{"id":3001,"date":"2017-07-05T05:31:02","date_gmt":"2017-07-05T10:31:02","guid":{"rendered":"http:\/\/capitalchirodsm.com\/?page_id=3001"},"modified":"2022-08-24T18:24:03","modified_gmt":"2022-08-24T23:24:03","slug":"referring-clinicians","status":"publish","type":"page","link":"https:\/\/capitalchirodsm.com\/resources\/referring-clinicians\/","title":{"rendered":"Referring Clinicians"},"content":{"rendered":"<p><strong>Welcome to Capital Chiropractic &amp; Rehabilitation Center. <\/strong><\/p>\n<p><span style=\"font-weight: 400;\">As an evidence-based clinic, we strive to be a complementary, integral part of a patients&#8217; healthcare team. Because we believe that integrative care is in the best interest of the patient, we consider it best practice to collaborate with local physicians, surgeons, physical therapists, and other healthcare providers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Please find below an overview of our unique approach to physical medicine.<\/span><\/p>\n<h6 style=\"text-align: center;\">\u201cFor acute and subacute pain, the guidelines recommend<br \/>\nnon drug therapies first, such as applying heat,<br \/>\nmassage, acupuncture, or spinal manipulation, which is<br \/>\noften done by a chiropractor.\u201d \u2014 <a href=\"https:\/\/www.wsj.com\/articles\/no-drugs-for-back-pain-new-guidelines-say-1487024168\" target=\"_blank\" rel=\"noopener noreferrer\">Wall Street Journal<\/a><\/h6>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">We support evidence-based guidelines:<\/span><\/p>\n<ul>\n<li><b>No radiology facilities onsite. We refer for imaging when appropriate.<\/b><\/li>\n<li><b>We educate on whole food nutrition. No multilevel nutritional supplements.\u00a0<\/b><\/li>\n<li><strong>Treatments are multidisciplinary and include exercises, acupuncture, massage, joint manipulation.<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Our goals are simple:<\/span><\/p>\n<ul>\n<li><b>Design patient-centric treatment plans, then release from care.<\/b><\/li>\n<li><b>Diagnose mechanical components of our patient\u2019s symptoms.<\/b><\/li>\n<li><b>Empower patients through targeted exercise and pain education.<\/b><\/li>\n<li><b>Communicate with PCPs, surgeons, PTs, OBs, midwives, or provider of patient&#8217;s choice.<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Our thriving community of patients has been built on word of mouth referrals and online reviews and we could not be more pleased with what our patients have to say about their care and results.<\/span><\/p>\n<div  class=\"x-accordion\" >\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4c2a\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4c2a\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4c2a\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Working Together for Low Back Pain Patients<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4c2a\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4c2a\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4c2a\"><div class=\"x-accordion-inner\">\n<p><b>Low back pain is a significant problem for patients worldwide.<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Low back pain is the <\/span><b>single leading cause of disability <\/b><span style=\"font-weight: 400;\">worldwide.<\/span>\n<ul>\n<li>The Lancet\u2019s Global Burden of Disease 2010<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><b>One-half of all working Americans<\/b><span style=\"font-weight: 400;\"> admit to having back pain symptoms each year.<\/span>\n<ul>\n<li>Vallfors B. (1985), Scan J Rehab Med Suppl<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><b>Research supports conservative manual medicine in conjunction with standard medical care. When we work together, patients get better faster.<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u00a0 \u00a0&#8220;Chiropractic care, when added to usual medical care, resulted in moderate short-term improvements in low back pain intensity and disability in active-duty military personnel. This trial provides additional support for the inclusion of chiropractic care as a component of multidisciplinary health care for low back pain, as currently recommended in existing guidelines.&#8221;<\/span>\n<ul>\n<li><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2680417\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"wi-fullname brand-fg\">2018 &#8211; Physical Medicine and Rehabilitation &#8211; Christine M.\u00a0Goertz,\u00a0DC, PhD<sup>1<\/sup><\/span>;\u00a0<span class=\"wi-fullname brand-fg\">Cynthia R.