Medical Providers

Dear Doctor,

A recent article about genetics is below.

http://everlast.mercola.com/r/?id=h28443028,6527cb0,68d115c&et_cid=DM56893&et_rid=675557416

I've been in practice since 1978 here in Acworth.   I am certified in Nutrition, Wellness and Allergy Elimination.   Please feel free to refer your patients looking for alternative health care.  We will work with you and send you reports on the patient.  

Are you having trouble with Fibromyalgia Patients?

I have been certified in a new and successful technique with incredible results.  Please see the section about Fibromyalgia for further information.

Also, feel free to contact me personally to go over this or any other area.  Open communciation is what I personally stand by.  With the patient's well being at the most important aspect, both of us can really make a difference in their lives.

Should you want patient testimonials, I do have many.  Patients, have traveled from the five surrounding states for this care alone.

What about patients with Allergies?

Over 12 years ago I was certified to do an allergy elimination technique.   I've done it every since then with amazing results.  Should you have patients with these problems please feel free to talk with me.

For Chiropractors, I will not steal your patient.  I would provide these special techniques and send them back to you for Chiropractic Care.

For Medical Doctors, I will treat the patient and report to you the information you'll need to continue being that patients primary care doctor.

Jim  Di Blasi, DC

(770) 974-2405

   I've included some research articles for your information.

Popularity of Chiropractic 
Meeker, Haldeman (2002), Annals of Internal Medicine: Chiropractic is the largest, most regulated, and best recognized of the complementary and alternative medicine (CAM) professions. CAM patient surveys show that chiropractors are used more often than any other alternative provider group and patient satisfaction with chiropractic care is very high. There is steadily increasing patient use of chiropractic in the United States, which has tripled in the past two decades.

For Acute and Chronic Pain
Nyiendo et al (2000), Journal of Manipulative and Physiological Therapeutics: Patients with chronic low-back pain treated by chiropractors showed greater improvement and satisfaction at one month than patients treated by family physicians. Satisfaction scores were higher for chiropractic patients. A higher proportion of chiropractic patients (56 percent vs. 13 percent) reported that their low-back pain was better or much better, whereas nearly one-third of medical patients reported their low-back pain was worse or much worse.

Korthals-de Bos et al (2003), British Medical Journal:  In a randomized controlled trial, 183 patients with neck pain were randomly allocated to manual therapy (spinal mobilization), physiotherapy (mainly exercise) or general practitioner care (counseling, education and drugs) in a 52-week study. The clinical outcomes measures showed that manual therapy resulted in faster recovery than physiotherapy and general practitioner care. Moreover, total costs of the manual therapy-treated patients were about one-third of the costs of physiotherapy or general practitioner care.

In Comparison to Other Treatment Alternatives
Hoving et al (2002), Annals of Internal Medicine:  In our randomized, controlled trial, we compared the effectiveness of manual therapy, physical therapy, and continued care by a general practitioner in patients with nonspecific neck pain. The success rate at seven weeks was twice as high for the manual therapy group (68.3 percent) as for the continued care group (general practitioner). Manual therapy scored better than physical therapy on all outcome measures. Patients receiving manual therapy had fewer absences from work than patients receiving physical therapy or continued care, and manual therapy and physical therapy each resulted in statistically significant less analgesic use than continued care.

Patient Satisfaction
Hertzman-Miller et al (2002), American Journal of Public Health: Chiropractic patients were found to be more satisfied with their back care providers after four weeks of treatment than were medical patients. Results from observational studies suggested that back pain patients are more satisfied with chiropractic care than with medical care. Additionally, studies conclude that patients are more satisfied with chiropractic care than they were with physical therapy after six weeks.

Cost Effectiveness
Haas et al (2005), Journal of Manipulative and Physiological Therapeutics:  Chiropractic care appeared relatively cost-effective for the treatment of chronic low-back pain. Chiropractic and medical care performed comparably for acute patients. Practice-based clinical outcomes were consistent with systematic reviews of spinal manipulative efficacy: manipulation-based therapy is at least as good as and, in some cases, better than other therapies.

Chiropractic Update:

How Do MD's View Chiropractic?

In the mid 1980's, a political event spurred a change regarding the medical community's outward disrespect of chiropractors when the AMA (American Medical Association) was sued for anti-trust violations and the chiropractors won!

For the first time, the public, open anti-chiropractic slander that appeared on billboards, in magazine articles, and in TV/radio advertisements was prohibited.

In fact, prior to this, it was against the AMA by-laws for an MD to publicly socialize with a chiropractor! This all seems pretty extreme but was truly occurring prior to the mid-1980's....BUT NOT ANYMORE!

In 1994 when the UK and the US almost simultaneously published official guidelines for the treatment of acute low back pain.

