Subscribe Latest Edition
Columnists

K. Jeffrey Miller, DC, MBA

K. Jeffrey Miller, DC, MBA, is an assistant professor of chiropractic at the Missouri Orthopedic Institute, a branch of the University of Missouri Health System. He is also the author of Practical Assessment of the Chiropractic Patient, Orthopedic and Neurological Examination in a Flash, Chiropractic Medicare Documentation Self-Inventory and several other clinical texts. A graduate of Palmer College of Chiropractic with more than 25 years of practice experience, Dr. Miller also holds a master's in business administration with an emphasis in health care management.

Previous Articles

Person Down
September 1, 2024 (Vol. 42, Issue 09)
Dynamic Diagnosis: Fortin's Finger, Minor's and Vanzetti's Signs
May 1, 2024 (Vol. 42, Issue 05)
Dynamic Diagnosis: A Look at Romberg’s Test and Patient Safety
March 1 2024 (Vol. 42, Issue 03)
The Fifth Question
January 1, 2024 (Vol. 42, Issue 01)
Vacation Can Be Painful
June 1, 2023 (Vol. 41, Issue 06)
The Patient-Care Checklist
March 1, 2023 (Vol. 41, Issue 03)
Dynamic Diagnosis: A Sign of the Times
October 1, 2022 (Vol. 40, Issue 10)
Patient Personality and Clinical Compliance (Pt. 3)
July 1, 2022 (Vol. 40, Issue 07)
Patient Personality and Clinical Compliance (Pt. 2)
June 1, 2022 (Vol. 40, Issue 06)
Patient Personality and Clinical Compliance (Pt. 1)
May 1, 2022 (Vol. 40, Issue 05)
The Clinical Importance of Handedness in Neuromusculoskeletal Care
March 1, 2022 (Vol. 40, Issue 03)
Why Did the ADI Decrease? An Example of Cervical Instability
January 1, 2022 (Vol. 40, Issue 01)
Lumbar Instability: The Case of the Missing Spondylolisthesis
November 1, 2021 (Vol. 39, Issue 11)
Your Most Important Step in Accurate Shoulder Diagnosis
September 1, 2021 (Vol. 39, Issue 09)
Is This What's Delaying Your Patient's NMS Healing?
June 1, 2021 (Vol. 39, Issue 06)
Don't Leave Patients Hanging
March 1, 2021 (Vol. 39, Issue 03)
When Some Patients Get Too Much of a Good Thing
January 1, 2021 (Vol. 39, Issue 01)
Diagnostic Testing: Don't Take the Details for Granted
November 1, 2020 (Vol. 38, Issue 11)
Correct Documentation of Two Common Pain Scales
October 1, 2020 (Vol. 38, Issue 10)
Orthopedic Diagnosis: Differentiate the Similarities
September 1, 2020 (Vol. 38, Issue 09)
Dynamic Diagnosis: Facet Syndromes
August 1, 2020 (Vol. 38, Issue 08)
Dynamic Diagnosis: Crepitus
July 1, 2020 (Vol. 38, Issue 07)
COVID-19: Do Your Patients Pass the Sniff Test?
June 1, 2020 (Vol. 38, Issue 06)
Sclerotomes, Viscerotomes and Angiotomes, Oh My!
April 1, 2020 (Vol. 38, Issue 04)
Calm & Cool Chiropractic
February 1, 2020 (Vol. 38, Issue 02)
Give Plantar Fasciitis the Attention It Deserves
December 1, 2019 (Vol. 37, Issue 12)
Tests for Hip / SI Pathology
October 1, 2019 (Vol. 37, Issue 10)
Make Your Position Clear: Varying Test Positions (Pt. 2)
September 1, 2019 (Vol. 37, Issue 09)
Make Your Position Clear: Varying Test Positions (Pt. 1)
August 1, 2019 (Vol. 37, Issue 08)
Always Tell the Doctor If...
June 1, 2019 (Vol. 37, Issue 06)
SLR Variations, Confirmation and Differential Diagnosis
April 1, 2019 (Vol. 37, Issue 04)
Know Your Clinical Flags: 5 Different Colors to Consider
February 1, 2019 (Vol. 37, Issue 02)
Art of the Associateship: It's OK to Trust, But Verify
August 1, 2018 (Vol. 36, Issue 08)
Art of the Associateship: Success Is in the Finances
June 1, 2018 (Vol. 36, Issue 06)
Adding Insult to Injury
April 1, 2018 (Vol. 36, Issue 04)
Simple Screening Tests for Stroke and Other Brain Lesions
February 1, 2018 (Vol. 36, Issue 02)
Documenting Intuition
November 1, 2017 (Vol. 35, Issue 11)
The Perils of the "Oh, While You're at It" Phenomenon
October 1, 2017 (Vol. 35, Issue 10)
Red Flag Alert: New-Onset Headache in an Older Patient
July 1, 2017 (Vol. 35, Issue 07)
How to Bring Headache Patients to Your Door
Paperwork Done Wrong, Done Right
March 1, 2017 (Vol. 35, Issue 03)
