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 New Blog? B Vitamins Slows the Rate of Brain Atrophy in Mild Cognitive Impairment.   Study results showed that the group taking the B-vitamin cocktail experienced a 30-percent slower rate of brain atrophy, on average, and in some cases patients experienced reductions as high as 53 percent. Greater rates of atrophy were associated with lower cognitive test scores. In the control group, the the rate of atrophy was directly associated with elevated homocysteine levels. Maintaining a Vitalistic Perspective in Chiropractic in the Postmodern Era.   Vitalism is only problematic if we begin with the assumption that a mechanist worldview or paradigm is the correct way to explain the world. In postmodern thought, a multiplicity of worldviews may coexist. One view is no more valid or correct than another and these divergent views are judged best by their utility under various circumstances. Exploring clinical practices and methodologies, such as whole systems research, arising from a vitalistic perspective could lead to innovations in both patient care and research, if pursued with flexible non-dogmatic thinking. Spinal Manipulative Therapy and Its Role in the Prevention, Treatment and Management of Chronic Pain.   Chiropractic is one of the largest complementary and alternative medicine professions, and one of the largest licensed health care professions in the United States. [3-4] It is considered to be a holistic and wellness-oriented profession, traditionally not using drugs or surgery to help patients maintain health. Care typically incorporates wellness, lifestyle and prevention approaches with patient management, and focuses on the body’s natural ability to heal itself. Services provided by doctors of chiropractic have demonstrated high patient satisfaction, cost-effectiveness and parity compared to other types of care for similar conditions. Chiropractic and Health Care Reform: An Uncertain Future or an Opportunity?.   Chronic pain is a worldwide epidemic. It is characterized as “pain that persists beyond normal tissue healing time” [1] and is physiologically distinct from acute nociceptive pain. The current research estimates the prevalence of chronic pain in the general population to be anywhere from 10–55%, [2] predominantly affecting the adult population. Studies indicate that the prevalence of chronic pain in the over-60 age group is double that for younger adults. [3] Furthermore, over 80% of elderly (over 65) adults suffer from some form of painful chronic joint disease [4] and greater than 85% of the general population will experience some form of chronic myofascial pain during their lifetime. [5] Nature and Nurture: World-first Discovery Sheds New Light On Congenital Birth Defects.   Scientists have made a landmark discovery that could help women minimize or even avoid the risk of having a baby born with congenital birth defects. The study is published April 5 in the international journal Cell. The scientists, from universities in Australia, Japan, Canada and the United States, including Arizona State University, show for the first time how “nature” and “nurture” interact to increase the severity and likelihood of developing birth defects, including abnormalities in the heart, kidneys, brain, limbs and cranio-facial regions (cleft palate). Chiro.Org's Blog is our new Front Page. All our other Sections are still active and growing! The LINKS Section ~ Chiropractic Care Effective For Migraine Headache 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. A new A retrospective claims analysis was just performed on 85,402 Blue Cross Blue Shield of Tennessee patient files. In this study, care costs with a DC were almost 40% less than care provided by an MD This clearly demonstrates the savings that are possible when a patient is permitted to choose a chiropractor rather than an MD for their care. Another new systematic review of the literature in Spine Journal finds that that 5 to 10 sessions of SMT administered over 2 to 4 weeks achieve equivalent or superior improvement in pain and function when compared with other commonly used interventions, such as physical modalities, medication, education, or exercise, for short, intermediate, and long-term follow-up. A new study in Spine Journal reports that the average cost for a lumbar discectomy procedure was $7,841. Successful chiropractic management only costs a small fraction of that amount, and this article clearly acknowledges that many patients will improve with nonoperative therapy, (and so) a trial of conservative management is appropriate (before resorting to surgery). 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. 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. 187 Certified Nurse-midwives Give Chiropractic the Thumbs-Up 187 Certified Nurse-midwives responded to an online survey about the benefits and safety of chiropractic care for pregnant women and children. The vast majority indicated a positive personal and professional clinical experience with chiropractic and that chiropractic was safe for pregnant patients and children. A new study in the Lancet Journal shows that diets free of processed foods significantly reduced symptoms of ADHD in 78% of children. There is also a lot of similar supporting evidence compiled in our ADD/ADHD Page 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 the 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. SPECT/CT Imaging of the Lumbar Spine in Chronic Low Back Pain 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. New Study Confirms That Maintenance Care Delivers! This new, single blinded placebo controlled study, conducted by the Mansoura Faculty of Medicine, conclusively demonstrates that maintenance care provides significant benefits for those with chronic low back pain. Japanese orthopedists have just 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 new 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. The Differences Between ICD-9 and ICD-10 Coding 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 Safety of Chiropractic You will enjoy the new Safety of Chiropractic Page, which contains 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 new page details that research, and discusses how modern medicine has contributed to the Myth that chiropractic care is dangerous. Study Reveals That Chiropractic is the Most-used and Most-effective of All Alt-Med Approaches for LBP 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. Fish Oil Reduces Breast Cancer By 32% Dietary supplements taken for menopause have been associated with reduced risk of breast cancer. This study investigated the long-term use of supplements and breast cancer risk in 35,000 postmenopausal women. Supplemental fish oil use was associated with a 32% reduced risk of breast cancer. The evidence supporting the antihypertensive effects of cocoa has been building recently, and this systematic review and meta-analysis confirms the BP-lowering capacity of flavanol-rich cocoa products. Are You Too Young To Supplement?   Nutritional supplementation should be about prevention, not using the medical model of symptom treatment. This recent study involving 5,201 female U.S. Navy recruits puts this into perspective. Half this group was given calcium and vitamin D supplementation during basic training, and the amazing result was a reduction of 25% in stress fractures. Considering that 21% of recruits usually experience a stress fracture, this is a big deal for the Navy. You may also enjoy the new Resveratrol Page as it reviews research demonstrating the health and longevity benefits of this power polyphenol. A small randomized, double-blind, placebo-controlled trial reports that zinc reduces infection rates in seniors. The NUTRITION Section can be found on the CAM drop-down. The Free Rehabilitation Monographs Have Been Upgraded! 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. Acupuncture For Combating Auto-Immune Disorders 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. Chiropractic Combined with Rehab Corrects Chronic Cervical Pain and Improves Postural Control This new case report details how chiropractic care, combined with a well-designed rehab program reduced pain and improved postural balance in a woman with a 2-year complaint of persistant cervico-thoracic spine pain and suboccipital headaches. Another recent report details how chiropractic helped correct Erb's Palsy in an 8-year old child. Another study details how chiropractic care reduced menstrual pain (dysmenorrhea). 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. Patients in Medicare Demonstration Project Give Their Chiropractors High Marks 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. Computers In Your Office Learn more about the parts that make up your computer, how to upgrade with new parts or software, or how you can build your own box from scratch. It's easier than you can imagine! We Are 17! Chiro.Org turned 17 years old this March! (2012). We remain the oldest existing chiropractic website! To celebrate that, we donated $2500 towards chiropractic research. This is our 11th 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!. 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