Monthly Archives: March 2019

Sleep Problems and LBP

https://onlinelibrary.wiley.com/doi/abs/10.1111/papr.12584

Sleep problems are common in people with low back pain (LBP); however, the mechanisms of how sleep influences pain are complex. To date there is a lack of prospective research on the timing and development of sleep problems in those who have LBP; such information would be useful to identify individuals at risk for poor outcomes. Our aims are to investigate the predictive role of sleep problems on self‐report recovery and pain intensity using logistic regression reporting odds ratios (ORs). An observational cohort of 761 chronic LBP patients recruited from a pain management clinic participated, and they completed data at baseline and at 6‐month follow‐up (n = 682). Results show increased odds for reported nonrecovery (OR 1.52) and pain intensity (OR 2.69) among those who reported sleep problems at baseline. Further analysis on the experience of sleep problems through time showed that those with developing sleep problems (ie, no sleep problems at baseline but reported sleep problems at follow‐up) were at increased odds for reporting nonrecovery (OR 2.17) and pain intensity (OR 2.95), as were those who reported sleep problems at both baseline and follow‐up, for recovery (OR 2.88) and pain intensity (OR 3.45). Those with resolving sleep problems (ie, sleep problems present at baseline but not at follow‐up) were at decreased odds for nonrecovery (OR 0.50) and pain intensity (0.49). Presenting, persistent, and developing sleep problems have a significant impact on recovery for those with LBP. Clinicians may wish to consider treatment options that can address sleep problems.

 


ChiroCode – Clarifying Medicare Participation

https://www.chirocode.com/blog/315

Even though we may think we truly understand what it means to be a participating provider, Medicare doesn’t quite work the way that other insurance plans do. Far too many providers do not understand the difference and get into hot water. To further complicate matters, the rules are different for Part A/B versus Part C/D. Also, do not confuse ‘out of network’ with participation status. Perhaps the time has come for us to start using different words to describe a provider’s status with a third-party payer. Using “in network” instead of “participating” to refer to situations where you have gone through a credentialing type process with the payer and using “Out of network” instead of “non-participating”.

Click above link for full story …


Show Notes for March 22, 2019

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 –

  • Benefits and harms of spinal manipulative therapy for Chronic LBP
  • And Finally, a Story about MRI Findings in the Cervical Spine

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #667 recorded March 22, 2019

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 –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

Direct – http://www.chiropracticradio.com/healthbeat/healthbeat0667.mp3

COT’s HealthBeat has updated its Community and Show Notes. The new Web Site is located at – https://cothealthbeat.wordpress.com/

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. 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 …. 

 

COT’s HealthBeat Chiropractic Community

Google+ has announced that they will be closing their Social Network community in the upcoming weeks.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

 

Benefits and harms of spinal manipulative therapy for the treatment of chronic LBP

A recent study was published in the journal The BMJ, to assess the benefits and harms of spinal manipulative therapy (SMT) for the treatment of chronic low back pain.

This was a randomised controlled trials examining the effect of spinal manipulation or mobilisation in adults (≥18 years) with chronic low back pain with or without referred pain.

Studies that exclusively examined sciatica were excluded, as was grey literature. No restrictions were applied to language or setting.

The study concluded that SMT produces similar effects to recommended therapies for chronic low back pain, whereas SMT seems to be better than non-recommended interventions for improvement in function in the short term.

Clinicians should inform their patients of the potential risks of adverse events associated with SMT.

Surf to our Show Notes for Links – https://www.bmj.com/content/364/bmj.l689

 

MRI Findings in the Cervical Spine

Previous studies of patients with neck pain have reported a high variability in prevalence of MRI findings of disc degeneration, disc herniation etc.

This is most likely due to small and heterogenous study populations. Reasons for only including small study samples could be the high cost and time-consuming procedures of having radiologists coding the MRIs. Other methods for extracting reliable imaging data should therefore be explored.

The objectives of a recent study published in the journal Chiropractic & Manual Therapies, were

  1. to examine inter-rater reliability among a group of chiropractic master students in extracting information about cervical MRI-findings from radiologists´ narrative reports, and
  2. to describe the prevalence of MRI findings in the cervical spine among different age groups in patients above age 18 with neck pain

The most prevalent MRI findings were foraminal stenosis (77%), uncovertebral arthrosis (74%) and disc degeneration (67%) while the least prevalent findings were nerve root compromise (2%) and Modic changes type 2 (6%). Modic type 1 was mentioned in 25% of the radiologists’ reports. The prevalence of all findings increased with age, except disc herniation which was most prevalent for patients in their forties.

The study concluded that MRI-findings from radiologists’ narrative reports can reliably be extracted by chiropractic master students with a minimum of training. Degenerative findings in the cervical spine were most commonly found at levels C5/C6 and C6/C7 and increased with age.

Surf to our Show Notes for Links – https://chiromt.biomedcentral.com/articles/10.1186/s12998-019-0233-3

 

 

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.

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:

When we focus on our gratitude, the tide of disappointment goes out and the tide of love rushes in.”
― Kristin Armstrong

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


Concussion: prevention, detection and management 

Concussion: prevention, detection and management

Take a free, non-credit course on concussion with UCalgary and the Université Laval. The 7-week course is open to those who are interested in preventing, detecting and managing concussions.

The next course is in Englishand begins April 8.

Do the course at your own pace, but you must complete it by May 27. See the Training Modules below to see what you will learn – once you press the REGISTER HERE button, you will be directed to the Université Laval website. Read the UToday article about this new course.

https://www.ucalgary.ca/knes/online-concussion-course


ChiroCode – Revised ABN Requirements Still Fuzzy

https://www.chirocode.com/blog/313

Although it has been quite some time since ChiroCode published an article about the revised instructions for non-participating providers  who use the ABN, there are still some outstanding questions about this change. So far, Medicare has not provided additional guidance about this question despite requests by us for clarification.


