Library

Library

Knowledge is power. In healthcare, that phrase is especially true. That's why we've put together some information of the most common, and not so common, problems our patients face. We invite you to browse our library and become a better informed, more knowledgeable patient.

Children categories

Acupunture

Acupunture

Acupuncture is an alternative medicine methodology originating in ancient China that treats patients by manipulating thin, solid needles which have been inserted into acupuncture points in the skin.

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ADHD/ADD

ADHD/ADD

Attention deficit hyperactivity disorder (ADHD) is a developmental disorder characterized primarily by "the co-existence of attentional problems and hyperactivity, with each behavior occurring infrequently alone".

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Anxiety

Anxiety

Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. It is the displeasing feeling of fear and concern.

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Arthritis

Arthritis

Arthritis is a form of joint disorder that involves inflammation of one or more joints. There are over 100 different forms of arthritis.

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Asthma

Asthma

Asthma is the common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm.

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Autism

Autism

Autism is a disorder of neural development characterized by impaired social interaction and communication, and by restricted and repetitive behavior.

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Back Pain

Back Pain

Back pain (also known as dorsalgia) is pain felt in the back that usually originates from the muscles, nerves, bones, joints or other structures in the spine.

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Backpacks

Backpacks

Carrying a heavy backpack can be a source of 'chronic, low-level trauma,'and can cause chronic shoulder, neck and back pain in children.

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Bedwetting

Bedwetting

Nocturnal enuresis, commonly called bedwetting, is involuntary urination while asleep after the age at which bladder control usually occurs.

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Bell's Palsy

Bell's Palsy

Bell's palsy is a form of facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve) that results in the inability to control facial muscles on the affected side.

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Cancer

Cancer

Cancer, known medically as a malignant neoplasm, is a broad group of various diseases, all involving unregulated cell growth.

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Cerebral Palsy

Cerebral Palsy

Cerebral palsy (CP) is an umbrella term encompassing a group of non-progressive, non-contagious motor conditions that cause physical disability in human development, chiefly in the various areas of body movement.

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Chest Pain

Chest Pain

Chest pain may be a symptom of a number of serious conditions and is generally considered a medical emergency.

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Children

Children

Throughout pregnancy, birth, and childhood, the chiropractic lifestyle offers choices and benefits for greater health and well-being.

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Diabetes

Diabetes

Diabetes mellitus, often simply referred to as diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced

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Drug Addiction

Drug Addiction

Substance dependence, commonly called drug addiction is defined as a drug user's compulsive need to use controlled substances in order to function normally.

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Drugs

Drugs

A drug, broadly speaking, is any substance that, when absorbed into the body of a living organism, alters normal bodily function.

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Ear Infections

Ear Infections

Otitis, or ear infection, is a general term for inflammation or infection of the ear, in both humans and other animals.

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Gardening

Gardening

Gardening can provide a great workout, but with all the bending, twisting, reaching and pulling, your body and back may not be ready for exercise of the garden variety.

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Government

Government

For the first time in the VA's history, veterans will be able to receive certified chiropractic care at 26 selected Department of Veterans Affairs (VA) facilities.

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Headaches

Headaches

A headache or cephalalgia is pain anywhere in the region of the head or neck. It can be a symptom of a number of different conditions of the head and neck.

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Health & Fitness

Health & Fitness

Physical fitness comprises two related concepts: general fitness (a state of health and well-being), and specific fitness (the ability to perform specific aspects of sports or occupations).

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Hearing

Hearing

If you suffer from a hearing loss, especially on the right side, you may want to consider chiropractic care; you may notice an improvement in your hearing almost immediately.

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High Blood Pressure

High Blood Pressure

Hypertension (HTN) or high blood pressure, sometimes called arterial hypertension, is a chronic medical condition in which the blood pressure in the arteries is elevated.

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Infants

Infants

Chiropractic care is not just for adults and children. Infants can benefit from chiropractic care too!

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Infertility

Infertility

Infertility primarily refers to the biological inability of a person to contribute to conception. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term.

