Business Talk: Are you worth it?

Business Talk: Are you worth it?

Getting patients (and you) to value your work

The pros and cons of studying Chiropractic abroad

The pros and cons of studying Chiropractic abroad

Studying abroad results in a more informed and knowledgeable graduate with diverse experiences.

Rethinking subluxation

Rethinking subluxation

An attempt to identify what it is that makes chiropractic valuable

If you have ever broken an arm and had to wear a cast or splint for a few weeks, you will be familiar with the alarming loss of muscle and uneasy feeling of weakness experienced after removing your cast.
I’ve been practicing chiropractic for a long while now and I have a confession to make: Sometimes as I head into the office, I secretly wish every patient to come through my door will have nothing to complain about. They will all be happy, healthy people who are just in for a tune-up. I’ll give them a few adjustments; they’ll leave with a skip in their step and a feeling that all is right in their world.
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.
It is now accepted that sport-related concussion can have a direct and significant effect on the functional status of the brain, but recent research from our laboratory has demonstrated that the heart is also significantly affected.
A new study published in the Journal of Chiropractic Education reveals that both pre-clinical and clinical students, and pre-clinical and clinical DC faculty harboured anti-obesity attitudes and moderate anti-obesity beliefs. 
CHICAGO—Half of Americans (50%) report suffering from chronic pain lasting three months or longer, according to a recent Harris Poll commissioned by the American Osteopathic Association. More alarming, unless early intervention is prioritized, patients may suffer indefinitely, say osteopathic physicians who specialize in pain management.
UNIVERSITY PARK, PA—Trying to suppress worries during a health scare, like the recent Zika outbreak, may lead to an ever-intensifying cycle of emotional suppression and fear, according to a team of researchers.
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.
The objective of this systematic review and meta-analysis was to quantify the magnitude of effect of neural tissue management (NTM) on pain and disability in patients with chronic musculoskeletal pain.
In what researchers state is the first pilot clinical trial to assess the effects of resveratrol on pain severity and levels of inflammatory biomarkers in patients with mild to moderate knee osteoarthritis, the scientists compared treatment with a nonsteroidal anti-inflammatory drug (NSAID) combined with either resveratrol or placebo over 90 days.
A new study in the journal Rheumatology indicates that being exposed to secondhand smoke in childhood could increase the risk of someone developing arthritis as an adult.
Cervical radiculopathy describes radiating pain into the arm corresponding to a dermatomal pattern. Radiculopathy is, by definition, a neurological state characterized by limited or blocked nerve conduction and differentiated from radicular pain, wherein the compression can be caused by the cervical disc, degenerative changes or simple inflammation.
Some people respond well to both aerobic exercise and strength training, while others don't. And some of us respond well to only one of those things, but not both. Scientists at Joslin Diabetes Center now have uncovered a surprising molecular "switch" that may help to explain this lack of response to exercise and to give clues to better treatments against diabetes.
Could increasing your physical activity or feeling more in control of your life be the secret to staying young? Employing these simple strategies may help older adults feel younger and that, in turn, could help improve their cognitive abilities, longevity and overall quality of life, according to research presented at the annual convention of the American Psychological Association.
Among convicted offenders, receiving methadone is associated with lower rates of death from external and non-external causes, according to new research published this week in PLOS Medicine by Angela Russolillo of Simon Fraser University, Canada, and colleagues.
Faced with the epidemic of opioid addiction, researchers have been charged with finding other strategies to treat pain. Their efforts largely have focused on nerve cells that transmit pain signals to the spinal cord and brain. But new research, led by scientists at Washington University School of Medicine in St. Louis, shows that targeting receptors on immune cells may be more effective, particularly for chronic pain.
New research on spinal injuries has found that rehabilitation should include the mind as well as the body.
According to a study published in PLoS OnE, modified painDETECT scores indicated that 37% of participants with hip OA and 46% of participants with knee OA had possible neuropathic phenotypes.
INDIANAPOLIS—Soccer players who head the ball more often may be more likely to have balance problems than players who do not head the ball as often, according to a preliminary study released today that will be presented at the American Academy of Neurology's Sports Concussion Conference in Indianapolis July 20 to 22, 2018.
