The Evidence Based Chiropractor Blog

Hundreds of chiropractic marketing and research articles to help you grow.

Chiropractic, Low Back Pain Research Jeff Langmaid Chiropractic, Low Back Pain Research Jeff Langmaid

The UK BEAM Study: A Landmark Paper for Spinal Manipulative Therapy- by The Evidence Based Chiropractor

In 2004, the British Medical Journal published the UK BEAM (United Kingdom Back Pain, Exercise, and Manipulation) study.  This was a randomized trial to test the effectiveness of various physical treatments for back pain.  The study showed that manipulation provided the greatest response to care for patients with un-resolving lower back pain; and if cost or time is an issue, manipulation alone provided a greater net benefit than exercise alone.

Manipulation/Adjustments alone had statistically significant improvement in the Roland Disability Score for the manipulation group at 3 months (1.57) and remained significant at 12 months (1.01).  The exercise only group was significant at 3 months (1.36) and not at all at 12 months (.39).  When examining the treatment groups, the most robust separation from the baseline Roland Disability Scores were the treatment groups that included manipulation.  Additionally, you will notice that no serious advance effects were recorded. 

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.


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Chiropractic, Medications Jeff Langmaid Chiropractic, Medications Jeff Langmaid

Cardiovascular Risk Increased for Children Taking ADHD Medication- by The Evidence Based Chiropractor

New Danish research shows that children taking medication for ADHD are at a greater risk for cardiovascular problems than a sample of children with ADHD who are not taking medication.  The risk for cardiovascular problems was found to be doubled for those taking medications. 

The absolute incidence of these potential problems is still very low (under 1%), however, it is alarming anytime the rate of potential pathology is doubled due to a medication.  With literally millions of children being prescribed ADHD medications each year; there is the potential for these medications to cause a significant number of children to encounter cardiovascular problems and be forced to receive more intensive treatments and medications. 


-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

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Chiropractic, Chiropractic Marketing, Low Back Pain Research, Motivational Jeff Langmaid Chiropractic, Chiropractic Marketing, Low Back Pain Research, Motivational Jeff Langmaid

Maintenance Adjustments for Prevention Recommended by SPINE Journal- by The Evidence Based Chiropractor

A potentially earth-shattering study relating to the practice of chiropractic was released last year and you may not have heard about it...until now. SPINE Journal emphatically stated that maintenance (at a frequency of 2x month) adjustments to the lumbar spine may prevent future episodes of lumbar spine pain.   

Pain (VAS Score) and disability (Oswestry) scores were significantly reduced with the group receiving maintenance treatment.  In their own words,  "we suggest that maintained SM is beneficial to patients with chronic nonspecific LBP, particularly those who gain improvement after initial intensive manipulation to maintain the improved post-treatment pain and disability levels."

When powerful research such as this is produced for prescription medications, the pharm reps are banging down the door of every medical practitioner in the country.  However, aside from our promotion at The Evidence Based Chiropractor, I have not seen a single chiropractic organization mount a campaign which promotes this research to other medical providers.   

As chiropractors, we have an abundance of high-quality research which needs to be promoted and not left dormant!  This library of research will continue to build and it will be our task to make sure that others are aware of the value of our care.  

We have assisted hundreds of chiropractors (just like you) around the globe build referral relationships with other physicians.  Dr. Langmaid literally wrote the book on interdisciplinary referrals ("Marketing Chiropractic to Medical Doctors" is available worldwide on iBooks).  We are the unrivaled leaders in interdisciplinary outreach and marketing for a reason. 

Join us by the end of the month to receive zip code exclusivity and a FREE 30 minute implementation call!

The study- http://www.ncbi.nlm.nih.gov/pubmed/21245790

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

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Chiropractic Marketing, Chiropractic, Motivational Jeff Langmaid Chiropractic Marketing, Chiropractic, Motivational Jeff Langmaid

Commitment and Consistency: The Heart of MD Referrals by The Evidence Based Chiropractor

Commitment and consistency are two of the most important aspects of interdisciplinary outreach.  In Robert Cialdini's book, "Influence: The Psychology of Persuasion", he outlines these factors as part of a 6 step system to influence.  Additionally, he touches on building Authority.  At The Evidence Based Chiropractor, we believe these factors play a crucial role in developing referral relationships.  Commitment and consistency with your monthly outreach (case notes and our Monthly MD Research Brief's) establish a continuity of outreach and drive the establishment of your local Authority on conservative spine care.   Case notes alone provide some degree of social proof, but monthly outreach with research is a key aspect to establishing authority as the local expert.  

By reaching out with commitment and consistency and positioning yourself as the local authority on conservative spine care, physicians will be much more likely to establish referral relationships with your office.  You may choose to accelerate this process by setting up some MD Meetings and building rapport through personal interaction.  Regardless of the path your choose, reaching out to other physicians in your community through research is the first step towards building long lasting referral relationships. 

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

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Motivational, Chiropractic Marketing, Chiropractic Jeff Langmaid Motivational, Chiropractic Marketing, Chiropractic Jeff Langmaid

The Importance of Sending Case Notes- by The Evidence Based Chiropractor

On nearly every implementation call for members of The Evidence Based Chiropractor I receive questions about case notes.  Doc's are concerned about the how, what, when, and where about sending them to other physicians.  

case-notes.jpg

Often, they have been reluctant to do so because they don't want to send something amateurish or incorrect.  (Top priority is always to be in compliance with HIPAA and government law regarding sharing protected health information)

Research shows us that Primary Care Physicians received case notes approximately 70% of time when referred a patient to another MD.  PCP's only receive case notes 50% of the time when a patient is referred to a chiropractor.  

By sending case notes you are able to:

  1. Show off the results of your care

  2. Show that you are co-managing with the Primary Care Doctor

  3. Get an additional touch point of communication for branding/name recognition  

We recommend our members send case notes at 3 different times- Initial Evaluation, Re-Evaluation, and Discharge from Active Care.  Often these notes can be process and faxed directly from your EMR/EHR.

 

Your Case Notes should include:

  • Who- who is the patient? (patient name, DOB)

  • When- when did they visit your office? (date of service)

  • What- what did you find? (diagnosis)

  • How- how are you going to move forward?  (treatment plan)

As you can imagine, these items will usually take up less than a full page.  If a doc requests additional information, then you can by all means supply it; however, a vast majority of physicians prefer just the basics as they will look at this page in the patients record prior to entering their exam room.  

By supplying case notes you are increasing communication and "touches" with PCP's in your community, they can see the progress of your shared patients, and you are assisting your patients with keeping an accurate health record.

If you would like more information regarding case notes I recommend reading my book, "Marketing Chiropractic to Medical Doctors" which is now available worldwide on iBooks and Amazon. 

-The Evidence Based Chiropractor is the leading DC/MD marketing and outreach group in the world.  Our service is dedicated to increasing chiropractic utilization by showcasing research.  Marketing to medical doctors through research is efficient, cost effective, and can dramatically improve your incoming referrals.  Join us.  Lets grow chiropractic together.

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