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Learning Disorders

Learning Disorders

Learning disability is a classification including several areas of functioning in which a person has difficulty learning in a typical manner, usually caused by an unknown factor or factors.

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Multiple Sclerocis

Multiple Sclerocis

Multiple sclerosis (MS) is an inflammatory disease in which the fatty myelin sheaths around the axons of the brain and spinal cord are damaged, leading to demyelination and scarring.

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Neck Pain

Neck Pain

Neck pain (or cervicalgia) is a common problem, with two-thirds of the population having neck pain at some point in their lives.

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Nervous System

Nervous System

The nervous system is an organ system containing a network of specialized cells called neurons that coordinate the actions of an animal and transmit signals between different parts of its body.

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Parkinson's Disease

Parkinson's Disease

Parkinson's disease is a degenerative disorder of the central nervous system. The motor symptoms of Parkinson's disease result from the death of dopamine-generating cells.

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PMS

PMS

Premenstrual syndrome (PMS) is a collection of physical and emotional symptoms related to a woman's menstrual cycle. Medical definitions of PMS are limited to a consistent pattern of emotional and physical symptoms.

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Polio

Polio

Poliomyelitis, often called polio or infantile paralysis, is an acute, viral, infectious disease spread from person to person, primarily via the fecal-oral route.

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Pregnancy

Pregnancy

During pregnancy, there are several physiological and endocrinological changes that occur in preparation for creating the environment for the developing baby.

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Sciatica

Sciatica

Sciatica is a set of symptoms including pain that may be caused by general compression or irritation of one of five spinal nerve roots that give rise to each sciatic nerve.

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Scoliosis

Scoliosis

Scoliosis  is a medical condition in which a person's spine is curved from side to side. The spine of an individual with scoliosis may look more like an "S" or a "C", rather than a straight line.

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Seizures

Seizures

An epileptic seizure, occasionally referred to as a fit, is defined as a transient symptom of "abnormal excessive or synchronous neuronal activity in the brain".

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Seniors

Seniors

An important advantage for seniors receiving chiropractic care is an increased range of motion in both the spine and limbs.

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Sleeping

Sleeping

If you are having trouble sleeping at night, you are not alone. More than one-quarter of the U.S. population report they occasionally do not get enough sleep.

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Spinal Stenosis

Spinal Stenosis

Spinal stenosis is an abnormal narrowing (stenosis) of the spinal canal that may occur in any of the regions of the spine. This narrowing causes a restriction to the spinal cord, resulting in a neurological deficit.

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Sports

Sports

Playing sports can cause all kinds of injuries for children as well as adults. Chiropractic care is critical to keep you on top of your game and performing at your best.

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Surgery

Surgery

Contemplating surgery? It's a big decision. Chiropractic care is a non-invasive and safe alternative for some forms of surgery. Explore all your options before you commit to surgery.

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TMJ

TMJ

TMJ is used to refer to a group of problems involving the temporomandibular joint and the muscles, tendons, ligaments, blood vessels, and other tissues associated with them.

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Vertigo

Vertigo

Vertigo (from the Latin vertō "a whirling or spinning movement") is a subtype of dizziness, where there is a feeling of motion when one is stationary.

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Vision

Vision

The visual system is the part of the central nervous system which enables organisms to process visual detail, as well as enabling several non-image forming photoresponse functions.

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Whiplash

Whiplash

Whiplash is a non-medical term describing a range of injuries to the neck caused by or related to a sudden distortion of the neck associated with extension.

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The November/December 2003 issue of the magazine "Autism Digest" contained an interesting article on the subject of Autism and the effect of chiropractic care on those children. The article was authored by world known chiropractor for children, Dr. Joan Fallon. In her article she notes, "While it has regularly been associated with back pain or headache, increasing numbers of parents are seeking chiropractors for children and especially for children with developmental issues."

The article starts off by noting that Temple Grandin, an author of two books on autism, is herself autistic. The article notes that in her books she repeatedly discusses sensory integration difficulties as being the core of her autism. Additionally, a growing numbers of professionals also tout sensory difficulties as one of the hallmarks of autism.

