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SAVE, SAVE, SAVE
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Written by Stanley Greenfield, R.H.U.   
Friday, 01 December 2006 14:12

Wanna save some money? Who doesn’t?! In this day and time, you really need to look at all the ways that you can to save a buck. Here are a few for you to consider.

Mortgage rates are still very low. Yes, I know that somebody once told you that you need to eliminate debt and not have a mortgage. Well, that’s not the only bad advice that you ever got! Let me give you this piece of advice, and it’s not bogus either! Mortgage money is the cheapest money you will ever buy. That is a fact. If you have a mortgage, maybe it’s time to dig out your papers and see what your existing rate is. I will bet money that you can save right now by refinancing your mortgage.

Yes, I know that there are closing costs involved with a mortgage; but if you are going to stay in this house for the next few years, you will recoup these costs and also save on the interest payments. Some mortgage companies are offering mortgages with no points being charged. Now is the time to “shop the market” for the best deals available. It’s a competitive market.

You say, you have an adjustable rate mortgage and it has saved you some money? That’s fine, but maybe it’s time to see if the rate for a fixed rate mortgage is even cheaper than the adjustable rate that you currently have. It never hurts to check it out. If you haven’t noticed, rates are going up, up, up. Don’t wait until your rate is in the double-digit range.

If you have a home equity loan in addition to your regular mortgage, you might be able to combine the two and really save some money. I will repeat my original statement; “Mortgage money is the cheapest money you will ever buy.” Why? Think about it for a moment. Let’s assume that you have a mortgage with a 7 percent interest rate, and it’s a fixed rate that is guaranteed at that rate for 30 years. As you know, the interest for a home mortgage is still fully deductible. If you are in a combined tax rate of 30 percent, that 7 percent mortgage only costs you 4.9% after taxes. The combined tax rate is for both federal and state taxes. If your combined rate is 40 percent, then the cost for the 7 percent mortgage just went down to 4.2 percent.

Now you can see why I say it’s the cheapest money you will ever buy. Where else can you get long term dollars that cheap? It’s becoming rare to find any money that you buy that the interest is tax deductible. With that in mind, why on earth would you want to pay this off and eliminate a good tax deduction with such a cheap rate of interest? Interesting question isn’t it??

By the way, if you currently have a $100,000 mortgage on your house at 8.5 percent, your monthly payments are around $769.00 per month. If you re-finance to a 6 percent mortgage, the payment will go down to $600.00. That saves you $2,028 per year, which over the life of the mortgage is $60,840.00.

(If you were really nice, you would send some of that savings to me! After all, who gave you the idea?)

Ready to save some more bucks? Still got your savings in the local bank? Are they still paying you a rate that is currently below the inflation rate? Do you realize that low rate is still subject to income taxes? In other words, if they are giving you 2 percent and you are at a combined tax rate of 30 percent, your net rate is only 1.6 percent. Isn’t that wonderful? If you kept your money there long enough, it would all disappear! Oh well.…

Want to do better? Why not put your savings into a United States Savings Bond? The interest they are now paying is even higher than what you are getting at your bank and then you have to “share” it with Uncle Sam. No “sharing” with the interest on a Savings Bond until you cash it in. Go to www.savingsbonds.gov and check out the Series “I” bonds. The rate was adjusted on November 1, and the prediction was that it should be around four to 4½ percent. Keep in mind that is tax-free. You must keep the money in there for at least one year. If you cash them in before five years, they charge back the last three months of interest paid.

Money market accounts are now paying in the five-percent range, too. The interest is taxable but that is still more than double what your local banker is paying you. One that I would suggest is PayPal, which is part of Wells Fargo Bank. You can find them on line at www.paypal.com. By the way, almost every mutual fund family offers a money market account.

Do you have any loans or large credit card balances? Do you have any “credit” life or disability coverage on those loans? Unless you have one foot in the grave and the other on a banana peel, get rid of that junk! It is by far the most expensive coverage that anyone can buy. While we’re on the subject, they cannot make you keep the coverage as long as you have other coverage that you can use to cover the loan. Check ALL loans for this stuff, including your mortgage. They make more money on this coverage than they make on the loan.
Well, that is enough for this installment. I’ll be back again when you least expect me, with more ideas that can save you money. Incidentally, what are you planning to do with all this money that I am saving you???

