TMA vs. TBCE and TBCE Rule 78.13

The TEXAS chiropractic profession needs your help!!!  The TMA (Texas Medical Association) has filed a lawsuit against TBCE (Texas Board of Chiropractic Examiners).  TMA wants chiropractors to lose their ability to diagnose patients.  This translates –> you will have to have a referral from a medical doctor to see a chiropractor IF you want to file your insurance benefits.  From what we can tell, this will NOT affect patients that choose to pay out of pocket.

We don’t want to create undo alarm, but this is serious for a few reasons:

  1. Principle – there is no justification.  Chiropractors are thoroughly trained to diagnose and treat the neuromusculoskeletal  system.  If you are a patient of chiropractic care, you have experienced just that.  We have to be able to diagnose in order to know where to adjust, when to adjust, and of course when not to adjust.
  2. Some chiropractors are employed by practices that are 80-100% paid by third party payers.  This would dramatically affect the amount of paperwork that would be required.  This could potentially decrease the volume of patients that have access to treatment.  This would undoubtedly increase the amount of time a patient would have to wait for treatment.
  3. Currently, medical doctors often don’t refer to chiropractors simply out of ignorance of what chiropractors do.  It would be a disservice to the patient as well as healthcare if the majority of patient are filtered through the medical wheel before they even have a chance of seeking chiropractic care.
  4. For the LOVE!!!!  Chiropractors are awesome!!  They should be able to do what they love to do EVERYDAY without the intervention of a medical professional that may or may not know what the benefits of chiropractic care are.  Maybe they had a bad experience with a chiropractOR and they don’t support the profession.  Maybe they don’t “believe” in chiropractic.  BELIEVE it or not, I’ve heard so many times that patients either don’t tell their MD that they see a chiropractor because they assume their disapproval, or tell them they do, only to be reprimanded for their choice 😦

Unfortunately, this is really happening. The Texas Chiropractic Association (http://www.chirotexas.org/) is fighting for us, & has appealed the initial ruling. Here is the latest update: http://www.chirotexas.org/index.php…

If you want to help keep chiropractic a direct entry service, and not be required to get a referral to receive care by a chiropractor, you can donate to TCA’s CDI (http://www.chirotexas.org/cdi) & send correspondence to our STATE senators and representatives. If you live in Ellis County, here is the contact information:
http://www.fyi.legis.state.tx.us/County.aspx

To make life simple, I’ve created the documents for our District.  If you want the word document so you can edit the legislator’s address, just email us at peaceoflifechiropractic@live.com.To send a letter to Texas State Senator Brian Birdwell click hereTo send a letter to Texas State Representative John Wray click here.

Thank you so much for getting involved!!  No matter the outcome, chiropractic care will remain awesome.  The power that made the body will continue to heal the body.   Nevertheless, we appreciate you helping us be heard & hopefully protect the scope of practice for chiropractors!!!!

In Loving Service – NO MATTER WHAT,

Dr. Taryn

Creating Happy 2015

April 1st marks the beginning of the Creating Happy movement at Peace of Life Chiropractic!! The full outline is available on our website @ wwww.peaceoflifechiropractic.com. JOIN US!!!

21 DAYS IN APRIL
THREE GRATITUDES

Each day you will write 3 new things that you are grateful for. Writing them down is important. Writing them allows them to become a conviction or confession, whichever applies. Over the course of 21 days, you will have 63 things you are grateful for!!!

Here is a little helper you can print or share to Create Happy in your life and in the lives of others 😉
3 Gratitudes

Inclement Weather

Hello to our patients scheduled tomorrow wink emoticon Weather consistently shows 90% chance of precipitation and temperatures below freezing. In the event forecast proves true, we will follow the advisory of MISD. We will also be sending out a text in the morning if indeed we need to confirm changes to your scheduled appointment.

Chiropractic and Pelvic Pain in Pregnancy

One problem that many pregnant women complain about is pubic pain. Yet doctors and midwives often dismiss this pain as either “inconsequential,” “unfixable,” or “just one of those pregnancy discomforts that have to be endured.”

