No Surprises Here
There are times when research confirms what is blatantly obvious. Chiropractors have long understood that back surgery often begets more back surgery, a phenomenon researchers recognize as "failed back surgery syndrome." Consider this announcement in the September 1996 issue of the Spine Letter:
At this years annual meeting of the International Society for the Study of the Lumbar Spine in Burlington, Vermont, a study was presented that found:
The "external compression caused by a retractor causes significant increases in intramuscular pressure and decreases local muscle blood flow, thus contributing to structural damage of the back muscles in posterior lumbar spine surgery."
It's gratifying to know that researchers are becoming more open about the risk of permanent damage involved in spinal surgery.
Recent laws in New Jersey and California represent a disturbing trend that will negatively impact a practice’s ability to collect monies from patients, as well as expose them to significant penalties if the practice does not follow the mandatory guidelines to a T. Please be aware that a similar law may be coming to your state. The time to act is before the law is passed.
Each year, ICD-10-CM is updated on Oct. 1. For 2026, there are 74,179 total codes, with 487 additions, 28 deletions and 38 revisions. Code changes are based on date of service, not the claim submission date. Services performed on/after Oct. 1 must use the new codes. While no changes affect the common spinal or extraspinal codes most frequently used by DCs, several updates may still affect your claims – particularly for comorbidities, referred pain, or trauma cases.
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Southern California University of Health Sciences has entered into an agreement with Pacific College of Health and Science whereby PCHS’ San Diego and Chicago campuses – including students, faculty, staff, and academic programs – will join SCU effective May 2026, pending regulatory approval. Founded in 1986 as Pacific College of Oriental Medicine, PCHS is not only the largest acupuncture / herbal medicine school in the U.S., but also offers integrative health curriculum in holistic nursing and massage therapy.
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