Low Back Pain Research Jeff Langmaid Low Back Pain Research Jeff Langmaid

Adjacent Segment Disease Stands at 15% for Lumbar Fusion- by The Evidence Based Chiropractor

New research from SPINE shows a 15% cumulative adjacent segment disease rate for patients undergoing posterior lumbar spinal fusions.  Adjacent segment disease is the accelerated degenerative patter often found in the "healthy" vertebrae either above or below a fusion site.   This process and diagnosis can often lead to more surgery. 

Fusions which have an "anchor" site at L5-S1 (the lowest segments of the low back) tend to have slightly less adjacent segment disease than "floating" fusions without the anchor site.  Also, it is important to note that they found over 40% of patients experienced continued or recurrent back pain, and over 28% experienced continued or recurrent radiculopathy.  These are just a few reasons why it is imperative to exhaust every conservative care option prior to surgical intervention.  

J Neurosurg Spine. 2014; doi: 10.3171/2013.12.SPINE13789

 

JOIN US BY THE END OF THE MONTH AND RECEIVE ZIP CODE EXCLUSIVITY AND A 30 MINUTE IMPLEMENTATION CALL IN ADDITION TO IMMEDIATE ACCESS TO OUR MEMBERS VAULT AND YOUR CUSTOMIZED MONTHLY MD RESEARCH BRIEFS.  MEMBERSHIPS STARTS AT $25 WITH NO CONTRACT!

 

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

 

 

Read More
Medications Jeff Langmaid Medications Jeff Langmaid

New Warning Labels for Epidural Steroid Injections- by The Evidence Based Chiropractor

The FDA recently announced that injectable corticosteroids must carry an updated label which outlines the risks of severe side effects.  These severe risks, while rare, are death, stroke, permanent blindness and paralysis.  

After reviewing medical literature and their own adverse event database, the FDA decided the risks were great enough to cause an update to labeling. 

 

JOIN US BY THE END OF THE MONTH AND RECEIVE ZIP CODE EXCLUSIVITY AND A 30 MINUTE IMPLEMENTATION CALL IN ADDITION TO IMMEDIATE ACCESS TO OUR MEMBERS VAULT AND YOUR CUSTOMIZED MONTHLY MD RESEARCH BRIEFS.  MEMBERSHIPS STARTS AT $25 WITH NO CONTRACT!

 

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

Read More
Chiropractic, Low Back Pain Research Jeff Langmaid Chiropractic, Low Back Pain Research Jeff Langmaid

MRI Findings Correlated with Pain Levels? - by The Evidence Based Chiropractor

Exciting new research is examining an algorithmic relationship between "% MRI Index" and Pain Levels in Chronic Low Back Pain.  This research was recently released by SPINE Journal and highlighted for our members as a part of their April 2014 Monthly MD Research Brief. For fast, affordable, easy to understand AI-powered MRI reports, visit ReadMyMRI.com today.

JOIN US BY THE END OF THE MONTH AND RECEIVE ZIP CODE EXCLUSIVITY AND A 30 MINUTE IMPLEMENTATION CALL IN ADDITION TO IMMEDIATE ACCESS TO OUR MEMBERS VAULT AND YOUR CUSTOMIZED MONTHLY MD RESEARCH BRIEFS.  MEMBERSHIPS STARTS AT $25 WITH NO CONTRACT!

 

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

Read More
Chiropractic, Chiropractic Marketing Jeff Langmaid Chiropractic, Chiropractic Marketing Jeff Langmaid

Doctors Pay Made Public- by The Evidence Based Chiropractor

Today is a landmark day as physician pay totals from CMS (Medicare) have been made public.  This was bitterly opposed by the American Medical Association, however, their lobbying dollars couldn't stop the 'freedom' of information.  

At nearly 1 million rows of Excel content, the list is quite challenging to sort through.  It contains the payment information for services rendered in 2012.  Additionally, it touches on the services billed, number of Medicare patents, physician name, physician address, NPI, and submitted charges.  Arguably, this is actually valuable information for the public to have.  They will now be able to identify those physicians who are running medical "mills"; where services are standardized and done in overwhelming volume.  

Some early data miners have found that over 4,000 physicians received payment of over $1 million dollars in 2012 from Medicare.  Also, a Florida Ophthalmologist received $21 million dollars for services rendered in 2012.  

In my opinion, transparency regarding payment of health care services is a good thing.  Chiropractic care is cost-effective, safe, and effective.  When new organizations start "outing" physicians who are doing invasive work for extreme prices, this will inevitably start to push the pendulum even further towards diagnosis and outcome based reimbursement models.  

If you or your patients have interest, the list is available here- https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-Supplier.html

 

 

 

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

Read More