Jonathan B. Davis, DC

Rockville Chiropractor | Gaithersburg Chiropractor | Pain Management

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16005 Comprint Cir., Gaithersburg, MD 20877
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8 Reasons Patients Switch Chiropractors

Posted on 06.19.16 |

Whenever I meet with a new patient, I ask them about any previous chiropractic experience they’ve had… It’s important to know if they’ve been to a chiropractor in the past, or if this is their very first experience having their spine adjusted.

They usually have very positive things to say about their past experiences. The reason they’re looking for a different doctor is simply because they moved to a new city, the previous doctor retired, or they’ve developed a new problem that would benefit from a different approach.

Occasionally, however, a particular experience motivates them to seek help elsewhere. When this occurs, I like to learn more about what happened, and why they were dissatisfied.

I’m going to outline some of the more common responses that patients have shared with me over the past 15 years. Before I do, however, I want you to know that this not a reflection of the profession as a whole. The majority of patients love visiting their chiropractor and have favorable overall experiences.

If any of these shenanigans sound familiar, don’t get upset. I’m not suggesting that you need to switch chiropractors. But if you’re ever dissatisfied or uncomfortable with your experience in a chiropractic office, changing doctors is much easier than you might expect.

So, let’s begin…

1) “Required” Care Plans

A very common reason patients have told me they switched chiropractic offices is because of care plans that insist upon a specific number of office visits.

It sounds something like this… “He showed me my x-rays, made a few markings on them, and gave me this packet of information. Then he told me it would take a year to fix my problem and I needed 50+ visits. The only choice I was given was how I wanted to pay for it.”

Can you imagine restaurants refusing to serve you until you agree to eat there every week for a year? What if airlines wouldn’t let you board a plane until you signed a contract that binds you to a specific number of roundtrip flights?

Sounds pretty silly, right? These militant offices expect you to be fully committed to the process. If you aren’t, they won’t “accept you” as a patient. What is this, North Korea?

2) Appointments Were Too Frequent 

Another common reason patients switch chiropractors is because they have to go too often. This typically unfolds in one of two ways.

First, the patient is told they “need” biweekly visits. For some people, this can be an impossible expectation. Having incompatible work hours, or living impractical distances from the office makes receiving the recommended care stressful or inconvenient. So it’s easy to understand why people search for more suitable options if going to/from the office becomes a hassle.

Second, the benefits of the adjustment are short-lived. The adjustments feel great, but each one seems to only last a few weeks. So they begin searching for different ways to manage their problem, and discover that other chiropractic methods could potentially have a longer lasting effect.

(A footnote I’d like to add is that there are many different ways to adjust the spine, and each has its own recommended treatment interval for optimum results. While each has merit, some of these methods require more frequent adjustments than others. It’s up to you to decide what you’re most comfortable receiving.)

3) Didn’t Like the Chiropractor’s Method of Adjusting

Some people find the physical experience of having their spine “popped” quite comfortable, if not pleasurable. Others get weirded out by it, or find it too forceful. One of the most repeated reasons for switching chiropractors that I’ve heard is, “I don’t like having my neck twisted.”

Instrument-based methods are a popular twist-free alternative to conventional chiropractic adjusting. It’s perfectly acceptable to develop a technique preference… it’s also normal to experiment with different methods until you find what works best for you.

4) Not Enough Time With the Doctor

This is a common complaint with doctors in general. No one wants to feel like they’ve been shuffled in and out without having their concerns adequately addressed.

The process of getting adjusted doesn’t take long. You’re not paying for time spent in the office; you’re buying the benefits of an adjustment. But there’s no excuse for taking the “care” out of healthcare. Being treated like cattle doesn’t make a patient feel good.

Allow me to paraphrase a concern I’ve heard a number of times over the years:

“A massage therapist would rub my back for a minute or two, then I’d wait there with my face down on the table. Eventually the doctor would come in, and after barely acknowledging me, adjust me a few different ways, pat me on the back and say I did great, then leave. He didn’t ask if I had any questions, or if anything new was bothering me.”

Similarly, patients want to know the doctor is present and attentive while recognizing their concerns. Here’s one I’ve heard variations of multiple times… “She walked in, called me by the wrong name, and asked me how my ankle was doing… but I was there for help with carpal tunnel syndrome.”

