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.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: