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NBCE begins practice analysis survey

The National Board of Chiropractic Examiners (NBCE) has just begun mailing surveys to more than 10,000 randomly selected chiropractic practitioners throughout the United States. The survey procedures have been reviewed and approved by the Institutional Review Board of Palmer College of Chiropractic. Results from the survey will be used to produce the Practice Analysis of Chiropractic 2015. This reference volume is the fifth edition of a document that was first published in 1993 and called the Job Analysis of Chiropractic.

The Practice Analysis is the only publication of its kind to focus on the role of a typical full-time doctor of chiropractic, presenting reliable statistics about demographics and practice patterns, as well as a review of recent research about chiropractic. Results of the completed project will be shared with educators, insurance companies, legislators, libraries, state licensing boards and others who need a reference concerning the profession.

Within the NBCE, the Practice Analysis is the foundation of the Part III and Part IV clinical and practical skills assessments administered by the NBCE. Its use ensures that the content of these examinations directly pertains to the practice of chiropractic. In short, the new edition will benefit every aspect of the profession, including the general public.

The accuracy of the Practice Analysis is largely dependent upon the response of a large number of practitioners. It is critical that those who receive the survey complete and return it as quickly as possible, either by mail or online. The submitted data will be compiled and analyzed, with the results being added to the chapters that are already in progress.


Headquartered in Greeley, Colo., the NBCE is the international testing organization for the chiropractic profession. Established in 1963, the NBCE develops, administers and scores legally defensible, standardized written and practical examinations for candidates seeking chiropractic licensure throughout the United States and in many foreign countries.

 

Recent Important Victories for the Chiropractic Profession

 

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Federal Panel Recommends Full, Three-Year Federal Recognition for CCE

 

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Chiropractic Physicians Appointed to New AMA Quality, Safety Committees

 

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National Chiropractic Health Month: Discover Chiropractic ... Get Vertical

 

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ACA and NYCC Interview Opportunities

 

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ACA Represents Chiropractic at Nation’s Largest Gathering of State Legislators

Participation Educates Lawmakers on Value of Including Profession in State-level Health Reform Efforts

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Hey Desk Jockeys: Get Vertical!

American Chiropractic Association Launches 2013 Public Health Awareness Campaign

Arlington, Va.—During National Chiropractic Health Month this fall, the American Chiropractic Association (ACA) and chiropractic physicians nationwide will promote the importance of joint health and the vital role physical activity plays in keeping joints healthy and pain free. This year’s theme—“Get Vertical”—focuses on getting off the couch or out of the office chair, and standing or moving more each day.

Most people nowadays know someone with joint pain, and joint replacement surgery—particularly involving hips and knees—is commonplace. What many do not know is that simple lifestyle changes can in some cases help prevent the need for this type of surgery and keep joints healthier longer.

“Remaining physically active and pain-free is an important measure of the quality of someone’s life, and chiropractic physicians can help by providing exercise and lifestyle recommendations, nutritional advice, and natural approaches to managing aches and pains,” said ACA President Keith Overland, DC. “Just a few healthy lifestyle changes, over time, can potentially mean the difference between being scheduled for joint replacement surgery or remaining active and pain-free well into one’s golden years.”

In honor of National Chiropractic Health Month, ACA offers these tips to help you get vertical and stay pain-free:
  • Stand up: Office dwellers can look into using standing desks or treadmill desks; but if you’re stuck sitting all day, you can still stretch your legs with a short walk about every 20 to 30 minutes.  
  • Take micro-breaks: Frequently stretch your neck, arms and wrists, back, and legs. Simple stretches include neck rotations, fist clenches, arm dangles, and shoulder shrugs.  
  • Get moving: You don’t have to work out like a pro-athlete, just aim for a minimum of 20 to 30 minutes of exercise three to five days a week.  
  • Eat right: A healthy diet—rich in fruits, vegetables and healthy fats—can help reduce inflammation and joint pain. Also limit red meat, refined sugar and white flour. Just a few simple changes can help maintain a healthy weight and have a positive impact on your overall health.
For more tips on healthy, pain-free living, visit www.ChiroHealthy.com.

