3 essential elements of a well-composed intake form

3 essential elements of a well-composed intake form

The intake form you use with all of your new patients is more than just the first piece of paper that your patient touches.

Researching medical marijuana as feds rush to expand legal framework

Researching medical marijuana as feds rush to expand legal framework

A Q+A with Dr. Jason Busse, D.C. and associate professor at McMaster University’s Department of Anesthesia Research. Busse co-leads one of the country’s leading medicinal cannabis research programs.

Research Review: Pain in the neck

Research Review: Pain in the neck

Headaches (HA) originating from the neck are one of the most common associated symptoms of neck pain (NP).

Business Talk: Expenses are expensive

Business Talk: Expenses are expensive

Stay healthy and take on only what you can

A new study comparing the health outcomes of more than 300,000 Medicare patients who completed rehabilitation therapy after hospitalization for hip fractures found that more care may not translate to better long-term health.
In the old days, pain was pain, and there was not a lot of differentiating on the best way to treat it. Then came along powerful morphine in the late 1800s, and more than a century later, powerful opioid painkillers. Marketing by opioid manufacturers led many people to believe, several lawsuits claim, that there were few downsides to using powerful opioids to treat pain. Well, we know differently now.
Too often, chiropractors label a patient’s condition in a way that does not provide specific information about the nature of their dysfunction. Terms like bursitis, tennis elbow, jumpers knee  – even more general terms like low back pain, neck pain, and sciatica do little to define the nature of the injury.
Building on the concept of neuroreality, which explains how our experience of the world is not the reflection of an objective reality, but a construct of our brains built with intrinsic and extrinsic stimuli.
In my previous article (April 2018) I presented and discussed the concept of “neuroreality” as the most accurate science-based conceptual foundation available to approach the understanding of “pain with movement” disorders.
Three centuries ago, in 1710, the Irish philosopher George Berkeley proposed this famous thought experiment: “If a tree falls in a forest and no one is around to hear it, does it make a sound?” He used this question to discuss his philosophy of “immaterialism,” which argued that perception creates reality and that nothing exists outside our minds.
i recently had the opportunity to travel to Mumbai for the Sant Nirankari Mission, a five-day spiritual event attended by millions of devotees from different parts of India.
Despite claims that helmets do not protect the cervical spine during a motorcycle crash and may even increase the risk of injury, researchers from the University of Wisconsin Hospitals and Clinics in Madison found that, during an accident, helmet use lowers the likelihood of cervical spine injury (CSI), particularly fractures of the cervical vertebrae. These findings appear in a new article published in the Journal of Neurosurgery: Spine, "Motorcycle helmets and cervical spine injuries: a 5-year experience at a Level 1 trauma center," written by Dr. Paul S. Page, Dr. Zhikui Wei, and Dr. Nathaniel P. Brooks.
Nearly every minute, a woman dies from heart disease in the United States – it is the number one killer of women, causing one in three deaths each year, according to the American Heart Association (AHA).
Opioid cessation in non-cancer pain may be more successful when depression is treated to remission, a study from Saint Louis University in Missouri shows.
HAMILTON, Ont. – The type of needle used during a lumbar puncture makes a significant difference in the subsequent occurrence of headache, nerve irritation and hearing disturbance in patients, according to a study by Hamilton medical researchers.
A new study has revealed that chiropractic care is improving low-back pain among female veterans, according to the American Chiropractic Association (ACA). Female veterans are one of the fastest growing populations receiving treatment through the Veterans Administration (VA) health care system in the U.S.
Lumbar disc herniation (LDH) is considered one of the most recognizable and clinically challenging sources of low back pain (LBP).
UNIVERSITY PARK, PA—When migraine sufferers see the tell-tale squiggly lines, light flashes and blind spots of a migraine aura, they prepare for a migraine. When researchers see the brain image of an aura, they try to figure out what causes it and if there is a way to stop the start of the migraine. Now an international team of researchers has identified the electrical activity specific to the start of migraines and demonstrated a way to stop it in animal experiments.