\u00a0Long,\u00a0PhD<sup>1<\/sup><\/span>;\u00a0<span class=\"wi-fullname brand-fg\">Robert D.\u00a0Vining,\u00a0DC<sup>1<\/sup><\/span>;\u00a0et al<\/a><\/li>\n<\/ul>\n<\/li>\n<li><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">\u201c[Chiropractic Manipulative Therapy] in conjunction with [standard medical care] offers <\/span><b>a significant advantage for decreasing pain and improving physical functioning<\/b><span style=\"font-weight: 400;\"> when compared with only standard care, for men and women between 18 and 35 years of age with acute low back pain.\u201d<\/span>\n<ul>\n<li>Goertz et al. (2013), Spine<\/li>\n<\/ul>\n<\/li>\n<li>&#8220;<b>Reduced odds of surgery<\/b> were observed for&#8230;those whose first provider was a chiropractor. 42.7% of workers [with back injuries] who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor.&#8221;\n<ul>\n<li>Keeney et al. (2012), Spine<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><span style=\"font-weight: 400;\">\u201cMany treatments are available for low back pain. Often exercises and physical therapy can help. <\/span><b>Some people benefit from chiropractic therapy or acupuncture<\/b><span style=\"font-weight: 400;\">.\u201d<\/span>\n<ul>\n<li>Goodman et al. (2013), Journal of the American Medical Association<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4cb8\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4cb8\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4cb8\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Working Together for Pregnancy-Related Back Pain<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4cb8\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4cb8\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4cb8\"><div class=\"x-accordion-inner\">\n<p><b>Musculoskeletal disorders of pregnancy, delivery and postpartum are common<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">The specific anatomic and physiologic changes of pregnancy predispose to a specific set of diagnoses. <\/span><b>Virtually all women experience some degree of musculoskeletal discomfort<\/b> <b>during pregnancy<\/b><span style=\"font-weight: 400;\">.<\/span>\n<ul>\n<li><i>Borg-Stein J, et al. Phys Med Rehabil Clin N Am 2007 Aug;18(3):459-76, ix.<\/i><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><b>The most common reason for severe low back pain was dysfunction of the sacroiliac joints.<\/b>\n<ul>\n<li><i>Berg G, et al.<\/i> <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/entrez\/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;list_uids=2962023&amp;dopt=Abstract\"><i>Obstetrics &amp; Gynecology. 1988 (Jan); 71 (1): 71-75<\/i><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><b>Research supports conservative manual medicine in assessment and treatment of women with pregnancy related musculoskeletal conditions.<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u201c<\/span><b>Most pregnant patients undergoing chiropractic treatment reported clinically relevant improvement at all time points. <\/b><span style=\"font-weight: 400;\">(\u2026There were significant reductions in NRS and Oswestry scores\u2026)\u201d<\/span>\n<ul>\n<li><i>Petersonn et al. Chiropractic &amp; Manual Therapies 2014, 2 2:15<\/i><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><span style=\"font-weight: 400;\">There are only a few reported cases of adverse events following spinal manipulation\u2026While improved reporting of such events is required in the future, it may be that <\/span><b>such injuries are relatively rare<\/b><span style=\"font-weight: 400;\">.<\/span>\n<ul>\n<li><i>Stuber et al. Chiropractic &amp; Manual Therapies 2012, 20:8<\/i><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><span style=\"font-weight: 400;\">Chiropractic evaluation and <\/span><b>treatment during pregnancy may be considered a safe and effective<\/b><span style=\"font-weight: 400;\"> means of treating common musculoskeletal symptoms that affect pregnant patients.<\/span>\n<ul>\n<li><i>Borggren, Cara. J Chiropr Med. 2007 Spring; 6(2): 70\u201374.<\/i><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4cdd\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4cdd\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4cdd\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Working Together for Headache and Neck Pain Patients<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4cdd\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4cdd\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4cdd\"><div class=\"x-accordion-inner\">\n<p><b>Neck Pain and Headaches are a significant problem for patients worldwide.