Proof in Practice: Chiropractic and Acute Low Back Pain Relief

In this episode of The Spinal Chat Podcast powered by the Pennsylvania Chiropractic Association, we delve into the pivotal role of initial chiropractic care for acute low back pain. We examine the highly-cited study 'Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain' from the Journal of the American Medical Association, and present compelling data from Washington State illustrating significantly lower odds of surgery for patients who first see a chiropractor. Additionally, we discuss a comprehensive meta-analysis of spinal manipulative therapy (SMT) to evaluate its effectiveness and safety, revealing modest but meaningful benefits for pain and function with minimal side effects. The episode underscores the importance of considering chiropractic as a first-line treatment option to improve patient outcomes, reduce healthcare costs, and potentially avoid unnecessary surgeries.

00:00 Introduction to The Spinal Chat Podcast

00:49 Deep Dive into Acute Low Back Pain

02:15 The Impact of Initial Treatment Choices

02:33 Evidence from Washington State Study

03:09 Chiropractic Care vs. Surgery

06:54 Effectiveness and Safety of Spinal Manipulative Therapy

11:36 Key Takeaways and Implications

14:24 Conclusion and Cal

All citations are verified from the uploaded JAMA Link

Episode Topic

“Interpreting the Evidence: Spinal Manipulative Therapy for Acute Low Back Pain”

Primary Study Reviewed

Neil M. Paige, MD, MSHS; Isomi M. Miake-Lye, BA; Marika Suttorp Booth, MS; Jessica M. Beroes, BS; Aram S. Mardian, MD; Paul Dougherty, DC; Richard Branson, DC; Baron Tang, PT, DPT; Sally C. Morton, PhD; Paul G. Shekelle, MD, PhD

Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis.

Link to article: JAMA. 2017;317(14):1451-1460. https://doi.org/10.1001/jama.2017.3086

Excerpted from uploaded PDF†jama_paige_2017_oi_170024.pdf†L1-L40

PCA Website: https://pennchiro.org/

Contact the PCA: [email protected]

Unlocking Student Loan Forgiveness for Chiropractors with Dr. Ian Hoffman

Episode Summary

In this episode of The Spinal Chat Podcast, PCA Executive Director Mike Barba sits down with Dr. Ian Hoffman, president of the Healthcare Access Project, to explore one of the most potent and underutilized financial opportunities available to chiropractors: Public Service Loan Forgiveness (PSLF).

Chiropractors carry some of the highest student loan burdens in healthcare. Yet many remain unaware that PSLF is not only available to them but can also eliminate remaining student loan balances through income-driven repayment and qualifying nonprofit work.

Dr. Hoffman shares his personal journey using PSLF, explains how chiropractors can create a nonprofit branch within their existing practice, and outlines the exact steps needed to qualify. He also highlights real success stories, including chiropractors who have already achieved complete loan forgiveness through these pathways.

If you’re a chiropractor, student, associate, or clinic owner looking to reduce or erase student loan debt, this episode is essential listening.

00:00 — Introduction and Exciting Announcement: Mike sets the stage for a significant financial opportunity for chiropractors.

00:10 — Meet Dr. Ian Hoffman: Background on Dr. Hoffman and the Healthcare Access Project.

00:42 — Understanding Public Service Loan Forgiveness (PSLF): What PSLF is and why chiropractors qualify.

01:22 — Dr. Hoffman’s Personal Journey: How he used PSLF and why he teaches others to do the same.

04:26 — Starting a Nonprofit for Loan Forgiveness: How to build or integrate a nonprofit arm within your practice.

08:30 — Employee Attraction and Retention Strategy: Why nonprofit pathways help you hire and keep staff.

13:51 — Navigating the PSLF Requirements: Exact steps, timelines, and compliance details.

17:00 — Success Stories and Impact: Real chiropractors who have wiped out their student loans.

22:21 — Advice for Students and New Graduates: What every DC entering the profession should know.

29:01 — Conclusion and Partnership Announcement: How PCA and Healthcare Access Project are working together.