Stanley B. Greenfield has been engaged in the fields of Financial Management and Insurance since 1962. He is a Registered Financial Consultant, and was awarded the designation of RHU, Registered Professional Disability and Health Insurance Underwriter, in 1979, as one of its Charter Members.

Mr. Greenfield also serves as a member of the Board of Directors of the Florida Chiropractic Foundation for Education and Research. You may reach him at This e-mail address is being protected from spambots. You need JavaScript enabled to view it , call 800-585-1555 or 904-513-2229 or visit his website, www.stanleygreenfield.com.

 
The Nose Adjustment
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Written by George LeBeau, D.C.   
Friday, 01 December 2006 14:05

Check in for my international flight to Japan was at the Bradley International Terminal in the Los Angeles Airport (LAX). Whenever I traveled with the Olympic Judo Team, I would meet them there for trips to Asia. When I finally found my departure gate, the first thing I saw was one of the women athletes, Sherry, lying back on a pile of duffel bags with an icepack on her face. This was her story.

It’s mid December and Sherry lives and trains at The Olympic Training Center (USOTC), in Colorado Springs, Colorado. At 6 A.M., a group of young people decide to go out and play soccer in one of the adjoining fields.  Picture: Colorado, December, ice, snow, and really cold!

As Sherry was running to kick the ball, another player got to it first, kicked it and the ball hit Sherry directly in the face. She fell, got up and fell again—face down, completely unconscious. The young people there did everything you’re not supposed to do. First, they turned her over; she was bleeding from both eyes, her nose and mouth. The blood was shooting out of her eyes.

In a panic, several of the young men picked her up and ran with her to the Medical Treatment Center that is staffed twenty-four hours a day. They called an ambulance, stopped her bleeding and sent her to the hospital for exam and X-Rays. No broken bones, but she had shifted the nasal cartilage and had massive swelling and contusions of her face. Her coach was called and, the quick version is, she had just made the “A-Team” and this was to be her first International Tournament, so there was no way she was not going. Judo Players (like many Elite Athletes) compete injured all the time.

When I finally saw her that evening at LAX, her face was swollen, bruised and both eyes were almost completely shut and filled with blood. After she told me her story, she said, “I just had rhinoplasty last year and now I’ll have to have it again!”

“Maybe not,” I said.
“Can you help with this?”
“Yes.”
“Will it hurt?”
“Oh yes,” I said.
“OK, do it now.”

Sherry was a beautiful eighteen-year-old young woman who hated looking like the loser of a prizefight, so she had about a pound of makeup on her face (didn’t do much good). I had to clean her face with alcohol swabs to get to the skin of her nose. I need to tell you right now that, in the acute stage, you will only have one chance to make this adjustment, so take your time and do it right.

After cleaning her face, I used a Kleenex to take hold of the tip of her nose with my thumb and index finger. (See Figure 1) I held her head back and pulled sharply downward on her nose and there was a very little click that I almost didn’t hear because of the scream.

Then I ran for my life! Sherry may only have been a 105-pound young female, but she is also a Black Belt in judo and I think she was trying to kill me!

During the flight, the attendants brought ice every hour and, by the time we arrived at the venue hotel in Fukuoka, Japan, much of Sherry’s pain and swelling had resolved. Arrangements were made to have her examined by an ophthalmologist who, after a two-hour exam, pronounced her fit to compete.

After a week of two to three practices a day, she was ready for her competition on Saturday. She did well and won a Bronze Medal. In the group photo (Figure 2), taken after the competition, you can see Sherry, seated on the far left, with little or no visible injury.

One more thing I would like to tell you about this adjustment. In the chronic stages, you can repeat this on just about every treatment visit with no pain at all. It is possible to straighten a chronically bent or displaced nose cartilage with this adjustment.

Keep in mind, this is NOT an adjustment for a broken nasal bone! This adjustment is specifically for a bent or deviated nasal cartilage.

    

After cleaning her face, I used a Kleenex to take

hold of the tip of her nose with my thumb and index finger.


Dr. Le Beau practices at Chiropractic Industrial and Sports Center; 1365 West Vista Way, Suite 100; Vista, CA 92083.  Send your questions to Dr. Le Beau, send them to him at This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 
BACK IN THE USSR
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Written by George LeBeau, D.C.   
Tuesday, 28 November 2006 22:11

In 1990 I was invited to be Team Doctor / Trainer for an International Women’s Judo competition in Kiev, Russia, (back when it was still the USSR). The Team included 8 athletes, a coach, Jim Hrbec and myself. I was more than happy to go so I soon met the team in New York at JFK Airport. Whenever invited to participate at a tournament as Team Doctor I would receive a packet from US Judo, (the Governing Body for US Olympic Judo), with my itinerary, travel tickets, hotel and transportation vouchers and especially the most recent medical records of everyone on this particular trip. Once I have this packet I thoroughly review all of the records looking for potential problem areas with each athlete and also to see if I had treated this player on previous trips. 