<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">After back pain, neck pain is the most frequent musculoskeletal cause of consultation in primary care worldwide.<\/span>\n<ul>\n<li>Binder, A. (2007) British Medical Journal<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><span style=\"font-weight: 400;\">Headache is the most prevalent pain disorder, affecting <\/span><b>66% of the global population<\/b><span style=\"font-weight: 400;\">.<\/span>\n<ul>\n<li>Stovner LJ, et al. (2007) Cephalalgia<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><b>Research supports conservative manual medicine in conjunction with standard medical care. When we work together, patients get better faster.<\/b><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u201cMultiple cervical manipulation sessions <\/span><b>may provide better pain relief and functional improvement<\/b><span style=\"font-weight: 400;\"> than certain medications at immediate\/intermediate\/long-term follow-up.\u201d<\/span>\n<ul>\n<li>Gross A, et al. (2015) Cochrane Database Systematic Review<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><span style=\"font-weight: 400;\">After 12 weeks, about 57 percent of those who met with DCs and 48 percent who exercised reported <\/span><b>at least a 75 percent reduction in pain<\/b><span style=\"font-weight: 400;\">, compared to 33 percent of the people in the medication group. After one year, approximately 53 percent of the drug-free groups continued to report at least a 75 percent reduction in pain; compared to just 38 percent pain reduction among those who took medication.\u201d<\/span>\n<ul>\n<li><i>Bronfort et al. (2012), Annals of Internal Medicine<\/i><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><span style=\"font-weight: 400;\">\u201cCervical spine manipulation was associated with <\/span><b>significant improvement<\/b><span style=\"font-weight: 400;\"> in headache outcomes in trials involving patients with neck pain and\/or neck dysfunction and headache.\u201d<\/span>\n<ul>\n<li><i>McCrory, Penzlen, Hasselblad, Gray (2001), Duke Evidence Report<\/i><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4d27\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4d27\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4d27\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Working Together to Reduce Opiate Related Deaths<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4d27\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4d27\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4d27\"><div class=\"x-accordion-inner\">\n<p>In 2017 HHS declared a\u00a0<a href=\"https:\/\/www.hhs.gov\/about\/news\/2017\/10\/26\/hhs-acting-secretary-declares-public-health-emergency-address-national-opioid-crisis.html\">public health emergency<\/a>\u00a0and announced a\u00a0<a href=\"https:\/\/www.hhs.gov\/about\/leadership\/secretary\/speeches\/2017-speeches\/secretary-price-announces-hhs-strategy-for-fighting-opioid-crisis\/index.html\">5-Point Strategy To Combat the Opioid Crisis<\/a>\u00a0&#8211; <a href=\"https:\/\/www.hhs.gov\/opioids\/about-the-epidemic\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">Learn More about the Epidemic<\/a><\/p>\n<p>Recent data suggests that prioritizing conservative pain management approaches can help reduce the number of opiates prescribed in the first place.<\/p>\n<ul>\n<li><a href=\"https:\/\/mcpiqojournal.org\/article\/S2542-4548(17)30057-7\/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/mcpiqojournal.org\/article\/S2542-4548(17)30057-7\/fulltext&amp;source=gmail&amp;ust=1542632344339000&amp;usg=AFQjCNHDHsgjJ4Sc8AaawJ0U3f6fGIg7BQ\">Influence of Initial Provider on Health Care Utilization in Patients Seeking Care for Neck Pain &#8211; Mayo Research &#8211; 2017<\/a>\n<ul>\n<li>\n<p class=\"m_-5562504039288705219gmail-sectionTitle\">Conclusion: Initially consulting with a nonpharmacological provider may decrease opioid exposure (PT and DC) over the next year and also decrease advanced imaging and injections (DC only). These data provide an initial indication of how following recent practice guidelines may influence health care utilization in patients with a new episode of neck pain.