PCCRP Radiographic Guideline Accepted for Inclusion at National Guideline Clearinghouse

July 29, 2009 · Filed Under Main Content · 1 Comment 

icaPracticing Chiropractors’ Committee on Radiology Protocols (PCCRP) announced today that the PCCRP Radiographic Guideline was accepted for inclusion at the National Guideline Clearinghouse (NGC). The NGC is a comprehensive database of evidence-based clinical practice guidelines that are accessible via the internet. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

According to Dr. Deed Harrison (Chair of PCCRP), “The PCCRP guideline is the most comprehensive evaluation of the chiropractic and biomedical literature on the topic of the utilization of X-ray in a Chiropractic setting. PCCRP Contains a thorough review of the reliability, validity, clinical utility and risk-benefit ratio of numerous radiographic views, including all standard views and specialty Chiropractic views like the Nasium, Vertex, and Base Posterior.”

Also, according to Dr. Harrison, “The extent of evidence contained in the PCCRP (nearly 2000 references) robustly refutes the contention that radiography in the Chiropractic profession should be used for Red Flag conditions only (suspected tumor, infection, fracture, etc).”

Some of the key topics that are reviewed in the PCCRP Guideline include:

  • Guidelines for the use of radiography in the assessment of subluxation of adults and children;
  • Biomechanical definitions for 6 subluxation displacement categories with supporting evidence from the literature;
  • Discussion of the risk benefit ratio associated with the use of radiography in Chiropractic practice, including the radiation hormesis vs. the linear no threshold (LNT) theory;
  • Comprehensive reviews of the literature on the reliability and validity of measurement of the biomechanical component of the subluxation through line drawing mensuration, as well as the reproducibility of patient positioning for radiographic views;
  • Evidence based foundation for video fluoroscopy and digital motion X-ray;
  • Reviews and rates the evidence on post-treatment use of radiography, in addition to follow-up radiography to assess the effectiveness of the Chiropractic methods employed and the long-term stability of the improvements achieved;
  • Legal issues of Chiropractic radiography usage as determined by the existing State Law.

The PCCRP serves as a clinical guide, specifically for Chiropractors, on the utilization of X-ray, versus adopting/supporting the guidelines written for the use of X-ray in a medical setting. It is anticipated that the PCCRP document will provide supporting evidence which may assist Chiropractors using methods that rely upon X-ray analysis to determine appropriate management and to assess the effectiveness of the care plan for a variety of patient populations.

Although, the PCCRP is officially a sub-committee of the International Chiropractors Association (ICA), the guideline committee members were a diverse group and included individuals such as Dr. Christopher Kent (one of the 5 Principle Investigators) and Dr. Dan Murphy. Of importance, the PCCRP was reviewed and endorsed by numerous Chiropractic political associations, organizations and leaders of Chiropractic Technique Methods:

National Organizations

International Chiropractors Association
World Chiropractic Alliance
Federation of Straight Chiropractors and Organizations (FSCO)
Council on Chiropractic Practice (CCP)
Norway Chiropractic Association,
Ukraine Chiropractic Association

State and Provincial Associations

Arizona Chiropractic Society
Chiropractic Awareness Council of Ontario
Chiropractic Diplomatic Corps
Chiropractic Fellowship of Pennsylvania
Connecticut Chiropractic Council
ICA-California (ICAC)
ICA-Indiana (ICAI)
Massachusetts Chiropractic Society
Michigan Association of Chiropractors (MAC)
Nevada Chiropractic Association
Virginia Society of Chiropractic
Washington State Chiropractic Association
Wyoming Chiropractic Society

Technique Methods

ASBE
Atlas Orthoganality
Blair
CBP
Gonstead
Grostic
NUCCA
Orthospinology
Pettibon
Toftness

If you would like a copy of the PCCRP Guideline you will be able to access these at http://www.ngc.gov/ in the coming weeks or you can contact the ICA at www.chiropractic.org for a printed bound copy.

To learn more about PCCRP, the principle investigators, the esteemed committee members and the international panel of reviewers assembled to guide and facilitate the creation of the guidelines, please visit the PCCRP website at http://www.pccrp.org/.

New Research: Educated Brain’s Direct Impact on Innate Function

April 10, 2009 · Filed Under Main Content · 3 Comments 

educated1 A new National Geographic special exploring the latest research on how stress may be killing us features Stanford neuroscientist Robert Sapolsky, who has spent decades studying stress in humans and baboons. “Stress: Portrait of a Killer,” a co-production of National Geographic and Stanford University, premiered on Sept. 24 on PBS.

While the focus of the show is stress, the research confirms tenets that, unlike the allopathic medical community, chiropractors have emphasized since the early 1900s. The “educated brain” impacts the “innate” function of the body at the level of the end organ, the tissue cell.