Sponsored by ACA, National Chiropractic Health Month is a nationwide observance held each October. The event helps raise public awareness of the benefits of chiropractic care and its natural, whole-person, patient-centered approach to health and wellness.  

The American Chiropractic Association (ACA), celebrating its 50th anniversary in 2013, is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and professional ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.

 

VA Prepares to Move Forward with Chiropractic Residency Program

Historic Program Reflects VA’s Dedication to U.S. Veterans, Exciting Opportunities for Integrated Training

Arlington, Va.—The American Chiropractic Association (ACA) today announced that the U.S. Department of Veterans Affairs (VA) has released a request for proposals to establish a chiropractic residency program at VA medical facilities. The program will support up to six residencies for chiropractic physicians at VA medical centers around the country and expand partnerships between VA centers and local chiropractic schools.

VA medical facilities with existing chiropractic clinical programs are eligible to apply for this program. In the months ahead, VA will review proposals and select three to five facilities to participate for three years, beginning in 2014-2015. The application process for individual chiropractic residents will be announced after the participating facilities are identified, likely in early 2014. ACA will keep the chiropractic profession abreast of all program details as they become available.

“I am impressed and grateful that the VA has made a significant enhancement in providing top-notch care to veterans by strengthening its ties to the chiropractic profession. The services provided by doctors of chiropractic can play an important role in improving the health of America’s heroes,” said ACA President Keith Overland, DC. “The program will also offer the highest quality, integrated training for chiropractic physicians.”

All veterans are eligible to receive chiropractic services, and nearly 50 major VA treatment facilities around the United States have on-site chiropractic clinics. This is significant when considering that a 2013 report from the Veterans Health Administration indicated that more than half of all veterans returning from the Middle East and Southwest Asia who have sought VA health care were treated for symptoms associated with musculoskeletal ailments – the top complaint of those tracked for the report.

In addition to clinical care, VA conducts the nation’s largest education and training program for health professional students and residents, with the goal of educating future health care providers to serve veterans and the US at large. The chiropractic residency program marks the next step in the evolution of the profession’s academic efforts with VA, and will lead to high-quality innovative training that will benefit future patients.

The American Chiropractic Association (ACA), celebrating its 50th anniversary in 2013, is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and professional ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.  

 

Plan to Expand Chiropractic Services to More VA Medical Facilities Clears Senate Committee

Pro-Chiropractic Provisions Included in Legislation Supporting Veterans’ Transition Home

Arlington, Va.—The American Chiropractic Association (ACA) applauds the U.S. Senate Veterans Affairs Committee for including provisions of the Chiropractic Care Available to All Veterans Act (S.422), a bill that would improve veteran health care by expanding the availability of chiropractic services to more VA medical centers, in omnibus veterans’ legislation.

The omnibus bill, the Veterans’ Educational Transition Act of 2013 (S. 944), is designed to assist veterans’ transition to normal life after their service is complete. It was approved by the committee on July 24 and will now go to the Senate floor for a final vote. Details of the chiropractic provisions included in the bill will be available when the committee issues its report in upcoming weeks.

Introduced by Sens. Richard Blumenthal (D-Conn.) and Jerry Moran (R-Kan.), S. 422 aims to increase patient access to the services provided by chiropractic physicians, which are currently available at less than a third of the 160 VA medical centers nationwide.

Further, repeated reports from the Veterans Health Administration indicate that more than half of all veterans returning from the Middle East and Southwest Asia who have sought VA health care were treated for symptoms associated with musculoskeletal ailments – the top complaint of those tracked for these reports. In a statement released after the chiropractic provisions cleared the committee vote, Sens. Blumenthal and Moran noted that veterans suffering from these types of conditions can be successfully and cost-effectively treated by doctors of chiropractic.