The purpose of this systematic review was to unravel these differences and inconsistent findings by evaluating the research on the effectiveness of mobilization and manipulation for chronic non-specific low back pain
TORONTO—Canada's ban on the main source of artificial trans fats came into effect Monday, making it illegal for manufacturers to use the additive in any food made or imported into the country, as well as in any meals prepared in restaurants.
VANCOUVER—The British Columbia government is working on a provincial pain strategy that would provide greater access to services for chronic conditions such as arthritis, back pain and fibromyalgia, the head of a patients' advocacy group says.
Lower back pain is the greatest source of global disability, ahead of nearly 300 other conditions, leading to huge levels of healthcare costs and suffering. And the effects go far beyond pain, weakness and stiffness – they also have a huge impact the social and family lives of sufferers.
Other than those doctors who “really get it,” nobody enjoys doing re-exams. For most of us in chiropractic, the argument is that we check our patients each time they come in, note changes and alter the program of care accordingly. But standards of practice dictate that there must be somewhere between 12 and 24 visits, evidence of a comprehensive review of the subjective and objective findings as compared to the initial intake and examination.
Cameras watch us almost everywhere we go. We know the internet tracks our searches and purchases, and our smartphones can be used to monitor our activities too. As sociologist David Lyon points out, “this is a culture of surveillance."
For the first time in the U.S., a blood test will be available to help doctors determine if people who've experienced a blow to the head could have a traumatic brain injury such as brain bleeding or bruising.
Communities across Canada have raised money for charity with the help and support of their local clinics and companies like Vitality Depot.
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.
I recently predicted that health data from electronic sources could soon be compiled into a health or wellness report and shared with insurance companies to help them determine who they’ll cover.
In September 2015 I wrote a column called “Business is Life.” In it, I spoke about Sault Ste. Marie, Ont., a town of 75,000 people. They have 10 chiropractors along a two-kilometre stretch of the Great Northern Road.
New patients have their own unique needs and you have some detective work to do. Whether in the patient’s hand on the intake form or yours as you conduct a patient interview, you need to record the answers to the many questions you have about the complaint, which brings them in.  
We’ve heard the term “passive income” many times, but do we really know what it means? Passive income is generating money from a concept or organization that does not require our direct presence. Residual income calculates how much money we have left over after we pay all our expenses.
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?"
OTTAWA—In the past, public health campaigns warning of the harmful effects of drugs delivered one resounding message: Don't do it.
Five years ago, Rachael Kloosterman, an Oshawa, Ont.-born student was living in Peterborough – now she’s working towards a chiropractic degree in sunny Barcelona.
It seems the profession has stayed stable from 2016/2017 – at least when it comes to annual income. But some questions gave way to interesting tidbits about how practice trends are changing, little by little. The current state of the profession raises questions about the scope of practice, the continued rise of multidisciplinary clinics and the buying habits of Canadian DCs.
SAN JOSE, CA/PRNewswire/ -- September 2018 is designated as National Drug-Free Pain Management Awareness Month in the United States: an opportunity to raise public awareness about the dangers of prescription and over the counter (OTC) pain medications.
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.
CUPERTINO, CA—Apple is slowly evolving its smartwatch into a medical device.
This app was designed by Chiropractor-Physiotherapist (and programmer) Dr. Nima Pardisnia.
An overwhelming majority of Americans who have received electrostimulation therapy as a drug-free alternative to treat pain have become firm believers, according to new research.
This series on the neurofunctional operating system has looked at the fundamental challenges faced by practitioners dealing with pain with movement disorders in their quest to answer the two main questions surrounding these conditions: what do we treat, and how?
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.
We used to hate the term subluxation as it applied to chiropractic treatment. That whole “bone out of place” thing just didn’t resonate with us. After all, we are a science- and evidence-based profession. For most of my 39 years in practice, we held firm to the tenant that the purpose of chiropractic treatment was to correct biomechanical dysfunction in the spine and related joints.
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.

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