5) Passed Down to an Associate

It’s not uncommon for a chiropractor to get so busy that he needs to hire an associate doctor to assist with patient care. This is normal. Unfortunately, not all associates are as clinically experienced as the doctor you were originally seeing… So after enough sub-par adjustments, patients begin to look elsewhere because they’re tired of not getting the quality treatment they’ve come to expect.

I’ve also heard scenarios where a charming and outgoing doctor handles all the new patients, then passes them along to a different (less personable) doctor to do all the adjusting. This can make people feel like all the focus was placed on getting them in the door, then casting them aside once they were there.

6) Unreasonable Wait Times

A chiropractic office isn’t an ER. There’s really only a handful of treatments we offer, none of which take very long to perform. So when a doctor makes patients wait lengthy periods of time, it’s frustrating. I’ve heard very specific things like “she routinely made me wait while she handled personal issues during my appointment” and “Multiple times I had to wait outside the office for 20-30 minutes because he wasn’t there yet, and didn’t bother to apologize after he arrived, or explain why he was so late.”

I’ve also heard complaints about poor office efficiency. For example, taking several days to return phone calls, neglecting to bill insurance companies in a timely manner, and even being “forgotten” in a therapy room.

Bottom line, when patients feel their time isn’t being respected, they look elsewhere, especially if the quality of care isn’t worth the wait.

7) Heavy Sales Tactics and Scare-Plans

Would you be surprised if I told you that there are coaching programs that chiropractors pay tens of thousands of dollars for that will teach them persuasive sales techniques?

It looks something like this…

Patients sit down with the doctor (as well as the decision-making spouse “for support” when applicable) and hear an artfully crafted presentation on why 12-months of care is imperative. It can be an emotionally manipulative experience, cautioning you about how dreadful life will be with a deteriorating spine. Much like buying a used car, the huckster says whatever it takes to get you sign on the dotted line.

Fortunately, people are getting wise to this approach. More and more patients have learned to recognize disingenuous tactics. I wish I could tell you this doesn’t happen at all anymore, but sadly, it still does.

8) “Cult-Like” Atmosphere

It pains me to say it, but more than a few patients have used the phrase “cult-like” to describe their experience in a previous chiropractic office.

Visiting such an establishment (which is often a franchise) can feel like you’re participating in a “movement” or involved in a religious sect. They implement monthly community lectures or wellness presentations that are peppered with biblical references and inspirational testimonials designed to invoke likemindedness.

A passionate and personable doctor with a well-trained staff can attract hordes of impressionable people who gravitate to the “herd” mentality. Stimulating one’s psychological need to belong can have a powerful impact on their decision making.

I’m sure most these doctors mean well — deception isn’t their intent. They very much believe what they’re saying… But they expect you to “have faith” in it too, and they make no apologies for pressuring you into making an “investment” and modeling your lifestyle after their own.

You can expect them to offer deep discounts for your family members if they accompany you to the office, because if you’re trying to prevent cancer and live forever (or whatever BS they’re selling), shouldn’t they get on board too?

There’s never an end to chiropractic care in offices like this… it’s unapologetically intended to become part of your weekly routine, as well as your identity.

They cluster 10 or more appointments together to give the (manufactured) impression of “social proof” – others are doing it, so should you! They want everyone to believe they’re really busy “saving lives” in the community. Groupthink is a powerful thing, and they milk it for all it’s worth.

Hundreds of obedient patients willfully adopt the charismatic doctor’s vision. They’ll wear the office logo on t-shirts, attend marketing events to help the doctor spread his/her message, and maybe start working part-time in the office as an assistant.

Barf. Honestly, I felt dirty just writing this description. It’s nauseating to hear about practices like this… If you encounter such an office, use your best judgement before drinking the Kool-aid.


I’d like to reiterate that these are simply a collection of shared responses from patients I’ve met throughout my career. It’s not a reflection of the entire chiropractic profession.

You don’t need anyone’s blessing or permission to change doctors. So if you’ve been thinking about looking around, go ahead and explore your local options. You might find a great new chiropractor without all the tomfoolery!

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Prevent Spinal Injury With the Pallof Press

Posted on 05.6.16 |

I don’t meet many people who are preemptively concerned about hurting their back… Most individuals don’t think about the possibility of injuring themselves unless they’ve already done so in the past.

I see people at the gym doing squats and deadlifts so poorly that it’s not a matter of IF they’ll injure their back and knees, but WHEN.

Today, I’d like to show you my favorite injury-prevention exercise. It can be done at home, work, the gym, and even outside, as long as you have some type of resistance band.

