Chiro Org Site Map Welcome to Chiro.org - the best Chiropractic website for news and information! If your browser does not show you drop down menus at the top of the page, you can navigate our web site using the site map. Have You Been Following Our Blog? Get the Lead Out!.   When the FDA finally got around to testing 324 multivitamin-mineral products that target children and pregnant women, they found that only 4 of them were lead-free. [1] Now, new research now suggests that even low levels of lead in a supplement can have adverse effects on your children. Why not use a supplement made correctly, so you can protect your family? Chiro.Org is now 18 years old! Whooo-eee!.   Reach our 200,000 monthly visitors by becoming a Sponsor, and support our work. --> http://www.chiro.org/sponsors/adschiro.shtml Scoliosis.   Please enjoy Chapter 13 from Dr. Richard C. Schafer, DC, PhD, FICC 's best-selling book: “Clinical Biomechanics:Musculoskeletal Actions and Reactions”. Danish Researchers Claim That Antibiotics Could Cure 40% of Chronic Back Pain Patients .   In the second paper, the scientists proved they could cure chronic back pain with a 100-day course of antibiotics. In a randomised trial, the drugs reduced pain in 80% of patients who had suffered for more than six months and had signs of damaged vertebra under MRI scans. Spinal Manipulation: The Right Choice for Relieving Low Back Pain.   Enjoy this review of 3 different studies that clearly demonstrate the superiority of chiropractic care over conventional medical treatment for low back pain. McMaster chiropractic working group aims to further health research and interdisciplinary care.   Research is key to developing better treatments and care protocols to eliminate disease and stay healthy. The chiropractic profession is fortunate to have twelve Canadian Chiropractic Research Foundation (CCRF) research chairs in major universities across the country, each of which conducts and contributes to world class research. There Will Never Be Enough Research To Satisfy Our Critics.   For a small minority, there will never be enough research to support the use of chiropractic. These people will forever hide behind the claim that they wish to protect patients from quackish practices. The Nutrition Section You may enjoy this new review of the Dietary Supplement Recommendations Made By Saskatchewan Chiropractors. The Physicians' Health Study II reveals that supplementation appears to significantly reduce "total cancer incidence". Find out more about Nutraceuticals and Their Preventive or Potential Therapeutic Value in Parkinson's Disease. You may also enjoy the new Resveratrol Page as it reviews research demonstrating the health and longevity benefits of this power polyphenol. You may also want to revgiew this chapter, titled: Factors Contributing to Nutritional Deficiencies. The NUTRITION Section can be found on the CAM drop-down. Review Our Extensive LINKS Section A new Norwegian systematic review of manual therapies for migraine prevention concluded that chiropractic spinal manipulation appears to be equal to medications (propranolol & topiramate) in their ability to prevent migraines. If you have patients with shoulder issues, you may want to review this assessment and treatment regimen, titled: Passive Range of Motion Testing and Post-isometric Relaxation of the Shoulder. You may want to check out this systematic review titled: The Quality of Reports on Cervical Arterial Dissection Following Cervical Spinal Manipulation. The complexity of clinical documentation and case management for health care providers has increased along with the rise of managed care. Keeping up with the policies of different insurers and third party administrators can be a daunting task. That's why you may want to review these Algorithms for the Chiropractic Management of Acute and Chronic Spine-Related Pain A January 2010 study in the journal of Clinical Rehabilitation involved 210 patients with chronic, nonspecific low back pain. This study compared the effects of spinal manipulation, physiotherapy and back school on their complaints. The results? Spinal manipulation was associated with higher functional improvement and long-term pain relief than back school or individual physiotherapy, and pain recurrences and drug intake were also reduced compared to those other approaches. Review a new study, the first to use standing MRI to demonstrate why overloaded backpacks cause pain in children. NOTE: Informed Consent involves discussing the Iatrogenic Side Effects of standard medical alternatives to conservative chiropractic care. The LINKS Section can be found on the tan toolbar. The Documentation Section The ICD-10 code sets are not a simple update of the ICD-9 code set. The ICD-10 code sets have fundamental changes in structure and concepts that make them very different from ICD-9. Because of these differences, it is important to develop a preliminary understanding of the changes from ICD-9 to ICD-10. Chiropractors Reaches Consensus On Terminology For Stages Of Care. Our older descriptive terms like preventive, supportive and maintenance care are poorly understood by allopathic providers, patients and payers alike. Review the new terms now. You can Maximize the Effectiveness of your Documentation By reviewing this in-depth article, available exclusively at Chiro.Org Review these helpful suggestions to Survive the Scrutiny of a 3rd Party claim review The DOCUMENTATION Section can be found on the TOOLS drop-down. The Pediatrics Section There has been much discussion about the role of chiropractic care in the evaluation, management, and treatment of pediatric patients. To date, no specific guidelines have been adopted that address this issue from an evidence based perspective. Now there is the: Best Practices Recommendations for Chiropractic Care for Infants, Children, and Adolescents: Results of a Consensus Process, crafted by members of the American Chiropractic