Learn more about the Healthcare Access Project: Register Here

PCA Website: https://pennchiro.org/

Contact the PCA: [email protected]

Chiropractic student loans, student loan forgiveness for chiropractors, PSLF for chiropractors, Public Service Loan Forgiveness, nonprofit chiropractic practice, chiropractic career pathways, IDR student loan plans, chiropractor debt elimination, Healthcare Access Project, PCA strategic partner, chiropractic financial planning, chiropractic practice management, student loan solutions for chiropractors

Debunking the Myth: Chiropractic Care and Cervical Artery Dissection

In this 'Deep Dive' episode of PCA Spinal Chat, the official podcast of the Pennsylvania Chiropractic Association, the hosts explore the controversial topic of neck pain, chiropractic care, and its alleged risk of causing cervical artery dissection (CAD). They examine a recent systematic review and meta-analysis that investigates the purported link between cervical manipulation and CAD. Despite finding a statistical association, the study's overall evidence quality is very low, primarily due to issues such as confounding factors, recall bias, and misclassification. The episode discusses critical findings from various studies, including the influential Cassidy study, which suggests that the apparent link is likely due to patients seeking care for pre-existing symptoms rather than the treatment causing the dissection. Ultimately, the hosts emphasize the importance of challenging widely held medical beliefs and the need for critical evaluation and evidence-based practice in healthcare.

00:00 Introduction to PCA Spinal Chat

00:05 Exploring Neck Pain and Chiropractic Care

00:14 Understanding Cervical Artery Dissection (CAD)

02:16 The Study: Separating Fact from Fear

02:35 Analyzing the Evidence

05:18 Confounding Factors and Misinterpretations

06:49 The Cassidy Study: A Crucial Insight

08:44 Weaknesses in the Reviewed Studies

10:39 Applying Hill's Criteria for Causation

13:19 Conclusion and Final Thoughts

14:54 Closing Remarks and Resources

Study Title: Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation

Authors: Ephraim W. Church, Emily P. Sieg, Omar Zalatimo, Namath S. Hussain, Michael Glantz, Robert E. Harbaugh

Journal: Cureus 8(2): e498 (2016)

DOI: https://doi.org/10.7759/cureus.498

PCA Website: https://pennchiro.org/

PCA Email: [email protected]

PCA Deep Dive: The Impact of Chiropractic Care on Opioid Use in Older Adults

In this episode of The Spinal Chat Podcast, powered by the Pennsylvania Chiropractic Association, the hosts discuss a landmark 2022 study published in Chiropractic & Manual Therapies. The study examines the association between chiropractic care and the use of prescription opioids among older Medicare beneficiaries with spinal pain. The episode covers the study's methodology, key findings, and broader implications, highlighting that early chiropractic care can significantly reduce the likelihood of opioid prescriptions. The discussion highlights the importance of non-pharmacological treatments as safer alternatives, particularly for older adults, and advocates for the greater implementation of evidence-based chiropractic practices.

00:00 Introduction to The Spinal Chat Podcast

00:43 Understanding the Opioid Crisis in Older Adults

01:16 The Landmark Study: Chiropractic Care vs. Opioid Use

04:48 Study Methodology and Data Analysis

07:24 Key Findings: Impact of Chiropractic Care

08:50 Timing Matters: Early vs. Delayed Chiropractic Care

10:20 Broader Implications and Economic Benefits

12:07 Study Limitations and Researcher Confidence

13:59 Final Thoughts and Takeaways

15:40 Closing Remarks and Call to Action

Study Title: Association between chiropractic care and use of prescription opioids among older Medicare beneficiaries with spinal pain: a retrospective observational study

Authors: Whedon JM, Uptmor S, Toler AWJ, Bezdjian S, MacKenzie TA, Kazal LA

Journal: Chiropractic & Manual Therapies (2022) 30:5

DOI: https://doi.org/10.1186/s12998-022-00415-7

PCA Webste: https://pennchiro.org/

Contact the PCA: [email protected]

Integrating CBD into Chiropractic Care: Insights from Stirling Professional CBD

In this episode of The Spinal Chat Podcast, PCA Executive Director Mike Barba interviews Joe Kryszak, President of Stirling Professional CBD, a strategic business partner of the PCA. They discuss the science, benefits, and practical uses of CBD in chiropractic practice. Joe outlines how Stirling’s high-quality, clinical-grade CBD products are designed specifically for healthcare professionals and highlights their unique solventless extraction process, robust third-party testing, and comprehensive staff education. The episode emphasizes the importance of having well-trained staff for successful CBD integration and explores the financial benefits of incorporating CBD products into chiropractic offices. Joe also introduces new products, such as Methylene Blue, and shares insights into Stirling's commitment to medical-grade quality and patient care.

