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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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Billing / Fees / Insurance
BCBS Provider Settlement: Find Out If You’re Eligible
BCBS Provider Settlement: Find Out If You’re Eligible

In a landmark development, Blue Cross Blue Shield (BCBS) has reached a $2.8 billion settlement to resolve antitrust claims brought by health care providers, including chiropractors. The lawsuit accused BCBS of dividing the nation into exclusive regions and limiting competition, which resulted in lower reimbursements for providers. Although BCBS denies any wrongdoing, the company agreed to the settlement to avoid lengthy litigation – and you can get a piece of the pie.

Konstantin , Chernukhin
News / Profession
WFC Non-Interference Policy: What Could It Mean for the ACA?

The World Federation of Chiropractic (WFC) Board of Directors passed a “Policy on Non-Interference and Respect for National Authority” at its Q3 2024 meeting. Upon reading this, some might ask if the WFC policy is targeting the activities of the American Chiropractic Association (ACA) in providing international membership to Japanese individuals who do not hold a chiropractic degree from an accredited institution.

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Editorial Staff
Personal Injury / Legal
9 Delayed-Onset MVA Injuries (Pt. 3)
9 Delayed-Onset MVA Injuries

Part 3 of this three-part article on recogizing and diagnosing delayed-onset motor-vehicle acident (MVA) injuries in clinical practice covers spinal cord injury linked to cervical stenosis and spondylosis; alar sprain; and delayed instability. Part 1 discussed traumatic subdural hematoma, stroke due to MVA and traumatic central disc herniation; part 2 discussed traumatic Schmorl's nodes, post-concussion syndrome and posttraummatic syrinx.

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Troy Freiheit, DC