher values within the prehypertension range are warranted.

COT’s Healthbeat recommends discussing your blood pressure results with your Qualified Health Care Provider.

Surf to our Show Notes for links – http://goo.gl/FJqZp

http://www.medscape.com/viewarticle/750592

Adjustments to Common Shoulder Exercise

For gym goers looking to build strength and fill out their T-shirts, poor form or technique can turn shoulder workouts into a fast track to physical therapy.

About a third of all resistance training injuries involve the deltoids, the muscles that form the rounded contour of the shoulder, making them one of the most common injuries that occur in the weight room.

But many of these injuries can be prevented with small changes in technique, a fact highlighted by new research published in the latest issue of Strength & Conditioning Journal.

The research focuses on one of the most popular shoulder exercises for men and women: the upright row.

The study found that three simple steps can reduce the risk of injury.

“You increase the chances of impingement when you bring your elbows up beyond 90 degrees — basically when they’re past parallel to your shoulders.”

The same rule holds for another popular exercise called the lateral raise, which develops the medial deltoids.  Exercising the medial deltoids carries a number of aesthetic and practical benefits.  The exercises can also build strength for everyday activities like carrying groceries, lifting heavy objects or hoisting small children.

COTs HealthBeat recommends discussing all Exercise routines and questions with your Qualified Health Care Provider.

Surf to our Show Notes for links – http://journals.lww.com/nsca-scj/Abstract/2011/10000/The_Upright_Row__Implications_for_Preventing.2.aspx

http://well.blogs.nytimes.com/2011/09/29/a-safer-shoulder-workout/?hp

Exercise and Insulin Resistance

Insulin Resistance is a growing problem in the United States.

People with insulin resistance, also known as impaired insulin sensitivity, have built up a tolerance to insulin, making the hormone less effective. As a result, more insulin is needed to persuade fat and muscle cells to take up glucose and the liver to continue to store it.

Normally, food is absorbed into the bloodstream in the form of sugars such as glucose and other basic substances. The increase in sugar in the bloodstream signals the pancreas (an organ located behind the stomach) to increase the secretion of a hormone called insulin. This hormone attaches to cells, removing sugar from the bloodstream so that it can be used for energy.

In insulin resistance, the body’s cells have a diminished ability to respond to the action of the insulin hormone. To compensate for the insulin resistance, the pancreas secretes more insulin.

Over time people with insulin resistance can develop high sugars or diabetes as the high insulin levels can no longer compensate for elevated sugars.

A recent study published in the journal Strength and Conditioning, found that Exercise is an effective treatment in the management of Insulin Resistance through:

•    Enhanced Insulin Sensitivity
•    Increased Skeletal Muscle Glucose Uptake
•    Improved B-Cell function

Additionally, Exercise may positively modify comorbidities often associated with Insulin Resistance.

Surf to our Show Notes for links – http://journals.lww.com/nsca-scj/Abstract/2011/10000/Exercise_and_Insulin_Resistance.4.aspx

http://diabetesmanagement.insulitelabs.com/index.php?q=understanding-insulin-resistance.php

http://diabetes.webmd.com/guide/insulin-resistance-syndrome

http://www.jillianmichaels.com/fitness-and-diet-tips/insulin-resistance

This podcast is made available through the generous donations from our great Listeners, such as You!  If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you.  Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is:

healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com.  If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site.  For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing.  Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“A little thought and a little kindness are often worth more than a great deal of money.”
– John Ruskin

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.


Show Notes for September 30, 2011

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.
In this week’s news:  We’ll Be Looking At –

  • Chiropractic and Maintenance Care
  • Medicare to Release Another Chiropractic Comparative Billing Report
  • And Finally, a Story about Symptomatic Disc Herniation and Serum Lipid Levels

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #325, recorded September 30, 2011.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at http://www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues.  Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community.  If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at http://www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community.  This podcast is made available thru the generous donations we receive and greatly appreciate.  If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

Chiropractic and Maintenance Care
A 1999 study from the Journal of Manipulative and Physiologic Therapeutics, looked at Maintenance care.

