California Updates:
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for the SuperConference Friday and Saturday October 24-25 and
http://perfectpracticeweb.com/futureshock.asp
for Thursday Evening October 23rd
*Special Bonus Materials worth hundreds PLUS Seats for Thursday Evenings 10/23 “Future Shock” Live Event are also on sale ONLY while they last. (Less than 8 Thursday seats left.)
YOU MUST USE CODE CAPPW08 for the Doctors Registration, and your first staff person’s discount will be automatic.
FOR NON-DOCTOR STAFF BEYOND 1, USE CODE 2STFF.
Do This NOW while you can save hundreds in the process and secure your free bonus gifts.
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Clinicians Corner
John is 48 years old. He has a very long history of Low Back Pain.
He says he had Chiropractic care for about 6 weeks 10 years ago, with no lasting relief. He wants to try a new appraoch, and heard we do things “different”. He wants to avoid Surgey and Epidural Blocks.
His medical Hx is significant for excission of basal cell skin cancer.
He is not diabetic.
He takes NSAIDS, only when very acute. Family Hx is positive for LBP, disabling in 2 siblings.
His exam is remarkable for a paucity of findings. Stiff ROMS, no root signs, extension is very uncomfortable.
Plain Films show very marked facet disease at L5-S1. Lets assume for this discussion his primary Dx is severe facet joint DJD.
Whats are rational Tx plans, expectations and reasoable goals to tell John on Case Review Day? How would you substantiate the need for care beyond the initial stages?
Post your discussion at http://perfectpracticeweb.wordpress.com and the best, most productive response gets a copy of
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(Congratulations to Spine Doc” on last weeks answer and prize!)

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