Monthly Archives: December 2012

Show Notes for December 28, 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 –

  • Best Time To Exercise
  • Smoking Cessation and Low Back Pain
  • And Finally a Story about Exercise and Body Mass


For HealthBeat, Wishing Everyone a Safe, Healthy and Happy New Year – This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #390, recorded December 28, 2012.

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

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0390.mp3

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at 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 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 ….

 

 

Best Time To Exercise

The circadian system co-ordinates the temporal patterning of behaviour and many underlying biological processes.

In some cases, the regulated outputs of the circadian system, such as activity, may be able to feed back to alter core clock processes.

In a recent study published in the Journal of Physiology, the authors used four wheel-access conditions (no access; free access; early night; and late night) to manipulate the duration and timing of activity while under the influence of a light-dark cycle.

In wild-type mice, scheduled wheel access was able to increase ambulatory activity, inducing a level of exercise driven at various phases of the light-dark cycle. Scheduled exercise also manipulated the magnitude and phasing of the circadian-regulated outputs of heart rate and body temperature.

The authors found that scheduled wheel access during the late night improved many of the behavioural, physiological and molecular deficits previously described in vasointestinal polypeptide-deficient mice.

The Authors’ results raise the possibility that scheduled exercise could be used as a tool to modulate daily rhythms and, when applied, may counteract some of the negative impacts of ageing and disease on the circadian system.

As always, discuss all Exercise recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for Links – http://www.ncbi.nlm.nih.gov/pubmed/22988135

http://well.blogs.nytimes.com/2012/12/12/why-afternoon-may-be-the-best-time-to-exercise/?hp

 

 

 

Smoking Cessation and Low Back Pain

Cessation of smoking in patients with a spinal disorder was significantly associated with less back pain than in patients who continued smoking, according to a recently published study.

The authors of the study stated “We know that nicotine increases pain. In this study, if you quit smoking during treatment, you got better.”

“If you continued to smoke, there was statistically no improvement, regardless of the treatment you had. Basically, the likelihood to improve your care – surgical or non-surgical – was dramatically decreased if you are a smoker.”

The authors of the study found that of 5,333 patients with axial or radicular pain, patients who never smoked or ceased smoking during the study period reported significantly better VAS scores compared to patients who continued smoking, according to the abstract.

Oswestry Disability Index scores in non-smokers also showed a greater mean improvement than in smokers, the researchers noted.

The study measured VAS pain during three different time periods – worst, current and weekly pain levels – and current smokers reported significantly greater pain than all other groups in the three areas, according to the abstract.

“This study supports the need for smoking cessation programs for patients with a painful spinal disorder given a strong association between improved patient reported pain and smoking cessation.”

Surf to our Show Notes for Links – http://jbjs.org/data/Journals/JBJS/25493/2161.pdf

http://www.healio.com/orthopedics/spine/news/online/%7B491DBD85-06EF-4FE8-9CE5-D55B626DBB04%7D/Smoking-cessation-yields-better-VAS-scores-for-patients-with-severe-back-pain

 

 

Exercise and Body Mass

A recent study published in the Journal of Applied Physiology, looked at the fluid conversation of which type of exercise is best for body mass and fat mass on overweight and obese adults.

Recent guidelines on exercise for weight loss and weight maintenance include resistance training as part of the exercise prescription.

Yet few studies have compared the effects of similar amounts of aerobic and resistance training on body mass and fat mass in overweight adults.

In this study, a randomized trial, compared aerobic training, resistance training, and a combination of the two to determine the optimal mode of exercise for obesity reduction.

Participants were 119 sedentary, overweight or obese adults who were randomized to one of three 8-mo exercise protocols: 1) RT: resistance training, 2) AT: aerobic training, and 3) AT/RT: aerobic and resistance training (combination of AT and RT).

Primary outcomes included total body mass, fat mass, and lean body mass.

The AT and AT/RT groups reduced total body mass and fat mass more than RT, but they were not different from each other.

RT and AT/RT increased lean body mass more than AT. While requiring double the time commitment, a program of combined AT and RT did not result in significantly more fat mass or body mass reductions over AT alone.

Balancing time commitments against health benefits, it appears that AT is the optimal mode of exercise for reducing fat mass and body mass, while a program including RT is needed for increasing lean mass in middle-aged, overweight/obese individuals.

