Monthly Archives: June 2019

Show Notes for June 28, 2109

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 –

  • LBP and Patient Communication
  • And Finally, a Story about Effect of Core Stabilization Exercises on Trunk–Pelvis Kinematics

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #677 recorded June 28, 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/healthbeat0677.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 have closed their Social Network community.

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.

 

 

LBP and Patient Communication

A recent study, published in the Journal of Physiotherapy, asked the question, What health information needs are perceived by people with low back pain?

The study concluded that available data suggest that the information needs of people with low back pain are centered around their desire for a diagnosis, potentially contributing to expectations for and overuse of imaging.

People with low back pain expressed a strong desire for clear, consistent and personalized information on prognosis, treatment options and self-management strategies, related to healthcare and occupational issues.

To correct unhelpful beliefs and optimize delivery of evidence-based therapy, patient and healthcare professional education (potentially by an integrated public health approach) may be warranted.

Surf to our Show Notes for Links – https://www.sciencedirect.com/science/article/pii/S1836955319300578

 

 

Effect of Core Stabilization Exercises on Trunk–Pelvis Kinematics

A recent study was published in the journal Spine, to evaluate the effect of core stabilization exercise program (CSEP) on trunk–pelvis kinematics during gait in non-specific chronic low back pain (NCLBP).

Non-specific chronic low back pain is a major public burden with variety of dysfunction including gait variability.

The study concluded that considering the role of the deep trunk muscles in gait, and their common deconditioning in chronic low back pain, a core stabilization exercise program intervention may increase trunk–pelvis kinematic pattern variability.

These results suggest core stabilization exercise program may specifically increase transverse and frontal plane variability, indicating improved motor pattern replication through these movement planes.

Surf to our Show Notes for Links – https://journals.lww.com/spinejournal/Abstract/2019/07010/The_Effect_of_Core_Stabilization_Exercises_on.8.aspx

 

 

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:

Gratitude leads to greatness. It can literally turn what you have into more than enough, jobs into joy, chaos into order, uncertainty into clarity, and bring peace to an otherwise chaotic day.”
― Marc Chernoff

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

 


Vleeming – SI Joint Anatomy

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3512279/

 

This article focuses on the (functional) anatomy and biomechanics of the pelvic girdle and specifically the sacroiliac joints (SIJs). The SIJs are essential for effective load transfer between the spine and legs. The sacrum, pelvis and spine, and the connections to the arms, legs and head, are functionally interrelated through muscular, fascial and ligamentous interconnections. A historical overview is presented on pelvic and especially SIJ research, followed by a general functional anatomical overview of the pelvis. In specific sections, the development and maturation of the SIJ is discussed, and a description of the bony anatomy and sexual morphism of the pelvis and SIJ is debated. The literature on the SIJ ligaments and innervation is discussed, followed by a section on the pathology of the SIJ. Pelvic movement studies are investigated and biomechanical models for SIJ stability analyzed, including examples of insufficient versus excessive sacroiliac force closure.


Show Notes for June 14, 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 therapy and the Brain
  • And Finally, a Story about Corticosteroids, Physiotherapy and Elbow Pain

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #676 recorded June 14, 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/healthbeat0676.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 have closed their Social Network community.

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.

 

 

Spinal manipulation therapy and the Brain

Spinal manipulation has been an effective intervention for the management of various musculoskeletal disorders. However, the mechanisms underlying the pain modulatory effects of spinal manipulation remain elusive.

Although both biomechanical and neurophysiological phenomena have been thought to play a role in the observed clinical effects of spinal manipulation, a growing number of recent studies have indicated peripheral, spinal and supraspinal mechanisms of manipulation and suggested that the improved clinical outcomes are largely of neurophysiological origin.

In this article, published in the Journal of Integrative Medicine, the authors reviewed the relevance of various neurophysiological theories with respect to the findings of mechanistic studies that demonstrated neural responses following spinal manipulation.

This article also discussed whether these neural responses are associated with the possible neurophysiological mechanisms of spinal manipulation.

Future mechanistic studies should have an appropriate study design and methodology and should plan for a long-term follow-up in order to determine the clinical significance of the neural responses evoked following spinal manipulation.

Surf to our Show Notes for the Full Article – https://www.sciencedirect.com/science/article/abs/pii/S2095496419300597

 

 


Corticosteroids, Physiotherapy and Elbow Pain

Corticosteroid injection and physiotherapy, common treatments for lateral epicondylalgia, are frequently combined in clinical practice. However, evidence on their combined efficacy is lacking.