International travel almost always includes some sort of unexpected adventure so I prepare for problems and if they don’t happen I’m pleasantly surprised. Sometimes problems are not necessarily “bad” but afford interesting opportunities. During the “red eye” flight from JFK Airport in New York to Moscow, Russia one of the passengers decided he just had to get something out of the overhead compartment. You know when they tell you, “Be careful when you open the overhead storage because the bags may have shifted”? Well, they had and when he opened the compartment a very heavy bag fell out and landed on the head of the elderly man seated under that bin. Flight attendants were called and there was quite a bit of concern because the man’s head was split and he was bleeding and obviously in a lot of pain. One of the flight attendants remembered I was a doctor and asked if I would be willing to take a look at the injured passenger. By the time I got there they had already stopped the bleeding a placed a bandage on his head. He appeared to have a slight concussion and I advised the attendants to move him into First Class so he would be more comfortable and they could keep a close watch on him. They readily agreed and both he and his son were moved up.

I didn’t think much more about this incident until we were in this incredibly long Passport Control line at Moscow Airport. My friend Jim said, “This usually takes 2 to 3 hours”, (large groan from everyone). Suddenly we heard someone shouting and waving his arms. It looked like he was pointing at me! I’m thinking, “Oh no, what now”? Two rather large Russian Security people came over to us and made a gesture for all of us to follow them and said, “You come, all” and started bringing us to the Security Area. The coach, Jim told the group, “Don’t say anything, let me do the talking”. When we finally got to the “control” area I recognized the son of the elderly man I had helped during the flight. He was somehow connected with the Russian Government, had our passports stamped, and brought us through “passport control” in less than 10 minutes! His Dad was at the front of the “control” area waiting for us, gave everyone a big Russian Bear Hug and through his son, who could speak good English, thanked us all for the special treatment he had received in First Class. (This was one “good deed” that went unpunished).

We were met by the Russian Judo Delegation, brought to our hotel and prepared for several days of training, meetings, parties and sightseeing before catching our train to Kiev where the tournament was being held. One of the little adventures in Russia is meeting people who want to buy everything you brought with you to Russia. During one meeting in our hotel a young man was trying to buy my Tony Lllama cowboy boots. After I turned him down he said, “You got five zero one?”

“What?” I asked.
“You know, Levi Jens, five zero one.”
“Oh, you mean Levi 501 Jeans!”
“Yes, yes! Five Zero One. You got?”

As a matter of fact I did but I was wearing them and wasn’t about give them up. After turning down $200.00 he said in a very frustrated voice, “Vat do you Vant?!”

I said, “How about a nuclear submarine?”

In less than a second he said, “How much time you got?”   

I won’t say too much about the parties except for one outdoor banquet by a lake outside of Moscow. It was mid June and I just about froze my butt off. What’s the old saying? “The coldest winter I ever had was a summer in San Francisco”? Same thing! My problem was, I don’t drink alcohol so the river of Vodka that was keeping everyone else toasty warm wasn’t helping me at all! Oh well, welcome to the adventures of travel.

Next evening we were able to “stake out” our First Class sleeping compartments on the all night train ride to Kiev. Busses met us at the train station in Kiev and we checked in at our “sports hotel” near the Olympic Training Center there.  This week of twice a day training, exercise, treatment and competition was marred by one particularly bad event. One of our “middle weight” players, (in Judo the athletes are called “players”), was sparring with another young woman when she tripped and fell backwards. She extended her left arm behind her to break her fall but when the other player fell on top of her she dislocated her elbow. She was writhing in pain and when I put my hand on her elbow to check the injury all I could feel was mush. Her Radius and Ulna were not where they should have been! I sent someone to call for an ambulance then checked to see if she had a pulse in her wrist. Circulation was good so I packed her in ice and waited for the ambulance. While waiting the coach from China came over and kept telling me, “Pull it! Pull it!”  He wanted me to jerk her arm straight and set her elbow. I said, “No thanks, we’ll wait for the x-rays.” When we finally did get to the hospital emergency room we were given priority, took x-rays, (developed in “dip tanks”), and showed me the films, (see figure # 2). Not only had she completely dislocated her elbow she had also shattered the head of the Radius into about six pieces. I was glad I hadn’t listened to the Chinese coach. We were able to carefully set the dislocation then send her for a cast.