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29470104\" target=\"_blank\" rel=\"noopener noreferrer\">Association Between Utilization of Chiropractic Services for Treatment of Low-Back Pain and Use of Prescription Opioids<\/a>\n<ul>\n<li>CONCLUSIONS: Among New Hampshire adults with office visits for noncancer low-back pain, the likelihood of filling a prescription for an opioid analgesic was significantly lower for recipients of services delivered by doctors of chiropractic compared with nonrecipients. The underlying cause of this correlation remains unknown, indicating the need for further investigation.<\/li>\n<\/ul>\n<\/li>\n<li>\n<p class=\"meta-article-title \"><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2705853\" target=\"_blank\" rel=\"noopener noreferrer\">Coverage of Nonpharmacologic Treatments for Low Back Pain Among US Public and Private Insurers<\/a><\/p>\n<ul>\n<li><strong>Conclusions and Relevance<\/strong>\u00a0\u00a0Wide variation in coverage of nonpharmacologic treatments for low back pain may be driven by the absence of best practices, the administrative complexities of developing and revising coverage policies, and payers\u2019 economic incentives. Such variation suggests an important opportunity to improve the accessibility of services, reduce opioid use, and ultimately improve the quality of care for individuals with chronic, noncancer pain while alleviating the burden of opioid addiction and overdose.<\/li>\n<\/ul>\n<\/li>\n<li>\n<p class=\"meta-article-title \"><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2705845\" target=\"_blank\" rel=\"noopener noreferrer\">Insurer Coverage of Nonpharmacological Treatments for Low Back Pain\u2014Time for a Change<\/a><\/p>\n<ul>\n<li>Restricting access to opioids without addressing the underlying problem of chronic care management for low back pain is unlikely to positively affect the opioid crisis. Well-conceived guidelines that encourage the use of evidence-based, nonpharmacological treatment options exist and must be enabled by changes in public health policies that better guide care delivery and reimbursement. Health plans are uniquely positioned to bring about the sweeping changes needed to offer diverse pain management options for individuals with chronic pain. The findings from Heyward et al shed light on the ways in which current coverage policies run counter to this strategy and provide the beginnings of a roadmap to implement change on this critical issue.<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"http:\/\/www.f4cp.com\/files\/industry-news\/f4cp-opioids-2.0-white-paper-web.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Chiropractic &#8211; A key to America&#8217;s Opiod Exit Strategy &#8211; A white paper from the Foundation For Chiropractic Progress<\/a><\/li>\n<li><a href=\"http:\/\/www.acatoday.org\/Portals\/60\/Opioids\/Case_For_Chiropractic_ACA_web.pdf?ver=2017-11-16-161344-760\" target=\"_blank\" rel=\"noopener noreferrer\">Chiropractic: A Drug-Free Approach to Treatment of Musculoskeletal Pain<\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4d4f\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4d4f\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4d4f\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Guidelines from the American College of Physicians<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4d4f\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4d4f\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4d4f\"><div class=\"x-accordion-inner\">\n<p class=\"heading-browse\"><a href=\"http:\/\/annals.org\/aim\/article\/2603228\/noninvasive-treatments-acute-subacute-chronic-low-back-pain-clinical-practice\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians<\/strong><\/a><\/p>\n<section>In April of 2017, The American College of Physicians published these recommendations for non-invasive interventions for adults with acute, subacute, or chronic low back pain.<\/section>\n<section><\/section>\n<section><\/section>\n<section><\/section>\n<ul>\n<li class=\"sec\"><strong><span class=\"subhead-body\">Recommendation 1:<\/span><\/strong><em>Given that most patients with acute or subacute low back pain improve over time regardless of treatment, clinicians and patients should select nonpharmacologic treatment with superficial heat (moderate-quality evidence), massage, acupuncture, or spinal manipulation (low-quality evidence). If pharmacologic treatment is desired, clinicians and patients should select nonsteroidal anti-inflammatory drugs or skeletal muscle relaxants (moderate-quality evidence). (Grade: strong recommendation)<\/em><\/li>\n<li class=\"sec\"><strong><span class=\"subhead-body\">Recommendation 2:<\/span><\/strong><em>For patients with chronic low back pain, clinicians and patients should initially select nonpharmacologic treatment with