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News in Brief

ACA, Blue Cross Blue Shield Meet

On April 2, representatives of the American Chiropractic Association and the Blue Cross Blue Shield Association met in Washington, D.C., to discuss concerns related to BC/BSA's Jan. 1 reclassification of chiropractors within the Federal Employees Health Benefits Program. As reported in DC last issue ("Blue Cross Blue Shield Hits Below the Belt," May 6), doctors of chiropractic are no longer classified as "physicians" under the program, which could have profound implications, particularly as health care reform unfolds.

According to the ACA, the April 2 discussion was "cordial, frank and open," allowing each organization's perspectives and concerns to be detailed. Regarding instances in which chiropractors may already be affected by this change, BC/BSA "expressed its intent to clarify with local Blue plans that the Jan. 1 change did not in any way affect benefits and coverage."

May 2009
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News / Profession
NBCE-FCLB Merger Approved
NBCE-FCLB Merger Approved

The proposed merger of the National Board of Chiropractic Examiners and Federation of Chiropractic Licensing Boards was approved by NBCE delegates and FCLB members at their respective annual meetings, held jointly in Atlanta, Ga., this year. Per the new bylaws, the new entity takes the NBCE name, with FCLB continuing as a department within NBCE. The federation will continue to enjoy Board of Directors representation on what will be a single, expanded board.

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Dynamic Chiropractic Staff
Diagnosis & Diagnostic Equip
When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 3)
When Radiculopathy Isn’t Radiculopathy

Before introducing subscapularis syndrome as an upper extremity analog, it is essential to revisit piriformis syndrome as a well-established example of myogenic pseudo-radiculopathy. Piriformis syndrome has long served as a clinical exception to disc-centric models of lower extremity pain and provides an important framework for understanding how deep muscular dysfunction can mimic radiculopathy in the absence of nerve root compression.

Ken Kaufman, DC
Healthcare / Public Health
From Pain Scores to Performance Metrics
From Pain Scores to Performance Metrics

Pain has become the dominant language of musculoskeletal healthcare. Numeric pain-rating scales and symptom reports are routinely used as primary indicators of clinical success. But while pain reduction is meaningful, it is an incomplete and often misleading representation of recovery. This has real consequences for patient adherence, long-term outcomes, and how conservative care is perceived within the broader healthcare system.

Christopher Proulx, DC, PhD(ABD), CSCS