00:00 Introduction to The Spinal Chat Podcast

00:05 Meet Joe Kryszak of Stirling Professional CBD

01:42 The Science and Benefits of CBD in Chiropractic Care

03:32 Sterling Professional's Unique Approach to CBD

05:48 Education and Training for Chiropractic Staff

06:30 Success Stories and Practical Applications

07:21 Sterling Professional's Product Line and Quality Assurance

16:47 New Products and Future Directions

18:19 Final Thoughts and Partnership Opportunities

19:39 Conclusion and Call to Action

Stirling Professional Website: https://stirlingprofessional.com/

Email Joe: [email protected]

YouTube Link: https://www.youtube.com/watch?v=Z_ZbkR2vVsQ

PCA: https://pennchiro.org/

Email the PCA: [email protected]

Exploring Impact Health Sharing: A Cost-Effective Solution for Chiropractors

In this episode of The Spinal Chat Podcast, PCA Executive Director Mike Barba interviews Patrick Maser from Impact Health Sharing, a nonprofit platform offering an affordable alternative to traditional health insurance. Dr. Keith Miller, former PCA President, shares his positive experience using Impact Health in his practice. They discuss how Impact Health can significantly reduce costs, provide comprehensive coverage, including chiropractic care, and offer unique benefits such as healthcare credits. The discussion highlights its transparency, ease of use, and potential for broad adoption within the chiropractic community.

00:00 Introduction to The Spinal Chat Podcast

00:05 Spotlight on Impact Health Sharing

00:43 Interview with Patrick Maser

01:55 How Impact Health Works

03:56 Benefits of Chiropractic Care

04:39 Becoming a Member of Impact Health

10:58 Dr. Keith Miller's Experience

19:30 The Importance of Diversifying Payment Sources

22:03 Conclusion and Call to Action

To learn more about Impact Health Sharing: https://www1.impacthealthsharing.com/?referral_id=02251386

Your Exclusive Referral Code: 02251386

Use this code for PCA member exclusive benefits and pricing.

Impact Health representatives:

Richard Voelker: [email protected]

Trey Voelker: [email protected]

YouTube Link: https://www.youtube.com/watch?v=RDFBlLIxPO4

PCA: https://pennchiro.org/

Email the PCA: [email protected]

Harnessing the Power of Jane: Revolutionizing Chiropractic Practice Management

In this episode of The Spinal Chat Podcast, hosted by the Pennsylvania Chiropractic Association, we explore the significant benefits of the Jane App, an advanced EHR and practice management platform tailored for modern chiropractic clinics. Dr. Paul Roscioli shares a glowing testimonial about how Jane has enhanced his practice, while PCA Executive Director Mike Barba and Jane expert Joel Medeiros delve into the platform’s comprehensive features, demonstrating its user-friendly, customizable interface. They discuss functionalities like charting, online booking, billing, patient communication tools, and the innovative AI scribe feature. The episode also covers the seamless onboarding process and highlights integrations with other services to streamline chiropractic professionals' operations. Special promotional offers for PCA members and guidance on transitioning to the Jane App are also provided, making this a must-listen for chiropractors seeking efficient, integrated practice management solutions.