BOTH DOCUMENTS REPORTED THE USE OF SPINAL MANIPULATION, A PRIMARY FORM OF CHIROPRACTIC TREATMENT, AS A FIRST CHOICE IN THE TREATMENT FOR ACUTE LOW BACK PAIN.

Now, for the first time, a non-chiropractic group had recommended chiropractic based on researched data that overwhelmingly supported spinal manipulation as an effective, safe, and less expensive form of care when compared to all the other treatment approaches that the health care consumer can choose from.

Research has continued to pour in and recently, similar recommendations were made in the treatment of chronic low back pain. Also, when reviewing the research pool, continued support of the 1994 guidelines for acute low back pain was again found to be valid with little change required.

According to the published guidelines, ALL patients with acute AND chronic low back pain should see chiropractors FIRST.

If this guideline was followed by everyone, there would be such a shortage of chiropractors, it would become one of the most desirable professions to seek vocationally.

Unfortunately, many M.D.s do not know enough about chiropractic to strongly recommend it to their inquiring patients. That is why this office goes out of its way to educate M.D.s in our community about the benefits of Chiropractic care.

Also, some programs at medical schools are now including "alternative medicine" courses in the curriculum of the undergraduate MD programs and, rotations in alternative or complimentary health services currently offered at some university / hospital settings as a post-graduate option.

This is reflected by an increasing population of MDs who actively seek out chiropractors to work with when their patients present with conditions like acute or chronic low back pain, neck pain, and/or headaches.

The MD/DC relationship is truly improving as noted by the inclusion of chiropractic into hospital programs, integration into the military bases and VA hospitals, routine coverage by most insurance companies, etc.

Chiropractic Care Reduces the Odds
of Low Back Surgery
 

42.7 Percent of Workers Who Consulted a Surgeon First - Had Surgery
 
vs.
 
1.5% Who Consulted a Chiropractor First - Had Surgery
 
By Mark Studin, DC, FASBE(C), DAAPM, DAAMLP
 Michael Schonfeld, DC, DABCO

Back injuries are the most prevalent occupational injury in the United States. Few prospective studies have examined early predictors of spine surgery after work-related back injury. It was reported by Keeney et. al. in May 2013 that the chances of the patient undergoing lumbar spinal surgery vary dramatically changes depending upon what specialist they saw first.

Trauma, aging, improper body mechanics, and normal wear and tear can all injure your spine. Damage to any part of your back or pressure on the nerves in your spine can cause back pain and other symptoms. If you have ongoing back pain, maybe you've wondered — could back surgery help?

The rate of spinal fusion surgery has risen six fold in the United States over the past 20 years, according to federal figures, and the expensive procedure has become even more common than hip replacement. The rate of spinal fusions in the United States is about 150 per 100,000 people, according to federal data. In Australia, it is about one-third of that; in Sweden, it is about 40 per 100,000; and in Britain it is lower still.

Even by American health-care standards, the rise of spinal fusions has been remarkable. According to federal figures, the number of spinal fusions in the United States rose from 56,000 in 1994 to 465,000 in 2011.

Using Disability Risk studies by Keeney et. al., they examined the early predictors of lumbar spine surgery within 3 years among Washington State workers, with new workers compensation and temporary total disability claims for back injuries. In the sample of 1885 workers, 174 (9.2%) had a lumbar spine surgery within 3 years. Reduced odds of surgery were observed for those younger than 35 years, females, Hispanics, and those whose first provider was a chiropractor. Approximately 42.7% of workers who first saw a surgeon had surgery, in contrast to only 1.5% of those who saw a chiropractor. They concluded that there was a very strong association between surgery and first provider seen.

If back surgery is something you must seriously consider, consider this:

Back surgery is needed in only a small percentage of cases. Most back problems can be taken care of with nonsurgical treatments.

It was reported by McMorland, Suter, Casha, du Plessis, and Hurlbert in 2010 that over 250,000 patients a year undergo elective lumbar discectomy (spinal surgery) for the treatment of low back disc issues in the United States. The researchers did a comparative randomized clinical study comparing spinal microdiscectomy (surgery) performed by neurosurgeons to non-operative manipulative treatments (chiropractic adjustments) performed by chiropractors. They compared quality of life and disabilities of the patients in the study. 

The study was limited to patients with distinct one-sided lumbar disc herniations as diagnosed via MRI and had associated radicular (nerve root) symptoms. Based upon the authors’ review of available MRI studies, the patients participating in the study were all initially considered surgical candidates. Both the surgical and chiropractic groups reported no new neurological problems and had only minor post-treatment soreness. 60% of the patients who underwent chiropractic care reported a successful outcome while 40% required surgery and of those 40%, all reported successful outcomes. This study concluded that 60% of the potential surgical candidates had positive outcomes utilizing chiropractic as the alternative to surgery. 

