April 2024 Health Newsletter

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March 10, 2024

Dear Friends,

If you have been in the office lately, you know we have been talking about pets. For my part, I have frequently told stories about my adopted dog Zuma, a blue-tongued skink named Blue and my wonderful tortoise Merlin! I often ask new patients if they have pets because it gives us a commonality -- a connection beyond just doctor and patient. I find out so much more about a patient when they tell me about their pets because it is an insight into their relationship with nature. It can tell me a bit about how they see their health and their view of their place in the world. 

We generally expect people to care for their spouse, their parent or child. But when a person chooses to have a pet to care for, or chooses not to have one because they cannot adequately care for one, it tells me that they are thoughtful and respectful of themselves and of Nature's other creatures. We can connect on a caring level and I anticipate that this person will be engaged in getting better and staying well. That will make us better partners in working toward their optimum wellness! (And, by the way, it's fun to hear about your pets' adventures!)

I will keep asking about your family... I will keep asking about your pets... I will keep doing my best to journey with you toward your best health! If you have not been in lately, make an appointment for an adjustment. And tell your dog or cat I say Hi!

Office hours are Tuesday, Thursday, and Friday 9 -1 and 3 to 6 by appointment and Saturdays 9 - 1 by appointment. Call 201-525-0707 to make an appointment with me. Joan, Jolanta and Debi will find a convenient time for you to come in.

All the best and see you soon!

Carmel-Ann Mania, D.C.

 

Your name has been added to the newsletter list so that we can keep you informed of the latest in Chiropractic, in our practice, and in the realm of health in general. You may, of course, opt out, but we hope that you will continue to receive this newsletter and the occasional notice from us electronically. Call 201-525-0707 for an appointment, consultation or more information about our office or the services we offer. If you have a church, temple, civic or social group that needs a speaker or a fundraising program, I am available for speaking or programs on health and wellness topics.



Current Articles

» Please support "Medicare Chiropractic Modernization Act" H.R. 610/ S.799
» Look for Insurance Changes
» Exploring the Evidence: Chiropractic Care for Back and Neck Pain Relief

» Reduce Your Risk of Adverse Drug Events with Chiropractic Care
» The Amazing Health Benefits of Riding Your Bike to Work

Please support "Medicare Chiropractic Modernization Act" H.R. 610/ S.799

Arlington, VA – In March 2023, both the U.S. House of Representatives and the U.S. Senate  reintroduced legislation to increase access to Medicare-covered services provided by doctors of chiropractic. The Chiropractic Medicare Coverage Modernization Act (H.R. 1610 / S. 799) would bring Medicare’s coverage of chiropractic into alignment with most other federal programs and private health plans, giving seniors improved coverage of non-drug treatments to alleviate pain and improve function.

The legislation was introduced by Reps. Gregory Steube (R-Fla.), Brian Higgins (D-N.Y), Mark Alford (R-Mo.) and John Larson (D-Conn.) in the House and Sens. Richard Blumenthal (D-Conn.) and Kevin Cramer (R-N.D.) in the Senate. Both bills were introduced with a number of bipartisan original cosponsors. An identical bill that expired last year in Congress achieved more than 150 cosponsors in the House, split almost evenly between Democrats and Republications, and six cosponsors in the Senate.

“The level of bipartisan support we achieved with the last bill tells us that this is an issue that resonates and has the momentum to go all the way,” noted John Falardeau, ACA senior vice president of public policy and advocacy. “We thank Sens. Blumenthal and Cramer and Reps. Steube, Higgins, Alford and Larson for their leadership in reintroducing this important legislation, which will benefit America’s seniors.”

“Giving Medicare beneficiaries more options for non-drug services to treat common musculoskeletal conditions such as back pain is critical in ongoing efforts to reduce opioid overuse,” noted ACA President Michael Martin, DC. “Chiropractic care is a part of the solution for many patients who seek to avoid or reduce their reliance on prescription pain medications.”

