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Treating Low Back Pain Through the Hip

May 18, 2020

As DC's, treating low back pain is our staple. Obviously, we treat much more than low back pain, but many people come to us for this complaint. A recent JAMA study found that low back and neck pain had the highest amount of health care spending, with an estimated $134.5 billion. The second leading cost was other musculoskeletal disorders, followed by diabetes.(1) Interestingly enough, another JAMA study broke down the expenditures even further and found that even though only 1.2% of patients received surgery, they accounted for 29.3% of total 12-month costs. Furthermore, this study also found early imaging led to greater expenditures as well. (2)

LBP has many potential pain generators, causes, and history, but ultimately most LBP is the end result of dysfunction above and below the lumbar spine. This paper focuses on how the hips play a crucial role in helping patients with low back pain.

The lumbar spine has many potential pain generators, including the muscles, the facets,...

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Passion & Certainty

Apr 21, 2020

We have written and lectured a great deal over the past few years about keys to practice success, including clinical, management, financial, and leadership success. Clinically, we have written and lectured on the Modern Chiropractor, whose treatment toolbox can include adjustments, soft tissue techniques, stretching of shortened muscles, end range loading, low tech rehab, and anti-inflammatory nutrition. Have you done the reading, taken the classes, and applied your knowledge in a caring way with your patients so that you are supplying the best conservative care available?

For managerial success, we suggest “the system is the solution” concept, as taught by Michael Gerber with The E-Myth. If any job is to be done more than once in your office, you need a system in place to maximize efficiency. This may sound extreme, but it is not. As a D.C., you are selling your expertise and your time. Time becomes your key commodity, so you must manage this incredibly valuable...

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Inside the Body and Mind of a World Class Adjuster

Apr 15, 2020

You are sitting in a class or seminar watching one the world's best adjusters demonstrate adjustment after adjustment, and you're wondering to yourself, “how does he or she do that”? 

Hopefully, some explanation of determination and application of what adjustment to deliver was communicated.  Often, what’s happening inside the person providing the adjustment doesn’t get discussed at the seminars or college adjusting labs. 

The Motion Palpation Institute has become very transparent, and hopefully, progressive over the years in this concept. We take pride in studying and then trying to explain what makes the best adjusters in the world. Of course, every person who delivers an adjustment has nuances and things that are unique to that person performing the adjustment. 

There are some variables that we cannot control, such as height, limb length, hand size, body type, coordination, and mass. However, over the years of observing and studying the...

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Navigating Tough Business Times

Mar 27, 2020

In stressful times like the current COVID-19 challenge we are all dealing with, I wanted to write about some of the things we can do with our practices. Some of these ideas come from Tom Peters, the famous management consultant. Here is my list.

Go to work earlier and stay later. You can work on your practice rather than in your practice. You may not have as many patients as normal, so work on your systems. That way, when things become closer to normal again, you are ready to explode your practice. Evaluate your marketing plan, staff members and how you train/develop them, EHR and treatment equipment, practice growth capacity blocks, clinical skills, patient management skills, office culture, and your vision of your practice going forward. We have been doing office strategic planning with Aileron (Aileron.org) for the past year and have re-evaluated EVERYTHING in our office. It is actually a fun and productive exercise and has been great for our office in so many areas.

Dig deep to...

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Exam Is Key

Dec 31, 2019

Many in the modern manual therapy world emphasize the need for a patient examination that pinpoints the best treatment approach.  Craig Liebenson, D.C., for example, in his Spinal Rehabilitation, 2nd edition, textbook places importance on patient categorization for condition specific treatment, hence better clinical outcomes. A study titled "Sub-grouping Patients with Low Back Pain:  A Treatment Based Approach to Classification," August 23, 2011, in the online version of Sports Health: A Multidisciplinary Approach was discussed in The Chiropractic Report, from November 2011.

This study was about categorizing low back patients, although we suggest this concept can apply to other areas as well.  In your exam of a patient with low back pain, would they respond best to adjustments, spinal stabilization, an anti-inflammatory diet, soft tissue, end range loading, or traction?  The percentage of low back pain patients who improve with conservative care improves from 50%...

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Who Wants to Be an Associate?

Dec 31, 2019

At MPI, we are routinely asked whether we would recommend that a new doctor start a practice or work as an associate.  Conversely, we are routinely asked whether the established practitioner should bring in a new associate, and how that can work for both parties.  This article will address those questions. First from the perspective of the new DC and then from the owner DC’s perspective. 

For the new doctor, it is generally an easier transition to practice as an associate in a good, ethical office than to start up a new clinic.  It can prove difficult to go from school to the responsibilities and challenges of opening a new office. There are many variables, and it can be overwhelming.  The reduction in reimbursement with managed care has routinely cut into incomes and makes the owner DC less able to support associates.

A written employment contract is critically important.  There is an old lawyer’s saying that if it is not written down, it...

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