Presented a cervical myelopathy case to start a discussion (no questions initially)
What are the clinical symptoms and signs of cervical myelopathy?
What treatment protocols are indicated vs. Contra-indicated in treating cervical HNP with cord compression and myelopathy signs?
What neurological signs are present in cervical myelopathy/long-tract signs?
Regarding a Cervical HNP case 1.5 yrs post-onset with residual muscle cramping (negative foraminal compression currently, initially positive)
What is the cervical nerve root when digits index and 3rd are tingling?
What pathway is causing the muscle cramping?
What additional test(s) are indicated in this case?
What treatment approaches are indicated in this case?
A 6 month onset of bilateral R>L numbness/tingling in digits 3, 4, and 5; swelling of the digits with difficulty closing the hand/making a fist. Cause: Repetitive use of a mall, pick-ax, and shovel over the last 6 months.
What are the differential diagnoses regarding this case?
What orthopedic tests are indicated for assessing entrapment neuropathies of the upper extremity?
What treatment protocols exist in the chiropractic management of entrapment neuropathies?
09/29 – Carlson
Can chiropractors work with physical therapists in Maryland
Advertising/Disclaimers in California
Percentage rental arrangements in Ohio
Purging files after 7 years and ICD-10
Drafting and maintaining Corporate minutes
09/24 – Ferguson
When checking out patients, how to ask for referrals?
What to say to a patient at checkout when released by doctor?
Is it okay to let a patient take home paperwork for completion?
Patient recalls
Scheduling multiple appointments
09/22 – Murphy
A question regarding the use of passive modalities v. Use of measurement outcomes for determining maximum improvement in a whiplash-injury case.
What are approaches to the treatment of depression.
Questions of the use of digital motion x-rays (DMX) v. MRI for soft tissue injuries.
Questions regarding the use of the Croft Whiplash Guidelines for determining the frequency and duration of treatment.
Questions pertaining to the use of statin drugs and pain syndromes.
Questions pertaining to Bell’s Palsy and a possible Lyme Disease connection.
Questions pertaining to using the King-Devick outcomes for the diagnosis of traumatic brain injury
Questions pertaining to the upper cervical spine in managing tinnitus.
Questions pertaining to the use of class III v. Class IV lasers.
09/22 – Stepanek
Chiropractors who hold their patients to a higher standard than themselves. “Chiropractic hypocrisy”
Why patient education can inhibit practice growth.
Why the old model of chiropractic no longer works in today’s market.
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