David J. Brunarski, DC, MSc, FCCS(C)

Dr. David Brunarski graduated from the Canadian Memorial Chiropractic College in 1977 after completing his undergraduate education at the University of Alberta. In 1992, he attained a master's degree in nutrition from the University of Bridgeport. He is president of the Ontario Chiropractic Association and is actively involved in committee work for the association. He maintains a private practice in Simcoe, Ontario.

Previous Articles

Patient Satisfaction and Continuity of Care
November 4, 2011 (Vol. 29, Issue 23)
The Psychology of Chronic Back Pain
September 9, 2011 (Vol. 29, Issue 19)
Shared Decision-Making and Self-Management in Health Care
July 15, 2011 (Vol. 29, Issue 15)
System Dynamics Modeling and Utilization of Chiropractic Care
March 12, 2011 (Vol. 29, Issue 06)
The Increasing Threat of Syndemics and the Role of Chiropractic Care
January 1, 2011 (Vol. 29, Issue 01)
Nocebo/Placebo: Treatment Expectations and Preference in Chiropractic Care
November 4, 2010 (Vol. 28, Issue 23)
Impact of the Chiropractic Literature
December 2, 2010 (Vol. 28, Issue 25)
Chronic Pain and Self-Care
September 23, 2010 (Vol. 28, Issue 20)
Cognitive Diversity and Creative Abrasion
July 1, 2010 (Vol. 28, Issue 14)
Trapped by Our Own Dysfunctional Conflict and Defensive Perceptions
May 6, 2010 (Vol. 28, Issue 10)
The Challenge of Chiropractic Integration
February 26, 2010 (Vol. 28, Issue 05)
Reviewing the Evidence: Why Chiropractors Must Perform Systematic Reviews
January 1, 2010 (Vol. 28, Issue 01)
The Power of Teamwork
November 4, 2009 (Vol. 27, Issue 23)
The Power of Teamwork
November 4, 2009 (Vol. 27, Issue 23)
Embracing Evidence-Based Chiropractic
January 29, 2010 (Vol. 28, Issue 03)
Elevating the Delivery of Chiropractic Care
March 26, 2010 (Vol. 28, Issue 07)
The Building Blocks of Clinical Competency
August 12, 2009 (Vol. 27, Issue 17)
Trending
Diagnosis & Diagnostic Equip
Diagnosing Radiculopathies Through History & Observation
Diagnosing Radiculopathies Through History & Observation

MRI is currently the gold standard for identifying radicular pathology, but unfortunately, it requires preauthorization, which isn’t easy to obtain. Physical tests are what most practitioners depend on – despite the marginal reliability of the tests. The information in this article brings history and observation to the forefront of radicular diagnostics. Each factor listed can significantly increase the clinician’s ability to diagnose radiculopathies.

K. Jeffrey Miller, DC, MBA
Billing / Fees / Insurance
Multiple-Procedure Claim Reductions?
Multiple-Procedure Claim Reductions?

With some plans – and it starts with Medicare (CMS) – there is a payment protocol called the multiple-procedure payment reduction (MPPR). This protocol means that if a health care provider performs multiple procedures during a single patient encounter, Medicare (and many commercial insurers) typically will pay “full price” for only the highest-valued procedure. The subsequent procedures will be reduced, as there is overlap.

Samuel A. Collins
Chronic / Acute Conditions
From Sciatica to Brain Tumor: A Life-Saving Diagnosis
From Sciatica to Brain Tumor: A Life-Saving Diagnosis

A 42-year-old male former patient arrives at your chiropractic office with excruciating low back pain that travels all the way down his right leg to his foot. A spinal surgeon previously recommended surgery to correct an MRI-confirmed disc herniation (sequestration) at L5, but the patient chose conservative chiropractic care. Although conservative treatment is effective for many lumbar disc herniations, the warning signs in this case call for escalation.

Ronald Feise, DC