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Healthcare Update


FCER Points Out Error to Merck; Merck Confirms Change
In July 2004, a Doctor of Chiropractic voiced concern to the Foundation for Chiropractic Education and Research over wording appearing in the oft-consulted The Merck Manual. The bothersome wording was: “Manipulation may help pain caused by muscle spasm alone but may aggravate an arthritic joint or further rupture a disk and should thus be used with caution.”

On behalf of the doctor brining it to attention, FCER drafted a letter to The Merck Manual editor-in-chief. Among the points raised were these:

Two lines of thought in this passage are problematic:

“The passage as it reads implies that spinal manipulation may relieve pain by acting as a muscle relaxant alone … Even in the case of muscle involvement, spasm is not the only mechanism responsible. The statement concerning disk rupturing may have had its origins with the assertion made by Farfan over 34 years ago to the effect that rotational stress causes disk failure … The safety of side posture manipulation in the treatment of lumbar intervertebral disk herniations is described in detail in the literature review by Cassidy et al.”

In a letter dated July 27, 2004, Merck responded: “We have completely rewritten the chapter on back pain, and the statement you objected to is no longer present. While we do not go into great depth on the etiology of back pain, our new text emphasizes that the etiology is usually multifactorial, with muscle spasm being just one factor. We do comment on the helpfulness of spinal manipulation but retained a statement of caution in those with the possibility of nerve damage from disk disease. This statement does not single out chiropractic interventions: We include them with almost every intervention, including the use of medications. In addition and for the first time, we will have a separate entry on chiropractic.”



Chiropractic Care May Reduce Anxiety
According to the National Institute of Mental Health (NIMH), anxiety is the most common mental health illness, affecting more than 19 million Americans ages 18-54. A recent study, published in the Journal of Vertebral Subluxation Research (JVSR) describes a 19-year old woman diagnosed with General Anxiety Disorder who suffered from somatic and psychiatric symptoms for two years. After a four-month course of chiropractic care, the young woman reported an 80 percent reduction in her symptoms, including a 90 percent decrease in her headaches. The patient was able to resume a normal lifestyle without resorting to prescription or over-the-counter drugs.

The patient’s previous medical treatment had included multiple emergency room visits; private specialists; and a rotation of drug therapies, which failed to provide relief.

The research was co-authored by Dr. Madeline Behrendt, associate editor of JVSR, and Dr. Nathan Olsen, a chiropractor in private practice in Boise, Idaho. The patient’s history included at least three motor vehicle accidents between 1995 and 1997. In one of the crashes, her head shattered the windshield. The initial chiropractic evaluation detected subluxations.

The NIMH also reports that patients with anxiety disorders make three to five times more visits to doctors’ offices and emergency rooms and the Anxiety Disorders Association of America reports that direct healthcare costs and lost productivity of these conditions cost more than $42 billion per year.

The drug therapies commonly used in treatment for mental health disorders have recently come under closer scrutiny because of their poor rate of effectiveness and potentially deadly side effects, including increased suicidal tendencies in young people.


Chiropractic Best Practices and Anti-Fraud Initiatives
The American Chiropractic Association is inviting insurance decision makers from across the country to a national meeting where participants will discuss the progress toward chiropractic best practices, including a timetable for completion and the difference between guidelines and best practices. Known as the Claim Solutions Work Group, the meeting is planned for Nov. 11, 2004, in New Orleans.

The Claim Solutions Work Group will also focus on ACA’s anti-fraud efforts, and presenters will introduce the organization’s new clinical documentation manual and illustrate the correct use of these codes by doctors of chiropractic.
“This is a meeting not to miss,” ACA President and meeting presenter Donald Krippendorf, D.C. said. “Nowhere else will you find such a frank discussion about pertinent insurance issues and how they relate to doctors of chiropractic. Participants can expect networking with others who are experiencing the same challenges, but who are finding answers.”

Attendance is highly recommended for insurance claim executives, medical directors, medical review policymakers, claim managers, workers compensation administrators and reimbursement/benefit plan administrators.