As always, discuss all Exercise Recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for Links – http://jap.physiology.org/content/113/12/1831.abstract

http://www.huffingtonpost.com/2012/12/14/weight-loss-exercise-what_n_2302392.html

http://circ.ahajournals.org/content/124/23/2483.abstract?sid=ffe4ea53-b30d-4321-96c1-800d7296006e

 

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:

While we try to teach our children all about life, our children teach us what life is all about.”
– Angela Schwindt

For Chiropractic OnLine Today’s HealthBeat, Again Wishing Everyone a Safe, Healthy and Happy New Year This is Dr. Todd Eglow.

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Show Notes for December 21, 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 –

  • Physical Exercise and Gut Dysfunction
  • NSAIDs and Exercise Induced Intestinal Injury
  • And Finally, a Story about Prevalence of Abnormal Hip Findings in Asymptomatic Participants


For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #389, recorded December 21, 2012.

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

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0389.mp3

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at 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 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 ….

 

 

Physical Exercise and Gut Dysfunction

Physical exercise places high demands on the adaptive capacity of the human body.

Strenuous physical performance increases the blood supply to active muscles, cardiopulmonary system, and skin to meet the altered demands for oxygen and nutrients.

The redistribution of blood flow, necessary for such an increased blood supply to the periphery, significantly reduces blood flow to the gut, leading to hypoperfusion and gastrointestinal (GI) compromise.

A compromised GI system can have a negative impact on exercise performance and subsequent post-exercise recovery due to abdominal distress and impairments in the uptake of fluid, electrolytes, and nutrients. In addition, strenuous physical exercise leads to loss of epithelial integrity, which may give rise to increased intestinal permeability with bacterial translocation and inflammation.

Ultimately, these effects can deteriorate post-exercise recovery and disrupt exercise training routine.

A review published in the American Journal of Physiology – GI and Liver Physiology, provides an overview on the recent advances in our understanding of GI physiology and pathophysiology in relation to strenuous exercise.

Various approaches to determine the impact of exercise on the individual athlete’s GI tract are discussed. In addition, the authors of the study elaborate on several promising components that could be exploited for preventive interventions.

As always, discuss all Health Recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for links – http://0-ajpgi.physiology.org.library.pcc.edu/content/303/2/G155.abstract

 

 

NSAIDs and Exercise Induced Intestinal Injury

Nonsteroidal anti-inflammatory drugs, NSAIDs, are commonly used by athletes to prevent anticipated exercise-induced pain, thereby putatively improving physical performance.

However, these drugs may have potentially hazardous effects on the gastrointestinal (GI) mucosa during strenuous physical exercise. The aim of a current study published in the journal Medicine and Science in Sports & Exercise, was to determine the effect of oral ibuprofen administration before exercise on GI integrity and barrier function in healthy individuals.

Nine healthy, trained men were studied on four different occasions: 1) 400 mg ibuprofen twice before cycling, 2) cycling without ibuprofen, 3) 400 mg ibuprofen twice at rest, and 4) rest without ibuprofen intake.

The study concluded that this is the first study to reveal that ibuprofen aggravates exercise-induced small intestinal injury and induces gut barrier dysfunction in healthy individuals.

The authors of the study concluded that nonsteroidal anti-inflammatory drugs consumption by athletes is not harmless and should be discouraged.

As always, discuss all medication usage with your qualified healthcare professional.

Surf to our Show Notes for links – http://journals.lww.com/acsm-msse/Fulltext/2012/12000/Aggravation_of_Exercise_Induced_Intestinal_Injury.1.aspx

http://well.blogs.nytimes.com/2012/12/05/for-athletes-risks-from-ibuprofen-use/

 

 

 

 

Prevalence of Abnormal Hip Findings in Asymptomatic Participants

The prevalence of abnormal magnetic resonance imaging (MRI) findings in an asymptomatic population has yet to be determined.

The purpose of a study published in the American Journal of Sports Medicine, was to assess a cohort of asymptomatic people to determine the prevalence of hip lesions.

Forty-five volunteers with no history of hip pain, symptoms, injury, or surgery were recruited for enrollment in this institutional review board–approved study. The subjects underwent a unilateral MRI scan with a Siemens 3.0-tesla scanner. The extremity side evaluated by MRI was alternated.

The study concluded that Magnetic resonance images of asymptomatic participants revealed abnormalities in 73% of hips, with labral tears being identified in 69% of the joints.

A strong correlation was seen between participant age and early markers of cartilage degeneration such as cartilage defects and subchondral cysts.