It’s called the Pallof Press, and it trains your core muscles in a deceptively simple way. If preventing injury is important to you, anti-rotation training is essential. That’s because core muscles are designed to control and/or prevent irregular spinal movements.

An inability to maintain a rigid and stable spine will decrease power output, leaking energy into other joints like knees, hips, and shoulders… This added stress/strain creates injury, and will wear down your spine in the process.

Watch this instructional video on how to perform the movement:

This of course is the gym version of the Pallof Press with a cable machine. But you can easily duplicate the same exercise with standard resistance bands. I recommend that men start with the black resistance band, and ladies start with the red.

Best Alternative to Athletic Greens?

Posted on 11.16.15 |

Most health fanatics have heard of Athletic Greens. It’s a popular nutrient-dense powder with 75 ingredients. Think of it as a “nutritional insurance policy” for anyone who might not be eating the healthiest of diets…

Is it a great product? Yes. But is it really worth spending $140 for a 30-day supply? Eh…

The inspiration for this blog post came after I theorized that you can probably get 70-80% of the nutrient value in a competing brand for considerably less money. So I began searching for easily-acquired online alternatives and found almost 20 different “greens” products that are available on Amazon…

There are probably a dozen more brands available through independent sellers, but I refuse to knowingly give credence to products sold by multi-level marketing con artists companies.

METHOD

First, I created a spreadsheet with every ingredient listed on the Athletic Greens label. Then I compared these ingredients to the labels of competing products.

In the second part of my assessment, I drank one per day as my breakfast. I prepared every brand the same way: 12-14 ounces of cold spring water, blended with 3 scoops of raw unflavored goat protein.

After trying each of the options, I whittled them down. Below, I’ve displayed photos of the top-3 powders (click to zoom), plus a shot of the Athletic Greens (labeled “AG”), as well as a fourth product that I deemed “last” on the chart for comparison purposes.

Greens Powder Visual Comparison

RESULTS

The Bottom of the List: Lean Green by VIVARISE – $39.99 (30 servings)

Lean Green by VivaRiseI opted to include the weakest alternative to show you the considerable difference in appearance. While I like the fact that it comes in convenient travel-friendly packets, and that their customer service department was outstanding (best overall), the product itself quite literally pales in comparison to the other greens powders due to having so few ingredients (only 12). When you compare it to Athletic Greens, which is an extremely dark/dense green color, Lean Green is a bust. Price wise, I can’t justify recommending a $40/month product that falls so short on nutrients. To be clear, there’s nothing “wrong” with the product itself, it just doesn’t really belong in the same category.


#3: Super Greens by IntraNaturals – $23.70 (30 servings)

SuperGreensIf we compare the appearance of Super Greens powder in water to that of Athletic Greens, it’s quite similar. The taste and smell is nearly indistinguishable as well. In fact, I probably wouldn’t be able to tell which is which in a blind taste test. So why is Super Greens ranked third? For starters, it only shares 27 ingredients with Athletic Greens (truth be told, the similarity in appearance makes me wonder if AG really has an additional 48 items). The problem I have with Super Greens is it contains milk. For those who are sensitive to dairy, this would be problematic.


#2: PhytoFood by NutraHouse – $34.95 (30 servings)

PhytoFoodAmong all the greens powders I tasted, PhytoFood actually tastes the best. I was legitimately disappointed after the container was empty. Unfortunately, this isn’t a taste comparison – it’s about comparability to Athletic Greens (which doesn’t taste very good, FYI). Nevertheless, PhytoFood has 26 of the same ingredients as AG, plus a whopping 28 more of its own. I felt a similar “energy buzz” shortly after drinking this as I do from Athletic Greens… So if you’re big on taste, I’d go with PhytoFood. Even as a stand-alone drink in cold water, it tasted pretty good.


#1: Green Vibrance – $67.97 (60 servings)

Green VibranceA company called Vibrant Health makes a host of different greens powders. I’m going to recommend two of them, as they’re both outstanding substitutes for the pricey Athletic Greens, and the “winner” of this comparison. Taste wise, it’s what you’d expect from a dense vegetable powder, but it’s really no different than Athletic Greens in terms of aroma/flavor.

Green Vibrance has 77 ingredients, 37 of which are also in AG. Maximum Vibrance has 121 ingredients, and boasts that it contains “all known nutrients.” That’s quite a statement! The best part is, they’re both about the same price, so you can decide how potent you want your powder to be…


CONCLUSION

For some strange reason, Athletic Greens costs much less ($77.00 plus tax) if you buy it directly from them using their recurring auto-ship program.