Dr. Fallon describes this phenomenon by saying, "Sensory integration is defined as the disorganization of the multisensory input into the body. People who experience sensory integration problems have profound and often debilitating difficulty with touch, taste, smell, sound or visual input. Non-autistics can often experience sensory issues as well, such as the irritation we feel from a band playing too loudly, or an immediate headache from a certain smell. While these may be bothersome to the typical person, such sensory stimuli can be noxious to the autistic child and often manifest in infancy as colic and in the older child as hyperactivity, the “inability to listen, or unexplained behavior issues, especially in children who lack communication."

The article continues by stating that Chiropractic care should be the cornerstone of the sensory integration treatment plan for the Autistic child. Dr. Fallon notes, "Chiropractic care differs from many of the other therapies used with autistics in that it is directed to the heart of the problem: the lack of homeostasis in the body, which can, in turn, produce a disease state. Treatments are directed to the imbalances in the nervous system which inhibit sensory processing. By directly affecting the nervous system, chiropractic care for the autistic child can begin to change the many sensory integration issues by facilitating input into the organs and areas of the body involved in sensory integration, including the skin and the nervous system."

The article then explains that the imbalances in the nervous system are caused by "Subluxations" in the spine. "The presence of Subluxation can cause illness as well as a host of other problems for the child," contends Dr. Fallon. "The chiropractor administers an adjustment as the mainstream portion of care. The adjustment is administered in areas where there is the presence of a SUBLUXATION. Subluxation occurs where a segment of the spine consisting of two vertebrae and a disc between them, has lost their juxtaposition. Proper juxtaposition is necessary to maintain the integrity of the various systems that are located there, not the least of which is the nervous system."

The November/December 2003 issue of the magazine "Autism Digest" contained an interesting article on the subject of Autism and the effect of chiropractic care on those children. The article was authored by world known chiropractor for children, Dr. Joan Fallon. In her article she notes, "While it has regularly been associated with back pain or headache, increasing numbers of parents are seeking chiropractors for children and especially for children with developmental issues."

The article starts off by noting that Temple Grandin, an author of two books on autism, is herself autistic. The article notes that in her books she repeatedly discusses sensory integration difficulties as being the core of her autism. Additionally, a growing numbers of professionals also tout sensory difficulties as one of the hallmarks of autism.

Dr. Fallon describes this phenomenon by saying, "Sensory integration is defined as the disorganization of the multisensory input into the body. People who experience sensory integration problems have profound and often debilitating difficulty with touch, taste, smell, sound or visual input. Non-autistics can often experience sensory issues as well, such as the irritation we feel from a band playing too loudly, or an immediate headache from a certain smell. While these may be bothersome to the typical person, such sensory stimuli can be noxious to the autistic child and often manifest in infancy as colic and in the older child as hyperactivity, the inability to listen, or unexplained behavior issues, especially in children who lack communication."

The article continues by stating that Chiropractic care should be the cornerstone of the sensory integration treatment plan for the Autistic child. Dr. Fallon notes, "Chiropractic care differs from many of the other therapies used with autistics in that it is directed to the heart of the problem: the lack of homeostasis in the body, which can, in turn, produce a disease state. Treatments are directed to the imbalances in the nervous system which inhibit sensory processing. By directly affecting the nervous system, chiropractic care for the autistic child can begin to change the many sensory integration issues by facilitating input into the organs and areas of the body involved in sensory integration, including the skin and the nervous system."

The article then explains that the imbalances in the nervous system are caused by "Subluxations" in the spine. "The presence of Subluxation can cause illness as well as a host of other problems for the child," contends Dr. Fallon. "The chiropractor administers an adjustment as the mainstream portion of care. The adjustment is administered in areas where there is the presence of a SUBLUXATION. Subluxation occurs where a segment of the spine consisting of two vertebrae and a disc between them, has lost their juxtaposition. Proper juxtaposition is necessary to maintain the integrity of the various systems that are located there, not the least of which is the nervous system."

