'When you're lying awake with a dismal headache ...' Sir William Gilbert, "Iolanthe," 1882.
While the health care world is still assimilating the acute low back pain guidelines released at the end of 1994 by the Agency for Health Care Policy and Research (AHCPR), a new panel to establish clinical guidelines for the diagnosis and treatment of chronic headaches has been formed.
The headache panel will be co-chaired by MDs David Matchar and Douglas McCrory, both on the faculty of Duke University's Center for Health Policy Research and Education. Dr. Matchar is the director of the Center. Duke University has been chosen as the contractor to perform the administrative, panel support, and literature reviews.
The 18-member panel includes: three neurologists; three internists; two family medicine MDs; a pharmacist; an emergency medicine MD; a dentist; a psychologist; a psychiatrist; a radiologist (MD); a nurse; a social worker; a consumer; and a chiropractor.
The sole chiropractor in residence will be John Triano, DC, MA. Dr. Triano's experience goes back to establishing a quality assurance program at National College of Chiropractic. He was a member of the steering committee for the Mercy Guidelines conference, a member of the first RAND panel, and a member of the AHCPR's low back pain panel. Dr. Triano is a staff physician at the Texas Back Institute (TBI), in Plano, Texas; a clinical scientist at the Institute's research foundation, and is on the board of the Institute of Spine and Biomedical Research, which is affiliated with TBI.
The AHCPR has made an attempt to keep the panel isolated from the potential influence of headache pain drug manufacturers. Each panel member has agreed to abstain from any activities funded by pharmaceutical companies that sell headache drugs.
The panel's work will take approximately 18 months, time enough to examine all available research on headaches and to make their recommendations. It is hoped that enough viable chiropractic research on headaches has been produced to give the panel members a clear understanding of chiropractic's role in the treatment of headache.
When sports chiropractors first appeared at the Olympic Games in the 1980s, it was alongside individual athletes who had experienced the benefits of chiropractic care in their training and recovery processes at home. Fast forward to Paris 2024, where chiropractic care was available in the polyclinic for all athletes, and the attitude has now evolved to recognize that “every athlete deserves access to sports chiropractic."
It is estimated that 61% of patients with CTS avoid taking surgical options due to postoperative complications and costly surgical procedures. Chiropractic care offers a comprehensive and effective treatment for carpal tunnel syndrome, addressing the condition from multiple angles. Recent studies also have unveiled a game-changing adjunct to chiropractic treatments for CTS: nerve flossing.
Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?