When I contacted the company about this gaping price discrepancy, the customer service rep agreed that is was peculiar, but offered no explanation. My guess is that their marketing department wants an opportunity to continuously up-sell you on their other nutritional supplements (not cool, btw).

So if you don’t mind getting bombarded with sales emails, this may be the preferred option for you.

If AG ever decides to re-think their Amazon pricing strategy, I’d buy it through there month after month. Until then, however, my money will be going towards Green/Maximum Vibrance.

Best Alternative to Athletic Greens?

Posted on 11.16.15 |

Most health fanatics have heard of Athletic Greens. It’s a popular nutrient-dense powder with 75 ingredients. Think of it as a “nutritional insurance policy” for anyone who might not be eating the healthiest of diets…

Is it a great product? Yes. But is it really worth spending $140 for a 30-day supply? Eh…

The inspiration for this blog post came after I theorized that you can probably get 70-80% of the nutrient value in a competing brand for considerably less money. So I began searching for easily-acquired online alternatives and found almost 20 different “greens” products that are available on Amazon…

There are probably a dozen more brands available through independent sellers, but I refuse to knowingly give credence to products sold by multi-level marketing con artists companies.

METHOD

First, I created a spreadsheet with every ingredient listed on the Athletic Greens label. Then I compared these ingredients to the labels of competing products.

In the second part of my assessment, I drank one per day as my breakfast. I prepared every brand the same way: 12-14 ounces of cold spring water, blended with 3 scoops of raw unflavored goat protein.

After trying each of the options, I whittled them down. Below, I’ve displayed photos of the top-3 powders (click to zoom), plus a shot of the Athletic Greens (labeled “AG”), as well as a fourth product that I deemed “last” on the chart for comparison purposes.

Greens Powder Visual Comparison

RESULTS

The Bottom of the List: Lean Green by VIVARISE – $39.99 (30 servings)

Lean Green by VivaRiseI opted to include the weakest alternative to show you the considerable difference in appearance. While I like the fact that it comes in convenient travel-friendly packets, and that their customer service department was outstanding (best overall), the product itself quite literally pales in comparison to the other greens powders due to having so few ingredients (only 12). When you compare it to Athletic Greens, which is an extremely dark/dense green color, Lean Green is a bust. Price wise, I can’t justify recommending a $40/month product that falls so short on nutrients. To be clear, there’s nothing “wrong” with the product itself, it just doesn’t really belong in the same category.


#3: Super Greens by IntraNaturals – $23.70 (30 servings)

SuperGreensIf we compare the appearance of Super Greens powder in water to that of Athletic Greens, it’s quite similar. The taste and smell is nearly indistinguishable as well. In fact, I probably wouldn’t be able to tell which is which in a blind taste test. So why is Super Greens ranked third? For starters, it only shares 27 ingredients with Athletic Greens (truth be told, the similarity in appearance makes me wonder if AG really has an additional 48 items). The problem I have with Super Greens is it contains milk. For those who are sensitive to dairy, this would be problematic.


#2: PhytoFood by NutraHouse – $34.95 (30 servings)

PhytoFoodAmong all the greens powders I tasted, PhytoFood actually tastes the best. I was legitimately disappointed after the container was empty. Unfortunately, this isn’t a taste comparison – it’s about comparability to Athletic Greens (which doesn’t taste very good, FYI). Nevertheless, PhytoFood has 26 of the same ingredients as AG, plus a whopping 28 more of its own. I felt a similar “energy buzz” shortly after drinking this as I do from Athletic Greens… So if you’re big on taste, I’d go with PhytoFood. Even as a stand-alone drink in cold water, it tasted pretty good.


#1: Green Vibrance – $67.97 (60 servings)

Green VibranceA company called Vibrant Health makes a host of different greens powders. I’m going to recommend two of them, as they’re both outstanding substitutes for the pricey Athletic Greens, and the “winner” of this comparison.

Green Vibrance has 77 ingredients, 37 of which are also in AG. Maximum Vibrance has 121 ingredients, and boasts that it contains “all known nutrients.” That’s quite a statement! The best part is, they’re both about the same price, so you can decide how potent you want your powder to be…


CONCLUSION

For some strange reason, Athletic Greens costs much less ($77.00 plus tax) if you buy it directly from them using their recurring auto-ship program.

