Squaring the Geriatric Curve
Anti Aging / Healthy Aging

Squaring the Geriatric Curve

The geriatric curve – the progressive decline in our health, fitness, mental capacity, and overall constitution – graphically appears as a downward sloping line over time. It is a culmination of the effects of sarcopenia, postural deterioration, frailty, and chronic noncommunicable diseases that occur as we age. While aging cannot be reversed, the goal is to reduce the negative slope or “square off” the curve, thus avoiding a steady decline in health. Here are five ways to get your patients started.

Donald DeFabio, DC, DACBSP, DABCO
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Personal Injury / Legal
Court Rules Against No-Fault Insurers - Again
Court Rules Against No-Fault Insurers - Again

New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.

Jeff Randolph, Esq.
News / Profession
Chiropractic at Risk Globally
Chiropractic at Risk Globally

There has long been an attempt by those who are not legitimate doctors of chiropractic to usurp the title of chiropractor from those who have earned their degree from an accredited chiropractic program. This generally happens in countries where the local doctors of chiropractic have yet to pass legislation requiring a degree from an accredited institution. The result is essentially two chiropractic professions. Nowhere is this danger more pronounced than in Japan.

Dynamic Chiropractic Staff
Billing / Fees / Insurance
UHC/Optum Requires Preauthorization for Medicare-Covered Chiropractic Services
UHC/Optum Requires Preauthorization for Medicare-Covered Chiropractic Services

Effective Sept. 1, 2024, UHC/Optum is requiring prior authorization for the following services delivered in office and outpatient hospital settings, excluding services in the home: Medicare-covered chiropractic services (when billed with the AT-modifier), as well as physical therapy (PT), occupational therapy (OT), and speech therapy (ST).

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Samuel A. Collins
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Anti Aging / Healthy Aging
Prevent Hip Fractures by Addressing a Subtle Evolutionary Adaptation
Prevent Hip Fractures by Addressing a Subtle Evolutionary Adaptation

Although a hip can fracture with a fall in any direction, more than 75% of all hip fractures are the result of a sidewards fall, in which the person stumbles and lands directly on the outer side of their hip. Until recently, it’s been unclear as to why lateral falls are so destructive, as people in their 20s do not break their hips when they fall sidewards.

Thomas Michaud, DC
X-ray / Imaging / MRI
When Is Radiographic Imaging Medically Necessary for LBP?
When Is Radiographic Imaging Medically Necessary for LBP?

While working at the Lovelace Medical Center in Albuquerque, N.M., one of the primary care physicians stated that imaging every patient prior to receiving chiropractic was not medically necessary. It was at that point I reconsidered the need for the imaging of every patient to avoid malpractice.

James Lehman, DC, DIANM
Chiropractic (General)  |  DIGITAL EXCLUSIVE
Post-Surgery Chiropractic Reduces Reoperation Risk
Post-Surgery Chiropractic Reduces Reoperation Risk
Recent Study Findings Support SMT's Value

More than 300,000 patients undergo lumbar discectomy each year, approximately 20% of whom experience ongoing lumbosacral radiculopathy (LSR). For most patients, first-line treatment consists of pain medications, spinal injections, cognitive behavioral therapy, and physical therapy. Sadly, lumbar discectomy reoperation is reported at a rate of 6-12% and has a lower success rate than the original sugery.

Dynamic Chiropractic Staff
Featured

Should You Use Cash, Loan or Lease for Equipment Purchases?

Some doctors thrive in a personality-based clinic and have a loyal following no matter what services or equipment they offer, but for most chiropractic offices who are trying to grow and expand, new equipment purchases help us stay relevant and continue to service our client base in the best, most up-to-date manner possible. So, regarding equipment purchasing: should you lease, get a bank loan, or pay cash?

Jamy Antoine, DC, BCN, CFP®
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Education & Seminars
Chiropractic Accreditation: More Alike Than Different
Chiropractic Accreditation: More Alike Than Different

Historically, chiropractors have been challenged by the erroneous perception that chiropractic education standards are low or that they vary from place to place. For the first time, regional chiropractic accreditation standards have been compared, and the findings are astounding. Ultimately, recognizing that global accreditation standards are similar paves the way for patients, payors, and other healthcare stakeholders to increase their value and trust in chiropractic.

Claire Johnson, DC, MSEd, PhD
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Billing / Fees / Insurance  |  DIGITAL EXCLUSIVE
A Groundbreaking Case for the Chiropractic Profession
A Groundbreaking Case for the Chiropractic Profession

On Oct. 21, 2025, a judge in Florida issued a groundbreaking decision in Complete Care v State Farm, 25-CA-1063. It concerns a fact pattern that many chiropractic doctors have faced wherein an insurer, such as State Farm or Allstate, decides to simply stop paying all claims submitted by a healthcare provider.

Michael J. Schroeder, Esq.
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Chiropractic (General)  |  DIGITAL EXCLUSIVE
Chiropractic Spinal Adjustments Have Positive Anxiety and Depression Outcomes
Chiropractic Spinal Adjustments Have Positive Anxiety and Depression Outcomes

When studying the neurophysiology of a chiropractic spinal adjustment (CSA) and its relationship to anxiety and depression, mechanisms are critical. Therefore, one cannot interchange a CSA with a physical therapy manipulation or mobilization, as the mechanism and neurobiochemical processes are different and render different results. Research suggests use of chiropractic as a first-line treatment to manage anxiety and depression could help, while avoiding long-term side effects.

Mark Studin, DC, FPSC, FASBE(C), DAAPM
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Rehab / Recovery / Physiotherapy
Managing the Overhead Athlete: From Cricket to Wallpaper
Managing the Overhead Athlete

Many patients perform repetitive overhead activities in sport and work, earning them the classification of overhead athletes. The literature abounds on treatment protocols for this demographic, and other than the inclusion of acceleration and deceleration activities needed for sport, the principles presented below apply to the wallpaper hanger and hairstylist, too.

Donald DeFabio, DC, DACBSP, DABCO
Diagnosis & Diagnostic Equip
Breathing Mechanics and Low-Tech Assessment: Clinical Pearls
Breathing Mechanics and Low-Tech Assessment

New technology often gives us powerful new improvements in health care. However, such impressive discoveries and inventions are only part of the story. Major innovations in health care can consist of new ways to use the natural gifts of our human senses, minds, and hands.

Charles Masarsky, DC, FICA