During that week I treated athletes from many countries and actually set up a “clinic”. One day Alexiev, (Alex), coach of the Russian Team asked if I could treat him. I think he was surprised I said, “Sure!” because Alex is 6’ 10” and weighs 460 pounds and I don’t think he gets many takers. As you can imagine he was way too big for my table so I adjusted him on the “Tatami Mat”, (floor of Judo competition). I was able to easily adjust his Cervicals but for his mid and lower back I used the “Thoracic Block” technique. The Thoracic Block works great with big people and in fact the bigger the patient the easier it works because you use the patient’s weight to make the adjustment. So I placed the Block  under Alex’s back and had him lie back and his spine made several loud audibles. I repeated this two more times with the same result. He got up and told me no one had ever been able to adjust him before. He held the Block in his hands, got this really serious look on his face and said, “I like! You gift to me?” “Sure! Take it!” I said. Man, I couldn’t give him that thing fast enough, (he was really big). He had learned “bone setting” from his grandfather and was very pleased with his new gift. It wasn’t a one-way gift. Before leaving Moscow he presented me with a beautiful antique Russian lacquered “Samovar”. I still have it on display at my home. Good trade.

A couple of days later we finally got ready to head back to Moscow. Our reservations had been screwed up so instead of 4 people per compartment in “First Class”, we ended up in “Cattle Car” with 9 people per compartment, on three-level wooden bunk beds! What a challenge that was. We tried to make the best of it and get as comfortable as possible. Alex’s brother Yevgenny, (Eugene, standing to my left in the photo and who is Alex’s twin brother), said, “Not to vorry, ve eat soon!” Over the next few stops we picked up several more people all carrying food. This was great but by the 4th stop we had about 15 people in that small space. First came Pytor, (Peter), with a bushel basket of fresh strawberries. Next was Gregory who brought the biggest loaf of bread I ever saw. That thing was about 30” across and about 6” high. When he unwrapped it from the thick cloth it was in you could feel the heat coming off it. It was right out of the oven. I can’t remember the name of the next person we picked up but he brought 3 cases of Russian Champagne and several homemade sausages. Then last, but certainly not least was Nicolai, (Nick), who also had a large bundle. When he unwrapped his package I really wasn’t sure what it was but all of the Russian men said, “Ahhhh!” so I thought it must be pretty good. Have you ever seen the really large glass jars you make sun-tea with? Well this jar was at least half again as large but it wasn’t filled with tea, it was filled to the brim with fresh Black Caviar! Nick worked at the Sturgeon Caviar canning factory and was the hit of our little party. The sequence went something like this. Eat a few strawberries, take a big hunk of “peasant bread” and sausage, take a big scoop of Caviar and stuff your face. I have had Caviar before and since but never anything as fresh or wonderful as that. I figure at current prices for Premium Caviar we were putting away about $150.00 per bite! 

Finally we were on our return flight home and after getting settled in the young athlete who had dislocated her elbow came up to me and said, “Something’s wrong”. “What?” I asked. She told me her arm was wet and hurting then she tilted her hand downward and there was fluid leaking out of her cast. I thought, “Good grief, what the heck is that?”. I had her sit by me, took my tape scissors out of my kit, (this was when you could still carry scissors onto a plane), cut her cast and peeled it back. There was about a 3” groove cut into her skin from the sharp edges of the casting material. The hospital had not had any gauze or pre-wrap so they just placed the plaster directly onto her skin. Once the cast hardened the jagged edges started digging a cut into her skin and it was the fluid from the cut that was leaking out! I cleaned and dressed the wound, wrapped it in clean gauze, re-applied the cast taping it in place and told her to see her MD as soon as she got home for a new cast. She did and the amazing thing is she was competing again in less than 12 weeks.

American athletes are dedicated, tough and determined. There are many countries in the world that have literally millions of young people competing in Judo. In the US the number is about 50,000 and yet the US Team consistently places in the top 5 or 10 in International Competition, (not to mention the Olympic and World Champions but I’ll save them for another story). Of course much of this has to do with great coaching, support from the National Governing Body and, (thanks to the well run ’84 and ’96 Olympics), good financial aid. But I feel the primary factor is the sheer fierce hard working effort of the individual athlete, not just in Judo, but in all of the Olympic Sports. 