Health promotion and prevention services provided by the chiropractic profession historically have been referred to as maintenance care (MC).

The primary objective of this investigation was to obtain information regarding multiple health issues of patients age 65 years and over who have had a long-term regimen of chiropractic health promotion and preventive care. The study also sought to explore the nature of the interventions and methods that were most commonly used by chiropractors when administering MC and to determine whether there were differences between patients who have had long-term exposure to these preventive services versus those who have not.

A total of 73 chiropractors participated in this investigation from the 6 study sites. In addition to an average 1.9 manual procedures used per patient, it was common to recommend stretching exercises (68.2%), aerobic exercises (55.6%), dietary advice (45.3%), and a host of other prevention strategies, including vitamins and relaxation. The patients investigated in this study reported making only half the annual number of visits to medical providers (4.76 visits per year) compared with the national average (9 visits per year) for individuals age 65 years and over.

The study concluded that on the basis of the response of participating chiropractors, this study describes the therapeutic components of MC for the elderly patient. For these patients, MC does not simply consist solely of periodic visits for joint manipulation, but it involves an eclectic host of interventions (eg, exercise, nutrition, relaxation, physical therapy, and manipulation) that are directed at both musculoskeletal and visceral conditions.

Surf to our Show Notes for links – http://www.sciencedirect.com/science/article/pii/S0161475400901088

 

 

Medicare to Release Another Chiropractic Comparative Billing Report

On Sept. 26, 2011 the Centers for Medicare and Medicaid Services (CMS) released a national provider Comparative Billing Report (CBR) aimed at the chiropractic profession — again.

This is the second year in a row that chiropractors across the country have received a CBR. The latest round is a similar analysis equivalent to the one distributed last fall except this current study will focus on 2010 data.

The 2011 CBR will be sent to 5,000 different chiropractors around the country from the DC’s who may have received a CBR in the last round. The intent of the second transmission, however, is still the same as the CBRs contains actual data-driven tables and graphs with an explanation of findings that compare provider’s billing and payment patterns to those of their peers located in the state and across the nation.

According to the press release on Medicare’s website, “CMS has received feedback from a number of providers that this kind of data is very helpful to them and encouraged us to produce more CBRs and make them available to providers.”

Tom Necela, DC, of the Strategic Chiropractor, is the nation’s first chiropractor who achieved certification as a Professional Medical Auditor, but he is not so sure about the “positive feedback” Medicare proclaims.

Necela recommends that those who do receive a CBR, use it as a wake-up call to improve upon their billing, coding, or documentation procedures which may not be up to standard or that are significantly outside the norm. Although the CBR is not punitive and although there is not a direct correlation between those receiving the CBR and those who will be audited, most experts would agree that chiropractors should use this as an opportunity to be proactive — before the auditor comes knocking.

Surf to our Show Notes for Links – http://www.chirocode.com/Medicare_to_Release_Another_Chiropractic_Comparative_Billing_Report

Symptomatic Disc Herniation and Serum Lipid Levels

Insufficient blood supply to the intervertebral disc (IVD) has been proposed to play a role as causative factor in IVD degeneration.
A study in the European Spine Journal found that there is an association between IVD diseases and increased risk of dying of ischemic heart disease.

Obesity and tobacco are potential risk factors for degenerative IVD disease. High blood cholesterol and triglycerides serum levels are risk factors for atherosclerosis, and could be responsible for a decreased in the blood supply to the already poor vascularized IVD.

When comparing the two groups, patients with symptomatic herniated lumbar disc showed statistically significant higher triglyceride concentration (P = 0.02) and total cholesterol concentration (P = 0.01).

Serum lipid levels may be a risk factor for intervertebral disc pathology. An enhanced understanding of these factors holds the promise of new approaches to the prevention and management of IVD pathology.

Surf to our Show Notes for details – http://www.springerlink.com/content/28426n2063486693/

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For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.