I distinctly remember the day almost 50 years ago when my father came home from the doctor's office with the news that he had been diagnosed with diabetes. He was very upset and I could see that he was afraid of what the consequences would be. He was a World War II veteran who had completed two active tours of duty, and this was the first time I had seen him afraid of anything.
Unfortunately, when it comes to new patients, our profession is in defense mode.   
Each fall as students return to school the number of books and notebooks seems to multiply. While parents may fear the mountain of homework each night, they should also be concerned about the damage that an improperly worn backpack is doing to their child's back.
New Orleans, LA – Dr. John England, professor and chair of Neurology at LSU Health New Orleans School of Medicine, and colleagues in Honduras and Venezuela have reported a new neurological complication of infection with the Zika virus. They described the first confirmed case of Zika-associated sensory polyneuropathy in a paper published online by the Journal of the Neurological Sciences.
Canadian Chiropractor editor Mari-Len De Guzman visited the Belleville Nurse Practitioner-led Clinic, one of the sites for Ontario's Primary Care Low Back Pain Pilot project, and spoke to practitioners and patients about the progress of the program. Read the full story in the article, "Pilots for change."
Women who do the same tasks as men often face a higher risk of musculoskeletal disorders (MSDs) in their neck and upper limbs, according to a researcher from McGill University in Montreal.
LONDON, ONT. – Researchers at Lawson Health Research Institute has developed clinical practice guidelines for managing neuropathic pain with patients who have experienced a spinal cord injury (SCI). Lawson Health claims the document is the first of its kind in Canada.
To reduce the health and injury risks of prolonged sitting, workers should change postures often and aim to stand for an equal amount of time that they spend sitting over the course of a work day.
Many chiropractors treat recreational or amateur athletes. Often, they encounter patients that have injuries that stem from overuse or improper movement mechanics.
HALIFAX – It's a quandary for health-care professionals that has caught the attention of experts across the country: should family members and loved ones be told about a patient's struggle with mental-health issues?
Over the past several years, health disciplines of all kinds have been undergoing a revolution. Physicians and practitioners of all stripes are now calling for more integrated and holistic, systems-based approaches that address underlying root causes rather than symptoms. While this call for an interdisciplinary approach is now widely popular among health-care professionals, the appreciation of the interdisciplinary movement started with the introduction of functional medicine as a formal medical theory.
The National Pain Strategy, released this year by the U.S. Department of Health and Human Services, places strong emphasis on self management and patient education as critical pathways for improving treatment of chronic pain, especially the leading malady, back pain.
It is widely accepted that low back pain (LBP) and neck pain (NP) are best understood as biopsychosocial phenomena.
In studies on rats, Johns Hopkins Medicine scientists report new evidence that the predominance of the hormone testosterone in males may explain why women are up to 10 times more likely than men to injure the anterior cruciate ligament (ACL) in their knees.
Can an increased risk of chronic pain be transmitted from parents to children? Several factors may contribute, including genetics, effects on early development, social learning and more, according to a report in the journal Pain, the official publication of the International Association for the Study of Pain (IASP). The journal is published by Wolters Kluwer.
New research provides insight into a long-observed but little-understood connection between chronic pain and anxiety, and offers a potential target for treatment.
WASHINGTON, D.C. – A new Gallup study highlights the extent to which neck and back pain affect American adults, with one in four reporting that they have seen a health-care professional for significant neck or back pain within the past year and nearly two-thirds (65 per cent) saying they have done so at some point in their lives.
FREDERICTON – Researchers at the University of New Brunswick have launched a study to find out whether a protein drink can help build muscle – without exercise.
Instability is thought to be a clinical classification of LBP that clinicians should be aware of.
This Cochrane review summarizes the most current evidence on the effectiveness of acupuncture on acute, subacute and chronic neck pain.
A simple model consisting of four risk factors can help surgeons to predict the risk of complications after surgery for cervical spondylotic myelopathy (CSM) – a common condition causing compression of the spinal cord in the neck, reports a study published in the July issue of Neurosurgery, official journal of the Congress of Neurological Surgeons, published by Wolters Kluwer.
Scientists in Montreal have discovered a new genetic mutation linked to ''bone death'' or osteonecrosis of the hip, with the help of four young siblings who suffered from the debilitating disease.
LOUDON, N.H. – He was one of NASCAR's first superstars, but Fred Lorenzen's memories of his Hall of Fame career have dimmed as he battles dementia. His Daytona 500 victory, the wins he piled up to become NASCAR's first $100,000 driver, his life on the road, all have been largely extinguished.
OTTAWA – The Canadian military is trying out a "bionic" knee brace developed by a Halifax-based company.