Thanks for reading and I especially want to thank the many doctors who have taken time to write or e-mail me about these stories. Thank You!   

Dr. Le Beau practices at Chiropractic Industrial and Sports Center; 1365 West Vista Way, Suite 100; Vista, CA 92083.  Send your questions to Dr. Le Beau, send them to him at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 
You Are Being Watched
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Written by George LeBeau, D.C.   
Tuesday, 14 November 2006 16:57

Before I start this month’s column I want to thank not only The American Chiropractor for allowing me this venue but, also, the many doctors who have taken time to write, call and e-mail me to thank me for my “adventures” in chiropractic. (Re: TAC, August 2006) Thank You!

One of the most frequently asked questions I get is, “How can I get involved in International Sports?”

I tell young doctors, it took me ten years to become “an overnight success.” The formula I recommend is:

• Find where you want to live.
• Invest yourself in your community by volunteering for everything.
• Become the “Go To” person in your city for youth sports programs.
• Be patient, but also be very aware that you are being watched.

By 1985, after traveling with the various judo teams for two years, I started getting a lot of calls from the managers and coaches for the women’s teams. For the next eight years, seventy percent of all the trips I took were with the women’s teams. Two events sealed this confidence in me.

In 1984, while on a trip to Austria, I was asked to help with “weigh-ins.” This is a very important event in sports that have “weight divisions.” The “official” scale determines who will or will not be able to compete because of weight restrictions. The “Official Weigh In” usually takes place the night before competition. If you’re even one ounce over the maximum, you can’t compete. The athlete is allowed several unofficial tries at making weight. Since every ounce counts, presence in the women’s weigh-in room is very restricted. One of the women referees did not show up so, as a replacement, they asked if I would be willing to help. There I was, surrounded by close to a hundred mostly naked young women standing, talking and playing around in line, waiting for their turn on the scale. I kept my eyes exactly on the center of the scale weight bar, marking down names, pass, retry or fail. Every second, I was watched like a hawk, from multiple sets of eyes, to see how I was behaving. I acted like this was something I did every day.

The second occasion took place in January 1985, while returning from a trip to Japan. We had a six-hour layover in Anchorage, Alaska. Because the Customs Office was closed, we could not leave the gate area where we had landed, waiting for our next flight at 6 A.M. Since it was after midnight, none of the shops or kiosks were open. So we had to sit by our bags and wait for our flight.

Shortly after getting settled in, I noticed several girls running back and forth from one gate area to another, looking as if they were in a complete panic. I turned to one of the women’s coaches and asked what was going on. She turned to me and said one of the girls had started her period unexpectedly and could not find any feminine products in any of the bathrooms.

I reached into my trainer’s bag and pulled out a full box of Tampons and said, “This help?”

She got the biggest smile on her face and said, “Doc, you are just too much!”

Saved the day, helped my reputation and I became known as the guy you could go to in almost any situation (not to mention the teasing I got for carrying Tampons around with me). For me it didn’t seem like such a big deal. Traveling with eighteen young athletes, two coaches, a manager and two referees, all women; there were bound to be problems.  

I enjoyed traveling with the women’s teams. They were dedicated young athletes, but never forgot whom they represented and always remembered to have fun. I was very happy they trusted me and looked forward to my many trips with them.

The point of all this is: Please remember that you are being watched. Every move you make, every word you say (or more importantly don’t say), every joke, slur, salacious leer or gesture is being noted, appraised and marked down for future reference—not just the bad but the good things you do as well. Be aware of who you are, whom you represent and what the International Sports World thinks of us.

Dr. Le Beau practices at Chiropractic Industrial and Sports Center; 1365 West Vista Way, Suite 100; Vista, CA 92083.  Send your questions to Dr. Le Beau, send them to him at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 
Radiographic Digitization: An Absolute Must for the Personal Injury Practice
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Written by Dwight Whynot, D.C.   
Tuesday, 14 November 2006 16:55