Several international stories have reported about a top Tour de France cyclist from Australia, Bradley McGee, and how chiropractic care kept him from dropping out of the Tour de France. One story appears on the International Fox sport network on July 6, 2004, and another on the Geo network on July 8, 2004.

The Fox story starts off by stating, "Australia's Bradley McGee has survived to fight another day at the Tour de France." The Geo story started by reporting, "McGee survived to fight another day at the Tour de France on Monday, after the work of a chiropractor reduced the pain in his hip which almost forced him out of the race."

McGee himself noted, "Thanks to the work of the chiropractor I was a lot straighter on the bike, that's the important thing but unfortunately I still haven't got a lot of power and so I couldn't help Baden Cooke in the sprint and I was just another number in the main field." After seeing his chiropractor, McGee felt more optimistic about his chances of being able to make it through the rest of the three-week race. He stated, "I'm a lot happier now and should be okay to carry on."

From the Journal of Pediatric, Maternal & Family Health comes a case study published on May 6, 2013 documenting the improvement of a case of Tourette Syndrome from chiropractic care. The study authors describe Tourette Syndrome as being characterized by sudden, brief, repetitive involuntary or semivoluntary movements and or sounds.

The Tourette Syndrome Association defines Tourette Syndrome as, "a neurological disorder which becomes evident in early childhood or adolescence before the age of 18 years. Tourette syndrome is defined by multiple motor and vocal tics lasting for more than one year." The authors of this study note that medical treatments can involve behavioral, pharmacologic, or surgical interventions, dependent on the extent to which the disorder incapacitates the person.

In this case a 14 year old boy was brought to the chiropractor by his mother seeking possible relief from the symptoms associated with his Tourette Syndrome.  Due to the severity of his motor tics, migraine headaches and severe fatigue attributed to his prescribed medications, the boy had missed school the two previous days.

The boy's history revealed that he was having 1,000 violent motor tics a day that consisted of whipping his head involuntarily in flexion and extension. He was also getting migraine headaches daily. In an attempt to treat his problems, the boy was taking 6 Ibuprofen pills, 10 mgs of Abilify® (aripiprazole), and 1mg of Orap® (Pimozide) per day.

A chiropractic examination was performed which included palpation of his spine, range of motion, thermal (heat) scans and spinal x-rays. A determination was made that subluxations were present in the boys spine and a specific protocol of spinal correction was initiated.

Upon a re-examination the authors reported measurable changes in the thermal scans, x-rays and other findings. The boy's problems improved significantly going from having 1,000 tics per day to only 30-35 tics per day. Additionally the boy was no longer dependent on Ibuprofen since his first week of chiropractic care. The dosage of Abilify was reduced to 2.5mg daily, and ORAP (Pimozide) was reduced to 0.5 mg daily on medical consent.

A story in the July 2004 issue of Chiropractic Economics magazine reported on a July 6, 2004 press release from the U.S. Olympic Committee (USOC). The USOC press release stated, "A 47-person medical staff has been announced by the U.S. Olympic Committee to provide health care for more than 540 American athletes in the 2004 Olympic Games in Athens. The USA Medical staff consists of medical doctors, certified athletic trainers, massage therapists, chiropractors and pharmaceutical experts."

Notable is the fact that two chiropractors were included in this list. Dr. Ira A. Shapiro of Old Bridge, N.J., and Dr. Marc P. Jaffe of Summit, N.J., are the chiropractors who were selected to join the other health professionals who will care for more than 540 American athletes in the 2004 Olympic Games in Athens Aug. 13 through Aug. 29, 2004.

The Chiropractic Economics article notes that these Doctors of Chiropractic are only the eighth and ninth chiropractors ever selected by the U.S. Olympic Committee to represent the United States at any Olympic event in an official capacity.

In order to be selected, Drs. Shapiro and Jaffe had to pass an initial assessment process. They were then allowed to adjust athletes at several events prior to the Olympics. Dr. Shapiro worked with nearly 200 American athletes at the 2003 Titan Games in San Jose, Calif., while Dr. Jaffe worked with more than 150 American athletes at the 2003 Summer World University Games in Daegu, South Korea.