H.R. 1610/S. 799 would update the Medicare statute that has limited beneficiary access to chiropractic services for over 50 years. The legislation adds no new benefits; it simply allows Medicare beneficiaries access to the profession’s broad-based, non-drug approach to pain management and musculoskeletal health. This includes manual manipulation of the spine (the only chiropractic service now covered), as well as services such as manual manipulation of the extremities and numerous other non-drug treatments, evaluation and management services, and diagnostic imaging. The range of services available to beneficiaries would be determined by a chiropractor’s state licensure.

Chiropractic services and other nonpharmacologic approaches to pain management have become an important part of national efforts to reduce the overuse and abuse of prescription opioid pain medications. The opioid crisis has taken its toll among seniors and other Medicare beneficiaries as it has in communities nationwide.

Learn more at www.acatoday.org/medicare, including how you can reach out to Congress in support of this important legislation.

Author: acatoday.org
Source: acatoday.org


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Look for Insurance Changes

I want to let you know that we are likely going to be making some changes in the insurances that we are accepting. In the past few years, some of the Medicare advantage programs have begun to make it much more difficult for us to participate in. 

Particularly, they are insisting on precertifying care with time consuming paperwork while only allowing payments for an office visit at a rate of about $34. This amount is only 80% of the already reduced Medicare contract rate (and half the reduced in-network rate for non-Medicare insurance). Then, the staff has to chase that $34 by internet and phone for minutes to hours to days. The patients are annoyed by the paperwork, and the staff is annoyed by the frustration and additional work. Up until now, we have offered the full range of care for the regular Medicare price allowed for spinal adjustment only. By statute, we are only paid through Medicare and supplemental insurance for spinal adjustments only. NOT for extremity adjustments, Not for musle or trigger point work, Not for Ultrasound, Muscle Stim, Intracell or Exams. We are permitted to charge for these services by obtaining your written permission, but have tried to be considerate of the many who are on a fixed income, while still providing the best possible care. 

I would ask 3 things of each of you.1) Please check your Medicare coverage in the upcoming enrollment period to see exactly what you are getting for your money. If you can, consider a traditional Medicare plus Medigap supplement (like AARP/United Healthcare, etc.). 2) Anticipate filling out a written permission for the additional services needed in your care and paying the nominal fees for the services if you decide to stay in an Advantage plan.

And, most importantly, 3) contact your US Congress Representative and US Senators to pass HR. 1610/ S.799 the Chiropractic Coverage Modernization Act. This will give chiropractors the ability to charge Medicare for any services permitted under their state licenses, rather than continue the outdated and discriminatory restrictions currently in place. For more information and to contact your representatives, click or paste this link : Chiropractic Coverage Modernization Act

As always, know that the Staff and I appreciate the trust you have placed in us. Thank you for continuing to allow us to be a part of your search for optimum wellness!

Author: Carmel-Ann Mania, D.C.
Source: Dr. Mania


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Exploring the Evidence: Chiropractic Care for Back and Neck Pain Relief


For those individuals grappling with chronic back or neck pain, finding effective relief can be a daunting challenge. In the pursuit of alleviating discomfort and improving quality of life, chiropractic care should be at the top of the list. But what does the evidence say about its efficacy? Let's briefly review just some of the research to understand the role of chiropractic care in addressing musculoskeletal conditions such as back pain and neck pain.

Chiropractic care is founded on the principle that proper alignment of the spine is essential for overall health and well-being. Practitioners, known as doctors of chiropractic (DCs) or chiropractors, employ hands-on spinal manipulation and other manual techniques to adjust vertebral misalignments (subluxations) and restore proper function to the musculoskeletal system. While chiropractic treatment has been traditionally sought for back and neck pain relief, its effectiveness has been the subject of numerous studies and clinical trials.

One of the most comprehensive reviews of chiropractic care for back pain was conducted by the Agency for Healthcare Research and Quality ("Agency for Healthcare Research and Quality (AHRQ). (2017"). Noninvasive treatments for low back pain.). Their analysis of available evidence concluded that spinal manipulation—the primary treatment modality in chiropractic care—was effective in reducing acute low back pain and improving function. Additionally, the AHRQ found that chiropractic care was associated with fewer adverse effects compared to other treatments such as medication or surgery.