More than 2,200 organizations have used Canada's Healthy Workplace Month as a resource hub to launch their workplace wellness initiatives, strategies, and award-winning employer-of-choice performances, according to Excellence Canada, an independent, not-for-profit organization.
TORONTO – A recently released report by the Scientific Advisory Committee on Nutrition (SACN) in the United Kingdom is urging all Brits to take vitamin D supplements, which the Vitamin D Society of Canada says should give Canadians a reason to start looking at their own vitamin D intake levels.
A pair of new studies from Statistics Canada highlights the importance of incorporating physical activity throughout the day for children of all ages, experts said Wednesday.
For patients in rehabilitation after a stroke, walking on an underwater treadmill produces better measures of exercise performance compared to conventional treadmill walking, reports a study in the American Journal of Physical Medicine & Rehabilitation, the official journal of the Association of Academic Physiatrists. The journal is published by Wolters Kluwer.
OTTAWA – It seems some federal workers don't want to be caught sitting down on the job.
VANCOUVER – Overdose deaths have climbed to such an urgent level in British Columbia that the province needs help from the federal government to deal with a public health emergency, Premier Christy Clark says.
The key to eating for wellness is not necessarily what foods to eat, but how and when we eat them, says Suzanne Judd, associate professor in the University of Alabama at Birmingham's Department of Biostatistics.
Researchers from Western University and Lawson Health Research Institute – both in London, Ont. – recognize that adolescents with emerging mental health concerns require a different treatment framework than adults.
Changing just one seated meeting per week at work into a walking meeting increased the work-related physical activity levels of white-collar workers by 10 minutes, according to a new study published by public health researchers with the University of Miami Miller School of Medicine.
VANCOUVER – When patients visit Dr. Vahid Sahiholnasab for a routine check-up, he often asks to review their electronic fitness trackers.
EDMONTON – Researchers at the University of Alberta are suggesting there might not be as much medical benefit to vitamin D supplements as previously thought.
VANCOUVER – Canadian men could be wealthier and healthier if they curbed their spending on things like tobacco and alcohol, lost a few pounds, and invested the money instead, says a new report released on the eve of Canadian Men's Health Week. In fact, a very unhealthy guy could stand to lose $8.6 million over his lifetime.
MONTREAL – Equipping students with the knowledge and tools to be able to demonstrate the value of chiropractic in multidisciplinary health care teams will help in advancing the profession as primary spine care experts.
As chiropractic health professionals we are very educated and we know how to differentiate things like a sacroiliac dysfunction from a disc injury – but very few of us know how to differentiate a con from a contractor.
ANN ARBOR, Mich. – Some footwear stores videotape a jogger's gait on a treadmill to help determine the kind of running shoe that would be the best fit. The University of Michigan is taking that practice a few steps beyond.
Properly negotiating your commercial lease renewal is an important consideration for chiropractic tenants. With effective negotiation, you can sign for a more appropriate lease term, receive valuable tenant inducements (paid by the landlord) and decrease your monthly rent paid to the landlord. Here are a few tips.
How do I buy an existing practice, how much should I pay, and what should I be aware of? These are questions I’ve received most from chiropractors and chiropractic students recently
If results of a recent national survey are any indication, things may be looking up for chiropractors in Canada.
Multinational companies such as IBM, Nike and Facebook use "big data" to forecast trends, create marketing campaigns and enhance customer experience. In recent years, big data has changed the way we do business. No longer confined to large companies, businesses of all sizes use analytics to review, plan and execute marketing programs.Big data has become a big driver in digital health innovation.
Running a successful business – whether a chiropractic practice or a lemonade stand – is not easy. It requires unwavering level of commitment, because being successful today does not guarantee success tomorrow. Believe it or not, the success of your business depends on the most unreliable, unpredictable elements of existence – other people.
Most chiropractors, like other health-care practitioners, will at some point in their careers need professional or retail office space.
This is a landmark issue that commemorates a very special milestone. In many ways, Canadian Chiropractor magazine has become our professional extended family over the last 20 years. After all, many of us read this magazine regularly – more often than we actually see certain members of our own family.
In terms of value, a 10-year lease for a professional office could easily be a commitment of half a million dollars. Yet doctors rarely give their lease more than a cursory read.
Up until a few years ago, not only did people share almost every post and tweet they found the least bit interesting, they would routinely thank others for doing the same. This resulted in both companies and individuals having the ability to build large, engaged followings, which could potentially be leveraged to generate business.
Let’s admit it. Every time the annual report of a regulatory board is received by a chiropractor or, for that matter, any licenced practitioner, the very first thing that is read is the section on disciplinary matters.
