ShowNotes for April 27, 2012

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 –

  • Surgery versus rehabilitation in patients with low back pain and degenerative disc
  • Overuse and Acute Injuries among Competitive Collegiate Athletes
  • And Finally, a Story about a Delay in Implementation of ICD-10 Codes

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #355, recorded April 27, 2012.

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 ….

 

 

 

Surgery with disc prosthesis versus rehabilitation in patients with low back pain and degenerative disc

A recent study out of Norway looked at comparing the efficacy of surgery with disc prosthesis versus non-surgical treatment for patients with chronic low back pain.

Participants of the study included 173 patients with a history of low back pain for at least one year, Oswestry disability index of at least 30 points, and degenerative changes in one or two lower lumbar spine levels (86 patients randomized to surgery). Patients were treated from April 2004 to September 2007.

The study concluded that Surgical intervention with disc prosthesis for chronic low back pain resulted in a significantly greater improvement in the Oswestry score compared with rehabilitation, but this improvement did not clearly exceed the pre-specified minimally important clinical difference between groups of 10 points, and the data are consistent with a wide range of differences between the groups, including values well below 10 points.

The potential risks of surgery and the substantial amount of improvement experienced by a sizeable proportion of the rehabilitation group also have to be incorporated into overall decision making.

Surf to our Show Notes for Links – http://www.medscape.com/medline/abstract/21596740

   

 

 

Overuse and Acute Injuries among Competitive Collegiate Athletes

Overuse injuries are nearly 30% of all injuries sustained by college athletes, with a majority (62%) of overuse injuries occurring in female athletes, according to a study published in the Journal of Athletic Training.

“Overuse injuries may present not only physical challenges but also psychological ones that could significantly affect an athlete’s recovery and performance,” according to study co-author Tracey Covassin, PhD.

“Understanding the frequency, rate and severity of overuse injuries is an important first step for designing effective injury-prevention programs, intervention strategies and treatment protocols to prevent and rehabilitate athletes with these types of injuries.”

The most common overuse injuries were general stress (27%), inflammation (21%) and tendinitis (16%). The authors noted that wrestling, football, women’s soccer and other contact sports were associated with a higher acute injury risk while overuse injuries were found more frequently in rowing, softball, volleyball, cross country, track and field and other low-contact sports.

The study concluded that additional studies are needed to examine why female athletes are at greater risk for overuse injuries and identify the best practices for prevention and rehabilitation of overuse injuries.

Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/22488286

http://www.healio.com/orthopedics/sports-medicine/news/online/%7B9055C68C-D5D7-4E6F-9043-99FD70F374DD%7D/Nearly-30-of-all-college-athlete-injuries-a-result-of-overuse

 

 

 

Delay in Implementation of ICD-10 Codes

On Monday April 9, 2012, the US Department of Health and Human Services announced they were delaying the implementation of the updated ICD-10 diagnosis and procedure codes.

According to this Press Release – “The proposed rule also delays required compliance by one year– from Oct. 1, 2013, to Oct. 1, 2014– for new codes used to classify diseases and health problems.

These codes, known as the International Classification of Diseases, 10thEdition diagnosis and procedure codes, or ICD-10, will include new procedures and diagnoses and improve the quality of information available for quality improvement and payment purposes.

Many provider groups have expressed serious concerns about their ability to meet the Oct. 1, 2013, compliance date. The proposed change in the compliance date for ICD-10 would give providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition to these new code sets.”

Surf to our Show Notes for Links – https://www.cms.gov/apps/media/press/release.asp?Counter=4329&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date

http://www.chirocode.com/clock_ticking_on_icd-10_30-day_comment_period

 

 

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Finally, I leave you with the following quote:

“The happiest conversation is that of which nothing is distinctly remembered but a general effect of pleasing impression.”
– Samuel Johnson

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

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