Osteoarthritis present with earlier worsening of knee structure and poorer patient-reported and physical function measures, including a decline in walking speed, compared with individuals who have a more common, gradual onset of knee OA, according to the results of a longitudinal analysis of data from the Osteoarthritis Initiative published in Arthritis Care & Research. | READ MORE
Osteoarthritis (OA) is the most common arthropathy of the hand, and current treatments carry risks of adverse events.
Doctors are increasingly prescribing a class of drugs for low back pain as they look for alternatives to addictive opioids, despite evidence the drugs are largely ineffective and carry substantial risks, according to new research.
Movement is the most common final output of nervous system activity and is essential for survival.
Is treating the diaphragm the key to relieving chronic pain in the lower back?
OTTAWA—Science is that much stronger when diverse ideas are welcomed. When Canada's research community has a say in the development of new programs that support it, our researchers are able to discover and innovate in ways that have a profound impact on our health, environment, economy and communities.
For scientists, pain has long presented an intractable problem: it is a physiological process, just like breathing or digestion, and yet it is inherently, stubbornly subjective—only you feel your pain. It is also a notoriously hard experience to convey accurately to others.
Researchers previously showed that overweight and obese individuals with knee osteoarthritis can reduce pain by 50% and significantly improve function and mobility with a 10% or more weight loss over an 18-month period. The investigators' latest findings, which are published in Arthritis Care & Research, reveal that a 20% or more weight loss has the added benefit of continued improvement in physical health-related quality of life along with an additional 25% reduction in pain and improvement in function.
Hormonal and reproductive factors are correlated with the risk for knee osteoarthritis (OA), an effect that was significant in non-obese women both at early reproductive age and during midlife, according to a study recently published in Arthritis & Rheumatology.
CHARLOTTESVILLE, VA—Researchers from The Sport Science Center at Texas Christian University, Texas Health Sports Medicine, and the University of Wisconsin–La Crosse evaluated the usefulness of biomarker testing in determining the potential extent of brain trauma suffered from repetitive subconcussive head impacts sustained over the course of a college football season. Their findings are reported today in the Journal of Neurosurgery, in the article "Fluctuations in blood biomarkers of head trauma in NCAA football athletes over the course of a season" by Jonathan M. Oliver, Ph.D., and colleagues (https://thejns.org/doi/full/10.3171/2017.12.JNS172035).
A man known for skiing on the edge of danger feels Canadian sport is a safer place.
The vast majority of doctors, naturopaths, dietitians and scientists all agree that having more omega-3 fats in our diet is good for our health.
Results from a UK study have added to the growing body of research that an active lifestyle can help offset the negative health effects of too much time spent sitting, suggesting that those who are fitter and stronger are less likely to be impacted by sedentary time.
Moderate to high intensity exercise does not slow cognitive (mental) impairment in older people with dementia, finds a trial led by a University of Warwick researcher.
Poor sleep quality was linked with less physical activity in an Arthritis Care & Research analysis of individuals with or at risk for knee osteoarthritis.
QUINCY, MA—The last thing Lizabeth Loud, a month from giving birth, wanted was to be forced into treatment for her heroin and prescription painkiller addiction.
In Canada, approximately one in five adults will experience a mental illness in their lifetime, with similar numbers reported in the United States.
In the largest, most up to date study of its kind, researchers from the University of Surrey examined the link between diet and the effective self-management of osteoarthritis. Analyzing 68 previous studies in the field, researchers found that a low-dose supplement of fish oil (one and a half standard capsules) could result in pain reduction for patients with osteoarthritis and help improve their cardiovascular health. Essential fatty acids in fish oil reduce inflammation in joints, helping to alleviate pain.
RESTON, VA—A novel PET tracer developed by Korean researchers can visualize joint inflammation and could provide early diagnosis of rheumatoid arthritis, a common autoimmune disease that causes chronic inflammation of joints and can lead to deformity and dysfunction. The study is reported in the featured basic science article in The Journal of Nuclear Medicine's May issue.
VANCOUVER—A woman whose son fatally overdosed after becoming addicted to the painkiller OxyContin is backing a New Democrat member of Parliament's calls for the federal government to launch a criminal investigation of opioid manufacturers.
