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.

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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 –




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 –




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Finally, I leave you with the following quote:

I am not ashamed to confess that I am ignorant of what I do not know.”
– Marcus Tullius Cicero

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


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