DVT: Know the Signs and You Could Save a Life
December 1, 2016 (Vol. 34, Issue 18)
Rewarding Your Employees: How to Do It Right
Physical Examination in an Evidence-Based World
September 1, 2016 (Vol. 34, Issue 15)
Keeping Malpractice Allegations at Bay
July 1, 2016 (Vol. 34, Issue 13)
What You Say Isn't Always What Patients Hear
June 15, 2016 (Vol. 34, Issue 12)
Mother Matters: Caring for the Expectant Mom
April 1, 2016 (Vol. 34, Issue 07)
Patient Care & Customer Service: How Does Your Practice Stack Up?
When Patients Ask About Stray Aches and Pains
February 15, 2016 (Vol. 34, Issue 04)
Tips to Revive Your Ortho / Neuro Test Skills
November 15, 2015 (Vol. 33, Issue 22)
Practice Policy (Gone Bad): The Sign
September 15, 2015 (Vol. 33, Issue 18)
The Winter of Life: A Personal and Chiropractic Practice Perspective
August 1, 2015 (Vol. 33, Issue 15)
Moving Beyond the One-Size-Fits-All ROF
June 15, 2015 (Vol. 33, Issue 12)
Applying the Thin Skull Principle
April 15, 2015 (Vol. 33, Issue 08)
Connecting the Dots
February 15, 2015 (Vol. 33, Issue 04)
Show Up and Show Respect
January 15, 2015 (Vol. 33, Issue 02)
Are You Ignoring the 10,000-Hour Rule?
December 1, 2014 (Vol. 32, Issue 23)
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
November 1, 2014 (Vol. 32, Issue 21)
Watch Out for Red Herrings
October 1, 2014 (Vol. 32, Issue 19)
Don't Turn a 2 Into a 10
September 15, 2014 (Vol. 32, Issue 18)
Are Your Work Orders in Order?
September 1, 2014 (Vol. 32, Issue 17)
Advice for Young Doctors
August 1, 2014 (Vol. 32, Issue 15)
Failing to Plan Is Planning to Fail: Make Your Treatment Plans Count
June 15, 2014 (Vol. 32, Issue 12)
The Recliner Test
May 1, 2014 (Vol. 32, Issue 09)
Look, Listen and Learn to Code
March 15, 2014 (Vol. 32, Issue 06)
The Shoulder Abduction Test for Cervical Radicular Pathology
February 1, 2014 (Vol. 32, Issue 03)
Stay in Tune and in Touch: Risking the Embarrassment of Failure
It's Negative: Everything Counts in Clinical Record-Keeping
January 1, 2014 (Vol. 32, Issue 01)
A Subtle Cause, a Simple Solution
October 15, 2013 (Vol. 31, Issue 20)
Night Pain: An Important Clinical Detail
August 15, 2013 (Vol. 31, Issue 16)
Were the Good Old Days Really That Good? Recognizing Today's Progress
July 15, 2013 (Vol. 31, Issue 14)
Cross-Referencing Regions of Complaint, PART Findings, Diagnoses and CPT Codes
June 15, 2013 (Vol. 31, Issue 12)
What They Don't Say Could Hurt You
May 15, 2013 (Vol. 31, Issue 10)
Aerobic Exercise Programming for Patients With Metabolic Syndrome
April 1, 2013 (Vol. 31, Issue 07)
Training Staff to Perform Ancillary Procedures: Three Topics to Cover
March 1, 2013 (Vol. 31, Issue 05)
Total Immersion: Speaking a Language Your Patients Can Understand
February 1, 2013 (Vol. 31, Issue 03)
Climber's Elbow: Diagnosis and Conservative Treatment Protocols
January 1, 2013 (Vol. 31, Issue 01)
Why It's Important to Know Thyself
Filling in for Another Doctor: 20 Questions to Ask Patients
October 21, 2012 (Vol. 30, Issue 22)
Orthopedic and Neurological Testing as a Practice-Building Tool?
September 23, 2012 (Vol. 30, Issue 20)
Pop Warner Using Its Head
August 26, 2012 (Vol. 30, Issue 18)
Practice Impossible (Part 5): Office Appearance Matters
SCuBA: A Useful Mnemonic for Reading Skeletal X-Rays
July 29, 2012 (Vol. 30, Issue 16)
Practice Impossible (Part 4): What is On Your "Menu"
Practice Impossible (Part 3): Growing Your People
Practice Impossible, Part 2: The Staff
A Patient History Lesson: 20 Great Questions to Ask
June 17, 2012 (Vol. 30, Issue 13)
Careful Coding: Gaming
May 6, 2012 (Vol. 30, Issue 10)
"Practice Impossible" Leadership Skills for a Thriving Clinic
Careful Coding: Headaches
March 26, 2012 (Vol. 30, Issue 07)
Careful Coding: With or Without Myelopathy
February 12, 2012 (Vol. 30, Issue 04)
Weighing Your Medicare Options
Careful Coding: Spinal Anomalies
January 15, 2012 (Vol. 30, Issue 02)
The Practical Neurological Examination, Part 6: Testing of Reflex Function