Sapolsky, who holds the John A. and Cynthia Fry Gunn Professorship, is particularly interested in how social standing makes one more or less susceptible to stress. His research in baboons is consistent with findings done by other researchers studying humans and monkeys.

One research study followed a cohort of British civil servants, who have a discrete hierarchical structure as follows:

* Administrative Assistant – Lowest of the low, although the numbers in this grade are slowly going down and most permanent staff are being upgraded to Administrative Officer.

*Administrative Officer – The legions of AOs are what keeps the civil service running.

* Executive Officer – This is considered to be the first management grade. An EO may be responsible for a number of AOs, but in some departments an EO would be the standard grade for staff.

*Higher Executive Officer

*Senior Executive Officer

The findings in this research revealed results strikingly similar to the studies in baboon troops (which have a strict hierarchical social structure) and in studies of colonies of macaque monkeys (who also live in large groups where constant and stressful competition establishes the social hierarchy).

In all three studies, the results were the same. Emotional stress causes those lower on the social ladder to exhibit higher blood pressure, higher levels of atherosclerosis, higher levels of stress hormones, weakened immune system function, additional fat storage and even reduces life span.

In other words, nearly identically matched humans and primates exhibited vastly different physiology, based on their THOUGHTS and FEELINGS. The “educated brain” produced vastly different cellular function, vastly different physiology, vastly different immune response, and different physical tissue cells, despite the fact that all other environmental factors were virtually identical.

As is so often the case, the latest scientific research bears out that the chiropractic view of health is correct: That health is controlled by the brain, all bodily function is regulated by the brain, physical, chemical and emotional stressors are the primary cause of disease in the human body and the educated brain impacts the innate function of the human organism. This is truly “must see TV” fstress1or every chiropractor.

Sapolsky is part of a group of researchers appearing in the program, whose collective work is illuminating just how big an impact stress has on our health. The documentary is based partly on Sapolsky’s best-selling book Why Zebras Don’t Get Ulcers. The broadcast represents the first time National Geographic has joined forces with a major research university to create original programming in the areas of science and technology for television audiences. Randy Bean of Stanford served as an executive producer.

A Sacred Trust, Guard It Well

March 31, 2009 · Filed Under Main Content · Comment 

chirocadWhen BJ Palmer developed his father’s discovery into a health care discipline that was separate and distinct from the allopathic model, he did so with the knowledge that treating symptoms rather than cause was misguided. He taught that the logic of diagnosing and labeling symptoms as diseases and treating with chemicals and surgery was flawed. He maintained that finding the true cause of infirmity and reversing the cause was the only true path to health.

He fought to develop a separate and distinct health care system based on addressing the cause of disease rather than treating the symptoms. Considering the period in American history when this was achieved, he accomplished the impossible. He took on organized medicine and the fledgling pharmaceutical industry and offered an alternative. He fought to maintain the integrity of chiropractic from both inside and outside the profession. As a result, chiropractic still exists today as a separate and distinct health care profession..

Chiropractic is not complimentary. It is diametrically opposed to the allopathic model. It is the only true alternative to the drugs, radiation and surgery model of modern industrialized medicine. And an overwhelming body of evidence has proven that BJ Palmer and the chiropractors that followed were correct in their condemnation of this allopathic model and justified in the extreme measures taken to keep the profession separate and distinct.

The Wisdom behind the Model

The basic tenet of chiropractic was that nerve interference disrupts the normal function of the innate intelligence within the body and unless this interference was corrected, normal healthy function could not take place.

This radical view was the cornerstone of chiropractic and it had the profound impact of encouraging chiropractors to reject the prevailing allopathic medical view that man could control the innate intelligence of the body through chemical/surgical intervention. Chiropractic held that the body has this innate ability to adapt, self regulate and heal, which when given the proper environment would produce healthy tissue cells and in turn, a healthy person. BJ Palmer understood that the human body, properly maintained would provide a lifetime of health. We now know that other factors impact the function of the end organ, the tissue cell, beyond the nerve system alone.

What We Know Now

We know that nutrition is a key factor in proper cell function. We now that environmental toxins introduced into the body from drugs, pollution, chemical food additives and other sources negatively affect cell function. We know that one’s emotional state affects cell function. And we know that all disease is a result of improper cell function. Since the brain regulates and controls most cellular function in the body through the nerve system, we can form a more modern tenet of chiropractic which is congruent with the current body of knowledge. That is: Nerve interference is a possible causal factor in all disease.

