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Author Archive

Red Flag Challenges

November 10, 2017
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Clinical guidelines for spine care routinely recommend screening for red flags because they potentially indicate serious conditions often requiring prompt and specific management. Verhagen and colleagues reviewed 16 clinical guidelines for low back pain including those from North America, Australia, Europe, and Pacific region countries revealing 46 recommended red flag signs or symptoms indicating...
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Connecting with patients, detaching from outcome

October 10, 2017
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In a recent study authored by Janisse and colleagues, physicians rated highest in patient satisfaction described how they think about role and relationship with patients . Each example offered in the article describes events that prompted and enabled transformed thinking, which resulted in improved communication and patient satisfaction. One physician experienced significant mental/emotional energy...
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Your job is NOT to do your thing

September 8, 2017
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The title of this post may seem counterintuitive or even provocative, but it makes sense when viewed from a certain perspective. In a study of highly rated physicians, one physician serves as an example of someone who fundamentally reversed how they thought about their role, leading to improved communication and patient satisfaction. Despite concerted...
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Rethinking purpose

August 11, 2017
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In a recent article, authors Tom Janisse and Karen Tallman described a study reporting key traits of physicians rated highest by patients . These characteristics are expressed typically through interpersonal communication methods, but they are rooted in fundamental ideas about how providers think. This study uncovered personal experiences that helped transform physician’s ways of...
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Low back pain and respiratory disorders

July 10, 2017
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Researchers in Belgium reported an association between respiratory disorders and low back pain in a recent article published in the journal Manual Therapy. Analyzing data collected from 16 clinical trials, investigators concluded a significant relationship existed between dyspnea, asthma, some allergies, respiratory infections and low back pain. No relationship was found between chronic obstructive...
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Patients sometimes avoid care because of their doctor

June 12, 2017
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Why patients don’t seek care may be revealed in results from a study that interviewed 93 participants over age 65 who were asked about their experience with restricting back pain. Questions probed for beliefs, behaviors, coping mechanisms, emotional effects, and experiences with doctors. The full study results are reported in the journal BMC Geriatrics.1...
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Spinal manipulation and cervical disc herniation

May 12, 2017
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A recent article published in the Journal of Manipulative and Physiological Therapeutics reports findings of a study evaluating treatment costs, pain reduction, and overall improvement for patients with symptomatic cervical disc herniation (1). In this study, patient databases within a European orthopedic/rheumatology university hospital were searched. Clinical outcomes and cost of care for 52...
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Cost-effectiveness and musculoskeletal chest pain

April 13, 2017
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Researchers recently published results from a study analyzing costs associated with musculoskeletal chest pain.(1) In this study, authors studied participants in Denmark who were candidates for chiropractic care and also reported a primary complaint of acute chest pain. Patients with a cardiac, pulmonary, or other internal diagnosis for chest pain, and those with other...
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Is it neurogenic or vascular claudication?

March 10, 2017
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Intermittent claudication is commonly caused by 2 distinctly different but similarly presenting conditions that can be hard to differentiate clinically: spinal stenosis and vascular insufficiency from peripheral artery disease. The Canadian Journal of Surgery published a study reporting the diagnostic value of symptom combinations in accurately distinguishing between spinal stenosis and arterial disease (1)....
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The art of being a doctor

February 10, 2017
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Research, through inquiry, testing, and discovery provides the scientific basis for what we know as doctors. But what about the art? Even with right evaluation and treatment decisions, care can be miserably unsuccessful due to unsatisfactory interpersonal interactions. To this end, an article published in the journal Family Practice Management condenses the art of...
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