“Those who have made sacrifices for our country—especially veterans, active-duty military and their family members—deserve access to the best health care available, which includes the services provided by doctors of chiropractic,” said ACA President Keith Overland, DC. “The Chiropractic Care Available to All Veterans Act is a step in the right direction, and we give special thanks to Sens. Blumenthal and Moran for championing it.”

Prior to collaborative efforts between the chiropractic profession, its congressional allies and VA, eligible veterans were referred to doctors of chiropractic serving in private practice outside the VA health care system.

"When we work together we can accomplish so much,” said R. Jerry DeGrado, DC, chair of the Chiropractic Summit Government Relations Committee. “This is a great success not only for our profession and the patients we serve, but also for our heroes who deserve care for all they have sacrificed."

A companion bill in the U.S. House of Representatives, H.R. 921, was introduced by Rep. Mike Michaud (D-Maine), a ranking member of the House Committee on Veterans Affairs.

Chiropractic physicians, chiropractic students and chiropractic supporters can contact their congressional representatives and urge them to cosponsor H.R. 921 to ensure the initiative passes this Congress.    

The American Chiropractic Association (ACA), celebrating its 50th anniversary in 2013, is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and professional ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org



















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BREAKING NEWS: MD-DC Partnership Bill Has Passed the NY Senate!

The New York State Chiropractic Association is pleased to report to you today that the NY MD-DC Partnership Bill (S1940/A5956) has passed the Senate!  This is certainly a welcome and exciting development.  

It is time now, more than ever, to make a concerted effort to reach out to Assemblypersons by sending letters of support of this bill.  This is an important piece of legislation which would amend the limited liability company law, the business corporation law, the partnership law, and the public health law to allow doctors of chiropractic to form LLCs and partnerships with medical doctors.

We earnestly request that you visit NYSCA.com to view and download the sample letters to legislators. Please personalize these letters to make them specific and unique to your office.


We thank you for your continued efforts and support in furthering the interests of Chiropractic in New York.

 

JAMA Suggests Chiropractic for Low Back Pain

Chiropractic Physicians Provide Natural Alternatives for Pain Treatment, Injury Prevention

Arlington,Va.
--An article in the Journal of the American Medical Association (JAMA) suggests patients try chiropractic services for the treatment of low back pain. According to the article, surgery is not usually needed and should only be considered if more conservative therapies fail. The information in JAMA reinforces the American Chiropractic Association's (ACA) position that conservative care options should serve as a first line of defense against pain.

The article, part of JAMA's Patient Page public education series, explains that the back is made up of bones, nerves, muscles and other soft tissues such as ligaments and tendons that support posture and give the body flexibility. Back pain can be caused by problems with any of the structures in the back.

As neuromusculoskeletal experts, chiropractic physicians are particularly well suited to manage and help prevent low back pain.

"We are encouraged to see JAMA suggest patients try chiropractic and other more conservative types of treatment for their back pain. In many cases pain can be alleviated without the use of unnecessary drugs or surgery, so it makes sense to exhaust conservative options first," said ACA President Keith Overland, DC.

"Research confirms that 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 health care system money down the line," he added.

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.

The American Chiropractic Association (ACA), celebrating its 50th anniversary in 2013, is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and professional ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.

 

CALL TO ACTION: Your Immediate Attention is Needed!!!

CALL TO ACTION

Your Immediate Attention is Needed!!!

We need your help. A5956, sponsored by Assemblyman Daniel O’Donnell, would amend the limited liability company law, the business corporation law, the partnership law and the public health law to allow doctors of chiropractic to form partnerships with medical doctors. We need you to send letters of support for this legislation to your local legislators.

PLEASE TAKE THESE ACTION STEPS

Step One: Download and personalize one of the “Doctor’s Letter to Legislators.” We are providing you with four sample letters with varying levels of urgency and tone.


Please personalize these letters to make them specific and unique to your office.  Some possible scenarios might include:
  1. You are seriously considering forming a partnership, but cannot do so because of NY state law
  2. You have been approached by an MD to form a partnership but can't
  3. You are already in a professional relationship with an MD and cannot form a formal partnership due to current law
If desired, you could also make specific reference to Medical Homes, ACOs, and the role of the healthcare exchanges and how current New York State law will not allow full ACA implementation toward integration. The point is to make the letter your own.

