Chronic / Acute Conditions

Spinal-Cord Injuries: Saying No to Steroids

Dynamic Chiropractic 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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Diagnosis & Diagnostic Equip
When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 6): Differential Diagnosis
When Radiculopathy Isn’t Radiculopathy

While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.

Ken Kaufman, DC
X-ray / Imaging / MRI
A National Turning Point: N.J. Board Rejects Insurer Medical X-Ray Rules for DCs
A National Turning Point: N.J. Board Rejects Insurer Medical X-Ray Rules for DCs

The New Jersey Board of Chiropractic Examiners has made a precedential decision, concurring with the Association of New Jersey Chiropractors' (ANJC) position paper on chiropractic X-ray guidelines. In plain terms, the board ruled, consistent with the ANJC position, that insurance companies cannot use medical X-ray rules or recommendations, like those written by the American College of Radiology (ACR), to decide whether a chiropractor's X-ray was necessary.

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Jeff Randolph, Esq.
Your Practice / Business
The Relationship Behind the Referral
The Relationship Behind the Referral

For decades, chiropractors have been told the answer to more professional referrals is simple: educate medical doctors about chiropractic. There is some truth in that advice; but it is also incomplete. The modern challenge is not simply getting another healthcare professional to know that chiropractors exist. It is becoming the kind of clinician (and building the kind of professional relationship) that makes collaboration easy and sustainable.

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Dynamic Chiropractic Staff