Surf to our Show Notes for links – http://ajs.sagepub.com/content/40/12/2720.abstract?rss=1

 

 

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:

Defeat is not the worst of failures. Not to have tried is the true failure.”
– George Edward Woodberry

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


Show Notes for December 14, 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 –

  • Donations for Superstorm Sandy
  • New Guidance on De-Identifying Health Information
  • Epidural Injections and Bone Mineral Density
  • And Finally, a Story about Conservative Care of Prolapsed Herniated Lumbar Discs


For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #388, recorded December 14, 2012.

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

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0388.mp3

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at 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 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 ….

 

 

Donations for Hurricane Sandy

The New York State Chiropractic Association, the NYSCA has sent out an email related to an offer from a CA located at a Florence, Kentucky Chiropractors office, related to donations for those chiropractors affected by the recent Superstorm Sandy.

Their office number for those interested or affected is

859-647-2834.

 

 

New Guidance on De-Identifying Health Information

A recent emailing from the ChiroCode Institute discussed how HIPAA places tight restrictions on the use and disclosure of protected health information, but there are many ways to “de-identify” it, freeing it from HIPAA’s constraints.

Covered entities and business associates can use de-identification to reduce their exposure to HIPAA and expand their use of health data.

On Nov. 26, 2012, the HHS Office for Civil Rights released guidance on how health information may be de-identified. While the guidance does not break much new ground, it offers some helpful clarification.

The guidance on de-identification, which was mandated by the Health Information Technology for Economic and Clinical Health (“HITECH”) Act, part of the American Recovery and Reinvestment Act of 2009, discusses the two methods of de-identification under HIPAA: (1) the “expert determination method” and (2) the “safe harbor method.”

Surf to our Show Notes for Details – http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/De-identification/guidance.html

http://www.chirocode.com/escaping_hipaa_new_guidance_on_de-identifying_health_information

 

 

Epidural Injections and Bone Mineral Density

Previous studies have established that one of the major adverse effects of steroid use is glucocorticoid-induced osteoporosis.

In a recent study published in the journal Spine, researchers have suggested that postmenopausal women who were administered a single epidural steroid injection as treatment for back pain adversely experienced significant BMD loss of the hip.

The findings of our study suggest that epidural steroid injections (ESI) for back pain relief should be approached cautiously in patients at risk for bone fragility.

“Physicians who do prescribe them should consider measures that optimize bone health such as calcium and vitamin D supplements and exercise as part of their patient’s treatment plan.

The study concluded that a single epidural steroid injection in postmenopausal women adversely affects BMD of the hip. This is in conjunction with a rise in bone remodeling activity, as evidenced by an increase in bone-specific alkaline phosphatase and C-telopeptide of collagen I.

In addition, when compared with an age-matched control population, our study population exhibited a greater decline in BMD. Our findings show that epidural administration of corticosteroids has a deleterious effect on bone, which should be considered when contemplating treatment options for radiculopathy.

The resulting decrease in BMD, while slight, suggests that epidural steroid injections should be used with caution in those at a risk for fracture.

Remember to discuss all recommendations, including Nutritional Recommendations with your Qualified Health Care Provider – http://journals.lww.com/spinejournal/Abstract/2012/12010/Effect_of_Epidural_Steroid_Injection_on_Bone.13.aspx

http://www.healio.com/orthopedics/osteoporosis/news/online/%7B498F7774-8BA7-4A20-84F2-C927528AD8F9%7D/Injectable-steroid-for-back-pain-led-to-BMD-loss-in-postmenopausal-women-

 

 

Conservative Care of Prolapsed Herniated Lumbar Discs

The natural history of a lumbar hernia of the nucleus pulposus (HNP) is not fully known and clear indications for operative intervention cannot be established from the literature.

Several studies have shown that the largest discs appear to have the greatest tendency to resolve. The aim of this study was to investigate whether massive prolapsed discs can be safely managed conservatively once clinical improvement has occurred.

Thirty-seven patients were studied by clinical assessments and serial magnetic resonance imaging (MRI) over 2 years. Patients had severe sciatica at first, but began to show clinical improvement despite the large disc herniations.

Clinical assessment included the Lasegue test and neurological appraisal. The Oswestry Disability Index was used to measure function and changes in function. Serial MRI studies allowed measurement of volume changes of the herniated disc material over a period of time.

The study concluded that a massive disc herniation can pursue a favorable clinical course. If early progress is shown, the long-term prognosis is very good and even massive disc herniations can be treated conservatively.

