January 6, 2009 at 11:28 pm (Chiropractors & Chiropractic, Evidence Based Medicine, Evidence Informed Chiropractic, Patient Information, Patient Resources, Website Recommendations, West Hartford Group)
Tags: Evidence Based Medicine, Evidence Informed Chiropractic, think tank, websites, West Hartford Group, WHG
The West Hartford Group, Inc., (WHG) is a chiropractic think tank dedicated to the advancement of the chiropractic profession in an ethical, responsible, evidence-based way. The WHG is a pro-active and positive force moving in the direction of cultural, social and professional authority to improve the profession’s standing within the health care system and society.
Some of the members of WHG include such chiropractic notables as Michael Schneider, Richard Vincent, Stephen Perle, Donald R. Murphy, John J. Triano, David Seaman and Lawrence Wyatt.
The West Hartford Group’s website was launched today. Soon, position papers and other information will be added to help promote the non-surgical, patient-centered, spinal specialist model embraced by the think tank. The website is located at: www.WestHartfordGroup.com
December 30, 2008 at 12:12 am (Alternative Medicine, Evidence Based Medicine, Evidence Informed Chiropractic)
Tags: Alternative Medicine, Evidence Based Medicine, Evidence Informed Chiropractic, JAMA
“There is no alternative medicine. There is only scientifically proven, evidence-based medicine supported by solid data or unproven medicine, for which scientific evidence is lacking.” — Fontanarosa P.B., and Lundberg G.D. “Alternative medicine meets science” JAMA. 1998; 280: 1618-1619.
This quote was recently presented to me. While I understand what the authors were implying, something was missed in the execution. The fact is that much of conventional medicine has been unproven and lacks solid data. Diabetes? Heart disease? Prostate cancer? Spinal surgery? We do the best we can with what we have but this quote is an exaggeration.
Certainly the future must be evidence based and we must strive to discover the truth about what is effective, but being evidence-based includes utilizing treatments that the practitioner’s experience deems effective while awaiting evidence one way or the other.
Perhaps it would have been better stated, “There is no alternative medicine; there is only effective medical treatment and treatments that should be discarded.”
Dr. Brett Kinsler is an evidence-informed skeptical chiropractor in Rochester, NY
October 22, 2008 at 10:53 pm (Evidence Informed Chiropractic, West Hartford Group)
Tags: chiropractic, EBM, Evidence Informed Chiropractic, think tank, West Hartford Group, WHG
Alright. There, I’ve said it. I’ve let the cat out of the bag. Some of you may already know about the West Hartford Group (WHG). Some of you may have just heard a rumor that it exists. Some people knew something was abuzz in the chiropractic profession but didn’t exactly know what it was. For the past couple of years, we weren’t allowed to talk about it.
Well, now I can tell you.
The West Hartford Group is a chiropractic think tank. It is a non-profit, non-political group formed to take strong stances on issues that our national and state chiropractic associations are unwilling to tackle. It has been kept quiet until recently though membership continues to be only by nomination. The goal of the WHG, essentially, is to advance the chiropractic profession in a responsible, patient-centered, evidence-informed way to create meaningful reform. Membership includes some of the best minds and researchers in our profession today. People on the cutting edge of integrative practice and non-surgical spine care. People who are responsible for many of the positive articles that are published and research that has been generated.
As the WHG becomes more public, much of what has been going on behind the scenes will become more apparant. There is some exciting stuff coming down the pike and I cannot wait! There’s lots I still can’t talk about but I will try to give you the scoop when I can.
The chiropractic profession is ready for a huge change and as a recently elected member of the board of directors, I am thrilled to be a part of driving this change! Got questions? Comments? Need to be a part of the change you know is coming? Let me know! Make your comments below or drop me a line at email@example.com
Dr. Brett Kinsler is on the board of directors of the West Hartford Group, an international Chiropractic Think Tank.
July 27, 2008 at 5:13 pm (Evidence Informed Chiropractic, Patient Information, Patient Resources)
Tags: achilles tendonitis, ankle injuries, ankle sprain, cold laser therapy, Evidence Informed Chiropractic, kinsler, laser therapy, lllt, tendonopathy
Thanks to the Vancouver Chiropractor for tipping me off about the recent study published in the American Journal of Sports Medicine (2008; 36(5):881-887) testing the effects of low intensity laser therapy and specific exercises for achilles tendonitis.52 athletes were divided into two groups. One group was given low intensity laser therapy and strengthening exercises, while the other was given fake laser (machine not turned on) and the strengthening exercises.
Results showed that the low intensity laser group had significant improvements in pain and all other measured factors at 4, 8 and 12 weeks after the initial treatment, when compared to the exercise only group. In fact, the results the laser group got in 4 weeks took 12 weeks for the non-laser group.
If you are suffering from achilles tendon pain, you should consider using low intensity laser therapy (cold laser) in your treatment. It appears to speed the healing time and will get you back in the game sooner!
Brett L. Kinsler is a chiropractor in Rochester, NY who uses low intensity laser therapy in his practice. More information can be found at http://www.RochesterChiro.com
July 9, 2008 at 1:11 pm (Evidence Informed Chiropractic)
Tags: back pain, Chiropractors & Chiropractic, Evidence Informed Chiropractic, Guidelines, healthcare, NCQA, Quality Assurance
Treatment for uncomplicated low back pain varies widely. While most physicians follow the recommended approach of pain management and gradual return to physical activity, some prematurely prescribe costly imaging, epidural steroid injections-or refer their patients to surgery.
NCQA, the National Committee for Quality Assurance, has a Back Pain Recognition Program (BPRP). This program seeks to recognize medical and chiropractic physicians who deliver superior care to millions of Americans who suffer from low back pain. The BPRP program consists of 13 clinical measures and three structural standards that address the broad spectrum of low back pain and focus on underuse, misuse and overuse of treatment modalities.
NCQA BPRP Seal
NCQA developed BPRP requirements from widely accepted medical evidence, with significant input from physician specialists and health plan and employer representatives.
Our office has been recognized as part of this program and Dr. Elliott and I are among only a dozen physicians at this time in New York State to achieve this honor.
We feel the NCQA BPRP program is a step in the right direction toward evidence based chiropractic treatment and are thankful for the opportunity to earn this recognition.
Dr. Brett Kinsler and Dr. Michalene Elliott are NCQA recognized chiropractors in Rochester, NY. Their website is www.RochesterChiro.com
May 13, 2008 at 11:46 pm (Evidence Informed Chiropractic, Patient Information, Patient Resources)
Tags: chiropractic, EBM, Evidence Informed Chiropractic
A colleague recently mentioned a short list of focused items that separates a responsible chiropractor from one that should probably be avoided. This is not a complete list but it was brief and accurate enough that I wanted to reproduce it here:
- Chiropractic should emphasize non-surgical neuromusculoskeletal (NMS) care
- We do treat kids, but mainly for NMS conditions — not internal disorders
- We diagnose before we treat and we rule out red flags, etc
- We are complementary to, not alternative to, standard health care options
- We are not interested nor qualified to discuss the vaccination issue
- We do not advocate the subluxation concept as one-cause one-cure for all
diseases and reject the simplistic bone on nerve model
- We have a variety of methods at our disposal besides osseous manipulation
Brilliant! Check with your chiropractor to see if he or she could agree with all of these points. If so, I suspect you are in excellent hands.
Dr. Brett Kinsler is a chiropractor in Rochester who subscribes to the above listed evidence-based items. More about his practice can be found at www.RochesterChiro.com