Chiropractic has been used by athletes for some time to not only help them when they may be injured, but more importantly to help maximize their performance abilities.

Jim Scherr, the USOC's chief executive and chief of sports performance, speaking in generic terms about all the care the athletes will receive stated, "We feel that our athletes get the best medical care in the world.  We go to every length to care for these athletes who have accomplished their goals to get here. We want to make sure they take that next step with the best medical care available."

For the past several years Medicare administrators have made doctors of chiropractic and their patients a target for selective enforcement and regulatory restriction under Medicare because of a medical prejudice that is a gross disservice to both the patient and doctor of chiropractic. On May 16th, 2002, before a packed congressional hearing room, that trend was significantly exposed and debated.

At that hearing Small Business Committee Chairman, The Hon. Donald Manzullo (R-IL) and over a dozen other Members of the U.S. House of Representatives, pounded Medicare Administrator Thomas Scully for that program's ongoing policy of provider harassment. In a four-hour hearing, witness after witness, including ICA's Central Regional Director Dr. Michael Hulsebus (above) of Rockford, Illinois told the Committee how Medicare had conducted completely unjustified and overtly hostile and prejudicial attacks, post-payment audits and other strong-arm activities aimed at hurting non-MD providers.

Dr. Hulsebus addressed the issue succinctly with his testimony in which he stated, "Chiropractic providers and patients alike find it alarming when Medicare administrators take it upon themselves to use program policies to force health care decisions onto beneficiaries that ought to be left to the patients themselves. How else can you characterize policies that restrict access to one form of care, in this case chiropractic care, regardless of the clinical realities, and force those beneficiaries onto second-choice, specialist-based care that is far more expensive than the chiropractic care that is being denied? This is not only offensive in terms of personal liberties and control over one's own health care; it is also very poor public policy."

This historic hearing marks a major change in the role Congress is willing to play in protecting Medicare providers and Medicare patients from the heavy handed, arbitrary and prejudice driven operations of the Centers for Medicare and Medicaid Services (CMS). Formerly known as the Health Care Financing Administration (HCFA), the May 16th hearing was titled: "CMS, New Name, Same Old Game?" The anger and outrage of the Committee reached a peak when it was revealed that witnesses at earlier hearings on Medicare harassment had been subjected to snap Medicare audits on the very day they appeared before the Small Business Committee. Chairman Manzullo immediately called for an investigation of what he described as intimidation and witness tampering by Medicare and set a July 17th hearing date for a full review of this "horrific and frightening" abuse of power by Medicare authorities.

This legislative initiative was the product of many years of discussion, negotiations and education and came only after numerous attempts by the chiropractic profession and the Congress to persuade the U.S. Department of Veterans Affairs (DVA) to develop and implement a meaningful chiropractic program on their own. The bill now moves to the U.S. Senate for consideration and action. Some of the highlights of the bill include:

The establishment of on-going, regular chiropractic care as a routine benefit at all DVA facilities, and the establishment of a chiropractic oversight committee to assist in the rapid implementation of full chiropractic availability within the DVA.

A mandatory schedule for deploying in-facility doctors of chiropractic at all DVA medical centers, adding on-site practitioners at 30 sites per year until all locations have in-facility coverage. The first 30 sites are to be identified within sixty days of final passage of the bill.

The securing of primary care provider status for DCs so that all eligible veterans can have direct access to chiropractic care without the need for a referral from a medical doctor.
The appointment of a senior doctor of chiropractic to serve as a Director of Chiropractic Services within the DVA. This key individual would be directly responsible to the Secretary for Veterans Affairs and thus able to by-pass a historically hostile and obstructionist medical bureaucracy.

The establishment of an effective program of training and education to inform and orient other providers and beneficiaries as to the important role and availability of chiropractic services within the DVA.

News of a pilot program to expand chiropractic coverage in Medicare was reported in the April 7, 2005 issue of the Senior Journal. According to the report the Centers for Medicare and Medicaid have announced the start of a two-year demonstration to expand Medicare coverage of chiropractic services in five states. The purpose of this pilot program is to determine the impact on satisfaction, use of services, and costs for Medicare beneficiaries.