Surf to our Show Notes for the Full Article – http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3025225/

 

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 single rose can be my garden… a single friend, my world.”
– Leo Buscaglia

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


Show Notes for December 7, 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 –

  • Epidural Steroids Found to be Ineffective for Sciatica
  • Reminder for ICD-10 Codes
  • And Finally, a Story about Improved hand motor function seen after spinal cord injury by stimulating brain peripheral nerves


For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #387, recorded December 7, 2012.

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

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0387.mp3

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at 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 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 ….

 

 

Epidural Steroids Found to be Ineffective for Sciatica

Patients with sciatica derived minimal benefit from epidural corticosteroids, raising questions about the value of the treatment for the condition, authors of a meta-analysis concluded.

Pooled results of 23 clinical trials showed a small but statistically significant short-term improvement in leg pain with epidural injection of corticosteroids versus placebo, according to Rafael Zambelli Pinto, MSc, of the University of Sydney in Australia, and coauthors.

Long-term effects were even more modest and did not achieve statistical significance. Epidural corticosteroids had no effect on back pain, they reported online in Annals of Internal Medicine.

The study concluded that the available evidence suggests that epidural corticosteroid injections offer only short-term relief of leg pain and disability for patients with sciatica.

The small size of the treatment effects, however, raises questions about the clinical utility of this procedure in the target population.

Surf to our Show Notes for Links – http://annals.org/article.aspx?articleID=1390546

http://www.medpagetoday.com/Neurology/GeneralNeurology/35927

 

 

 

Reminder for ICD-10 Codes

As a reminder for the upcoming transition to ICD-10 codes…. All claims for healthcare services provided on or after October 1, 2014, must contain ICD-10 codes. As you prepare for the ICD-10 transition, contact any third-party billing services that you use to make sure they are actively planning for ICD-10.

As you reach out to your clearinghouse or billing service, you may want to ask:

  • Are you prepared to meet the ICD-10 deadline of October 1, 2014? Where is your organization in the transition process?
  • Can you verify that you have updated your system to Version 5010 standards for electronic transactions? (Only systems with Version 5010 can accept ICD-10 codes; systems with the older, Version 4010 standards cannot accommodate ICD-10.)
  • Who will be my primary contact at your organization for the ICD-10 transition?
  • Can we set up regular check-in meetings to keep progress on track?
  • What are your plans for testing claims containing ICD-10 codes? How will you involve your clients, such as my practice, in that process?
  • Can my practice send test claims with ICD-10 codes to see if they are accepted? If so, when will you begin accepting test claims?
  • Can you provide guidance or training on how my clinical documentation will have to change to support ICD-10 coding?
  • Do you anticipate any pricing changes for your services due to the switch to ICD-10?

If you do not currently use a clearinghouse or billing service, you may want to enlist one to help you with your transition. Consider asking other healthcare providers in your area if they have established relationships or contacts they recommend. Act soon so you have plenty of time to select the service that best meets your ICD-10 needs and budget.

 

 

Improved hand motor function seen after spinal cord injury by stimulating brain peripheral nerves

Investigators have demonstrated that stimulation of the brain’s motor cortex and peripheral nerves in paired pulses can improve hand motor function after an incomplete spinal cord injury, according a recent study in the journal Current Biology.

The researchers compared 17 patients with a chronic cervical spinal cord injury with 14 participants in a control group. They directed electrical stimulation to the peripheral nerve in the wrist controlling hand muscles and the brain’s motor cortex in paired pulses. The pulses were given 100 times during a 17-minute period.

In both groups, there was an increased corticospinal transmission lasting up to 80 minutes. Hand muscle activity, strength and manual dexterity were improved when pulses from the brain’s motor cortex were paired to arrive at the spinal cord 1 milliseconds to 2 milliseconds before pulses from spinal cord neurons, according to the release.

These findings are the first demonstration that spike timing-dependent plasticity of residual corticospinal-motoneuronal synapses provides a mechanism to improve motor function after SCI. Modulation of residual corticospinal-motoneuronal synapses may present a novel therapeutic target for enhancing voluntary motor output in motor disorders affecting the corticospinal tract.

Surf to our Show Notes for Links – http://www.cell.com/current-biology/abstract/S0960-9822%2812%2901267-5

http://www.healio.com/orthopedics/rehabilitation/news/online/%7B41EA9CF4-8E87-4D81-8427-6FAF1ECD5710%7D/Improved-hand-motor-function-seen-after-spinal-cord-injury-by-stimulating-brain-peripheral-nerves

 

 

 

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