A National Turning Point: N.J. Board Rejects Insurer Medical X-Ray Rules for DCs
X-ray / Imaging / MRI

A National Turning Point: N.J. Board Rejects Insurer Medical X-Ray Rules for DCs

The New Jersey Board of Chiropractic Examiners has made a precedential decision, concurring with the Association of New Jersey Chiropractors' (ANJC) position paper on chiropractic X-ray guidelines. In plain terms, the board ruled, consistent with the ANJC position, that insurance companies cannot use medical X-ray rules or recommendations, like those written by the American College of Radiology (ACR), to decide whether a chiropractor's X-ray was necessary.

Jeff Randolph, Esq.
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Education & Seminars  |  DIGITAL EXCLUSIVE
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation
CCE to Withdraw From Federal Recognition, Pursue Opportunity for Enhanced Innovation

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
Chronic / Acute Conditions
Treating Fascia, Relieving Severe Musculoskeletal Problems
Treating Fascia, Relieving Severe Musculoskeletal Problems

Fascia is a collagen‑ and elastin‑rich tissue that combines tensile strength with elasticity and possesses its own contractile behavior. When muscle activity begins, mechanoreceptors such as muscle spindles relay rapid feedback to the central nervous system, and this requires fascia with healthy viscosity so that spindle cells, Pacini, and Ruffini receptors can deform and glide normally.

Jeffrey Tucker, DC, DACRB
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Diagnosis & Diagnostic Equip
When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 4)
Supscapularis Syndrome
Supscapularis Syndrome: The Upper-Extremity Analog to Piriformis Syndrome

Subscapularis syndrome is introduced here as a clinically relevant and underrecognized source of upper-extremity pseudo-radiculopathy. Similar to piriformis syndrome, it reflects a functional disorder in which deep stabilizing muscle dysfunction – rather than primary nerve-root compression – drives symptoms that mimic radiculopathy.

Ken Kaufman, DC
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Are You Meeting the Chiropractic Standard of Care?

The term standard of care is a legal term and a medical concept. There is no single, universally recognized standard of care document or authoritative reference. The medical concept defines what practitioners should do in practice. The legal term used determines whether a practitioner failed to meet that expectation. This article examines the standard of care for the doctor of chiropractic.

Mark Balderston, DC, FPSC
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Your Practice / Business  |  DIGITAL EXCLUSIVE
Branding: Is It Necessary for Your Chiropractic Practice?
Branding: Is It Necessary for Your Chiropractic Practice?

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
Chronic / Acute Conditions
An Unrecognized Cause of Toe Pain
An Unrecognized Cause of Toe Pain
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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Headaches & Migraines
Theater Headaches: A Surprising Cause
Theater Headaches: A Surprising Cause

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
Patient Safety: Facing the Facts
Patient Safety: Facing the Facts

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
Carpal Tunnel / Extremities / Neuropathy
Unlock Relief: Nerve Flossing for CTS
Unlock Relief: Nerve Flossing for CTS

It is estimated that 61% of patients with CTS avoid taking surgical options due to postoperative complications and costly surgical procedures. Chiropractic care offers a comprehensive and effective treatment for carpal tunnel syndrome, addressing the condition from multiple angles. Recent studies also have unveiled a game-changing adjunct to chiropractic treatments for CTS: nerve flossing.

Charles Annunziata, DC, CFMP