Choosing a conservative approach for your back injury requires choosing a conservative practitioner of healthcare that has been certified to equate to successful outcomes without surgery. Chiropractors are trained in a drugless/non-surgical approach to treating you and your back.  

The bottom line is this: see a chiropractor first and the research supports that decision.
 
42.7 Percent of Workers Consulted a Surgeon First - Had Surgery
vs.
1.5% Who Consulted a Chiropractor First - Had Surgery


References:

     1.      Mayo Clinic staff. Retrieved from http://www.mayoclinic.com/health/back-surgery/HQ00305

     2.      Whorksy, P. and Keating, D. of the Associated Press. Retrieved from
               http://union-bulletin.com/news/2013/oct/28/spinal-surgery-raises-questions-excess/


     3.      McMorland, G., Suter, E., Casha, S., du Plessis, S. J., & Hurlbert, R. J. (2010). Manipulation or microdiscectomy for               sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics, 33(8),               576-584.

So rest assured, you've made a smart decision to choose Chiropractic.

Many Medical Doctors  Recommending Chiropractic Care  For Back Pain Relief

Harvard Study: Low Back Pain Patients Significantly More Satisfied With Chiropractic Than Conventional Medical Care.

At the 17th annual North American Spine Society meeting, three medical doctors defended Chiropractic by citing a Harvard study that found low back pain patients were significantly more satisfied with Chiropractic treatments compared to conventional medical care.

After researching "myths," Co-author , Dr. Zigler, MD found Chiropractic education is more similar to medical education than it is dissimilar.

Dr. Zigler had integrated Chiropractors into his multi-disciplinary spine center where the Chiropractors screen patients for surgical versus non-surgical care.

Another co-author, Dr. Cole, MD, stated, "overall, manipulation* has the advantage of reducing pain, decreasing medication, rapidly advancing physical therapy and requiring fewer passive modalities." (*Manipulation is one of the primary treatment techniques used by Doctors of Chiropractic.)

He also recommends spine surgeons refer their patients to Chiropractors.

Our goal is to give you the best and least treatment possible. You, your friends and family can be seen immediately for your back pain relief.

And thank you for your referrals.

Keep 'em coming!

We appreciate it!

References

  • Haldeman S, Chapman-Smith D, Petersen DM Jr. Time to recognize value of chiropractic care? Science and patient satisfaction surveys cite usefulness of spinal manipulation. Orthopedics Today February 2003:23(2), pp14-15.
  • Haldeman S, Cole A, Zigler J, et al. Spinal manipulation in spine care: who? why? when? Presented at the North American Spine Society 17th Annual Meeting, Oct. 29-Nov. 2, 2002, Montreal.

_______________________________________________________________________

The explosion in recent diabetes diagnoses are a result of a perfect storm involving a rapidly-aging population, the effects of a sedentary lifestyle and a dramatic increase in processed food consumed by a large portion of the population. Currently, Type 2 diabetes is responsible for nearly 90-95% of all of the recent diabetes diagnoses in the United States.

As many people already know from the wealth of diabetes-related info on store shelves and on medical health sites online, diabetes is the result of when a person’s body does not produce enough insulin or when that insulin does not function properly in some capacity.

While there has been a marked increase in diabetic diagnoses just in the past several years, many experts on the subject are quick to point out that the mortality rate for Americans who are currently suffering from diabetes has actually declined over the past decade.

The study, which was published in the Lancet Diabetes & Endocrinology journal, declared that the lifetime likelihood of a 20-year-old American male to develop Type 2 diabetes was 20% during the period of 1985 to 1989 but has now risen to 40% between the years 2000 to 2011.

Women had previously been more susceptible to developing Type 2 diabetes but their lifetime risk of diagnosis increased from 27% to only 39% in the period related to the 2000s.

It’s also worth noting that the researchers found life years lost to diabetes decreased from 7.7 years during the 1990s to 5.8 years during the 2000s for men. Women saw their life years reduce from 8.7 to 6.8. Despite these numbers looking encouraging on the surface, the substantial increase in the amount of diagnoses of diabetes means that the total number of life years lost across the population has increased dramatically as well despite individual numbers trending downwards.

The researchers pinpointed the lifetime risk of Type 2 diabetes to have risen to approximately 40% over a 26 year period.

The study itself was led by Dr. Edward Gregg, who is the chief of the Epidemiology and Statistics Branch of the Division of Diabetes Translation at the Centers for Disease Control.

To your health!   Dr Jim  Di Blasi, DC, PSc.D

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