MONTREAL – Advocating for chiropractic to be "separate and distinct" does not mean chiropractors will be "isolated and alone." This was the argument put forth by Dr. Gerard Clum during a panel session at this week's education conference in this city, hosted jointly by the World Federation of Chiropractic (WFC) and the Association of Chiropractic Colleges (ACC).
In this episode of Clinic Files, Canadian Chiropractor caught up with Canadian track athlete and Olympic medalist Andre De Grasse, as he visits his Team Canada chiropractor and friend Dr. Alban Merepeza. Here is an example of how chiropractors are making an impact in the performance of Canada's elite athletes and how athletes, like De Grasse, are recognizing the role their medical team plays in their success.
Arlington, Va. – This October, doctors of chiropractic across the U.S. will raise public awareness of the availability of non-drug options for pain treatment as part of National Chiropractic Health Month (NCHM) 2016.
Earlier this year, a massage therapist removed a large number of confidential patient files from a multidisciplinary clinic prompting investigations by law enforcement and the Information and Privacy Commissioner of Ontario (IPC). Fortunately, the investigations help set a precedent to determine file ownership and the patient information was safely returned to the clinic owner.
The annual OCA Awards, spearheaded by the Ontario Chiropractic Association, celebrate members for their work in patient care, community engagement and more. Nominations are now open for 2016.
Brenda Miller had been suffering from debilitating back and leg pain since her vehicular accident in 2005. She was having difficulty walking and was constantly taking a cocktail of pain medications – Baclofen, Naproxen, Cymbalta, Pregabalin, Percocet, even Marijuana – just to help her manage through the day. Her condition has significantly affected her mobility that she had to quit her job and go on the Ontario Disability Support Program.
I was waiting on the front porch of an old bungalow home that’s been converted into a chiropractic office when Dr. Sandy Kunej pulled into the driveway of the Family Care Chiropractic Clinic in Brantford, Ont. Clad in a purple golf shirt and khaki pants.
During National Chiropractic Health Month (NCHM) in October, the American Chiropractic Association (ACA) will build on its ongoing efforts to raise awareness of the value of a conservative approach to pain management in the face of the U.S. opioid epidemic with the theme and hashtag #Chiropractic1st.
Behind Canada's Olympians is the usual entourage of patriotic fans, dedicated coaches, supportive family and friends. Not to be overlooked, however, is a medical support staff attentively standing by the sidelines to ensure that Canadian athletes are in optimal health for the competition.
Canadian Memorial Chiropractic College (CMCC) has signed an official memorandum of understanding with the University of Southern Denmark (SDU) Institute of Sports Science and Clinical Biomechanics.
Recently, the regulatory body of Ontario has passed a new rule that requires chiropractors to maintain a current certification in first aid and CPR (cardiopulmonary resuscitation). As a practicing chiropractor in Ontario, I am confident that this life saving information will be of great benefit to our practice.
Spenco has introduced its new Professional Collection, attractive footwear ideal for people whose professions require long hours of standing or walking.
The new Biofreeze Professional is based on the original Biofreeze formula and has optimized key ingredients based on scientific research to provide a longer-lasting experience, according to the brand's proponent, Performance Health. It also has a smoother application with fast absorption for relief from backaches, arthritis, sore muscles and joints, sprains, strains and bruises.
EmoBridge has introduced what it claims is the world's first smart wristband for accurately tracking and analyzing daily stress levels and sleep patterns to help people live a more well-balanced, peaceful life. The new Sensmi is built with patented, hospital-grade GSR-PRO bio-sensing technology that tracks brainwave activity through galvanic skin response (GSR) and a proprietary algorithm that disperses data that is easily understandable. Sensmi provides users with straightforward results and easy-to-follow instructions on how to confront lifestyle stressors.
A new line of instantly customizable insoles offers quick relief for athletes and others whose feet need orthotic support, according to its producer Spenco Medical Corporation. Spenco has just stocked its complete line of Spenco Medics Adjustable Replacement Insoles.
iMag contains a 100 per cent naturally occurring form of magnesium chloride. Its zero stability constant makes it the most bioavailable form of the magnesium ion for humans. iMag is sourced from the Ancient Underground Zechstein Seabed, a mineral deposit in the Netherlands which has been preserved underground for over 250 million years, making it naturally pure and free of pollution and heavy metal toxins. The people at iMag are focused on purity and quality, and stress that this precious form of natural magnesium is not only unprocessed, but unlike most other products. It is packaged in glass, as opposed to plastic, which is known to leach chemicals that have been linked to cancer, mental, hormonal and even fertility problems. iMag can be found at ineedmag.com, which is also linked to its sister website that serves as a comprehensive data resource for all things magnesium: imagnesium.com. iMag is a proud Canadian company founded by Matt Selma.