Exercise can reverse damage to sedentary, aging hearts and help prevent risk of future heart failure – if it's enough exercise, and if it's begun in time, according to a new study by cardiologists at UT Southwestern and Texas Health Resources.
ANN ARBOR, Mich. – Until now, academic research examining the connection between body weight and related pain has been limited.
The intake form you use with all of your new patients is more than just the first piece of paper that your patient touches. It gives you an opportunity to make a great first impression for both your profession and your professionalism. The intake form becomes the foundation of their clinical record, and by extension, the care you deliver.
When it comes to understanding what makes people tick—and get sick—medical science has long assumed that the bigger the sample of human subjects, the better. New research suggests this big-data approach may be wildly off the mark.
As a chiropractor, you’ve worked tirelessly to improve your patients’ quality of life and build your practice – and then you get a two-star rating on Google. No one likes a bad review and you don’t want it affecting your business.
Toys “R” Us (USA), Sears Canada, and Target Canada. All of these companies had expenses that grossly overshadowed their revenue. As the losses mounted, they did nothing to stop the financial bleeding. When these businesses finally tried to do something, they were in too deep.
In 2017, headlines from across the world showcased hackers targeting multinational corporations, government agencies and charities, among other organizations. As executive leaders recognize the impact of cyberattacks, more organizations are prioritizing security.
Halifax, N.S. — There's a new website aimed at helping Canadians find their ideal chiropractor. Chiropractors.ca has completed its first month of operations, demonstrating encouraging growth. Within its first 30 days, 90 Canadian chiropractors registered their practice profiles with Chiropractors.ca.
In my 36-years in practice I have experienced and gained perspectives from all the different sides of running a practice.
"If a tree falls in a forest and no one is around to hear it, does it make a sound?"
Chiropractic patient communication has been a serious problem over the years and it has caused a lot of issues in not only driving more people to chiropractic offices, but also getting the population as a whole to accept and understand our profession.
Changes to the Ontario employment law have been passed and for small business owners, this is bad news. The Canadian Centre for Economic Analysis was commissioned by the Keep Ontario Working coalition to measure the potential impacts of six key areas of change in Bill 148, including changes to minimum wages, equal pay provisions, vacation, scheduling, personal emergency leave, and unionization.
Health spending in Canada is expected to reach $6,604 per capita this year – or about $200 more per person compared to last year – according to a report released Tuesday by the Canadian Institute for Health Information.
For the people of the City of Nanaimo, the spirit of Christmas is a really big deal.
It’s a scenario that plays out every day in countless chiropractor offices across the country: A patient presents with chronic pain. However, the attending chiropractor finds himself with scarce information about the patient’s medical history.
Have you ever had a conversation with your staff about why they turn up to work? If so, you’ve probably noticed that employees bring different motivations to work each day. Some are just going through the motions and are completely indifferent about their work.
The management of temporomandibular disorders (TMD) and orofacial pain is a complex problem within all health care fields. This complexity arises from the many problems that can be associated with masticatory function. In order to effectively manage TMD and orofacial pain disorders, we must be able to recognize them so correct treatment can be selected.
While "find your passion" is well-intended advice, it might not be good advice.
The federal government’s policy shift to decriminalize and legalize recreational marijuana has spurred increased activity in the research community to build evidence around the benefits, as well as the short and long-term effects of cannabis use.
On June 1, Alberta's updated OHS laws will include clear definitions of harassment, including sexual and domestic violence, and increased protections from violence and harassment – a historic step towards safer workplaces throughout the province.
ARLINGTON, VA.—The American Chiropractic Association (ACA) has elected N. Ray Tuck, Jr., DC, of Blacksburg, Va., as its new president.
UQTR's undergraduate Doctor of Chiropractic degree (DCP) is celebrating its 25th anniversary this year, and the university will host a special continuing education event, which will take place from September 27th to 29th, 2018.
