Show Notes for November 25, 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 –

  • Adjacent segment degenerative disease
  • Medicare Update on PQRS from the ACA
  • And Finally, a Story about Diet and Exercise Reducing Pain in Osteoarthritis

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #333, recorded November 25, 2011.

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 ….




Adjacent segment degenerative disease

The purpose of a recent study presented in the Euro Spine Journal, was to determine whether fusion causes adjacent segment degeneration or whether degeneration is due to disease progression.

Eighty-seven patients that had undergone single level anterior cervical decompression and fusions with at least 5 years of follow-up were enrolled in this retrospective study.

The study concluded that although, fusion per se can accelerate the severity of adjacent level degeneration, no significant difference was observed between adjacent and non-adjacent segments in terms of the incidence of symptomatic disease. The authors conclude that adjacent segment disease is more a result of the natural history of cervical spondylosis than the presence of fusion.




Medicare Update on PQRS from the ACA

The American Chiropractic Association’s Medicare Committee wanted to make you aware of a recent issue.  Those doctors of chiropractic who participate in Medicare’s Physician Quality Reporting System (PQRS) should be aware that an effort has been initiated to evaluate the PQRS measures used by doctors of chiropractic. It is important to note that this is not a financial audit.

PQRI began as a voluntary reporting program that provided an incentive payment to identified eligible professionals (EPs) who satisfactorily reported data on specific quality measures for covered professional services furnished to Medicare Part B fee-for-service beneficiaries and paid under the Medicare Physician Fee Schedule (MPFS). The program was first implemented in 2007.

The review is being conducted by quality measures development organizations such as Quality Insights of Pennsylvania.  Providers should understand that this review and request for records will not result in a recoupment of funds. 

This review is strictly for information gathering purposes.  Ultimately, this review will be helpful to providers to ensure that they are appropriately participating in PQRS. 

Successful participation in PQRS makes providers eligible for the PQRS incentive bonuses while they are available until 2014 and ensures providers will not have their Medicare payments reduced when the 1.5% disincentive is introduced in 2015.   

Surf to our Show Notes for Links –



Diet and Exercise Reduce Pain in Osteoarthritis

A November 7th article on the Medscape web site, looked at how intensive diet and exercise can slash the amount of pain in older adults with osteoarthritis of the knees and improve function and walking speed, according to a study from researchers at Wake Forest University in Winston-Salem, North Carolina.

The 18-month Intensive Diet and Exercise for Arthritis (IDEA) trial was designed to evaluate the impact of intensive weight loss with or without exercise on disease progression.

At the end of the study, participants in the diet-only group lost an average of 9.5% of their baseline weight, and those in the exercise-only group lost an average of 2.2%. The combined diet/exercise group, however, lost an average of 11.4%. None of the participants regressed to baseline levels, even after 18 months.

In addition, participants in the diet/exercise group improved their functional status by 47%, compared with 30% in the diet-only group and 26% in the exercise-only group. The combination group also increased walking speed by 12%, compared with 10% and 6% in the diet-only and exercise-only groups, respectively.

The take-home message, according to the lead author of the study, is that “clinicians can tell their patients that they will see marked improvement [in pain and function] in 6 months or less.”

The fact that significant differences did not appear between the groups until 18 months, however, “underscores the need for long-term studies to detect clinically and statistically meaningful results.”

Remember to discuss all Exercise and Nutrition related issues with your Qualified Health Care Professional.

Surf to our Show Notes for Links –




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As always, please surf to our Podcast Show Notes at 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.

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Finally, I leave you with the following quote:

Age is not a particularly interesting subject. Anyone can get old. All you have to do is live long enough.”
– Don Marquis

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


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