Prosperity Through Unity Exceptional Care for Idahoans December, 2019 The IACP News, Vol. 3, No. 12 Evidence-based, adjustment-centric, lifestyle-focused: A model for 21st century chiropractic By James Chestnut, B Ed, MSc, DC, CCWP abandoning the chiropractic adjustment or chiropractic SMT, rather, being evidence-based demands a central focus The evidence for chiropractic upon chiropractic adjustment/SMT. Compared to any other should neither be exaggerated intervention, chiropractic adjustment/SMT is, without any nor unfairly downgraded. The scientific debate, the most evidence-based intervention for evidence can and should speak spinal healthcare available within the scope of chiroprac- for itself and the evidence, tic practice and, based on the available evidence, should when available, can and must reasonably be considered the most evidence-based spinal guide our clinical decision mak- healthcare intervention within any scope of practice. ing. When as a profession we choose to become fully aware of Chiropractic adjustment or chiropractic thrust SMT, based the evidence, and, most impor- on the available randomized controlled intervention trials, tantly, practice according to it, comparative trials, and comparative analyses, can, and in my we will not only best serve our professional interests we will, opinion should, be considered the most evidence-based spi- most importantly, best serve the public interest. This is, of nal healthcare intervention currently available with respect course, true for all healthcare professionals. to effectiveness, cost-effectiveness, and safety. Practicing evidence-based chiropractic does not require Continued on page 6 New research on the use of spinal x-rays by chiropractors Use of spinal x-rays by chiropractors continues to be a hot sive use of selected medical references (i.e. for the practice topic. Newly published research in the Annals of Vertebral of general medicine), the neglect of essential and important Subluxation Research by Paul A. Oakley, DC & Deed E. Har- evidence that must be considered for a full and balanced dis- rison, DC seek to clarify what is proper for doctors of chi- cussion of chiropractic X-ray use, and erroneous statements ropractic. Here is what the abstract to their work says, fol- in contradiction with the expansive understanding of spi- lowed by a review of the current controversy. nopelvic biomechanical parameters that has occurred over the past 15 years and the fact that these critical parameters Abstract: A recent paper by Hazel Jenkins and colleagues at- must be assessed by routine full-spine radiography. tempts to present ‘Current evidence for spinal X-ray use in the chiropractic profession.’ Unfortunately, the review repre- The concept that spine and postural displacements of a pa- sents an author opinion, ‘red flag only’ guideline consistent tient impacts their health and wellbeing is a well framed with the practice of medicine, not chiropractic. evidence-based practice in the spine literature. Specific, contemporary chiropractic approaches, like contemporary In detail, we critically analyze the inappropriate and exten- Continued on page 8 December 2019 | The IACP News | Page 1 I A C P The mission of the Idaho Association of Chiropractic Physicians (IACP) is to act as the unified voice, leader and stalwart supporter of the individual licensed doctors of chiropractic and supporting associates who provide exceptional health care and wellness to the patients and communities of Idaho. In supporting our Idaho chiropractic physicians, the IACP will work diligently to protect, enhance and build opportunities for the chiropractic industry and increase public access to chiropractic care. 2019-2020 IACP Board of Directors Dr. Scott Crawford Dr. Thomas Bench Dr. Joan Burrow Dr. Jeremai Hafer President Vice President Secretary Treasurer 2019-2020 IACP Board of Directors Dr. Tom Tessendorf Dr. Michael Henze Dr. Kimball Arritt Dr. George Fiegel Open Dr. John Maltby II Dr. Grayson Blom District 1 District 2 District 3 District 4 District 5 District 6 District 7 Idaho Association of Chiropractic Physicians 13601 W McMillan Rd., Ste. 102-331, Boise, ID 83713 Phone: (208) 424-8344 • FAX (888) 399-5459 https://iacp.wildapricot.org • [email protected] For advertising info, email C&S Publishing at: [email protected] Page 2 | The IACP News | December 2019 In This Issue President’s Message: The holidays can be stressful. Chiropractic can help Page 4 Evidence-based, adjustment-centric, lifestyle-focused chiropractic model (continued) Pages 6 - 9 ICA announces launch of new Evidence-Based Chiropractic and Lifestyle Program Page 8 - 9 New research on the use of spinal x-rays by chiropractors (continued) Pages 10 - 11 ChiroHealth USA Page 11 The dangers inherent in American healthcare Pages 12 - 15 OIG announces new method for submitting complaints Page 16 Primer on chiropractic craniocervical junction procedures Page 17 Hype vs. Fact: The reality behind 2019’s nutrition trends Pages 18 - 19 Diplomate in Clinical Chiropractic Pediatrics Page 20 IACP Membership form Page 21 The IACP