When Radiculopathy Isn’t Radiculopathy
Diagnosis & Diagnostic Equip

Piriformis Syndrome: The Lower Extremity Blueprint for Myogenic Pseudo-Radiculopathy

When Radiculopathy Isn’t Radiculopathy: A Clinical Series (Pt. 3)

Before introducing subscapularis syndrome as an upper extremity analog, it is essential to revisit piriformis syndrome as a well-established example of myogenic pseudo-radiculopathy. Piriformis syndrome has long served as a clinical exception to disc-centric models of lower extremity pain and provides an important framework for understanding how deep muscular dysfunction can mimic radiculopathy in the absence of nerve root compression.

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Your Practice / Business

Businesses often advertise checklist inspections to encourage customers to enter for services. For example, an auto repair shop may offer a free “50-point engine inspection.” In some cases, the inspections are offered complimentary or used when a customer has already entered for services. This is an example of prevention and early detection of problems; and, to be honest, of increasing business. Currently, we (my interns and I) use a checklist for daily patient visits. The checklist consists of seven primary points.

K. Jeffrey Miller, DC, MBA
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It’s Fragmented and Ineffcient – But Here’s How We Can Modernize It

Continuing education is meant to serve a simple purpose: to help healthcare professionals remain current, competent and responsive to evolving evidence. When done well, it strengthens clinical judgment and improves patient care. When done poorly, it becomes a box-checking exercise that consumes time and resources without delivering meaningful benefit. Unfortunately, for many chiropractors, continuing education has increasingly become the latter.

Blake Graham, DC, MS, CSCS, DACBSP
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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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Diagnosis & Diagnostic Equip
Make Sure You’re Gathering the Right Information to Avoid Diagnostic Errors

Before you go thinking that patient safety is only a hospital issue, think again. The National Academies of Sciences, Engineering, and Medicine have identified the types of clinical errors to include diagnostic errors. They define a diagnostic error as “the failure to establish an accurate and timely explanation of the patient’s health problem(s) or communicate that explanation to the patient.”

Scott Munsterman, DC, FICC, CPCO

A central challenge in creating our identity is that chiropractic is a method of care, not a technique or procedure. This is an important concept for us to promote. Our patients are treated with lifestyle modification, exercise, nutritional supplements, diet and a whole-body approach to accelerate the natural healing process. We are not simply CMT providers.

Donald DeFabio, DC, DACBSP, DABCO

Have you ever seen a new patient, done your workup, explained everything, provided the initial treatment, prescribed some nutritional supplements, given them home exercises or a diet change, and then never seen them again? I posit to you that you may have missed the zebra patient.

Cecilia Duffy, DC, DIBAK
Health & Wellness / Lifestyle

Summer is here and that means vacation time! It also means we will see patients whose vacations did not go well for them physically.  There are reasons the two go together. Consider the following.

K. Jeffrey Miller, DC, MBA
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