Step Two: Send (email) the signed letters to your local Assembly person and copy your district president on the email. You can send a letter for yourself and for your office if each location is represented by a different Assembly person.

Step Three: Use the below links to find your local legislators if you don’t know who they are. Once you have found your local legislator, you can also find their email address.


Step Four: Contact MD’s that you know who are supportive of this legislation and ask them to send a letter of support for the bill. You can provide this letter to use as a template. Please ask them to personalize it. Then ask them to email it to their legislator and to copy you. Then send it to your District President.

Thank you in advance for your efforts and support.

 

Chiropractic Physicians Help Create Healthy Workplaces

Arlington, Va.—Chiropractic physicians are ready to provide key support to patients who are trying to create healthy working environments, according to the American Chiropractic Association (ACA). This reminder comes as communities across the country this week observe National Public Health Week (NPHW), which promotes creating a healthy workplace on Wednesday, April 3.

The theme of NPHW 2013—“Public Health is ROI: Save Lives, Save Money"—promotes the value of prevention and the importance of well-supported public health systems in preventing disease, saving lives and curbing health care spending. For more than 100 years, the chiropractic profession has promoted prevention as a key component of health and wellness, and a growing body of research shows that chiropractic services reduce health care spending.

According to the U.S. Bureau of Labor Statistics, in 2011 musculoskeletal disorders made up 33 percent of all work-related injury and illness cases. When considering the impact of proper ergonomics on workplace safety, ACA stresses three basic principles:
  1. When lifting, the largest muscles in the area should perform the task. The larger the muscle or muscle group used for lifting, the lower the stress on smaller, more vulnerable muscles.
  2. During any work activities, people should be able to comfortably assume a number of different postures and not remain in one position for an extended time. Muscles will fatigue and be more prone to injury when assuming a particular posture, especially a poor one (e.g., partially bent forward at the waist).
  3. When performing tasks, it is important to keep the joints either in their neutral posture or approximately halfway into the range of motion. Working with your joints at the extremes of their ranges of motion for prolonged periods places abnormal stresses on them and can cause repetitive stress injuries.
“Our bodies are not designed to maintain the same posture for long periods of time or to repeat the same motions endlessly,” said ACA President Keith Overland, DC. “Stretches and exercises can help prevent pain and injury. There are also natural, cost-effective approaches to treating pain, such as chiropractic services, that can help patients avoid unnecessary drugs or surgery.” For more information about creating a healthier working environment, please visit ACA’s website for health and wellness tips.

Since 1995, when the first full week of April was declared NPHW by the American Public Health Association (APHA), communities across the country have recognized the contributions of public health and highlighted issues important to improving public health. APHA creates planning and outreach materials that can be used year round to raise awareness. APHA has featured a section devoted to chiropractic and the role that DCs play in public health since 1995.

The American Chiropractic Association (ACA), celebrating its 50th anniversary in 2013, is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and professional ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.

 

People to People Announces Chiropractic Delegation to India

 

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Legislation to Further Integrate Chiropractic Services Introduced in Congress

Arlington, Va.—The American Chiropractic Association (ACA) today announced that its work with key congressional supporters has resulted in several important pieces of pro-chiropractic legislation being introduced in the 113th U.S. Congress. These bills, if enacted into law, would increase patient access to the services provided by chiropractic physicians.

The first legislative initiative, the “Chiropractic Care Available to All Veterans Act”, was introduced in the Senate (as S. 422) by Sen. Richard Blumenthal (D-Conn.). Its House companion bill, H.R. 921, was introduced by Rep. Mike Michaud (D-Maine), a ranking member of the House Committee on Veterans Affairs. The bills would require the U.S. Department of Veterans Affairs (VA) to have a chiropractic physician on staff at all major medical facilities by 2016.