exercise, multidisciplinary rehabilitation, acupuncture, mindfulness-based stress reduction (moderate-quality evidence), tai chi, yoga, motor control exercise, progressive relaxation, electromyography biofeedback, low-level laser therapy, operant therapy, cognitive behavioral therapy, or spinal manipulation (low-quality evidence). (Grade: strong recommendation)<\/em><\/li>\n<li class=\"sec\"><strong><span class=\"subhead-body\">Recommendation 3:<\/span><\/strong><em>In patients with chronic low back pain who have had an inadequate response to nonpharmacologic therapy, clinicians and patients should consider pharmacologic treatment with nonsteroidal anti-inflammatory drugs as first-line therapy, or tramadol or duloxetine as second-line therapy. Clinicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients. (Grade: weak recommendation, moderate-quality evidence)<\/em><\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4d6b\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4d6b\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4d6b\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><strong>What the people want \u2013 Annual Gallup-Palmer Poll Results<\/strong><\/span><\/a><\/div><div id=\"panel-663375e5e4d6b\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4d6b\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4d6b\"><div class=\"x-accordion-inner\">\n<p><strong>The 2018 Gallup-Palmer College of Chiropractic Annual Report<\/strong><\/p>\n<p><strong>Key highlights:<\/strong><\/p>\n<ul>\n<li><strong>Americans are open to an all-of-the-above approach to address neck and back pain.<\/strong>\u00a0Sixty-seven percent of Americans suffering from neck or back pain would want to see a professional who treats neck or back pain using a variety of methods including prescription medication or surgery. Still, 79% of U.S. adults would prefer to try to address their neck or back pain using methods other than prescription medication first.<\/li>\n<li><strong>Many neck or back pain patients use self-care techniques<\/strong>\u00a0\u2013 non-drug therapies such as superficial heat (77%), yoga (72%) and cold packs (60%). However, many also use non-drug therapies that require a health-care professional for care, such as massage (53%), spinal adjustment (47%) and physical therapy (42%).<\/li>\n<li><strong>Americans\u2019 reasons for visiting different practitioners vary.<\/strong>\u00a0Among those who\u2019d seen an M.D. most often for recent neck or back pain, the top reasons were insurance coverage (38%), trust (30%), habit (26%) and effectiveness (23%). For physical therapists, it\u2019s safety (50%), insurance coverage (47%) and effectiveness (42%). For chiropractors, it\u2019s safety (54%), trust (53%) and effectiveness (52%).<\/li>\n<li><strong>More results and access to the full report are <a href=\"https:\/\/www.palmer.edu\/alumni\/research-publications\/gallup-report\/managing-neck-and-back-pain-in-america\/\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>.<\/strong><\/li>\n<\/ul>\n<p><strong>The 2017 Gallup-Palmer College of Chiropractic Annual Report<\/strong><\/p>\n<p>A majority of Americans prefer to try other ways to address their pain before taking pain medication.<\/p>\n<p><strong>Key highlights:<\/strong><\/p>\n<ul>\n<li><strong>78 percent prefer to try other ways to address their physical pain before they take pain medication prescribed by a doctor<\/strong><\/li>\n<li>27 percent of U.S. adults have seen a health-care professional for significant neck or back pain in the last 12 months. Of those adults, more than half (54 percent) have had an ongoing problem with neck or back pain for five years or more.<\/li>\n<li>22 percent of U.S. adults prefer to take pain medication prescribed by a doctor to treat their physical pain<\/li>\n<li><strong>More results and access to the full report are <a href=\"https:\/\/www.palmer.edu\/alumni\/research-publications\/gallup-report\/americans-prefer-drug-free-pain-management\/\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>.<\/strong><\/li>\n<\/ul>\n<p><strong>The 2016 Gallup-Palmer College of Chiropractic Annual Report<\/strong><\/p>\n<p>Three in four patients describe chiropractic care as \u2018very effective.\u2019<\/p>\n<p><strong>Key highlights:<\/strong><\/p>\n<ul>\n<li>Nearly 62 million U.S. adults (25 percent) went to a chiropractor in the last five years.\u00a0More than half (35.5 million) said they went in the last 12 months\u2014up slightly from the 33.6 million in last year\u2019s survey.