October 21, 2011 (Vol. 29, Issue 22)
The Practical Neurological Examination, Part 5: Assessment of Sensory Function
September 9, 2011 (Vol. 29, Issue 19)
The Practical Neurological Examination, Part 4
August 12, 2011 (Vol. 29, Issue 17)
The Practical Neurological Examination, Part 3
June 17, 2011 (Vol. 29, Issue 13)
The Practical Neurological Examination, Part 2
April 9, 2011 (Vol. 29, Issue 08)
Testing for Pain: The Eyes Have It
March 12, 2011 (Vol. 29, Issue 06)
The Practical Neurological Examination, Part 1
February 12, 2011 (Vol. 29, Issue 04)
New Orthotics: A Little at a Time
No Change or Worse: What Should You Do?
September 23, 2010 (Vol. 28, Issue 20)
Billing for Custom-Made Orthotics
Support Your Billing Claims for Bracing Materials
August 12, 2010 (Vol. 28, Issue 17)
Upside Down From the End Backwards
July 1, 2010 (Vol. 28, Issue 14)
Hand Painted
June 17, 2010 (Vol. 28, Issue 13)
Build Patient Confidence With Clinical Testing
Steps to Successful Rehabilitation, Part 4
April 22, 2010 (Vol. 28, Issue 09)
Steps to Successful Rehabilitation, Part 3
March 26, 2010 (Vol. 28, Issue 07)
Steps to Successful Rehabilitation, Part 2
February 12, 2010 (Vol. 28, Issue 04)
Steps to Successful Rehabilitation, Part 1: Understanding Soft-Tissue
January 1, 2010 (Vol. 28, Issue 01)
Test Combinations in Patient Examination, Part 3: Testing by Indirect Method
November 18, 2009 (Vol. 27, Issue 24)
Test Combinations in Patient Examination, Part 2: Tests for the Same Pathology
July 29, 2009 (Vol. 27, Issue 16)
Test Combinations in Patient Examination: Test Sequencing
July 1, 2009 (Vol. 27, Issue 14)
Knowing When to Quit
April 9, 2009 (Vol. 27, Issue 08)
How You Start Is How You Finish
January 29, 2009 (Vol. 27, Issue 03)
Why Wellness?
February 12, 2007 (Vol. 25, Issue 04)
Chiropractic Use of Evaluation & Management CPT Codes
April 8, 2004 (Vol. 22, Issue 08)
Compassion and Patient Care
March 8, 1999 (Vol. 17, Issue 06)
Examinations as Criteria for Ordering Additional Tests
November 4, 2002 (Vol. 20, Issue 23)
Exam Techniques Should Seek to Identify or Rule Out Ominous Conditions and Contraindications to the Chiropractic Adjustment
September 24, 2002 (Vol. 20, Issue 20)
Exam Procedures Should Not Be Limited to Tests Related Solely to Chiropractic Technique(s)
August 16, 2002 (Vol. 20, Issue 17)
Exam Procedures Must Go Beyond Chiropractic Techniques
July 29, 2002 (Vol. 20, Issue 16)
Patient History Should Precede Examination
July 1, 2002 (Vol. 20, Issue 14)
All Things Considered
September 1, 2003 (Vol. 21, Issue 18)
Trending
Your Practice / Business
Should You Use Cash, Loan or Lease for Equipment Purchases?
Should You Use Cash, Loan or Lease for Equipment Purchases?

Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?

Jamy Antoine, BS, DC, BCN
Politics / Government / Legislation
2024 Elections: Our Best Chance to Be a Player Again
2024 Elections

Some pundits say that the upcoming presidential and congressional races, and many local races, might be the most consequential in our country’s history. We do not have the choice of sitting on the sidelines and hoping our patients will carry our water.  Unlike other medical professions such as physical therapists, podiatrists, nurses, etc., the health care class (AMA) will not protect us. We must be in the game.

Garrett Cuneo, BA
Chronic / Acute Conditions
Evaluating Shoulder Pain - More Than the Rotator Cuff
Evaluating Shoulder Pain - More Than the Rotator Cuff

The most common condition affecting the shoulder is rotator-cuff disease. From acute tears to chronic tendinopathy, it’s common and needs a thorough workup. In fact, even asymptomatic shoulders can have full-thickness rotator-cuff rears in up to 40% of instances. Let’s look at additional conditions that can present to the office with weakness, loss of motion and pain in the shoulder beyond rotator-cuff tears.

Donald DeFabio, DC, DACBSP, DABCO