The second ACA supported bill is H.R. 741, the “Chiropractic Health Parity for Military Beneficiaries Act,” introduced by Reps. Mike Rogers (R-Ala.) and Dave Loebsack (D-Iowa). This legislation would extend chiropractic services to military retirees, dependents and survivors as part of TRICARE. H.R. 741 defines “chiropractic services” as diagnosis (including X-ray tests), evaluation and management, and therapeutic services for the treatment of neuromusculoskeletal health conditions. The legislation specifically notes that chiropractic services may only be provided by a doctor of chiropractic (DC).

Another recently introduced bill—the “Chiropractic Membership in the Public Health Service Commissioned Corps Act of 2013” (H.R. 171), introduced by Rep. Gene Green (D-Texas)—would benefit the public and the chiropractic profession by requiring the inclusion of DCs in the U.S. Public Health Service (USPHS) Commissioned Corps. USPHS is an elite team of more than 6,000 well-trained, highly qualified public health professionals dedicated to delivering the nation’s public health promotion and disease prevention programs and advancing public health science.

The final ACA supported bill is H.R. 702, the “Access to Frontline Health Care Act,” which would establish a new program to help chiropractic physicians and other select health care providers repay their student loans if, in exchange, they establish and maintain practices in medically underserved areas. ACA has worked closely with Rep. Bruce Braley (D-Iowa), the sponsor of the bill, to ensure that chiropractic physicians are specified as qualifying for the program.

“Those who have made sacrifices for our country—especially veterans, active-duty military and their family members—deserve access to the best health care available, which includes chiropractic services,” said ACA President Keith Overland, DC. “I am urging every chiropractic physician, chiropractic student and chiropractic supporter to contact their congressional representatives and urge them to cosponsor these bills and to help military families in need.”

The American Chiropractic Association (ACA), celebrating its 50th anniversary in 2013, is the largest professional association in the United States representing doctors of chiropractic. ACA promotes the highest standards of patient care and professional ethics, and supports research that contributes to the health and well-being of millions of chiropractic patients. Visit www.acatoday.org.

 

Chiropractic Patients Less Likely to Undergo Lumbar Surgery

New Studies Support the Chiropractic Profession's Conservative Approach to Health
Arlington, Va.--A recent study in the medical journal Spine found a strong association between chiropractic care and the avoidance of lumbar spine surgery. The American Chiropractic Association is encouraged by this and other recent research supporting chiropractic's conservative, less costly approach to low-back pain.

Key findings of the Spine study, published in the Dec. 12, 2012 issue, show that:
  • Patients under age 35, women, Hispanics and patients whose first provider was a chiropractic physician had reduced odds of lumbar spine surgery
  • Approximately 43 percent of patients who saw a surgeon first had surgery
  • Only 1.5 percent of those who saw a chiropractic physician first ended up having surgery
Two additional studies reinforce ACA's longstanding position that health care providers should start with conservative approaches to treatment, such as the services provided by doctors of chiropractic, before guiding their patients to less conservative alternatives. Such an approach benefits patients and cuts health care spending-especially for a condition as common as low-back pain.

A recent study in Medical Care found that adjusted annual medical costs among complementary and alternative medicine (CAM) users was $424 lower for spine-related costs, and $796 lower for total health care cost than among non-CAM users. Furthermore, CAM treatments were cost neutral to health care systems, meaning that CAM users did not add to the overall medical spending in a nationally representative sample of patients with neck and back problems.

Published in The Lancet, "The Global Burden of Disease 2010," authored by an international group of experts assessing the world's biggest health challenges, underscores the need for better solutions to back pain and other musculoskeletal conditions. The massive survey indicates that while people may be living longer they are doing so more frequently with disability. The study identifies musculoskeletal conditions as the second leading cause of disability, and cites low-back pain as one of the major contributors to disability worldwide. GBD authors noted that creating effective and affordable strategies to deal with the rising burden of non-fatal health outcomes should be an urgent priority for health care providers around the world.