<\/li>\n<li>Three in four of those who saw a chiropractor in the last year\u00a0(77 percent) described chiropractic care as \u201cvery effective.\u201d<\/li>\n<li>Eighty-eight percent of recent chiropractic patients agreed the quality of care they received was\u00a0a good value for the money they paid.<\/li>\n<li><strong>More results and access to the full report are <a href=\"https:\/\/www.palmer.edu\/alumni\/research-publications\/gallup-report\/chiropractic-is-safe-and-effective\/\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>.<\/strong><\/li>\n<\/ul>\n<p><strong>The 2015 Gallup-Palmer College of Chiropractic Annual Report<\/strong><\/p>\n<p>Inaugural Report: Americans&#8217; Perceptions of Chiropractic<\/p>\n<p><strong>Key highlights:<\/strong><\/p>\n<ul>\n<li>Two-thirds (61 percent) of adult Americans believe chiropractors are\u00a0<strong>effective at treating neck and back pain<\/strong>.<\/li>\n<li><strong>The majority (57 percent)<\/strong>\u00a0of adults are likely to see a chiropractor for neck or back pain.<\/li>\n<li>More than 1\/2 of all U.S. adults have visited a chiropractor, and more than\u00a0<strong>1\/4 of them would choose chiropractic care first<\/strong>\u00a0for back or neck pain.<\/li>\n<li><strong>More results and access to the full report are <a href=\"https:\/\/www.palmer.edu\/alumni\/research-publications\/gallup-report\/five-facts-about-chiropractic\/\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>.<\/strong><\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4dc6\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4dc6\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4dc6\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Multidisciplinary Models From Around the United States<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4dc6\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4dc6\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4dc6\"><div class=\"x-accordion-inner\">\n<ul>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29307457\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States: A Descriptive Survey.<\/strong><\/a>\n<ul>\n<li><strong>CONCLUSIONS<\/strong>: Doctors of chiropractic are working in diverse medical settings within the private sector, in close proximity and collaboration with many provider types, suggesting a diverse role for chiropractors within conventional health care facilities.<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30016118\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Chiropractic Integration into Private Sector Medical Facilities: A Multisite Qualitative Case Study.<\/strong><\/a>\n<ul>\n<li><strong>CONCLUSION<\/strong>: A diverse group of U.S. private sector medical facilities have implemented chiropractic clinics, and <strong>a wide variety of facility stakeholders report high satisfaction with the care provided.<\/strong><\/li>\n<\/ul>\n<\/li>\n<li><strong>Chiropractic Physicians as Healthcare Partners: Multidisciplinary Practice Models<\/strong>\n<ul>\n<li><a href=\"https:\/\/www.palmer.edu\/research\/clinician-research-resource-toolkit\/multidisciplinary-practice-models\/\" target=\"_blank\" rel=\"noopener noreferrer\">View reports that describe multidisciplinary practice models that include doctors of chiropractic as members of patient care teams.<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4df8\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4df8\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4df8\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Our Clinical Approach<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4df8\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4df8\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4df8\"><div class=\"x-accordion-inner\">\n<p><span style=\"font-weight: 400;\">By integrating different techniques of manual medicine, we feel that we are able to cater our treatments to each individual\u2019s symptomatic presentation. We may utilize several different treatment approaches within a single session, each geared toward restoration of proper biomechanics and reduction of pain symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Our greatest differentiator is implementation of the McKenzie Method and Dynamic Neuromuscular Stabilization along with our other standard physical medicine procedures. Patients respond best when we are able to appropriately identify the mechanical aspects of their pain and treat with an appropriate intervention.