Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.
In this week’s news: We’ll Be Looking At –
- Medicare and Obamacare
- And Finally, a Story about a Cochrane Review of Neck Pain and Manipulation
For HealthBeat, This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #525 recorded October 9, 2015.
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 ….
Medicare and Obamacare
Is Medicare coverage “minimum essential coverage?”
Minimum essential coverage is coverage that you need to have to meet the individual responsibility requirement under the health care law.
As long as you have Medicare Part A coverage (including coverage from a Medicare Advantage Plan), you have minimum essential coverage and you don’t have to get any additional coverage.
If you only have Medicare Part B, you aren’t considered to have minimum essential coverage. This means you may have to pay a fee for not having minimum essential coverage. You’d pay this fee when you file your federal income tax return.
Medicare & You 2016 book, Page 31. Call 800-633-4227 for more information.
Surf to our Show Notes for Links – https://www.healthcare.gov/fees-exemptions/plans-that-count-as-coverage/
Cochrane Reviews Neck Pain and Manipulation
The research conglomerate, known as Cochrane, recently released a review on Manipulation and Mobilization for Neck Disorders.
This update assessed the effect of manipulation or mobilisation alone compared with a control or another treatment on pain, function, disability, patient satisfaction, quality of life and global perceived effect in adults experiencing neck pain with or without arm symptoms and headache at immediate- to long-term follow-up.
Neck pain can cause varying levels of disability for the affected individual and is a common musculoskeletal complaint. Neck pain can be accompanied by pain radiating down the arms (radiculopathy) or by headache (cervicogenic headache). Manipulation (adjustments to the spine) and mobilisation (movement imposed on joints and muscles) can be used alone or in combination with other physiotherapies to treat neck pain.
The authors or the review concluded that Although support can be found for use of thoracic manipulation versus control for neck pain, function and Quality of Life (QoL), results for cervical manipulation and mobilisation versus control are few and diverse.
Publication bias cannot be ruled out. Research designed to protect against various biases is needed.
Findings suggest that manipulation and mobilisation present similar results for every outcome at immediate/short/intermediate-term follow-up.
Multiple cervical manipulation sessions may provide better pain relief and functional improvement than certain medications at immediate/intermediate/long-term follow-up.
Since the risk of rare but serious adverse events for manipulation exists, further high-quality research focusing on mobilisation and comparing mobilisation or manipulation versus other treatment options is needed to guide clinicians in their optimal treatment choices.
As always, discuss all spine related treatment options with your Doctor of Chiropractic.
Surf to our Show Notes for the full review, including the review’s Key Findings – http://www.cochrane.org/CD004249/BACK_manipulation-and-mobilisation-neck-disorders
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– Ralph Waldo Emerson
For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.