When I contacted the company about this gaping price discrepancy, the customer service rep agreed that is was peculiar, but offered no explanation. My guess is that their marketing department wants an opportunity to continuously up-sell you on their other nutritional supplements (not cool, btw).

So if you don’t mind getting bombarded with sales emails, this may be the preferred option for you.

If AG ever decides to re-think their Amazon pricing strategy, I’d buy it through there month after month. Until then, however, my money will be going towards Green/Maximum Vibrance.

Smart Adjustments?

Posted on 09.11.15 |

Smart phones. Smart watches. Smart TVs. Smart locks.

We love buying “smart” things because they’re tailored to us, and our own individual needs.

What if you could receive a “Smart” adjustment during your next trip to the chiropractor?

What’s a “Smart” Adjustment?

Instead of mobilizing joints in a broad or comprehensive fashion, “smart” adjustments apply individually-calculated force and direction. Believe it nor not, this can save you money.

Since no two spines are exactly the same, the precise measurements of your spinal misalignment can be seen on X-ray. These images are used to determine the exact amount of shift that your spinal segments have moved away from normal position.

Using this data, a “smart” adjustment can be given that’s designed only for you – no one else.

Upper Cervical Views

But Aren’t All Adjustments Smart?

Unfortunately, no. Some chiropractic offices provide identical treatments to each and every person. Regardless of size, age, or condition, every patient gets the exact same “stuff” done whenever they show up.

It’s also possible for patients to be over-adjusted, adjusted incorrectly, or adjusted the right way but at the wrong time.

In my opinion, none of this falls under the “smart adjustment” umbrella.

What are the Benefits of “Smart” Adjustments?

  1. They last longer (No more weekly trips to the chiropractor).
  2. Less is more (Fewer adjustments are given compared to conventional manipulation).
  3. They’re safe (No forceful twisting or jerking movements of delicate neck tissue).
  4. They’re more comfortable (They’re tailored to your unique spine).
  5. You’ll save money (Fewer visits; less time spent at the chiropractor’s office).
  6. No long-term treatment plans (12-36 month care plans are ridiculous questionable.)

Note: This is not an industry-wide term. It’s just the way I’m differentiating two contrasting approaches to chiropractic care for the purpose of this article.

ACA’s 2015 Annual Awards Honor Chiropractic Physicians for Outstanding Contributions to the Profession

Posted on 08.11.15 |

Press Release

Media Contacts:
Nicole Racadag: (703) 812-0211 | nracadag@acatoday.org
Annette Bernat: (703) 812-0226 | abernat@acatoday.org

FOR IMMEDIATE RELEASE: March 03, 2015

Recipients were recognized at the 2015 National Chiropractic Leadership Conference, Feb. 25-28, in Washington, D.C. 

Arlington, Va. – The American Chiropractic Association (ACA) announced its 2015 Annual Award recipients, who were honored during ACA’s recent House of Delegates (HOD) meeting as part of the 2015 National Chiropractic Leadership Conference (NCLC 2015)  in Washington, D.C., Feb. 25-28. ACA’s Annual Awards are presented to outstanding volunteer members and other individuals for their contributions to the chiropractic profession.

“It is my pleasure to acknowledge this year’s award recipients who have dedicated themselves to advancing the chiropractic profession,” said ACA President Anthony Hamm, DC. “The recipients of these awards have achieved extraordinary accomplishments and deserve this recognition of their peers.”

The association’s highest honor, the Chiropractor of the Year Award, was presented to the immediate past chairman of the ACA Board of Governors, Michael P. Simone, DC, CCSP, FICC, of Fort Lupton, Colo. Dr. Simone, who received his Doctor of Chiropractic degree from Logan College of Chiropractic in 1986, stepped into the role of chairman as a result of the untimely death of then Chairman Robert Mastronardi, DC, who passed away in 2012 following a battle with cancer.

Richard (Rick) Miller, ACA’s Acting Executive Vice President, received the Humanitarian of the Year Award, which recognizes exceptional service, achievement and leadership to the profession. Miller, a long-time political consultant to ACA and the association’s former vice president of government relations, first became affiliated with ACA nearly 25 years ago when he spearheaded the association’s response to the national health reform debate that took place under the administration of former President Bill Clinton. In his past service to ACA, Miller also led the creation of the Patients’ Access to Responsible Care Alliance (PARCA), a coalition of organizations that represent the interests of millions of patients and non-MD healthcare providers.

