"Absolutely Incorrect"
Dear Editor:
Clarence Darrow once said if we are reticent about untruths, they will continue to be believed.
Dynamic Chiropractic's March 2022 edition article on managing ankle sprains by Dr. Phil Harrington states: "Cryotherapy should not be used on acute ankle sprains; today's practitioner will utilize photobiomodulation for pain relief and tissue healing."
I have been treating ankle sprains for 40 years, applying frequent doses TID of ice for five minutes each session with remarkable, convincing results. Inflammation is like a spider web: it continues to attract more inflammation. Swelling needs to be removed as soon as possible with ice and active and passive movement applied to the ankle.
The goal is to increase blood flow and remove excess inflammation and swelling. Blood in, blood out. Five minutes of ice will constrict vessels mildly subcutaneously; after five minutes, remove the ice and the vessels will now dilate, presenting more blood to the area of injury.
It works, as I have treated hundreds, maybe even a thousand, ankle injuries – including my own – with excellent results. Dr. Harrington is absolutely incorrect in promoting this type of false claim.
Dwain P. Porter, DC, MS
Ashland, Ky.
"Something Needs to Change"
Dear Editor:
I applaud the letter Dr. Khalsa wrote to ASH on behalf of providers in its network. [Reprinted with permission in the April issue under the heading, "ASH Management Gets an Earful."] Although I have chosen over my 31 years in practice not to join this particular network, I have still had to work with them on certain patients. I have felt disrespected, disregarded and just completely ignored by this company; and been paid the small amounts Dr. Khalsa has spoken of.
One only needs to do the math of the cost of treating a patient in their office to find that the reimbursement from ASH is well below that number. I hope more providers in this network will get on board with Dr. Khalsa; something needs to change.
G. Keith Jackson, DC
Cameron Park, Calif.
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