Through a process called radiographic digitization and utilizing the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition, 2001, Chapter 15, (the AMA Guides) it is possible for you, the Doctor of Chiropractic, to prove a patient’s injury and have a report ready for court that is second to none. This is the significance of X-ray digitization. The Doctor of Chiropractic that treats personal injury cases MUST OBJECTIFY ALL FINDINGS, so that the body of evidence is not the doctor’s opinion. By practicing an evidence-based approach, the Doctor of Chiropractic can then utilize the best evidence available and be hrough a process called radiographic digitization and utilizing the AMA Guides to the Evaluation of Permanent Impairment, 5th Edition, 2001, Chapter 15, (the AMA Guides) it is possible for you, the Doctor of Chiropractic, to prove a patient’s injury and have a report ready for court that is second to none. This is the significance of X-ray digitization. The Doctor of Chiropractic that treats personal injury cases MUST OBJECTIFY ALL FINDINGS, so that the body of evidence is not the doctor’s opinion. By practicing an evidence-based approach, the Doctor of Chiropractic can then utilize the best evidence available and be able to practice with confidence and not have to settle bills out of fear that they over treated the patient.

Radiographic digitization is an integral part of determining whether or not a patient has been injured and to what degree they have been injured in an auto accident. The Doctor of Chiropractic must gather all of the subjective evidence during the initial examination and then decide which diagnostic tests to order to provide the objective evidence to enable the data to be based on fact rather than opinion.  I would not like to get in front of a seasoned defense attorney with a mound of opinions; I would rather be armed with facts.

How does X-ray digitization prove that someone has been injured? The AMA Guides, pages 378-379, outlines the procedure to evaluate the flexion/extension films for motion segment integrity loss. Motion segment integrity loss is defined as either the loss of motion segment integrity (increased translation or angular motion) or decreased motion resulting mainly from developmental changes, fusion, fracture healing, healed infection, or surgical arthrodesis. Translation and angulation are biomechanical terms used to describe specific movements. Translational motion is the movement of a body along a straight line. Angular motion is rotation of a body about a point. Translation cannot be more than 3.5mm and angular variation cannot be more than 11o in the cervical spine.

The Doctor of Chiropractic may perform this evaluation by hand as outlined in the AMA Guides, but they will have a 26% error rate. Once again, if I am sitting on the witness stand and a seasoned defense attorney knows that I have evaluated the radiographs by hand, I am now sitting on a very hot seat and in a very uncomfortable position. This is exactly why the radiographs MUST be examined digitally. The computer will evaluate the X-rays the same way every time and make the evaluation truly objective.

If it has been determined that the patient has motion segment integrity loss, the Guides state that the patient is now in a category IV impairment and that means they have a 25-28% whole body impairment of the cervical spine. This is a pretty significant figure because some amputations are 40% impairment; therefore, having only a 12% difference between not being able to move your neck properly and certain amputations is quite significant. The significance extends beyond the fact that the patient has been injured. According to Foremen and Croft, the patient may have a prolonged recovery period due to these ligamentous injuries and, therefore, may take seventy-six or more treatments to heal.  Foreman and Croft also provide an objective scale of prognosis, and ligamentous injuries show a poorer prognosis.

When should the digitization evaluation be performed? The AMA Guides state that the radiographs should be examined when the patient has reached maximum medical improvement. In other words, when the patient has reached normal function or when the patient has shown a plateau in improvement over several re-examinations, the doctor retakes the flexion/extension, AP/LAT views and sends them to be digitized.

Using X-ray digitization also allows the Doctor of Chiropractic to prove medical necessity behind care provided, because the biomechanical report details which motion segments have abnormal function. The insurance company doesn’t care about the pain level of a patient, only if the patient has a decrease in function. It is this decrease in function that the doctor should be providing evidence of and treating the patient for. Once this decrease in function has reached maximum medical improvement, the patient is then discharged from care.

In summary, X-ray digitization should be performed to:

1)Provide objective data about the injury and the amount of injury,
2)Determine impairment rating,
3)Provide objective evidence to determine treatment strategy,
4)Provide objective evidence to determine prognosis, and
5)Provide evidence to prove medical necessity.

Dr. Dwight C. Whynot is in fulltime practice in Johnson City, Tennessee. Dr. Whynot gives license-renewal lectures on Evidence-Based Chiropractic Practices which are promoted by the International Chiropractors Association and sponsored by Myologic and Spinal-logic Diagnostics. For questions regarding evidence-based practice procedures, email questions to This e-mail address is being protected from spambots. You need JavaScript enabled to view it . For 12-hours CCE license renewal lecture dates and places call the ICA at 1-800-423-4690. For more information on Myologic or Spinal-logic, go to www.myologic.com or www.spinallogic.com

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