Other 2015 ACA Annual Award recipients include:

  • Anthony Lisi, DC, Associate Professor of Clinical Sciences at the University of Bridgeport College of Chiropractic in Bridgeport, Conn.: Academic of the Year Award, which recognizes an individual for his efforts in advancing the profession through academic or educational excellence.
  • Michele Maiers, DC, PhD, Associate Professor, Center for Healthcare Innovation and Policy at Northwestern Health Sciences University in Bloomington, Minn.: George B. McClelland, DC, Researcher of the Year Award, which recognizes an individual for developing, refining and/or expanding the body of knowledge in chiropractic. 
  • Vern Saboe Jr., DC, FACO, of Albany, Ore.: Delegate of the Year Award, and William Doggett, DC, of Albuquerque, N.M.: Alternate Delegate of the Year Award. Both awards recognize exceptional service, achievement and/or leadership to the profession, as well as exemplary membership recruitment and communication efforts.
  • Cindy M. Howard, DC, DABCI, FIAMA, of Orland Park, Ill.: Flynn-Lynch Award, recognizing an outstanding member of the ACA Council of Delegates with no more than five years experience on the Council.

Photos of award winners are available upon request by e-mailing communications@acatoday.org.

NCLC is the premier national conference for doctors of chiropractic, chiropractic assistants and chiropractic doctoral students. The event brings together the best of chiropractic, including current and future leaders, by exposing them to important professional briefings, cutting-edge education programs and opportunities to meet with elected officials and colleagues. 

ATTRIBUTION TO THE 2015 NATIONAL CHIROPRACTIC LEADERSHIP CONFERENCE IS REQUESTED IN ALL NEWS COVERAGE.

###

The American Chiropractic Association based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org.

# # #

ACA House of Delegates Elects Leaders at Annual Meeting

Posted on 08.11.15 |

Press Release

Media Contacts:
Nicole Racadag: (703) 812-0211 | nracadag@acatoday.org
Annette Bernat: (703) 812-0226 | abernat@acatoday.org

FOR IMMEDIATE RELEASE: March 06, 2015

Association affirms leadership in key positions at the 2015 National Chiropractic Leadership Conference, Feb. 25-28, in Washington, D.C.

Arlington, Va. – The American Chiropractic Association (ACA) House of Delegates (HOD) met recently as part of the  2015 National Chiropractic Leadership Conference (NCLC 2015) in Washington, D.C., Feb. 25-28, to elect leaders for the next year.

Anthony Hamm, DC, FACO, of Goldsboro, N.C., was reelected as president of the association. Dr. Hamm previously served as ACA vice president, president of the ACA Council of Delegates and as the association’s North Carolina delegate. He is also past chairman of ACA’s Coding and Reimbursement Committee and Ethics Committee.

Rounding out the Executive Committee with President Hamm is Richard Bruns, DC, of Bangor, Maine, who was reelected as Chairman of the Board of Governors and District 4 Governor and David A. Herd, DC, of Geneva, N.Y., who was reelected as vice president, and will take the helm of the association at NCLC 2016.

In the Council of Delegates elections, Karen K. Konarski-Hart, DC, of Little Rock, Ark., Leo J. Bronston, DC, of Onalaska, Wis., and Michele J. Maiers, MPH, PhD, of Minneapolis, Minn., were reelected as president, vice president and secretary, respectively.

Lawrence R. Davis, DC, ACA’s Nevada state delegate, was newly elected to the ACA Board of Governors (BOG) as the delegate for District 7, replacing outgoing delegate Joseph Morelli, DC, of Waipahu, Hawaii. James M. McKivigan, DC, Nevada’s alternate state delegate, will serve as state delegate and finish Dr. Davis’ term in the HOD. 

Continuing on the ACA BOG are:

  • Keith S. Overland, DC, of Norwalk, Conn., Immediate Past President
  • Kelli K. Pearson, DC, of Spokane Valley, Wash., District 1 Governor
  • James L. Rehberger, DC, of Highland, Ill., District 2 Governor
  • N. Ray Tuck, DC, of Christiansburg, Va., District 3 Governor
  • Craig A. Newman, DC, of Tampa, Fla., District 5 Governor
  • Michael P. Simone, DC, of Fort Lupton, Colo., District 6 Governor and Immediate Past Chairman of the Board of Governors

For photos from the HOD meeting, please contact communications@acatoday.org. 