Occasionally, some uninformed doctors have even erroneously told women that such pubic pain means that they would need an elective cesarean section to avoid permanent damage to that area during birth, or as a result of prior damage to the area.

Yet none of this is true. Pubic pain in pregnancy is certainly not “inconsequential”; it can also be very difficult to deal with. Although many doctors and midwives do not know what causes it or how to fix it, many women are able to get improvement or relief with chiropractic adjustments or osteopathic manipulation. It is not something that you “just have to live with.” And although extra care should be taken during labor and birth in order to prevent trauma, it absolutely does NOT mean that you must have a cesarean delivery.

Although not every provider has a name for this condition, it is most commonly called Symphysis Pubis Dysfunction (or SPD), especially in Britain. Other names for it include: pubic shear (an osteopathic term), symphyseal separation, pubic symphysis separation, separated symphysis, pelvic girdle relaxation of pregnancy, and pelvic joint syndrome.

The symptoms of SPD vary from person to person, but almost all women who have it experience substantial pubic pain. Tenderness and pain down low in the front is common, but often this pain feels as if it’s inside. The pubic area is generally very tender to the touch; many moms find it painful when the doctor or midwife pushes down on the pubic bone while measuring the fundal height of the uterus.

Any activity that involves lifting one leg at a time or parting the legs tends to be particularly painful. Lifting the leg to put on clothes, getting out of a car, bending over, sitting down or getting up, walking up stairs, standing on one leg, lifting heavy objects, and walking tend to be difficult at times. Many women report that moving or turning over in bed is especially excruciating.

Many movements become difficult when the pubic symphysis area is affected. Although the greatest pain is associated with movements of lifting one leg or parting the legs, some women experience a “freezing,” where they get up out of bed and find it hard to get their bodies moving right away— the hip bone seems stuck in place and won’t move at first. Or they describe having to wait for it to “pop into place” before being able to walk. The range of hip movement is usually affected, and hip abduction is especially painful. Many women also report sciatica when pubic pain is present. SPD can also be associated with bladder dysfunction, especially when going from lying down (or squatting) to a standing position. Some women also feel a “clicking” when they walk or shift a certain way, or lots of pressure down low near the pubic area.

Many women with SPD also report very strong round ligament pain (pulling or tearing feelings in the abdomen when rolling over, moving suddenly, sneezing, coughing, getting up, etc.). Some chiropractors feel that round ligament pain can be an early symptom of SPD problems, and indicate the need for adjustments. Other providers consider round ligament pain normal, part of the body adjusting to the growing uterus. If experienced with pubic and/or low back pain, round ligament pain is probably associated with the SPD.

Indeed, although pubic pain often does go away after pregnancy, many women find that it sticks around afterward, usually diminished but still present. If the underlying causes are not treated, long-term pain usually sticks around. Anecdotally, this often seems to be associated with long-term low back pain or reduced flexibility in the hips. Even worse, if the mother is mishandled during the birth, the pubic symphysis can separate even more or be permanently damaged. This is called Diastasis Symphysis Pubis.

Although the best idea may be to resolve chronic SPD pain through realigning the pelvic girdle and soft tissues, most women have some residual pubic and low back discomfort sticking around during pregnancy and the early postpartum weeks because of hormones. Therefore, tips for coping with pubic pain tend to be a focus of many SPD websites.

Many of the suggestions include:

Use a pillow between your legs or under your “pregnancy bump” when sleeping

Try to keep your legs and hips as parallel as possible when moving or turning in bed

Some women report a waterbed mattress to be helpful and swimming may help relieve pressure on the joint

Deep water aerobics or deep water running may be helpful as well.

Keep your legs close together and move symmetrically

When standing, stand symmetrically, with your weight evenly distributed through both legs

Sit down to get dressed, especially when putting on underwear or pants

 Avoid “straddle” movements

An ice pack may feel soothing and help reduce inflammation in the pubic area

…………….

Modified excerpt from: Pelvic Pain: Symphysis, Pubis, Dysfunction by Pamela Vireday. Read more in Pathways: http://www.pathwaystofamilywellness.org