Vitality Depot has launched Pain Gone, a clinically tested pen-like device that patients can use for pain management.
LifeLabs Medical Laboratory Services has launched JOINTstat, a diagnostic blood test for rheumatoid arthritis. The JOINTstat blood test is the first test of its kind available in Canada that aids in the early detection and diagnosis of rheumatoid arthritis. When caught and treated early, rheumatoid arthritis outcomes can be greatly improved. Through an agreement with Augurex Life Sciences Corp., developer of the JOINTstat test, JOINTstat is now offered exclusively by LifeLabs to patients and physicians across Canada.
Dr. Chris Oswald had been practicing chiropractic in the Toronto area for 16 years when he reached a point of frustration and decided to change the game.
California based health and wellness company Metagenics launches FirstLine Therapy Healthy Transformation Weight Loss program, its latest product to assist in weight loss and healthy living.
Frazer, Pa.-based Hill Laboratories has received UL Approval 60601-1:2012 3rd Edition and Health Canada approval for its premiere Class II Medical Device, the Hill DT Decompression System. Hill Laboratories is a fourth generation family-owned manufacturer of chiropractic, medical and physical therapy tables and products.
Metagenics, Inc., a nutrigenomics and lifestyle medicine company focused on improving health, has launched the new Mega 10 — a unique omega fatty acid supplement combining specially designed levels of purified omega-7s and omega-3s to provide both targeted support for healthy blood lipids and general support for overall cardiovascular health.
The Spine Specialist Laser Assisted Spinal Restoration (LASR) procedure offers an entirely new method of treatment available for patients suffering from neck and low back pain. This revolutionary treatment device has been designed and developed by chiropractor, Dr. Mark Jagger, to treat those patients that have not responded satisfactorily to other traditional forms of therapy. The Spine Specialist simultaneously combines a precise and gentle spinal decompressive force with a specially designed Automated Class 4 Medical Laser Treatment Delivery System. It applies them in a scientifically specific manner and is achieving unparalleled results.
There is growing concern in the health care community about increasing incidents of prescription painkiller addiction and related deaths, and the significant toll it's taking on the health care system.
Our first point of contact with the health system – often referred to as 'primary care' – should result in prompt and efficient care for our general health concerns, and coordinate our journey through the system when we need more specialized care.That's if things are working properly. Unfortunately, this isn't always the case.
Many chiropractors are passionate and inspired individuals who often can’t hold back sharing the chiropractic story. That passion and energy however can sometimes affect how the message comes across. Instead of engaging them, patients end up being talked at or lectured to, which renders the message ineffective.
I’ve always found it unsettling how research performed in the lab does not accurately mirror the patient visit experience. Many researchers only study the treatment (ie. lumbar adjustment effectiveness for low back pain), while in actuality the visit experience is multidimentional and different in every office.
How many of you are missing exactly how a patient is presenting on their regular visits. I don’t mean the symptoms they are presenting with. I’m referring to where they are at emotionally. Are you fully and totally in tune with the tone in which they are projecting?  
I read the Canadian Chiropractor magazine every time it arrives in my office and usually start with the "from the editor" note inside of the front page. In the last issue it mentioned chiropractic utilization rates from "as little as three per cent to as high as 25 per cent". Having been in practice for thirty-five years, I have never seen the 25 percent but certainly believe in the three percent. Not entirely sure what that statistic relates to – whether it means that at some time in their life a person has gone to a chiropractor, or that they regularly see them on an ongoing basis for wellness care. There is a big difference. If a person has gone once or twice in their lifetime and qualifies as a statistic is different from the person that comes in on a regular basis for wellness care.
Funding home care and long-term care is fast becoming the main challenge of our outdated medicare system.The system was developed in the mid-20th century for a young population that mostly required acute care from hospitals and physicians. But that need is changing rapidly with our aging population.
“But what do you actually do?”
My experience early in my career and what I have heard from some of the chiropractors I’ve mentored have led me to believe that the associateship model of practice is flawed.  
Editor’s note: Founding editor Dr. Ian Horseman has written this guest editorial in honour of the magazine’s 20th anniversary. Regular column by the editor resumes in the next issue.
The world was shocked when news of the death of yet another legendary music icon broke last week. Prince, who was well known for hits like "Kiss" and "When Doves Cry," was found dead in his home in Minneapolis.
Wouldn’t you agree that many chiropractors believe that prevention of spinal problems is an important part of practice? Although this is a really noble idea, I have to admit that even I believe this is not creating the opportunities we need to service a greater part of the population.

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