<\/span><\/p>\n<p><b>McKenzie Method of Mechanical Diagnosis and Therapy (MDT)<\/b><\/p>\n<p><span style=\"font-weight: 400;\">MDT is an evidence based assessment and management protocol for patients with spinal and extremity problems. Mechanical Diagnosis and Therapy has been shown to be a reliable assessment system to categorize patients into mechanical subgroups. This approach is especially effective for radicular symptoms into the upper and lower extremities.<\/span><\/p>\n<p><b>Dynamic Neuromuscular Stabilization (DNS)<\/b><\/p>\n<p><span style=\"font-weight: 400;\">DNS is an assessment and rehabilitation method based on neurodevelopmental processes. With a focus on core stability, diaphragmatic action, and movement patterns, this intervention is especially effective for chronic pain, extremity injuries, spinal mobility, and stability concerns.<\/span><\/p>\n<p><b>Joint Manipulation<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Joint manipulation can be a great and effective tool for treating pain. It must be used judiciously and appropriately depending on the patient\u2019s symptomatic presentation.<\/span><\/p>\n<p><b>Graston Technique and Active Release Technique<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Graston Technique is an evidence based form of instrument-assisted soft tissue mobilization that enables clinicians to effectively detect and treat scar tissue and fascial restrictions that affect normal function.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">ART is a patented, state of the art soft tissue system and movement based massage technique that treats problems with muscles, tendons, ligaments, fascia and nerves.<\/span><\/p>\n<p><b>Trigger Point Needling\/Chiropractic Acupuncture<\/b><\/p>\n<p><span style=\"font-weight: 400;\">We implement trigger point needling to address hypertonic musculature and pain syndromes. We address needling in a western-medicine model, discussing the musculoskeletal system, trigger point patterns according to Travel and Simons and muscle imbalance\/overuse patterns.<\/span><\/p>\n<\/div><\/div><\/div>\n<div  class=\"x-accordion-group\" ><div class=\"x-accordion-heading\"><a id=\"tab-663375e5e4e1b\" class=\"x-accordion-toggle collapsed\" role=\"tab\" data-x-toggle=\"collapse-b\" data-x-toggleable=\"663375e5e4e1b\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-663375e5e4e1b\"><i class='x-framework-icon x-shortcode-accordion-icon' data-x-icon-s='&#x2b;' aria-hidden=true><\/i><span><b>Community Recognition<\/b><\/span><\/a><\/div><div id=\"panel-663375e5e4e1b\" class=\"x-accordion-body x-collapsed\" role=\"tabpanel\" data-x-toggle-collapse=\"1\" data-x-toggleable=\"663375e5e4e1b\" aria-hidden=\"true\" aria-labelledby=\"tab-663375e5e4e1b\"><div class=\"x-accordion-inner\">\n<p><b>We are honored to have been recognized by many community organizations.\u00a0<\/b><\/p>\n<ul>\n<li><strong>2013 Business of the Year Award \u2013 Downtown Chamber of Commerce<\/strong><\/li>\n<li><strong>2014 Entrepreneurial Spirit Award \u2013 East South Chamber of Commerce<\/strong><\/li>\n<li><strong>2014 Citizen of the Year Award \u2013 Downtown Chamber of Commerce<\/strong><\/li>\n<li><strong>2016 Celebrate Business Award: Community Champion \u2013 Greater Des Moines Partnership\/Business Record<br \/>\n<\/strong><\/li>\n<li><strong>2016 Co-Business of the Year Award \u2013 East South Chamber of Commerce<\/strong><\/li>\n<li><a href=\"https:\/\/businessrecord.com\/Content\/Default\/All-Latest-News\/Article\/Forty-Under-40-Christopher-LoRang\/-3\/248\/81647\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>2018\u00a0 Forty Under 40: Business Record<\/strong><\/a><\/li>\n<\/ul>\n<\/div><\/div><\/div>\n<\/div>\n<p><b>We\u2019re here to help your patients.<\/b><\/p>\n<ul>\n<li>We are a local, evidence-based resource for your patients with muscoloskeletal conditions.<\/li>\n<li>We accept nearly all major insurance policies.<\/li>\n<li>We implement non-pharmaceutical and non-surgical interventions, supported by recommendations from the ACP<\/li>\n<\/ul>\n<p><b>Our goals are simple.<\/b><\/p>\n<ul>\n<li>Open communication with primary care physicians, surgeons, physical therapists<\/li>\n<li>Diagnosis and treatment of mechanical components of our patient\u2019s symptoms<\/li>\n<li>Patient empowerment through targeted exercise and pain education<\/li>\n<li>Full resolution of symptoms and to release patients from care<\/li>\n<\/ul>\n<p>\u00ad<b>We look forward to partnering with you to help our community to achieve their best outcomes.<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Above all, at Capital Chiropractic, we are <\/span><b><i>in pursuit of your best life.