Donald Murphy, DC, DACAN

Dr. Donald R. Murphy graduated from New York Chiropractic College in 1988 and thereafter obtained three years of postgraduate education in neurology. He is the clinical director of the Rhode Island Spine Center in Pawtucket, R.I., as well as clinical assistant professor at the Alpert Medical School of Brown University. He maintains a busy primary spine care practice and lectures worldwide on various topics related to spinal disorders. Dr. Murphy also serves as president of the West Hartford Group.

Previous Articles

Primary Spine Care: Addressing Concerns & Criticisms
March 15, 2015 (Vol. 33, Issue 06)
Spine Care: An Unlimited Opportunity for DCs
August 26, 2012 (Vol. 30, Issue 18)
Mainstreaming Chiropractic: The Miserable Medicare Model
November 7, 2005 (Vol. 23, Issue 23)
"Professionism" in Our Midst
December 20, 1991 (Vol. 09, Issue 26)
Scalene Trigger Points: The Great Imitators
November 22, 1991 (Vol. 09, Issue 24)
The Primary Machinery of Life
September 1, 1991 (Vol. 09, Issue 18)
Myofascial Pain and Failed Back Surgery
August 2, 1991 (Vol. 09, Issue 16)
Fibromyalgia Syndrome or Myofascial Pain Syndrome?
July 5, 1991 (Vol. 09, Issue 14)
Shoulder Pain
June 7, 1991 (Vol. 09, Issue 12)
Myofascial Pain and Pseudocardiac Disease
May 10, 1991 (Vol. 09, Issue 10)
The Sternocleidomastoid Syndrome
April 12, 1991 (Vol. 09, Issue 08)
The Proper Use of Muscle Stretching in the Treatment of Sports Injuries
May 21, 1993 (Vol. 11, Issue 11)
The Chiropractor as General Practitioner and Primary Gatekeeper: Do We Have What It Takes?
April 9, 1993 (Vol. 11, Issue 08)
Chiropractic Rehabilitation in the Treatment of Dizziness
December 18, 1995 (Vol. 13, Issue 26)
Rehabilitation for Cervical Stability
December 15, 1999 (Vol. 17, Issue 26)
The Stepping Test: A Useful Tool for Cervical Rehabilitation
July 10, 2000 (Vol. 18, Issue 15)
Is It Safe to Adjust the Cervical Spine in the Presence of a Herniated Disc?
June 12, 2000 (Vol. 18, Issue 13)
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