Show Notes for March 15, 2019

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 –

  • COT’s HealthBeat Chiropractic Community
  • Chiropractic Care and Stroke Patients
  • And Finally, a Story about Mental Health and Physical Activity

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #666 recorded March 15, 2019

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 –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

Direct – http://www.chiropracticradio.com/healthbeat/healthbeat0666.mp3

COT’s HealthBeat has updated its Community and Show Notes. The new Web Site is located at – https://cothealthbeat.wordpress.com/

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. 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 ….

 

 

COT’s HealthBeat Chiropractic Community

Google+ has announced that they will be closing their Social Network community in the upcoming weeks.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

Chiropractic Care and Stroke Patients

The objective of a recent study published in Scientific Reports, was to investigate whether a single session of chiropractic care could increase strength in weak plantar flexor muscles in chronic stroke patients.

Maximum voluntary contractions (strength) of the plantar flexors, soleus evoked V-waves (cortical drive), and H-reflexes were recorded in 12 chronic stroke patients, with plantar flexor muscle weakness, using a randomized controlled crossover design.

Outcomes were assessed pre and post a chiropractic care intervention and a passive movement control.

Following the chiropractic care intervention there was a significant increase in strength compared to the control intervention. There was a significant strength decrease after the control intervention. There were no other significant differences.

The study found that further research is required to investigate the longer term and potential functional effects of chiropractic care in stroke recovery.

Surf to our Show Notes for Links –
https://www.nature.com/articles/s41598-019-39577-5.pdf

 

 

Mental Health and Physical Activity

Research is inconclusive about whether physical activity (PA) should be performed every day or performed less frequently but in longer bouts to obtain mental health benefits.

The current study, published in the journal Mental Health & Physical Activity, examined the extent to which day-to-day variability in physical activity is associated with adults’ mental health, and if this association differed by Body Mass Index (BMI).

Adults completed three waves of data collection (each lasting 4 days) during which participants completed a questionnaire assessing mental health (life satisfaction, depressive symptoms, perceived stress), wore a waist accelerometer, and had height and weight measured.

Associations between subject-level variability in daily physical activity and mental health outcomes significantly differed depending on adults’ BMI (life satisfaction; depressive symptoms; perceived stress).

The results of the study found that greater day-to-day variability in physical activity was associated with poorer mental health in adults with higher BMI values as compared to adults with lower BMI.

For individuals with high BMI values, inconsistent activity patterns may have consequences that diminish mental health. Strategies that promote consistency in daily physical activity may be useful for individuals with high BMI to enhance mental health.

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

Surf to our Show Notes for Links – https://www.sciencedirect.com/science/article/abs/pii/S1755296617301485

 

 

 

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.

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:

Cultivate the habit of being grateful for every good thing that comes to you, and to give thanks continuously. And because all things have contributed to your advancement, you should include all things in your gratitude.”

― Ralph Waldo Emerson

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


Insurance Perspectives of Spinal Tx Costs.


Show Notes for March 8, 2019

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 –

  • Spinal Manipulation and Region Specific Effects
  • And Finally, a Story about Chiropractic and Maintenance Care

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #665 recorded March 8, 2019

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 –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

Direct – http://www.chiropracticradio.com/healthbeat/healthbeat0665.mp3

COT’s HealthBeat has updated its Community and Show Notes. The new Web Site is located at – https://cothealthbeat.wordpress.com/

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. 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 ….

 

Spinal Manipulation and Region Specific Effects

Manual therapists typically advocate the need for a detailed clinical examination to decide which vertebral level should be manipulated in patients with low back pain. However, it is unclear whether spinal manipulation needs to be specific to a vertebral level.

The purpose of a recent study published in the journal Physical Therapy, was to analyze the immediate effects of a single, region-specific spinal manipulation defined during the clinical examination versus a single non–region-specific spinal manipulation (applied on an upper thoracic vertebra) in patients with chronic nonspecific low back pain for the outcome measures of pain intensity and pressure pain threshold at the time of the assessment.

The study participants were 148 patients with chronic nonspecific low back pain (with pain duration of at least 12 weeks).

It was not possible to blind the therapist and participants.

The study concluded that the immediate changes in pain intensity and pressure pain threshold after a single high-velocity manipulation do not differ by region-specific versus non–region-specific manipulation techniques in patients with chronic low back pain.

Surf to our Show Notes for Links – https://academic.oup.com/ptj/article/93/6/748/2735350

 

Chiropractic and Maintenance Care

For individuals with recurrent or persistent non-specific low back pain (LBP), exercise and exercise combined with education have been shown to be effective in preventing new episodes or in reducing the impact of the condition.

Chiropractors have traditionally used Maintenance Care (MC), as secondary and tertiary prevention strategies.

The aim of a trial, recently published in the journal PLOS One, was to investigate the effectiveness of Maintenance Care on pain trajectories for patients with recurrent or persistent LBP.

This pragmatic, investigator-blinded, two arm randomized controlled trial included consecutive patients (18–65 years old) with non-specific LBP, who had an early favorable response to chiropractic care.

The study concluded that Maintenance Care was more effective than symptom-guided treatment in reducing the total number of days over 52 weeks with bothersome non-specific LBP but it resulted in a higher number of treatments.

The Trial further concluded – For selected patients with recurrent or persistent non-specific LBP who respond well to an initial course of chiropractic care, Maintenance Care should be considered an option for tertiary prevention.

Surf to our Show Notes for Links – https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203029

 

 

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.

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:

Dwell on the beauty of life. Watch the stars, and see yourself running with them.”
― Marcus Aurelius

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