The Patient Nodded – But Did Your Message Stick?
Your Practice / Business

The Patient Nodded – But Did Your Message Stick?

The Most Important Questions Are Still Waiting to Be Asked

A patient sits through a careful report of findings. You explain what you think is happening, what you can and cannot do, and what the next several weeks may look like. The patient nods. They say they understand. Then they leave with a completely different interpretation of the conversation. Chiropractic has long placed a premium on patient education. But modern evidence suggests the real objective should be larger than simply delivering information.

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Healthcare / Public Health  |  DIGITAL EXCLUSIVE
Chronology: An Important Factor Dispelling a Causal Relationship With Cervical Manipulation

For an unsuspecting consumer, medical doctor or attorney, the sequence may appear obvious: “I had my neck adjusted and then had a stroke.” A physician encountering the case after the fact may see the same temporal relationship. And in a legal proceeding, the fact that treatment preceded the stroke can become a particularly powerful narrative. But a chronological reconstruction can tell a very different story.

John T. Salvucci, Esq.
Billing / Fees / Insurance  |  DIGITAL EXCLUSIVE

A federal lawsuit challenging the American Medical Association’s (AMA) control of the Current Procedural Terminology (CPT) code set could have a practical consequence for doctors of chiropractic and other healthcare providers: potentially less costly and more open access to the coding infrastructure used by their practices, billing companies and software vendors. The complaint asks the court to declare that PRA can reproduce and publish the CPT code set without infringing the AMA’s copyright.

Dynamic Chiropractic Staff
And How to Become the Provider AI Recommends Most

Patients are no longer just searching; they are asking. Consumers increasingly use AI-powered platforms such as ChatGPT, Google Gemini and Perplexity to ask complete questions in conversational language. Instead of typing “chiropractor Miami,” patients may ask, “What is the best nonsurgical treatment for sciatica?” or “Who helps pregnant women with low back pain near me? This shift represents one of the biggest changes in healthcare marketing since the rise of Google itself.

Mark Sanna, DC, ACRB Level II, FICC
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Your Practice / Business  |  DIGITAL EXCLUSIVE

Branding is crucial for attracting new patients as a chiropractor because it establishes a strong and memorable identity that builds trust and resonates with potential patients. According to a study by Nielsen, 59% of consumers prefer to buy products and services from familiar brands they trust.

Carolyn KreuzKamp, BS, MBA

Like education itself, accreditation continues to evolve. Proposed requirements from the U.S. Department of Education (USDE), which recognizes accrediting agencies, are accelerating that change and creating uncertainty. After careful consideration, CCE concluded that these requirements would impose substantial burdens while providing limited to no additional benefit to chiropractic programs, students or the public; and has voted to begin the necessary steps for withdrawing from the USDE recognition process.

Craig S. Little, EdD

As you know, chiropractic physicians are trained to evaluate and manage patients with cervicogenic headaches. Yet we may become overconfident with our diagnosis and misdiagnose the condition if we are not inquisitive during our initial patient interview. This putative case report should be most interesting to our chiropractic specialists, especially those who have earned a DABCI.

James Lehman, DC, DIANM
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Your Practice / Business

Clinical errors are a significant challenge, and nearly every person will experience a diagnostic error in their lifetime. As health care providers, we take an oath to “first do no harm” to our patients. And since it is never our intention to do harm to our patients, it is time the health care industry in general faced the facts of how our actions or inactions are putting our patients in harm’s way.

Scott Munsterman, DC, FICC, CPCO
Chronic / Acute Conditions
Flexor Hallucis Longus Entrapment: Diagnosis, Correction

While excessive pronation is almost always blamed for the development of functional hallux limitus, a frequently overlooked cause of this condition occurs when the flexor hallucis longus tendon gets trapped in the retrotalar pulley located behind the medial malleolus. This condition is particularly common in classical ballet dancers, gymnasts, figure skaters, and soccer players.

Thomas Michaud, DC
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