<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400;\">If you have any questions about our services or how we can best be an asset for your patients, please reach out. And if \u00a0you\u2019d like to schedule a meeting or a workshop with your clinicians, nurses, or staff, please email us <a href=\"mailto:chris.lorang@capitalchirodsm.com\">here<\/a>.<\/span><\/p>\n<p><a href=\"https:\/\/capitalchirodsm.com\/wp-content\/uploads\/2020\/02\/Referral-pad-2020-web.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-4564\" src=\"https:\/\/capitalchirodsm.com\/wp-content\/uploads\/2020\/02\/Referral-pad-2020-web.jpg\" alt=\"referral pad\" width=\"607\" height=\"780\" srcset=\"https:\/\/capitalchirodsm.com\/wp-content\/uploads\/2020\/02\/Referral-pad-2020-web.jpg 607w, https:\/\/capitalchirodsm.com\/wp-content\/uploads\/2020\/02\/Referral-pad-2020-web-233x300.jpg 233w, https:\/\/capitalchirodsm.com\/wp-content\/uploads\/2020\/02\/Referral-pad-2020-web-100x129.jpg 100w\" sizes=\"(max-width: 607px) 100vw, 607px\" \/><\/a><\/p>\n<div class=\"cs-content x-global-block x-global-block-5403 e5403-e0\"><div class=\"x-section e5403-e2 m463-0\"><div class=\"x-row e5403-e3 m463-1 m463-2 m463-4\"><div class=\"x-row-inner\"><div class=\"x-col e5403-e4 m463-6\"><div class=\"x-text x-text-headline e5403-e5 m463-7\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h1 class=\"x-text-content-text-primary\"><h3>Contact Us Today!<\/h3><\/h1><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"x-row e5403-e6 m463-1 m463-3 m463-5\"><div class=\"x-row-inner\"><div class=\"x-col e5403-e7 m463-6\"><a  class=\"x-btn x-btn-global x-btn-block\" style=\"margin-top: 0.5em;\" href=\"https:\/\/appointments.mychirotouch.com\/Account\/Login?ReturnUrl=%2F%3Fclinic%3DLCCP0004\"  target=\"_blank\" rel=\"\"   data-options=\"thumbnail: ''\"><i  class=\"x-icon mvn mln mrs x-icon-desktop\" data-x-icon-s=\"&#xf390;\" aria-hidden=\"true\"><\/i>Schedule Online<\/a><\/div><div class=\"x-col e5403-e9 m463-6\"><a  class=\"x-btn x-btn-global x-btn-block\" style=\"margin-top: 0.5em;\" href=\"tel:5154214018\"  target=\"_blank\" rel=\"\"   data-options=\"thumbnail: ''\"><i  class=\"x-icon mvn mln mrs x-icon-phone\" data-x-icon-s=\"&#xf095;\" aria-hidden=\"true\"><\/i>Call to Schedule<\/a><\/div><div class=\"x-col e5403-e11 m463-6\"><a  class=\"x-btn x-btn-global x-btn-block\" style=\"margin-top: 0.5em;\" href=\"https:\/\/capitalchirodsm.com\/email\/?utm_source=website&amp;utm_medium=emailappt&amp;utm_campaign=homepage\"  target=\"_blank\" rel=\"\"   data-options=\"thumbnail: ''\"><i  class=\"x-icon mvn mln mrs x-icon-envelope\" data-x-icon-s=\"&#xf0e0;\" aria-hidden=\"true\"><\/i>Email to Schedule<\/a><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Welcome to Capital Chiropractic &amp; Rehabilitation Center. As an evidence-based clinic, we strive to be a complementary, integral part of a patients&#8217; healthcare team. Because we believe that integrative care is in the best interest of the patient, we consider it best practice to collaborate with local physicians, surgeons, physical therapists, and other healthcare providers. Please find below an overview &#8230; <\/p>\n<div><a href=\"https:\/\/capitalchirodsm.com\/resources\/referring-clinicians\/\" class=\"more-link\">Read More<\/a><\/div>\n","protected":false},"author":5,"featured_media":0,"parent":161,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Referring Clinicians - Capital Chiropractic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/capitalchirodsm.com\/resources\/referring-clinicians\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Referring Clinicians - Capital Chiropractic\" \/>\n<meta property=\"og:description\" content=\"Welcome to Capital Chiropractic &amp; Rehabilitation Center. As an evidence-based clinic, we strive to be a complementary, integral part of a patients&#8217; healthcare team. Because we believe that integrative care is in the best interest of the patient, we consider it best practice to collaborate with local physicians, surgeons, physical therapists, and other healthcare providers. Please find below an overview ... 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As an evidence-based clinic, we strive to be a complementary, integral part of a patients&#8217; healthcare team. Because we believe that integrative care is in the best interest of the patient, we consider it best practice to collaborate with local physicians, surgeons, physical therapists, and other healthcare providers. Please find below an overview ... 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