NCLC is the premier national conference for doctors of chiropractic, chiropractic assistants and chiropractic doctoral students. The event brings together the best of chiropractic, including current and future leaders, by exposing them to important professional briefings, cutting-edge education programs and opportunities to meet with elected officials and colleagues. 

ATTRIBUTION TO THE 2015 NATIONAL CHIROPRACTIC LEADERSHIP CONFERENCE IS REQUESTED IN ALL NEWS COVERAGE.

###

The American Chiropractic Association based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org.

 

Chiropractic Physicians Support APHA and its National Public Health Week 2015

Posted on 08.11.15 |

Press Release

Media Contacts:
Nicole Racadag: (703) 812-0211 | nracadag@acatoday.org
Annette Bernat: (703) 812-0226 | abernat@acatoday.org

FOR IMMEDIATE RELEASE: April 07, 2015

Arlington, Va. – On day two of National Public Health Week (NPHW) 2015, the public health community will shine a light on local, state and regional disparities by discussing the role of the 2010 Patient Protection and Affordable Care Act (PPACA) in addressing inequalities in access to healthcare, while discussing what more is needed to achieve health equity across communities.  In observance of the campaign’s April 7 theme “Starting from Zip,” the American Chiropractic Association (ACA) is drawing attention to the language intended to protect a patient’s choice of provider included in the PPACA as essential to quality patient care and genuine reform.

“Disparities in health are due to multiple and complex issues, including language barriers and cultural preferences,” said ACA President Anthony Hamm, DC. “This can also include the ability of a patient to choose the type of care and provider for a particular condition he or she may have. Services provided by doctors of chiropractic are a model of care commonly sought out by millions of patients each year and access to this care is preserved by Section 2706(a) of the PPACA.”

A key dimension to Section 2706(a) is patient access to covered services from licensed doctors of chiropractic, practitioners of acupuncture and Oriental medicine, naturopathic physicians, massage therapists, and to home births via non-nurse, certified professional midwives. ACA works on an on-going basis to ensure the proper enforcement and aggressive implementation of that section of the health reform law aimed at curbing discriminatory abuses against the chiropractic profession and other non-MD/DO health care disciplines.

“The ability to choose the provider of choice is integral in the further implementation of PPACA. If improving the patient experience, value and positive outcomes are indeed the pillars of health reform, Section 2706(a) should be considered a linchpin to the Act’s success,” added Dr. Hamm.

The American Public Health Association (APHA) serves as the organizer of NPHW and develops a national campaign celebrated each April to educate the public, policymakers and practitioners about issues related to that year’s theme. APHA has featured a section devoted to chiropractic and its role in public health since 1995. Since then, when the first full week of April was declared NPHW, communities across the country have celebrated and recognized the contributions of public health and highlighted issues that are important to improving the public’s health. Visit the NPHW website for more information about this year’s observance, “Healthiest Nation 2030” and other daily themes. 

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The American Chiropractic Association based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org.

Research Calls for Conservative Treatments Before Painkillers for Low-Back Pain

Posted on 08.11.15 |

Press Release

Media Contacts:
Nicole Racadag: (703) 812-0211 | nracadag@acatoday.org
Annette Bernat: (703) 812-0226 | abernat@acatoday.org

FOR IMMEDIATE RELEASE: April 10, 2015

Arlington, Va. – The American Chiropractic Association (ACA), in response to recent research calling into question the efficacy of acetaminophen in the management of spinal pain, strongly encourages patients and healthcare providers to consider the benefits of a conservative approach to back pain. According to the British Medical Journal study, the widely used painkiller is ineffective against low-back pain and offers only “minimal short-term benefit” for people with osteoarthritis of the hip or knee. Similar conclusions were reached in a study published in The Lancet in July 2014, that acetaminophen “does not ease low-back pain.”

“People need complete information about their treatment options,” said ACA President Anthony Hamm, DC. “Research supports the use of more conservative treatments as a first-line defense against pain. This sensible approach not only reduces healthcare costs, but may also help some patients avoid riskier treatments altogether.”

A “conservative care first” approach to health care encourages emphasis on more cost-effective and safer approaches over potentially addictive medications for pain management and health enhancement. Conservative management of painful conditions may include chiropractic manipulation combined with exercise and stretching prior to moving on to high-risk procedures. Chiropractic physicians are the highest-rated healthcare practitioners for low-back pain treatments due to their patient-centered, whole-person approach that provides greater interaction and communication for appropriate diagnosis and development of more cost-effective treatment plans.