ICA Files Major Brief in Landmark Arkansas Chiropractic Board vs. PT Case
The International Chiropractors Association has filed an extensive amicus curiae or “friend of the court” brief in a landmark case in Arkansas that has significant potential to halt the efforts of the physical therapy profession to expand into chiropractic’s unique territory. The ICA’s brief in the case of Teston vs. Arkansas Board of Chiropractic was filed on Sept. 14, 2004.

In this case, a physical therapist in Arkansas was found to be performing “spinal manipulations,” for which only chiropractors are licensed. After rigorous review by the Arkansas Board of Chiropractic Examiners, the defendant was found to be in violation of the Chiropractic Practice Act. The Arkansas Chiropractic Board levied a “civil penalty” of $10,000 following the determination that the chiropractic code had been violated. The PT appealed the decision to the Arkansas Supreme Court, and the ICA stepped up to prepare and file its amicus curiae brief in support of the Chiropractic Board’s decision.

The ICA was invited to submit a brief in the case by the Arkansas Attorney General, who is defending the Chiropractic Board, and the ICA’s efforts were coordinated with the chiropractic community in the state to provide for maximum effectiveness. National physical therapy groups have also intervened on behalf of the PT, and briefs have been filed in the case with the Arkansas Supreme Court by the American Physical Therapy Association and the Federation of State Boards of Physical Therapy. “The Arkansas State Board appreciates the ICA for its efforts in this important matter and feels this information will be invaluable on chiropractic’s behalf in this important legal contest,” said Dr. Beverly J. Foster, president of the Arkansas State Board of Chiropractic Examiners.

“This is an historic and important case since the professional boundaries between PT and chiropractic are being challenged by physical therapy in an extra-legislative and sophisticated manner,” said Dr. Henry Rubinstein, who was hired expressly to take on this vitally important case because of his unique background. “The ICA wants chiropractors who have endured decades of harassment to achieve and maintain the recognition they deserve for the benefits that they bestow upon the public that the physical therapists now want to claim as their own.”

Dr. Rubinstein, who is both an attorney and a chiropractor with decades of experience in Florida, was able to present chiropractic’s position with exceptional clarity. The ICA’s brief spoke to the intent behind the PT case, and this is to expand the scope of physical therapy, without following the traditional legislative path. In its brief, the ICA told the court, “The ICA cannot sit idly by while organized medicine incorporates chiropractic techniques into its branch of physical therapy in hopes of making chiropractic moot in the eyes of insurance companies, federal programs, and the unsuspecting public.”

Key to the PTs’ argument is that there is no statutory difference between “spinal manipulation” and other procedures authorized under state law for the physical therapy profession. They have argued that the vagueness of the statute gave the PT in the case the leeway to perform high-velocity thrust procedures, within his PT license. The State Board of Examiners as well as the ICA have clearly pointed out that this is simply incorrect and that the only time ”spinal manipulation” is mentioned in the physical therapy statute is a specific passage excluding PTs from being authorized to perform these procedures. The Arkansas Code gives PTs authority to provide: “Manual therapy techniques, including soft tissue massage, manual traction, connective tissue massage, therapeutic massage, and mobilizations, i.e. passive movement accomplished with normal range of motion of the joint, but excluding spinal manipulation and adjustment.” (Arkansas Code, 17-93-102(6)(B)(i)(c).)

The Arkansas Chiropractic Board followed due process, considered all the evidence and allowed the physical therapists to provide their own point of view. But the compelling balance of findings clearly show that the line was crossed, and that the State Board acted correctly to fulfill its responsibility to protect the public. Thus, it concluded its brief with the statement:

“It is, therefore, the ICA’s position that the Arkansas Supreme Court uphold the decision of the Chiropractic Board and leave it to the legislative branch to decide whether physical therapists may practice chiropractic, and in the meantime leave such decisions to the Chiropractic Board, as has the legislature.”

 

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