"As governments and health systems around the globe search for answers to complicated health challenges such as rising numbers of chronically ill and disabled patients and runaway costs, research is finally demonstrating what the chiropractic profession has promoted for years: that caring for patients with conservative treatments first, before moving on to less conservative options or unnecessary drugs and surgery, is a sensible and cost-effective strategy," said ACA President Keith Overland, DC.

 

PCORI Approves Funding for Research by Chiropractic Physician

The American Chiropractic Association (ACA) today announced that the Patient-Centered Outcomes Research Institute (PCORI) approved funding for a research project lead by ACA member Michael J. Schneider, DC, PhD, that studies non-surgical treatment methods for patientswith lumbar spinal stenosis.
 
The news comes after a highly competitive evaluation process; only five percent of the applications submitted were awarded funding. In all, 25 applicants were approved for contracts totaling $40.7 million over the next three years as part of PCORI's patient-centered comparative clinical effectiveness research projects-the first of four areas of its National Priorities for Research and Research Agenda. All proposals were approved pending a business and programmatic review by PCORI staff and completion of a formal award contract.
 
Lumbar spinal stenosis is found in about 30 percent of older adults, and it is the most common reason people older than 65 have back surgery. However, such operations are expensive and risky, with a high number of complications that cause many patients to be re-admitted to the hospital. Moreover, a large number of patients with stenosis can be treated with other methods, such as chiropractic services, exercise, physical therapy and medication-health care providers just don't have enough research indicating which treatment works best for which patient and under which circumstances. Dr. Schneider's study aims to provide more information about the effectiveness of the various non-surgical choices for managing stenosis.
 
"While chiropractic physicians and our patients already know we offer effective, non-surgical back care, this study will provide further evidence and raise awareness of non-surgical options among health care providers in particular, resulting in better outcomes for patients," said ACA President Keith Overland, DC.
 
Dr. Schneider has vast experience and expertise related to low-back and neck pain, manipulation and mobilization, soft tissue manual therapy, myofascial pain and fibromyalgia, and complementary and alternative medicine. In addition to running a private practice since 1984, Dr. Schneider is affiliated with the University of Pittsburgh, where he is an assistant professor in the Dept. of Physical Therapy, School of Health and Rehabilitation Sciences, and an assistant professor of the Clinical and Translational Science Institute. He also serves as a postgraduate faculty member of New York, Texas, National, and University of Bridgeport Chiropractic Colleges. A graduate of Palmer College of Chiropractic and ACA member since 1983, Dr. Schneider serves as a member of ACA's Market Competition Task Force and the Research Review and Advisory Committee. 

 

CCGPP Algorithms Published

The Council for Chiropractic Guidelines and Practice Parameters (CCGPP)--after years of combing its research and developing chiropractic treatment guidelines in the form of three consensus documents--has finally had its algorithms published in the Topics in Integrative Health Journal. According to the report, each of the three documents was the outcome of a formal understanding in which a multidisciplinary Delphi panel consisting of experts in chiropractic and low-back pain treatment came to an agreement on terminology and treatment parameters for the chiropractic management of spine-related musculoskeletal pain. Read more here

 

The New York Times Prints ACA's Letter to the Editor

On Sept. 3, The New York Times printed "Too Young to Have a Stroke? Think Again," about the risk of stroke among younger people, which stated that "Other activities that can cause a carotid tear are those that involve sudden neck jerks, including scuba diving, golf and tennis, as well as chiropractic manipulation and bending the head sharply back (the so-called beauty parlor stroke)." ACA President Keith Overland, DC, quickly responded with a letter to the editor that was printed on page 4 of the Science Times section of the Sept. 11 edition. Dr. Overland's response highlighted research published in the medical journal Spine, which concluded that the risk of vertebrobasilar artery stroke associated with a visit to a chiropractic physician is no different than the risk of stroke following a visit to a primary care physician, and that any observed association between stroke and cervical manipulation or primary care visits is most likely linked to patients with undiagnosed vertebral artery dissections seeking care for neck pain or headaches prior to their strokes.

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