Furthermore, research published in reputable medical journals supports the efficacy of chiropractic care for both acute and chronic back pain. A study published in the Journal of Manipulative and Physiological Therapeutics found that patients with chronic low back pain who received chiropractic spinal manipulation experienced greater pain relief and functional improvement compared to those who received standard medical care.

Similarly, chiropractic care has shown effective in managing neck pain, which often stems from poor posture, muscle strain, or cervical spine misalignments. A systematic review published in the Journal of Manipulative and Physiological Therapeutics concluded that spinal manipulation performed by chiropractors was effective in reducing neck pain intensity and improving function. Moreover, a randomized controlled trial published in the Annals of Internal Medicine ("Annals of Internal Medicine, 156(1_Part_1), 1-10.") found that spinal manipulation combined with exercise was more effective in reducing neck pain than medication alone.

For those considering chiropractic care for back or neck pain relief, the evidence supporting its effectiveness is substantial and continues to grow. From reducing pain intensity to improving function and overall quality of life, chiropractic treatment offers a non-invasive and drug-free approach to managing back and neck pain and dysfunction as well as many other musculoskeletal conditions. By staying informed and seeking care from reputable chiropractic practitioners, prospective patients can take proactive steps towards finding lasting relief.


Author: ChiroPlanet.com
Source: ChiroPlanet.com


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Reduce Your Risk of Adverse Drug Events with Chiropractic Care

If you are in chronic pain from back problems, you may be tempted to try anything to keep the hurt at bay. This might include taking addictive opioid pain killers or analgesics that have negative side effects.  These prescription drugs can cause "adverse drug events," which refer to any sort of injury or side effect caused by a medication.  Even scarier, the mortality rate from adverse drug events has been rising dramatically.  No one wants to die from a pain pill or end up addicted to it.   The Good News: Adverse Drug Events Can Be Avoided The next time you are tempted to just medicate your back pain away, contact your chiropractor.  By getting comprehensive chiropractic care, you may be able to reduce or completely eliminate your dependence on prescription pain medication.  In fact, it's been proven to work.  One recent study showed that chiropractic patients had a 51% reduced likelihood of adverse drug events within 12 months compared to nonrecipients.  Comprehensive chiropractic care for back pain can include spinal manipulation and adjustments, pain relieving exercises, and other wellness protocols that are safe, non-invasive, and don’t have those pesky and often dangerous side effects of drugs.  Reduce Pain with Chiropractic Care Today There is no need to risk adverse drug events when there is a safer option with chiropractic care. Contact us today for a consultation!

Author: ChiroPlanet.com
Source: JMPT June 2018. Vol 41, Issue 5, Pages 383–388


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The Amazing Health Benefits of Riding Your Bike to Work

The government wants to start encouraging more people to take their bike to work. No, this isn’t in response to efforts to halt the progression of global climate change and to save the environment. The reason the government is promoting this is because of the awesome health benefits. According to recent studies, riding to work can reduce a person’s chances of:

  • Developing cancer
  • Dying prematurely
  • Being diagnosed with heart disease

The numbers are quite astonishing. According to the UK’s Telegraph, the risk of premature death fell by 41% among those who regularly rode to work. Forbes reports that the study was done at the University of Glasgow, where they evaluated the health of over 260,000 people during a five year period. Those who cycled to work had a:

  • 46% lower risk of developing heart disease
  • 52% lower risk of dying from heart disease
  • 45% lower risk of developing cancer
  • 40% lower risk of dying from cancer

Since cancer and heart disease are the leading causes of death in many countries – including the U.S. – it stands to reason that people would do anything they can to reduce their risks. Now they have proof that something as simple as cycling to work can lower the risk significantly. Why not give it a try for yourself? Start out slow – replacing your car with your bike as your mode of transport one day a week, then two, then three, and so on. With results like these, you’ll be happy you did!

Author: ChiroPlanet.com
Source: BMJ 2017;357:j1944


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