Marketplace: Featured Businesses & Suppliers Page 22 Classified Ads Page 23 Chiropractic News Pages 24 - 27 Chiropractic College News Pages 28 - 30 Advances in the Management of Traumatic Injuries (AMTI) Module 1 Page 31 Office poster notice Page 32 This month’s poster: Stress-eating: Four strategies to slow down Page 33 IACP News Display Advertising Rates and Sizes Page 34 This table of contents is linked for your convenience. Just click on the page you want. December 2019 | The IACP News | Page 3 President’s Corner The holidays can be stressful. Chiropractic can help By Dr. Scott Crawford, IACP President This time of year is a busy time for most people. Stress drives an increase in various complaints and ailments, which makes for a great opportunity to explain the role chiropractors play as a solution. Some experts say stress is, in some part, responsible for as many as half of the health conditions we see today. In addition to the obvious physical solution of removing tension and pain in the body, the ability to offer neurological relief is another clear benefit that chiropractors bring. Areas to focus on are the upper neck and lower back, where the parasympathetic nervous system is located. Its counterpart, the sympathetic nervous system (fight or flight), takes over and becomes excitatory when these areas are inhibited or dysfunctional. Aligning those areas and removing the interference restores proper balance and decreases stress. So, make sure you share this information with your patients and encourage them, as well as yourself, to get adjusted more frequently this time of year. Happy Holidays! “Join the Pack” Become a member of the IACP The IACP acts as a resource, representative and leading advocate for the chiropractic industry in Idaho. We cannot continue to properly serve the chiropractic profession without the commitment and support of exceptional industry leaders, such as yourself. The IACP Board and its members believe that membership in the Association is and should be mutually beneficial to both the Doctor and the IACP, which makes it a perfect cooperative relationship. As a member, you will have multiple opportunities to obtain learning and marketing opportunities, at a discounted rate, through membership, as well as, have an opportunity to utilize the services of the IACP team and its Board. You will also have an opportunity to get involved in important issues, from the center, along with other industry leaders and spokespeople. At the same time, the Association continues to grow and provide broader services to the industry with your support. Join now and be a part of the “pack” that will lead us into the future! Page 4 | The IACP News | December 2019 The IACP Board of Directors and the staff wish you and yours a joyous Holiday and a Happy and Prosperous New Year. Happy New Year 2020 December 2019 | The IACP News | Page 5 Evidence-based, adjustment-centric, lifestyle-focused: A model for 21st century chiropractic Continued from front page the primary outcome goal of restoring health and function. A fair, unbiased interpretation of the available peer-re- Instead, this group tends to adopt the allopathic sickness viewed literature provides high quality evidence that chi- paradigm of treating effects with attempts to override the ropractic adjustment/SMT has always been, and remains, bodymind’s self-regulatory responses such as pain with the the best option for patients with non-traumatic instability, primary outcome goal of alleviating such symptoms, wheth- non-infectious, non-cancerous spinal health problems and er the underlying cause is corrected or not – the primary should be, as many others have concluded, the preferred, if goal is symptom resolution not health and function restora- not mandated, first option for patients suffering with such tion. spinal health issues. Perhaps the question to begin with is not which of these ap- I contend that the only thing that has any chance to unite us, proaches has to date produced the most research evidence allow us to earn the cultural authority we deserve, and pro- but rather which of these health paradigms is most logical, vide us our rightful place at the healthcare table is a com- most beneficial, and most likely to be most effective, cost- mitment to evidence-based practice and to the chiropractic effective, and safe. If the chiropractic health paradigm is not health paradigm of addressing the cause/restoring healthy useful in terms of producing benefit for patients it should be structure and function rather than simply treating symp- abandoned. toms. In other words, we need to become, and brand our- selves as, evidence-based, adjustment-centric chiropractors However, if it is effective, especially if it is more effective who recognize the central importance of healthy lifestyle. than the allopathic paradigm, then the chiropractic health paradigm must never be abandoned but instead embraced Both “camps” in chiropractic are guilty of bias and dogma and used to guide our research and our clinical outcome based on ignorance of the literature or a refusal to objec- goals.