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 –
- Shoe Orthotics and Chronic LBP
- And Finally, a Story about the ACA Releases Their Choosing Wisely List
For HealthBeat …. This is Dr. Todd Eglow!
Welcome to HealthBeat Podcast #608 recorded October 06, 2017.
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 ….
Shoe Orthotics and Chronic LBP
A study was recently published in the Archives of Physical Medicine and Rehabilitation to investigate the efficacy of shoe orthotics with and without chiropractic treatment for chronic low back pain compared with no treatment.
Subjects were randomized into 1 of 3 treatment groups (shoe orthotic, plus, and waitlist groups).
The shoe orthotic group received custom-made shoe orthotics.
The plus group received custom-made orthotics plus chiropractic manipulation, hot or cold packs, and manual soft tissue massage.
The waitlist group received no care.
After 6 weeks, all 3 groups demonstrated significant within-group improvement in average back pain, but only the shoe orthotic and plus groups had significant within-group improvement in function.
When compared with the waitlist group, the shoe orthotic group demonstrated significantly greater improvements in pain. Group differences at 12 weeks and later were not significant.
The study concluded that Six weeks of prescription shoe orthotics significantly improved back pain and dysfunction compared with no treatment.
The addition of chiropractic care led to higher improvements in function.
Surf to our Show Notes for Links – https://cdn.chiroeco.com/wp-content/uploads/2017/08/Foot-Levelers-ACRM-Shoe-Orthotics-Reserach-1.pdf
ACA Releases Choosing Wisely List
This past August, the American Chiropractic Association (ACA) released a list of five tests and procedures commonly ordered but not always necessary in chiropractic care. The list is part of the Choosing Wisely® campaign, an initiative of the ABIM Foundation and Consumer Reports®, which encourages conversations between patients and their clinicians about what care is really necessary and appropriate.
ACA is the first chiropractic group to join the campaign.
ACA’s list features the following five recommendations:
- In the absence of red flags, do not obtain spinal imaging (X-rays) for patients with acute low-back pain during the six weeks after the onset of pain.
- Do not perform repeat spinal imaging to monitor patients’
- Avoid prolonged or ongoing use of passive or palliative physical therapy treatments (such as heat, cold, electrical stimulation and ultrasound) for low-back pain unless they support the goal(s) of an active treatment plan.
- Do not provide long-term pain management without psychosocial screening or assessment for possible related psychological disorders, most notably depression and anxiety.
- Do not prescribe lumbar supports or braces for the long-term treatment or prevention of low-back pain.
ACA’s Choosing Wisely® recommendations were developed by the association’s Committee on Quality Assurance and Accountability, and approved by the ACA Board of Governors.
Surf to our Show Notes for the full Press Release – http://www.acatoday.org/News-Publications-Newsroom-News-Releases-ACA-Releases-Choosing-Wisely-List
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For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.