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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


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


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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ACA to Court: N.M. Chiropractic Physicians Should Have Right to Self-Determination

The American Chiropractic Association (ACA) today filed an amicus curiae (friend of the court) brief in the New Mexico Court of Appeals, supporting the expertise of chiropractic physicians in that state and their right to self-determination.
ACA was compelled to file the brief after the International Chiropractors Association (ICA) joined forces with the New Mexico Board of Pharmacy and the New Mexico Medical Board in a December 2011 memorandum to the court, requesting a halt to efforts by the New Mexico Board of Chiropractic Examiners to create an advanced practice training and certification program for chiropractic physicians.
In making its argument in favor of allowing New Mexico chiropractic physicians to chart their own course in this matter, ACA's brief informs the court about the extensive educational background and training that chiropractic physicians receive today from accredited U.S. chiropractic colleges.
The brief also points out that ACA is the nation's largest and preeminent chiropractic professional association, and that its long-established policy has been to recognize that local doctors are best equipped to determine matters of scope.
"It is ACA's opinion that the New Mexico Board of Chiropractic Examiners should be given the same respect as other state boards and allowed to determine what is best for chiropractic physicians and patients in that state. We object in particular to actions by the ICA, as well as the state's pharmacy and medical boards, to interfere with the will of chiropractic physicians in New Mexico and the needs of their patients," said ACA President Keith Overland, DC.
It is uncertain at this time when the court will make its final ruling on the issue.

For more information, visit

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Doctors of Chiropractic Answer London's Call

With a little more than 24 hours until the opening ceremony of the London Olympic Games, it's worth remembering that in 1979, track and field star Dwight Stones broke barriers and thrust chiropractic care into the Olympic spotlight in an interview on national TV, where he spoke about the important work being done by Leroy Perry, DC.

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Big Win in Texas

The District Court of Travis County, 250 Judicial District withdrew its opinion and judgment dated April 5, 2012, and substitute the following in its place. The motion for rehearing filed by appellee Texas Medical Association is denied.

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Are You Suffering from Back Pain?

The following link is a chiropractic public service announcement produced by the WestHartford Group, a chiropractic think tank dedicated to the advancement of the chiropractic profession.

Are You Suffering from Back Pain?

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Congressional Committee Calls Chiropractic

Members of the House Armed Services Committee have approved the inclusion of a strong, pro-chiropractic directive in their official committee report accompanying the FY 2013 National Defense Authorization Act. The committee language asserts that services provided by doctors of chiropractic (DCs) for our nation's men and women in uniform is of "high quality" and has become a "key" benefit within the military health care system. Read relevant pages from the committee report here.

Read More Highlights the Benefits of Chiropractic Care

This week, ACA President Dr. Keith Overland was quoted in a story on about the benefits of the services provided by doctors of chiropractic. The articles cites research from the Journal of Manipulative and Physiological Therapeutics that found that an integrated approach to health care--including chiropractic care--results in a 51.8 percent reduction in pharmaceutical costs and 43 percent fewer hospital admissions.

To view the full story click on the link below.

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Dr. Michael Simone Elected Chairman of the American Chiropractic Association

Arlington, Va.-- The American Chiropractic Association (ACA) today announced that Michael Simone, DC, CCSP, FICC, of Dacono, Colo. was elected Chairman of the Board of Governors (BOG). ACA is the world's largest professional association representing doctors of chiropractic.

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Spinal Manipulation, Medication, or Home Exercise With Advice for Acute and Subacute Neck Pain A Randomized Trial


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From our ACA Delegates Drs. Herd and Wolfson: Good news on the national legislative front

On March 27, we received the following from Senator Schumer's legislative aide, "I apologize for the delay in response but its appropriation season so it has been hectic. I wanted you to know that we signed Senator Schumer as a cosponsor to S. 1147." On February 16th while in Washington, DC attending the ACA National Legislative Conference we visited Capitol Hill with Dr. Bazakos, Dr. Nicchi and NYCC students. We explained to Senator Schumer's legislative aide the importance of obtaining his co-sponsorship of S1147 (see below for issue). This is an exciting and positive step in gaining support for S1147.

Senator Schumer adding his name with his senior and respected status in the Senate, sends a clear message to fellow senators of the importance to support our veterans! Please feel free to send a quick thank you to his office for his co-sponsorship and the importance this bill has in helping one of our most important national treasures...our veterans!

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CCE Leadership Hosts Meeting with Stakeholders

Arlington, Va.-- On Friday, March 16, leaders of the Council on Chiropractic Education (CCE) met with representatives from the American Chiropractic Association (ACA) and 36 other stakeholder organizations-including FCLB, ICA, IFCO, MCQI, NBCE and the presidents of all U.S. chiropractic colleges-in an effort to improve communication and the transparency of its operations.

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Chiropractic Groups Unite to Make Greater Impact on Capitol Hill

ACA Hosts Annual Leadership Meeting in Conjunction with Legislative Conference

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Government Report Notes Benefits of Spinal Manipulation

The National Prevention Council (NPC), recently called for the development of a National Prevention Strategy to outline goals and recommendations for improving health and wellness for all Americans. The National Prevention Strategy highlights several preventative measures throughout the report including alternative therapies for back and neck pain.

According to the report, one key aspect of expanding preventive services is to “enhance coordination and integration of clinical, behavioral and complementary health strategies.” The report also specifically touts the benefits of spinal manipulation stating, “Complementary and alternative therapies for back and neck pain (e.g., acupuncture, massage, and spinal manipulation) can reduce pain and disability.”

 Read the full report

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Health Maintenance Care in Work-Related Low Back Pain and Its Association With Disability Recurrence


Objectives: To compare occurrence of repeated disability episodes across types of health care providers who treat claimants with new episodes of work-related low back pain (LBP).

Method: A total of 894 cases followed 1 year using workers’ compensation claims data. Provider types were defined for the initial episode of disability and subsequent episode of health maintenance care.

Results: Controlling for demographics and severity, the hazard ratio [HR] of disability recurrence for patients of physical therapists (HR = 2.0; 95% confidence interval [CI] = 1.0 to 3.9) or physicians (HR = 1.6; 95% CI = 0.9 to 6.2) was higher than that of chiropractor (referent, HR = 1.0), which was similar to that of the patients non-treated after return to work (HR = 1.2; 95% CI = 0.4 to 3.8).

Conclusions: In work-related nonspecific LBP, the use of health maintenance care provided by physical therapist or physician services was associated with a higher disability recurrence than in chiropractic services or no treatment.

Journal of Occupational & Environmental Medicine:
April 2011 - Volume 53 - Issue 4 - p 396–404

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