It turns out that health is no more mysterious than maintaining your car. Regular maintenance (exercise and chiropractic care) combined with proper fuel (a healthy diet of natural foods and clean pure water) along with additives when needed like coolant and brake fluid (whole food nutritional supplements) and avoiding environmental contaminants such as dirt clogging your air filter or foreign matter in your gas tank (avoiding drugs, chemical food additives, toxins in air, water, etc.) results in a lifetime of useful service. It really is that simple.

One chiropractic leader recently put it this way: Regular low cost, low risk interventions such as regular exercise, proper nutrition, chiropractic care to keep your nerve system functioning properly and stress reduction (applied consistently throughout life) allows you to avoid high risk interventions such as drugs, radiation and surgery, except in emergencies.

The Toxic Lie

Yet somehow the majority of Americans have been convinced by “scientific experts” that health is a great mystery and we need highly trained scientists to dictate to us, using ever more elaborate tests and evaluations, what the body needs. And what we need are chemicals. And we need them in ever larger quantities for an ever growing list of labeled diseases like: ADD, ADHD, Restless Leg Syndrome, Osteopenia, Erectile Dysfunction, Irritable Bowel Syndrome, Peripheral Artery Disease, Alzheimer’s Disease, Fybromyalgia, Bi-Polar Disorder, Depression, etc.

And these are just the advanced cases. We need cold remedies, cough medicines, pain relievers, antacids, cholesterol lowering drugs, blood pressure medications and the like to survive between doctor visits for these other, more serious “conditions”.

The public has become convinced that they need doctors and chemists to develop and refine these chemicals and adjust the dosage. And they now need ever more expensive health insurance to pay for these chemicals and the experts that dispense and monitor them.

This is a lie, a very toxic lie. BJ Palmer left a great legacy. His legacy is an organized, licensed body of health care providers that do not rely on chemical intervention. Those that sought his wisdom, adopted his teachings and held his skepticism of organized medicine are now in a unique position to change the world, more specifically to save the world. To save us from the madness of the pharmaceutical fantasy, to save us from bankrupting our people at the hands of the robber barons of modern medicine and health insurance who are medicating the human species into oblivion through disease mongering and fear tactics.

But we need the help and support OF and to offer reciprocal help and support TO those that are championing the other requisite components of the aforementioned recipe for avoiding high risk interventions. We cannot do it alone. Chiropractic care alone is not a health care solution. It only becomes a health care solution when it is combined with education on how the body functions and honest, accurate, non-prescriptive information on the other components necessary to regain and maintain health.

The Opportunity

Chiropractic needs to combine and align to grow and prosper, to combine adjustments with information regarding the other facets of the chiropractic lifestyle that promote health. We must align our messaging with others that share our view. And there are many who now share our view. We must combine our power with others in the profession who share our passion. Align our power with the power of others outside the profession who share our vision and stand in opposition to the allopathic model.

The list of groups that have a philosophy that is congruent with chiropractic is long and prosperous:

The natural/organic food industry
The whole food supplement industry
The exercise industry
The personal development industry
The ergonomic products industry
The environmentally friendly products industry
All organized religious and spiritual practitioners
All meditation practices including TM, Yoga, Qi Gong, etc.


Along with a growing number of organizations which exist to expose the harm being inflicted by the food and pharmaceutical industries and the corruption of the FDA that is charged with protecting consumers.

There exists an opportunity to serve as a very valuable ally to those with health promoting products or messages. The position of trusted health care provider carries considerable appeal, particularly in today’s fast paced, and media saturated economy.

The average consumer is bombarded with nearly 3000 commercial messages a day. The appeal of having a message conveyed or supported by a trusted, licensed health professional (or their staff) is invaluable, in order to have it stand out in the crowd. If that message is one that is of value to you and your practice members, by assisting in its dissemination, you are helping your practice members achieve health, elevating the importance you play in their lives and increasing the likelihood they will fully experience the benefits of your service and be more likely to stay and refer. Help others spread their message of health and they in turn can help spread the chiropractic message.

We don’t have to become mattress salesmen or vitamin distributors. But we do need to cooperate with these other industries for the common good of those we serve.

Let’s Change the World, One Spine at a Time

So here we are, with more momentum than has ever existed to support the principle and philosophy that is chiropractic. It is time to combine and align. The chiropractic lifestyle is health. It is life fully expressed. Tell the story effectively and you will never want for more practice members again. Help those that support health to tell their story and you will never want for more practice members again. Give your practice members the gift of health and the gift of life and you will never want for more practice members again. You have been empowered with a great legacy and a destiny as yet unfulfilled. You have the power to change the world and impact the future of mankind. Use it wisely for you and humanity

Golden Opportunity for Chiropractic : Fraud and Scandal Surrounding Central Nerve System Depressants

March 13, 2009 · Filed Under Main Content · 1 Comment 

shakeTuesday’s bombshell that a key researcher involved in the Neurontin and Lyrica research faked the study results and invented patients takes the fraud and deception surrounding these drugs to a whole new level. This comes as new reports continue to surface about alleged fake medical articles Pfizer planted to sell the earlier half of this dynamic duo of central nerve system depressants, Neurontin, for unapproved uses from 1995 to 2002.

