The Relationship Behind the Referral
Your Practice / Business

The Relationship Behind the Referral

Today’s Provider Referrals Are Built on Trust, Not Promotion

For decades, chiropractors have been told the answer to more professional referrals is simple: educate medical doctors about chiropractic. There is some truth in that advice; but it is also incomplete. The modern challenge is not simply getting another healthcare professional to know that chiropractors exist. It is becoming the kind of clinician (and building the kind of professional relationship) that makes collaboration easy and sustainable.

Dynamic Chiropractic Staff
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Education & Seminars
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation

Like education itself, accreditation continues to evolve. Proposed requirements from the U.S. Department of Education (USDE), which recognizes accrediting agencies, are accelerating that change and creating uncertainty. After careful consideration, CCE concluded that these requirements would impose substantial burdens while providing limited to no additional benefit to chiropractic programs, students or the public; and has voted to begin the necessary steps for withdrawing from the USDE recognition process.

Craig S. Little, EdD
Chronic / Acute Conditions
Treating Fascia, Relieving Severe Musculoskeletal Problems
Treating Fascia, Relieving Severe Musculoskeletal Problems

Fascia is a collagen‑ and elastin‑rich tissue that combines tensile strength with elasticity and possesses its own contractile behavior. When muscle activity begins, mechanoreceptors such as muscle spindles relay rapid feedback to the central nervous system, and this requires fascia with healthy viscosity so that spindle cells, Pacini, and Ruffini receptors can deform and glide normally.

Jeffrey Tucker, DC, DACRB
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Diagnosis & Diagnostic Equip
When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 4)
Supscapularis Syndrome
Supscapularis Syndrome: The Upper-Extremity Analog to Piriformis Syndrome

Subscapularis syndrome is introduced here as a clinically relevant and underrecognized source of upper-extremity pseudo-radiculopathy. Similar to piriformis syndrome, it reflects a functional disorder in which deep stabilizing muscle dysfunction – rather than primary nerve-root compression – drives symptoms that mimic radiculopathy.

Ken Kaufman, DC
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Featured

A Challenge to the AMA’s CPT Monopoly

A federal lawsuit challenging the American Medical Association’s (AMA) control of the Current Procedural Terminology (CPT) code set could have a practical consequence for doctors of chiropractic and other healthcare providers: potentially less costly and more open access to the coding infrastructure used by their practices, billing companies and software vendors. The complaint asks the court to declare that PRA can reproduce and publish the CPT code set without infringing the AMA’s copyright.

Dynamic Chiropractic Staff
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Your Practice / Business  |  DIGITAL EXCLUSIVE
Branding: Is It Necessary for Your Chiropractic Practice?
Branding: Is It Necessary for Your Chiropractic Practice?

Branding is crucial for attracting new patients as a chiropractor because it establishes a strong and memorable identity that builds trust and resonates with potential patients. According to a study by Nielsen, 59% of consumers prefer to buy products and services from familiar brands they trust.

Carolyn KreuzKamp, BS, MBA
Chronic / Acute Conditions
An Unrecognized Cause of Toe Pain
An Unrecognized Cause of Toe Pain
Flexor Hallucis Longus Entrapment: Diagnosis, Correction

While excessive pronation is almost always blamed for the development of functional hallux limitus, a frequently overlooked cause of this condition occurs when the flexor hallucis longus tendon gets trapped in the retrotalar pulley located behind the medial malleolus. This condition is particularly common in classical ballet dancers, gymnasts, figure skaters, and soccer players.

Thomas Michaud, DC
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Headaches & Migraines
Theater Headaches: A Surprising Cause
Theater Headaches: A Surprising Cause

As you know, chiropractic physicians are trained to evaluate and manage patients with cervicogenic headaches. Yet we may become overconfident with our diagnosis and misdiagnose the condition if we are not inquisitive during our initial patient interview. This putative case report should be most interesting to our chiropractic specialists, especially those who have earned a DABCI.

James Lehman, DC, DIANM
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Your Practice / Business
Patient Safety: Facing the Facts
Patient Safety: Facing the Facts

Clinical errors are a significant challenge, and nearly every person will experience a diagnostic error in their lifetime. As health care providers, we take an oath to “first do no harm” to our patients. And since it is never our intention to do harm to our patients, it is time the health care industry in general faced the facts of how our actions or inactions are putting our patients in harm’s way.

Scott Munsterman, DC, FICC, CPCO
Healthcare / Public Health  |  DIGITAL EXCLUSIVE
Stroke Timing and Vertebral Artery Dissection: What the Window Suggests
Stroke Timing and Vertebral Artery Dissection: What the Window Suggests
Chronology: An Important Factor Dispelling a Causal Relationship With Cervical Manipulation

For an unsuspecting consumer, medical doctor or attorney, the sequence may appear obvious: “I had my neck adjusted and then had a stroke.” A physician encountering the case after the fact may see the same temporal relationship. And in a legal proceeding, the fact that treatment preceded the stroke can become a particularly powerful narrative. But a chronological reconstruction can tell a very different story.

John T. Salvucci, Esq.