The new CCGI clinical practice guideline on spinal manipulative therapy and other conservative treatments for the treatment of low back pain is now in press in the Journal of Manipulative and Physiological Therapeutics (Bussières et al, in press).
Arlington, VA. — The American Chiropractic Association (ACA) has announced that Congress (with the passage of the Consolidated Appropriations Act of 2018) has approved a plan to expand access to chiropractic's nondrug approach to pain relief to veterans, many of whom suffer from back pain and other musculoskeletal conditions resulting from their service. The vote follows House passage, and the bill now heads to the president's desk for his signature.
Dr. Ken W. Dick established Britannia Chiropractor Clinic in Ottawa more than three decades ago. He since went on to build a successful practice and professional career. His recently published book, Healing Satori, is a culmination of the most important principles he has learned about patient care and helping them achieve optimal health.
HALIFAX – Nova Scotia's persistent family doctor shortage has the province increasingly looking to provide care through collaborative practices – local teams that partner physicians with nurse practitioners, social workers and other health care professionals.
New York, NY—Spine deformities, such as idiopathic scoliosis and kyphosis (also known as "hunchback"), are characterized by an abnormal curvature in the spine. The children with these spinal deformities are typically advised to wear a brace that fits around the torso and hips to correct the abnormal curve. Bracing has been shown to prevent progression of the abnormal curve and avoid surgery. The underlying technology for bracing has not fundamentally changed in the last 50 years.
Back Mechanic guides you through a self-assessment of your pain triggers, then shows you how to avoid these roadblocks to recovery.
Data from a recent University of Toronto study has found that MuscleCare all-natural topical product is as effective as those containing non-steroidal anti-inflammatory drug (NSAIDs). A recent double-blind study also revealed that all- natural Professional Therapy MuscleCare is marginally more effective than Voltaren, which contains Diclofenac NSAID.
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.
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.
I hope you’re all enjoying the summertime sunshine, and hopefully taking a break or two from your practice, research and/or association duties to enjoy what the short season of summer offers us Canadians.
This Jan. 1, Ontario residents who are 24 and younger rang in the new year with a pretty big upgrade to their health care: something called "OHIP+", which gave young people a government insurance plan for prescription drugs.
The longer I practice, the harder it is to give business practice advice because what works for one person doesn’t work for another. Additionally, very few people will discard their old failing ways in exchange for what you recommend for improvement.
I recently had the opportunity to travel to Mumbai, India, for the Sant Nirankari Mission, a five-day spiritual event attended by millions of devotees from different parts of India.
Toronto (Troy Media) – Canadians suffer when important mental health services are unavailable or wait times are too long.
Each year, there are at least one million unnecessary tests, treatments and procedures done in Canadian health-care settings. This means that hundreds of thousands of Canadians are exposed to potential harm by unnecessary care.
I was horrified to see that 47 per cent of our profession is in favour of the move to expand the chiropractic scope of practice to include limited prescription rights. This is according to results from the recent Canadian Chiropractor Practice Trends Survey.
Rising business costs, government mandated minimum wage increases, hikes in chiropractic licence fees, spikes in our association premiums, cut-backs by insurance companies and changes in the auto injury guidelines – these are only some of the barriers chiropractors have to deal with when running their practice. These obstacles are enough to drive the most successful practices out of business.
I write this final column with mixed emotions. I am a little sombre that it is time for me to move on; at the same time feel excited to leave you with my biggest pearls that you can use to create success in your practice.
According to the federal government’s timeline, by the summer of 2018 Canada would have legalized the use of recreational marijuana. This impending legalization is causing anxiety among certain sectors, including the health-care profession – and for good reason.
Many Canadians can hardly wait for the day that the recreational use of marijuana becomes legal. As a medical doctor, I'm far less enthusiastic. I worry about two things: the experimental nature of marijuana in medical practice and the public health consequences of legalized marijuana.

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