Refund requests are an unavoidable part of running a chiropractic practice. Whether a patient is unhappy with their care, believes an adjustment caused harm, or simply changes their mind, these situations must be handled carefully to avoid escalation. While chiropractors are not legally obligated to issue refunds in most cases, there are times when doing so is the best business decision to protect the practice.
Spinal-Cord Injuries: Saying No to Steroids
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."