“There are effective, more conservative treatments that help many patients lessen reliance on addictive painkillers and get back to their normal lives and activities,” said Dr. Hamm. “The services provided by chiropractic physicians are not only clinically effective but also cost-effective, so taking a more conservative approach at the onset of low-back pain can also potentially save both patients and the healthcare system money down the line.”

Numerous recent studies have clearly shown the dangerous overreliance in the United States on prescription painkillers. This has tremendously increased Americans’ risk for overuse, and abuse of these drugs if taken for long periods, leading to more than 17,000 related deaths in 2010 (more than heroin and cocaine combined). The Centers for Disease Control and Prevention calls the abuse of prescription pain medications an “epidemic.”

For those who are currently pain-free, the exercise tips, posture recommendations and guidance on injury prevention routinely provided by chiropractic physicians can help people maintain a healthy back throughout their lives. To learn more, visit www.acatoday.org/backpain.

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The American Chiropractic Association (ACA), based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.

Senate Clears Legislation to Prevent Medicare Payment Cuts

Posted on 08.11.15 |

Press Release

Media Contacts:
Nicole Racadag: (703) 812-0211 | nracadag@acatoday.org
Annette Bernat: (703) 812-0226 | abernat@acatoday.org

FOR IMMEDIATE RELEASE: April 15, 2015

Chiropractic documentation education, new quality-reporting incentives included in measure

Arlington, Va. – The U.S. Senate, following the earlier lead of the House, late last night passed a long-awaited “permanent fix” to the flawed Sustainable Growth Rate (SGR) formula used to determine provider reimbursement levels under the federal Medicare program. The plan would give physicians treating Medicare patients, including doctors of chiropractic (DCs), an annual payment increase of 0.5 percent for the next five years, with value-based payments starting after that time. 

For years, the imposition of the SGR payment formula threatened to produce unsustainable reductions in Medicare payment levels for all Medicare providers. Congress was repeatedly forced to enact a series of temporary “patches” to avoid the full brunt of the payment reductions from taking place. 

“I am pleased to see this flawed system, in place for nearly 20 years, eliminated. Now chiropractic physicians don’t have to fear double digit cuts in reimbursement every year,” said American Chiropractic Association (ACA) President Anthony Hamm, DC. “Congress has danced around this issue for far too long, and it is in the profession’s best interest that it has finally been addressed.” 

Also included in the legislation is a provision directing the U.S. Department of Health and Human Services (HHS) to develop an education program to help improve documentation in chiropractic Medicare claims. The provision stipulates that the program would be created in consultation with ACA and Medicare Administrative Contractors (MACs) and implemented by Jan. 1, 2016. This is part of an ongoing federal effort to reduce Medicare claim error rates.

Under the provision, DCs whose claim denial rates are out of line with the rest of the profession could be subject to pre-authorization standards established by HHS. DCs with a good record of claims based on proper documentation and those who avail themselves to the education program will avoid pre-authorization requirements that non-compliant providers could eventually face.

“This provision will provide ACA the opportunity to educate those who are not compliant with clinical decision-making and documentation of the Medicare patient,” explained Dr. Hamm. “At the same time, it will also offer ACA the opportunity to better interact with CMS and the individual MACs to provide a better understanding of our unique model of patient care.”

Another provision of interest to the profession is the Merit-Based Incentive Payment System (MIPS). Beginning in 2019, the three existing quality incentive programs — Physician Quality Reporting System (PQRS), EHR Meaningful Use and the Value-Based Modifier — will be consolidated into one cohesive program that streamlines reporting and avoids redundancies. Future payments will be adjusted based on provider performance in four categories: quality, resource use, EHR meaningful use, and clinical practice improvement activities.

“ACA worked hard to assure that DCs were included in this vital new program. With quality reporting about to become the lynchpin of Medicare reimbursement, it is essential that chiropractic physicians are included,” added Dr. Hamm. “All of this does not preclude ACA’s goal of achieving full parity for chiropractic physicians in the Medicare program. Our work continues with Congress and the Obama administration to demonstrate that chiropractic physicians can serve Medicare patients in an efficacious and cost-effective manner.” 

The legislation was sent to the White House, where the President is expected to sign it.

The American Chiropractic Association based in Arlington, Va., is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of ethics and patient care, contributing to the health and well-being of millions of chiropractic patients. Visit us at www.acatoday.org.

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