Association, the International Chiropractors Association, and the International Chiropractic Pediatric Association. You may also enjoy this review of the effectiveness of Complementary and Alternative Medical Therapies for Children With Attention-deficit/Hyperactivity Disorder (ADHD). You'll enjoy this case review of 114 infants who were diagnosed with sub-optimal feeding patterns. They were referred by their doctors to the AECC student clinic where they were found to be subluxated. After minimal care (5 visits in 2 weeks) the majority of children improved. A new survey among adolescents aged 15-16 years revealed that Almost half of the girls and one third of the boys reported mild neck or occipital pain, or shoulder pain, and 5% of girls and 2% of boys reported severe neck or occipital pain, or shoulder pain during the past 6 months. Review FCER and ICPA's response to a recent biased Pediatrics article that discussed the risks associated with chiropractic adjusting for children without reporting the relative risks of medical procedures for the same conditions, or the the benefits of spinal manipulation for children which have been amply described in the research literature. The PEDIATRICS Section can be found on the CAM drop-down. The Chiropractic Assistant Section The Chiropractic Assistant Page contains interesting and useful articles on billing and coding, patient education, CA training, practice management, and personal and practice growth. The CHIROPRACTIC ASSISTANT Section can be found on the TOOLS drop-down. The Chiropractic Research Section Although we have research articles spread across our many Sections, the Research Section now contains links to all the collected materials, in our simplified What's New? Section. Japanese orthopedists have recently demonstrated that mechanically induced facet inflammation leads to nerve root radiculopathy (induced allodynia). This work supports yet another aspect of the Vertebral Subluxation Complex hypothesis. This article can be found in the About Chiropractic Adjusting Page. Another recent study reveals that Upper Cervical adjusting lowered blood pressure better than a two-drug combination therapy. There are many other articles like this in the Chiropractic Research Results for a Variety of Conditions Page. The CHIROPRACTIC RESEARCH Section can be found on the RESEARCH drop-down. ChiroZINE ~ Spinal Manipulation May Help Reduce Spinal Degenerative Joint Disease and Disability Learn about how adjusting the hypomobile manipulable joint lesion impacts the progress of Degenerative Joint Disease. This novel study wanted to determine whether giving the children rolling luggage to carry their school books would reduce spinal stress. As it turns out, what might work well for Mom at the airport, does not work so well for Junior, lugging his books across uneven sidewalks on the way to school. Three studies comparing spinal manipulation with acupuncture — a pilot study, then a randomized controlled clinical trial, followed by a one-year follow-up study — demonstrated that chiropractic care was the only “treatment” that provided broad-based long-term benefits. In another study, data collected from 28,807 treatment consultations and 19,722 new patients, reviewed significant predictors for immediate improvement with care. Another new survey reveals that a much higher percentage of chiropractic patients seek more than “musculoskeletal care” than has previously been recognized. A new retrospective analysis of 70,274 member-months in a 7-year period within an IPA, comparing medical management to chiropractic management, demonstrated decreases of 60.2% in-hospital admissions 59.0% less hospital days, 62.0% less outpatient surgeries and procedures, and 85% less pharmaceutical costs when compared with conventional medicine IPA performance. ChiroZINE is the first chiropractic newspaper on the internet, providing you with news and science reviews. The New DCs Section The New DC section is dedicated to providing information for new and established chiropractors, to begin, maintain and run a smooth, productive chiropractic practice.Takea look at the new look. Check out the New DC Section in the TOOLS drop-down. We Are Now 18 Years Old! Chiro.Org turned 18 years old this March! (2013). We remain the oldest existing chiropractic website! To celebrate that, we donated $2500 towards chiropractic research. This is our 12th year supporting research with half our yearly income. We want to thank our webmasters (volunteers all!) and our Sponsors for making this website possible! Read the rest of the Announcements now!. The Acupuncture Section A newly acquired FULL TEXT article titled The Neuroimmune Basis of Anti-inflammatory Acupuncture proposes that the anti-inflammatory power of acupuncture may be more successful for the treatment of a number of chronic inflammatory and autoimmune diseases than standard medical management. In a second study, reviewing who uses acupuncture, and for what purpose, in a group of 9408 acupuncture patients, 74% of patients were female. The most common main complaint reported was musculo-skeletal (38%), followed by psychological (11%), general (9%), neurological (8%) and gynaecological/obstetric (8%), while 5% of patients were seeking treatment for their general well-being. Read about this in the Articles section. Learn more about this ancient healing technique. This section links to acupuncture journals, information websites, and also contains numerous research articles. The ACUPUNCTURE Section can be found on the CAM drop-down. The Safety of Chiropractic You will enjoy the Safety of Chiropractic Page, which discusses significant research demonstrating that chiropractic is the safest approach available for the relief of neck pain, back pain, headaches and other “musculo–skeletal” complaints. This page also reviews how modern medicine manufactured the Myth that chiropractic care is dangerous. The Alt-Med Abstracts Collection