The states involved in the pilot program involve areas in Maine, New Mexico, Illinois, Iowa, and Virginia. In the areas of this pilot program, chiropractors are able to offer Medicare Part B patients an expanded array of services that they are allowed to provide by state law to their entire list of patients, but that were not previously paid for by Medicare.

Normally, only chiropractic adjustments are a covered service under Medicare. In the pilot program the services that will also be covered will include diagnostic and therapy services, including extraspinal manipulation or adjustment of a body part other than the spine, x-rays, EMG and nerve conduction studies, clinical lab tests, and certain additional procedures.

The program is designed to last for two years and evaluate the possibility of expanding chiropractic coverage in Medicare across the entire program.  Centers for Medicare Services Administrator Mark B. McClellan, M.D., Ph.D noted, "Medicare currently only pays for a limited number of services from doctors of chiropractic, even though chiropractic services may be less costly alternatives to other types of medical care. He continued, "By expanding chiropractic coverage in this demonstration, we are reducing out-of-pocket costs for seniors who visit chiropractors, and we will learn whether paying chiropractors for delivering these additional services can help improve health outcomes and keep Medicare costs down."

In a recently passed bill, the US House and Senate agreed on language that sets up open access to chiropractic care in the VA (Veterans Administration). This new law, when enacted, will open access for all US military and veterans to receive chiropractic care under that program. The details and implementation of the program have still to be worked out but the intent was clear.

The bill contains the following language, "at least one site for such program (chiropractic) in each geographic service area of the Veterans Health Administration" (VHA). The chiropractic care specifically includes subluxation care, as well as a training program to orient the VHA personnel regarding the benefits of chiropractic care and services and employment of doctors of chiropractic. This means that chiropractic care should be made available through the hiring of chiropractors at each geographic location that the VA has a health care facility.

Chiropractic organizations have been attempting get a law such as this passed that gave these benefits to US veterans since 1936. In response to the law passage, the International Chiropractors Association released the statement, "This represents a great victory for the chiropractic profession and the veteran beneficiary alike, and comes in the face of massive opposition from competing professions as well as agency bureaucrats who have opposed and obstructed any meaningful access for veterans to chiropractic services for decades."

Although it is not entirely clear how the VHA will fully implement this new law, or how long it may take to be up and running, the language of the law does ensure that care will be provided. Probably one of the most telling portions of the law reads, "The chiropractic care and services available under the program shall include a variety of chiropractic care and services for neuro-musculoskeletal conditions, including subluxation complex."

On April 2, 2002 the US Supreme Court ruled unanimously to uphold a Kentucky law known as an "Any Willing Provider Law". Although this ruling did not get much press coverage, this ruling will have a profound effect on how health care is offered to the general public. Additionally, the law will have a considerable impact on the availability of chiropractic care in managed care programs.

This ruling upholds state laws that force HMOs to open up their doctor networks, allowing regulations in about half the states to give patients broader health care choices. The ruling is a blow to the managed care industry, which argued that closed networks are more cost-effective because doctors and hospitals that join agree to accept lower fees in return for a guaranteed stream of patients.

State "Any Willing Provider" laws basically allow all licensed doctors who agree to the terms of the HMO to become participating doctors in the HMO. This prevents HMO's from limiting the number of doctors in their network. According to many state laws HMO's are not allowed to discriminate against chiropractors.

This ruling upholds those laws and opens up networks allowing more chiropractors to participate in various health plans.

The laws affect HMOs in all areas, but are particularly helpful to patients in rural areas or small towns, where health care choices are limited. In those areas, patients sometimes have to drive many miles to see an in-network health care provider. The Kentucky statutes were challenged by a group of HMOs and an industry trade association. The case turned on whether the laws regulate insurance, which states are allowed to police, or regulate employee benefits, an area reserved for Congress. The Bush Administration, had asked the court to uphold the Kentucky laws.

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