A recent study was published in JAMA, to investigate the effectiveness of corticosteroid injection, multimodal physiotherapy, or both in patients with unilateral lateral epicondylalgia.

A total of 165 patients aged 18 years or older with unilateral lateral epicondylalgia of longer than 6 weeks’ duration were enrolled between July 2008 and May 2010; 1-year follow-up was completed in May 2011.

Interventions included: Corticosteroid injection, placebo injection (n = 41), corticosteroid injection plus physiotherapy, or placebo injection plus physiotherapy.

The study concluded that among patients with chronic unilateral lateral epicondylalgia, the use of corticosteroid injection vs placebo injection resulted in worse clinical outcomes after 1 year, and physiotherapy did not result in any significant differences.

As always, discuss all therapy Pros and Cons with your Qualified Healthcare Provider.

Surf to our Show Notes for Links – https://jamanetwork.com/journals/jama/fullarticle/1568252

 

 

 

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:

The honey doesn’t taste so good once it is being eaten; the goal doesn’t mean so much once it is reached; the reward is not so rewarding once it has been given. If we add up all the rewards in our lives, we won’t have very much. But if we add up the spaces between the rewards, we’ll come up with quite a bit. And if we add up the rewards and the spaces, then we’ll have everything – every minute of the time that we spent.”
― Benjamin Hoff

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


Show Notes for June 7, 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 –

  • Medicare Revises Appeals Process
  • And Finally, a Story about Best Practice Care for MusculoSkeletal Pain 

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #675 recorded June 7, 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/healthbeat0675.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 have closed their Social Network community.

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.

 

Medicare Revises Appeals Process

ChiroCode recently sent an email update from their Blog related to Medicare’s appeals process revision.

On April 12, 2019, Medicare announced that there will be some changes to their appeals process effective June 13, 2019.

According to the MLN Matters release (see References), the following policy revisions in the Medicare Claims Processing Manual (MCPM), Chapter 29 are taking place:

  1. The policy on use of electronic signatures
  2. Timing of signatures on transfer of appeal rights and the appointment of representative forms
  3. Tolling an adjudication timeframe when trying to cure a defective appointment form
  4. Limiting scope of redetermination review in certain instances
  5. Application of good cause for late filing involving beneficiary accessibility
  6. Application of good cause where there is a declared disaster: There are new instructions about what constitutes a disaster and what is allowed

Surf to our Show Notes for Links – https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM11042.pdf

https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2019Downloads/R4278CP.pdf

 

Best Practice Care for MusculoSkeletal Pain

A recent study was recently published in the British Journal of Sports Medicine to identify common recommendations for high-quality care for the most common musculoskeletal (MSK) pain sites encountered by clinicians in emergency and primary care (spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis [OA] and shoulder) from contemporary, high-quality clinical practice guidelines (CPGs).

This was a systematic review, critical appraisal and narrative synthesis of MSK pain CPG recommendations.

The authors identified 11 recommendations for MSK pain care: ensure care is patient centered, screen for red flag conditions, assess psychosocial factors, use imaging selectively, undertake a physical examination, monitor patient progress, provide education/information, address physical activity/exercise, use manual therapy only as an adjunct to other treatments, offer high-quality non-surgical care prior to surgery and try to keep patients at work.

These 11 recommendations guide healthcare consumers, clinicians, researchers and policy makers to manage MSK pain. This should improve the quality of care of MSK pain.

Surf to our Show Notes for Links – https://bjsm.bmj.com/content/early/2019/03/02/bjsports-2018-099878

 
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:

For your heart is like a flower as it grows, and it’s the rain, not just the sun that helps it bloom.”
― Charles Fink

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


https://www.who.int/bulletin/volumes/97/6/18-226050/en/

Introduction

Low back pain is the single biggest cause of years lived with disability worldwide, and a major challenge to international health systems.1 In 2018, the Lancet Low Back Pain Series Working Group identified a global problem of mismanagement of low back pain.24

The group documented the phenomenon of unnecessary care in both high- and low-income settings, whereby patients receive health services, which are discordant with international guidelines.24 The articles summarized the strong evidence that unnecessary care, including complex pain medications, spinal imaging tests, spinal injections, hospitalization and surgical procedures, is hazardous for most patients with low back pain.24