But it doesn’t seem to be slowing down the marketing machine promoting these new chemicals, which work by shutting down nerve system function. Remember, the pharmaceutical answer to nerve interference is to chemically shut down the messenger network.

Pfizer gave nonprofits $2.1 million in grants in 2008 for medical courses about the pain-and-fatigue ailment fibromyalgia for which its Neurontin follow-up pill, Lyrica, just happens to be approved.

Lyrica (pregablin), affectionately called Son of Neurontin at Pfizer, was discovered by Northwestern University chemist Richard Silverman in 1989, earning the university a cool $700 million when it sold royalties in late 2007.

Pfizer is funding the $100 million Richard and Barbara Silverman Hall for Molecular Therapeutics & Diagnostics, under construction now, which will employ 245 faculty, staff and research assistants.

Like Neurontin (gabapentin), Lyrica (Pregablin) is an anti-epilepsy drug (AED) that modulates calcium channels to dampen the excitability of nerve endings. And, like Neurontin which made $3 billion a year from unapproved uses like pain, bipolar disorder, attention deficit disorder and restless legs syndrome, Pfizer has high hopes for Lyrica’s “crossover appeal.”

Lyrica was approved in 2006 for partial onset seizures and nerve pain associated with diabetes and shingles. But the FDA’s approval of Lyrica as the first drug for fibromyalgia in 2007 is what kicked sales up 37 percent in the third quarter to $465 million.

Fibromyalgia, with no clear cause, blood test, definition or cure “is almost a textbook definition of an unmet medical need,” enthused Pfizer VP Ian Read in a conference call to analysts when the drug first launched.

Datamonitor predicts the fibromyalgia market can be “grown” from $400 million to $2 billion thanks to all the people who do not know they have it yet.

And even before the name Lyrica appeared, Pfizer’s initial “unbranded” campaign of public service announcements (PSAs) in conjunction with the National Fibromyalgia Association that featured people describing their symptoms and hawking the web site www.fibrohope.org laid the groundwork for massive sales of Lyrica, once FDA approved.

(Think Merck’s “unbranded” HPV awareness campaign that preceded the vaccine Gardasil’s FDA approval)

Despite a temporary Lyrica scare in 2001 when Pfizer had to freeze patient trials because mice developed cancerous tumors–luckily for Pfizer, rats did not-Lyrica was well received by the “medical community”.

Except the “medical community” was made up of Pfizer paid mouthpieces.

“Well tolerated,” said Pfizer paid doctors in Arthritis and Rheumatism in 2005.

“Proven efficacy” and “No new adverse events,” said Pfizer paid doctors in Drugs of Today in 2005 and 2007.

And, “Durability of effect for relieving FM pain,” said Pfizer paid doctors in the journal Pain in 2008.

Actual Lyrica users were less overenthusiastic, reporting memory loss, mental confusion, extreme weight gain, hair loss, impaired driving, disorientation, twitching and even two deaths reported on the website askapatient.com. The FDA added suicide warnings to Lyrica and all AEDs in 2008.

Pfizer and other drug manufactures will be ratcheting up the “patient education” and awareness campaigns for fibromyalgia. But in doing so, they have been forced to admit that a primary causal factor in these symptoms is nerve interference. Otherwise, there would be no justification for prescribing nerve system depressants as a treatment for said symptoms.

As chiropractors, it is our duty to inform the public that there is an alternative to treating nerve interference with a drug that causes all of the above side effects including an increased likelihood of suicide.

As a chiropractor, you know that chemically suppressing nerve system function cannot possibly be wise. The drug does not selectively shut down only nerves transmitting pain signals. It depresses all nerve function to all tissue cells: brain, heart, lungs, kidneys, etc. These chemicals have the exact opposite objective as the chiropractic adjustment. Just imagine what the long term effects of these drugs will be. They effectively create a chemical subluxation of the entire nerve system.

The fact that the drug was possibly approved based on faked research and promoted via fake articles in medical journals presents a unique opportunity for the chiropractic community. We must take full advantage of the awareness campaigns for the “unmet medical need” Pfizer VP Ian Read is so excited about. But instead of a suicide inducing chemical, we offer life enhancing subluxation correction with the only side effect: clinically proven increased quality of life.

Of course, this can only be accomplished with a unified effort, chiropractors working together and pooling their resources to get the message out there. This is exactly the type of opportunity Chiropractic America’s YourSpine.com initiative was designed to capitalize on. Do your part by becoming a member today!