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Clinical Skills

Is this a good source?

It sometimes surprises me when fellow clinicians put greater weight in what I would consider a relatively weak source of information as opposed to something more scholarly. I guess it shouldn’t surprise me. Certainly when I was a student I received no training in critical appraisal. Additionally, the markers of quality are not always...
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Doctor – Patient Relationships

In case you were in doubt, there is yet more evidence to support the importance of the doctor-patient relationship. Recently, over 4000 surgical patients from 14 countries were asked to respond to questions relating to their pain management. Results show that patient satisfaction with postoperative pain treatment was related to the pain experience, being...
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Clinical Reasoning in Spine Pain, Volume 1: Review

From our blogger Dr. Robert Cooperstein comes this review of the new text from Dr. Donald Murphy. Donald Murphy has written a book entitled Clinical Reasoning in Spine Pain, Volume I. He authored most of it himself but there is contributed material from Gary Jacob, David R, Seaman, and Steven Heffner. About half an...
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Do you determine the palpatory systolic pressure prior to auscultating to assess blood pressure? Is it really necessary?

This became a topic of conversation among a group of teaching clinicians in the Palmer Clinics in Davenport. We knew what our students were taught and what the text books said, but we were also aware that this was not universally practiced regardless of health care discipline. After sharing our opinions, which were largely...
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CAM for Cancer Patients

Perhaps, because of my experience in a variety of practice settings and in research, a recent article caught my attention. The article, published in the Journal of Complementary and Integrative Medicine, describes a survey of patients at a regional outpatient cancer center in Australia quantifying patient’s use of and attitudes toward complementary and alternative...
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Treatment Tools

I have heard many healthcare professionals indicate that high-velocity low-amplitude (HVLA) procedures applied to the low back region are inappropriate and unsafe for patients with symptomatic lumbar disc herniation. However, research evidence contradicts this sentiment. As an example, a recent study published in The Journal of Manipulative and Physiological Therapeutics describes a clinical trial...
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I want to thank my friend and colleague Richard Branson D.C., Staff Chiropractor at the Minneapolis VA Health Care System, for his recent comment on this blog. Because all of you may not have seen it, and because I think demonstrating the value of chiropractic is so important to the evidence based dialogue, I...
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Evidence-Based Chiropractic, Briefly Described

Over the past few weeks, I’ve had several discussions where evidence-based chiropractic (EBCP) has been discussed. The administration at Palmer College, where I work, committed some time ago to the inclusion of EBCP in our DC curriculum, and I teach a course devoted to a thorough presentation of its concepts. Yet confusion remains, and...
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Resources for the Evidence-Based Practitioner: Textbooks

Like any other area of healthcare, evidence-based practice is simply a set of skills applied to benefit a patient. And like any other set of healthcare skills, it can be learned. However, the EBP movement is relatively new, beginning in the 1980s but really only taking wing in the last 10 years. For those...
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Study shows chiropractic patients with neck and back pain had lower costs

A reader recently posted the following question/comment: “What is the best way to approach primary care providers about evidenced based chiropractic? All I see them doing is opioid prescriptions inappropriate MRI and epidural steroid injections. Seems patients still aren’t much better. Also why don’t private insurers require more evidenced based practices with back and...
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