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Chronic / Acute Conditions

Spinal-Cord Injuries: Saying No to Steroids

Editorial Staff

With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons. The organizations' Joint Section on Disorders of the Spine and Peripheral Nerves has released updated guidelines for the management of acute spinal cord injury that recommend against the use of steroids in the first 24-48 hours following an acute SCI. Steroids were "previously recommended with consideration to the risk / reward profile, as evaluated by the physician."

June 2013
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Your Practice / Business
Should You Use Cash, Loan or Lease for Equipment Purchases?
Should You Use Cash, Loan or Lease for Equipment Purchases?

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?

Jamy Antoine, BS, DC, BCN
Politics / Government / Legislation
2024 Elections: Our Best Chance to Be a Player Again
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Some pundits say that the upcoming presidential and congressional races, and many local races, might be the most consequential in our country’s history. We do not have the choice of sitting on the sidelines and hoping our patients will carry our water.  Unlike other medical professions such as physical therapists, podiatrists, nurses, etc., the health care class (AMA) will not protect us. We must be in the game.

Garrett Cuneo, BA
Chronic / Acute Conditions
Evaluating Shoulder Pain - More Than the Rotator Cuff
Evaluating Shoulder Pain - More Than the Rotator Cuff

The most common condition affecting the shoulder is rotator-cuff disease. From acute tears to chronic tendinopathy, it’s common and needs a thorough workup. In fact, even asymptomatic shoulders can have full-thickness rotator-cuff rears in up to 40% of instances. Let’s look at additional conditions that can present to the office with weakness, loss of motion and pain in the shoulder beyond rotator-cuff tears.

Donald DeFabio, DC, DACBSP, DABCO