Healthcare is broken – period.
As stated in previous blogs, defining and understanding chiropractic can be vague. There are many techniques offered by chiropractors in an attempt to address a variety of health issues - not always musculoskeletal in nature. However, when considering chiropractic, most individuals think of some form of manipulation or adjusting. To better understand how chiropractic adjustments are beneficial, a concept known as the "Joint-by-Joint Approach," established by Mike Boyle and Gray Cook, needs to be acknowledged.
There is a common lie Wichitans tell ourselves: you can get everything you want on one side of Wichita. If you live on the west side of Wichita, then there is no need to go east and vice versa. This idea that you can get everything you need in one specific location in Wichita is highly flawed. If this were true, why would you ever travelto Colorado, Kansas City, Tulsa? Here is a fun topic that everyone in Wichita likes to talk about - the possibility of Cheesecake Factory. You are lying to yourself if you think you would not drive across Wichita to go to the Cheesecake Factory, regardless of where it opened. So I ask you – why isn't an extra 10 minute drive time to get the quality service or product you are wanting worth the extra drive time?
There are many approaches when it comes to payment for services from a healthcare provider. This is true across all disciplines (i.e. DC, OBGYN, DO, MD). Many times this is dictated by in-network or out-of-network status between the specific insurance plan or company and the provider. With chiropractic, most of the time, chiropractors fall on two ends of the spectrum. One side being in-network with as many insurance plans as possible and the other side being in-network with absolutely none. There are definitively pros and cons to each side, which is discussed in more detail in a previous blog "Understanding Chiropractic: The Pros and Cons of Insurance and Chiropractic Care." Our approach, in regards to payment, is simple: pay-as-you-go.
Insurance is constantly changing with Obamacare and it appears this is going to be no different under the Trump administration. Things used to be simple; it wasn't too long ago that a co-pay meant a co-pay. Now things are not always as they appear. As a result, many chiropractic clinics and other health professionals are leaving insurance plans and companies altogether, or sticking only with the larger groups such as: United Healthcare, Aetna, and Blue Cross Blue Shield.
Defining what chiropractic is to the public is just as confusing to the profession itself. Throughout graduate school, chiropractic is taught as a "Science, Philosophy, and Art." Depending on the personality of the future chiropractor, they may lean toward one of these pillars more so than the others. For both Rachel and me, we found our salvation through a group called Motion Palpation Institute (MPI). It was the first group that clicked with us; MPI laid the foundation upon which we stand. To understand the turmoil in the profession, it helps to understand the "camps", in regard to the adjustment. In chiropractic, you will typically find two camps: a static model and a movement-based model.
With the ever-evolving healthcare situation, it is hard as a consumer to find quality care at an affordable rate. This has driven many healthcare practitioners and practices, from a broad range of disciplines, to ditch insurance all together and go "cash only". In addition, this is causing a surge in differing healthcare models. For chiropractic, you may see practices that stick to adjustments only, practices that incorporate electrical stimulation or ultrasound, and others that open the technique box much wider.
When someone mentions chiropractic and its role within healthcare, you are most likely going to hear a broad range of opinions. This is largely due to the wide diversity in styles of chiropractors. There are chiropractors that adjust based solely on imaging, there are chiropractors that do not utilize any imaging, there are chiropractors that focus on nutrition alone, and then there are a variety of options in-between. Vast options exist to best suit your personality, needs, health, wellness, and fitness goals. Chiropractic is a wonderful and amazing profession for its diversity, however, its unclarity in regards to scope of practice creates a major problem.
Last weekend, Dr. Rachel and I traveled to the ‘burbs of Chicago, Illinois, to better our skills and knowledge of Dynamic Neuromuscular Rehabilitation (DNS). We decided to drive the 10+ hours with a future college of ours, and as any chiro-nerd will do, we talked about topics related to our profession the entire time including: our shortcomings, our successes, expectations for this specific DNS course, and how to better integrate DNS into our chiropractic approaches. Like many things in life, it helps to put thoughts into words, so, this blog is a way for us to express what DNS and chiropractic is in our eyes, and also our goals to help better our Wichita community through combining them together.
Squatting is great for recruiting maximum neural activity to challenge the body. If you have not read Part 1 and watched the associated videos, I highly recommend it. It will give you a highlighted viewpoint as to where this blog is directed. To better understand squatting and knee position as an adult, we need to strip away everything and go to back to the basics.
Back pain is a common occurrence for many Americans with our daily cubicle-esk lifestyle. Overtime, rounding the back can lead to trigger point formations in the rhomboids, which may produce pain. Rolling out the rhomboid muscles with a lacrosse ball, can help decrease pain within the middle back, improve scapulothoracic range of motion, and improve power output.
The shoulder girdle is a dynamic structure. Keeping the rotator cuff muscles healthy can help improve pain free shoulder range of motion.
Short blog this week. The video below discusses the referral patterns for the pectoralis major and pectoralis minor. The pain patterns are similar, but how to get the most out of foam rolling these two muscles is slightly different. It's about working smarter, not harder.
Here is a list of my 5 favorite types, of foam rollers or accessory rollers, in no particular order. Each one has its own unique advantage.
Everyone has heard the phrase repeatedly, over the past 5 years or so, while squatting, “drive your knees out.” This can be a great cue when used appropriately, however, it has almost become obnoxious with everyone and their mothers yelling this phrase. Don’t get me wrong, I apply the cue myself, but it is highly overused. The cue should NOT be said every single time someone squats, if so, find a new gym.
Improper hip motion is oftentimes a culprit to low back pain and knee pain. Interestingly, the area where we experience pain is regularly not the source of pain. When the glute medius and glute minimus become problematic they can refer pain down the leg (mimicking a disc herniation), and to the SI joint. These muscles become dysfunctional due to lack of use. Stating this, you would think working on activating these muscles alone would be sufficient, but recent research indicates that combining soft tissue therapy with rehab/exercise training, adds greater benefit then either alone.¹
Do you have a question about chiropractic care, fitness or nutrition? We would love to hear from you, and we might even turn your question into our next blog post!
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