00:00 Introduction to The Spinal Chat Podcast

00:45 Dr. Paul Roscioli's Testimonial on Jane App

03:03 Mike Barba Introduces Jane App Features

03:52 Jane App's User-Friendly Interface and Support

05:56 Patient Booking and Communication Tools

14:41 AI Scribe and HIPAA Compliance

18:51 Onboarding Process and Support

21:24 Scheduling and Administrative Features

22:29 Booking Appointments and Managing Schedules

23:08 Exploring the Day View in Jane

24:27 Accessing and Utilizing Reports

26:41 Transitioning to Jane and Handling Insurance

29:41 Jane's Integrations and Add-Ons

35:07 Future Features and Community Engagement

38:00 Final Thoughts and Special Offers

Jane Website: https://jane.app/

Book a Demo with Jane: https://jane.app/en-US/demo

PCA: https://pennchiro.org/

YouTube Video: https://www.youtube.com/watch?v=4b5-u9zN0-w&t=2219s

Maximize Your Membership Benefits with PCA General Counsel Jason Martin

In this episode of The Spinal Chat Podcast, PCA General Counsel Jason Martin breaks down a variety of member legal benefits available through the Pennsylvania Chiropractic Association. He covers the 'Ask a Lawyer' portal, a series of PCA-exclusive webinars on topics such as legal issues in chiropractic practice, buying and selling a practice, multidisciplinary practices, and HIPAA compliance. Jason emphasizes the importance of these resources for staying informed and legally protected. Additionally, he previews an upcoming webinar on hiring foreign administrative assistants and mentions an upcoming PCA Coding and Compliance Seminar. Stay tuned for more details on how these benefits can support your chiropractic practice.

00:00 Introduction to The Spinal Chat Podcast

00:21 Meet Jason Martin: PCA General Counsel

00:40 Ask a Lawyer: Legal Support for PCA Members

01:24 Exclusive Webinars for PCA Members

02:15 Webinar Topics Overview

06:33 Upcoming Webinars and New Topics

08:26 PCA Coding and Compliance Seminar

09:20 Conclusion and Call to Action

PCA: https://pennchiro.org/

YouTube: https://www.youtube.com/watch?v=X160HuH-y8A

Martin Law Firm: https://jbmartinlaw.com/

Innovations in Chiropractic Care: Foot Levelers' Legacy and Future with Jamie Greenawalt

In this episode of The Spinal Chat Podcast, PCA Executive Director Mike Barba interviews Jamie Greenwalt, President of Foot Levelers. They discuss the company's 73-year legacy, founded by a chiropractor, its commitment to innovation, and its significance in the chiropractic community. Jamie shares her personal journey, the impact of Foot Levelers' orthotic products, and the introduction of advanced 3D scanning technology for custom orthotics and pillows. They emphasize the integral role of Foot Levelers in enhancing patient outcomes, supporting chiropractors, and promoting whole health. The episode also highlights practical advice for young chiropractors on integrating Foot Levelers into their practice and the benefits of building patient trust.

00:00 Introduction to The Spinal Chat Podcast

00:41 Meet Jamie Greenwalt of Foot Levelers

00:59 The Legacy and Innovation of Foot Levelers

03:31 The Importance of Chiropractic in Foot Levelers' Mission

07:30 Advanced Technology in Orthotics and Chiropractic Care

12:07 Building Trust and Patient Relationships

15:22 Advice for Young Chiropractors

19:48 Why Choose Foot Levelers?

22:29 Conclusion and Call to Action

Foot Levelers': https://www.footlevelers.com/

YouTube Link: https://www.youtube.com/watch?v=3HB8Wst8_uc

PCA: https://pennchiro.org/

Email the PCA: [email protected]

September President’s Update with Dr Andrew Heck: Pennsylvania Chiropractic Association

In this episode of the Spinal Chat Podcast, PCA President Dr. Andrew Heck provides updates on the association's recent legislative efforts, particularly focusing on House Bill 1106, known as the Delegation Bill. Dr. Heck discusses the bill's progress, recent meetings with various legislative bodies, and the steps needed to become law. He also provides information on other key legislative priorities, including copay legislation and scope-of-practice updates. Listeners are encouraged to support these efforts by engaging with local elected officials and joining the PCA.

00:00 Introduction to the Spinal Chat Podcast

00:25 Legislative Updates and House Bill 1106

01:12 Meetings and Progress on House Bill 1106

03:27 Future Steps and Legislative Process

05:51 Conclusion and Call to Action

PCA: https://pennchiro.org/

Email PCA: [email protected]