A new study from the Journal of the American Board of Family Medicine revealed that chiropractic was the most-used and most-effective form of alt-med used for low back pain. Another recent study of retirees found that chiropractic is in the top 5 CAM modalities chosen, and that most seek care for releif of arthritis or chronic pain. Another recent interview of ER patients with musculoskeletal complaints finds that a high percentage of them would welcome CAM care, and show willingness to participate in CAM research trials! Enjoy an extensive collection of Alternative Medicine Review articles which discuss alternative approaches to disease management. The ALT-MED ABSTRACTS Section can be found on the CAM drop-down. Use Our SEARCH Tools We now have "directory-specific" search tools to help you find information more easily! You'll also find these tools within the Acupuncture, Alt-Med Abstracts, Case Studies, ChiroZine, LINKS, Nutrition, Pediatrics, and the Chiropractic Research sections. Look for the SEARCH link at the top of each of those pages. The Case Study Section This section will continue to collect relevant case studies published in the peer-reviewed literature. Interested in sharing a case study with the profession on our website? Here's an outline for your use. The CASE REPORTS Section can be found on RESEARCH drop-down. Chiropractic and Chronic Neck Pain A recent balanced article in the Feb 13, 2008 issue of JAMA (Journal of the American Medical Association) revealed that between 1997 and 2005, the costs for “standard medical management” of spinal pain syndromes (both neck and back) increased by an inflation-adjusted 65%, while measured outcomes for physical functioning, work or school limitations, and social limitations among adult actually declined! During this same period, there was also an overall increase in the number of individuals who experienced neck or back pain (from 20.7% to 24.7%). However, during this same time period, the inclusion of a chiropractic benefit within a large managed care program (observed over a 4-year period) resulted in significant savings, as well as a reductions in the rates of surgery, and unnecessary use of advanced imaging, inpatient care, and plain-film radiographs. The Medicare Section Kathleen Sebelius, the Secretary of Health and Human Services, just released an update on the Chiropractic Demonstration Project in Medicare (conducted from 4-1-2005 to 3-31-2007) to the President and Congress. One of the significant findings of this report was that patients reported a high rate of satisfaction with the care they receive from doctors of chiropractic. When asked to rate their satisfaction on a 10-point scale, 87 percent of patients in the study gave their doctor of chiropractic a level of 8 or higher. What’s more, 56 percent of those patients rated their chiropractor with a perfect 10. You may want to explore more about Medicare's Chiropractic Demonstration Project, which tested expanded access to chiropractic services for America's senior citizens, in a two-year, four-site demonstration project. This section provides the locations and the expanded services chiropractors will provide. The MEDICARE Section can be found on the TOOLS drop-down. Are German Orthopedic Surgeons Killing People With Chiropractic? I present for your review an abstract from the Journal of Neurology. This abstract blatantly conceals the facts stated in the body of the paper when it states that “we describe 36 patients with vertebral artery dissections and prior chiropractic neck manipulation”. When I read that sentence, I am led to believe that “real-live chiropractors” (meaning licensed Doctors of Chiropractic, who received their training at a CCE/WCCE accredited school) were the ones to provide the “chiropractic neck manipulation”. Unfortunately, that couldn't be further from the truth! You can review many other articles like this at the Stroke Page. The Radiology Section Mechanical low back pain is a common indication for Nuclear Medicine imaging. Single photon emission computed tomography/computed tomography (SPECT/CT) allows accurate diagnosis and anatomic localisation of osteoblastic and osteolytic lesions in 3D imaging. We present a clinical case of a patient referred for evaluation of chronic lower back pain with no history of trauma, spinal surgery, or cancer. The AMA's Guides to the Evaluation of Permanent Impairments uses George's Line to rate neck impairments. A moderate (3.5 mm) break in George's Line on the flexion and extension lateral X-ray films is a permanent impairment, equivalent to a post-surgical fusion of two cervical vertebra. Some chiropractors see small anterolisthesis and/or retrolisthesis on the films and fail to appreciate its true significance. You may also enjoy taking the Radiology QUIZ. While you're here, come explore useful radiology charts, guides, articles, and the radiology report generator. The RADIOLOGY Section can be found on the TOOLS drop-down. The Free Rehabilitation Monographs Section All the Monographs have being updated with “hot links” (a.k.a anchored links) to make it easier to navigate through these remarkable articles. Dr. Richard C Schafer donated this collection of rehabilitation monographs to our profession. You will find them of great value! "RC" was the first chiropractor to be published by a medical publication house (Williams & Wilkins) and he is still our profession's most prolific author. The R.C. SCHAFER Section can be found on the ARCHIVES drop-down. Why We have Sponsors We are still a non-commercial and non-profit site. Everyone working here is an upaid volunteer. While the early years of Chiro.Org were supported by donations from our unpaid workers, we now accept select sponsors whose ad fees defray our site expenses only. Please visit our Sponsors Page and support the companies who help bring Chiro.Org to you. Here's our site map © 1995 - The Chiropractic Resource Organization All Rights Reserved