ChiroUp

NOVEMBER 14, 2024

When treating musculoskeletal injuries, chiropractors often face the key question of when to use heat vs ice therapy. Understanding the benefits of ice and heat therapy can significantly impact a patient's healing journey. This blog breaks down evidence-based guidance on heat and ice therapy, highlighting when each can be most beneficial. When to Use Ice vs Heat for Musculoskeletal Injuries Heat and cold therapy both play valuable roles in managing pain and promoting healing.

Musculoskeletal

ChiroUp

JULY 3, 2025

As a chiropractor, ensuring that your billing and documentation for therapeutic services are accurate is vital for both compliance and reimbursement. Two key CPT codes that are commonly used in chiropractic practices— 97124 for massage therapy and 97140 for manual therapy—require careful attention to detail. This guide will explain the differences between these two codes, help you understand their billing requirements, and offer tips on proper documentation to optimize your reimbursement.

Massage

ChiroUp

MAY 29, 2025

Most chiropractors agree that medical referrals are valuable. But how many new patients should a chiropractic clinic realistically expect to receive from primary care providers (PCPs)? We were curious about that (and about the broader patterns behind how clinics do or dont get referrals), so we surveyed the ChiroUp provider network. According to the results, chiropractors report that, on average, approximately 14% of their new patients come from PCP referrals.

Clinic

ChiroUp

MAY 1, 2025

Ischiofemoral impingement (IFI) is an underdiagnosed source of deep gluteal and posterior hip pain. Once seen as a rare anomaly, two new 2025 studies reveal that IFI may underlie chronic hip discomfort much more frequently than previously believed, particularly in women. (53-54) Fortunately, the right clinical tests make IFI easier to recognize, while evidence-based conservative treatments deliver meaningful relief.

Diagnosis

ChiroUp

MARCH 21, 2025

When it comes to treating pediatric patients, its important to understand theyre not just small adults. The injuries they sustainand how they presentcan be quite different due to their stage of physical development. Growth plates, ligamentous laxity, and neuromuscular control are all still maturing, which can lead to unique injury patterns. Thats where Panjabis model of joint stability becomes really useful.

Ligaments

ChiroUp

FEBRUARY 21, 2025

Lets be honest: running a chiropractic practice is a juggling act. Between treating patients, handling admin work, marketing, keeping up with research, and ensuring your schedule isnt a complete disaster, there just arent enough hours in the day. But what if you could reclaim some of that precious time without sacrificing patient care? Good news, you can!

Chiropractor

ChiroUp

NOVEMBER 8, 2024

Shoulder pain and weakness are common symptoms in patients seeking chiropractic care. These symptoms can occur individually or in combination. Orthopedic testing helps isolate specific musculoskeletal tissues, sometimes eliciting pain, weakness, or a combination of both. Properly identifying these symptoms can lead to a more accurate diagnosis and prognosis.

Chiropractic Treatment

ChiroUp

APRIL 10, 2025

Persistent, burning pain along the front or side of the thigh can be frustrating and disruptive for patients. Yet, meralgia paresthetica is frequently overlooked by healthcare providers - often mistaken for lumbar radiculopathy, muscular strain, or dermatologic issues. This underrecognized, yet distinct, pattern of sensory symptoms stems from compression of the lateral femoral cutaneous nerve (LFCN).

Diagnosis

ChiroUp

MARCH 13, 2025

Nearly half of the population experiences headaches, and an estimated 25% are cervicogenic headaches, i.e., stemming from dysfunction in the cervical spine. (1,2) While often overlooked, cervicogenic headaches can be just as debilitating as migraines, especially when compounded by cervical spine dysfunction. In the past year, a surge of high-quality research has clarified the most effective treatment for cervicogenic headache, giving chiropractors powerful, evidence-based tools to optimize patie

Headache

ChiroUp

FEBRUARY 14, 2025

Chiropractic care has continued to evolve, but one technique remains a staple in spinal health: High-Velocity, Low-Amplitude (HVLA) spinal manipulation. While various low-force techniquessuch as flexion distraction, drop tables, and instrument-assisted methodsoffer valuable benefits, todays focus is on the classic hands-on approach that delivers that satisfying "pop" during treatment.

Spinal Manipulation

ChiroUp

JANUARY 17, 2025

Over 1,500 new studies on rotator cuff tendinopathies have been published in the past year alone, including 135 systematic reviews. While you likely didnt have time to read them all, your ChiroUp team did the work for you! Weve distilled the most important research findings from the past year, ensuring you have the most up-to-date knowledge to diagnose and treat rotator cuff issues.

Musculoskeletal

ChiroUp

JUNE 6, 2025

As chiropractors, we pride ourselves on recognizing subtle patterns that others may overlook—yet some diagnoses, like Eagle Syndrome, require an even more refined level of clinical suspicion. Often masquerading as routine cervicalgia, TMJ dysfunction, or oropharyngeal pain, Eagle Syndrome is a rare yet impactful structural anomaly that can completely alter your treatment strategy.

Spinal Manipulation

ChiroUp

JUNE 19, 2025

“Just load it” , right? That’s been the dominant narrative for managing tendinopathy: progressive loading with the goal of building up the capacity of the tendon. Common protocols like the Alfredson eccentric program and Heavy Slow Resistance (HSR) training are well-supported by research and utilized as the primary treatment approach. And while this biomechanical approach is effective for many patients, it’s increasingly clear that tendinopathy is not just a local overuse issue.

Health

ChiroUp

DECEMBER 13, 2024

As chiropractors, were fortunate to work in a field supported by an ever-growing body of chiro research that supports our profession. At times, however, it can feel overwhelming to sift through the enormous number of chiropractic studies to find actionable insights. That's why your team at ChiroUp has curated the top chiropractic research studies from 2024 , providing not only a recap of groundbreaking findings but also practical tools to integrate them into your practice.

Spinal Manipulation

ChiroUp

OCTOBER 9, 2024

ChiroUp was founded in 2014 by Dr. Bertelsman and Dr. Steele with a clear mission: To unite and elevate evidence-based chiropractors. In this blog, we’ll reflect on the key milestones that have brought us to where we are today. The journey has been epic, with thousands of DCs not only shaping our product but also transforming the millions of lives touched by our subscribers.

Chiropractic Care

ChiroUp

OCTOBER 3, 2024

X-rays are a valuable tool in chiropractic practice, offering diagnostic insights and supporting patient education. However, with advancements in technology and evolving clinical practice guidelines, how chiropractors use X-rays has shifted. With the help of the ChiroUp network and our friends at FTCA, we surveyed more than 400 evidence-based chiropractors to get a clearer picture of current chiropractic X-ray utilization trends.

X-ray

ChiroUp

SEPTEMBER 20, 2024

I wrote a blog about the Modified Thomas test about a year ago—the blog aimed to identify the functional linkage between subsequent lower extremity orthopedic conditions from one evaluation. During a video for the blog, a 15-year-old soccer player demonstrated hypertonicity in the hip flexors and quadriceps. Today’s blog will discuss the repercussions of not addressing the deficits in the earlier video.

Lower Back Pain

ChiroUp

SEPTEMBER 13, 2024

Nerve flossing has emerged as a game-changer for chiropractors looking to address common conditions like sciatica, cervical radiculopathy, shoulder pain, and carpal tunnel syndrome. Recent research shows impressive results for nerve mobilization, and these simple yet powerful techniques can drastically improve patient outcomes. But here's the catch: if you're not incorporating these techniques and associated home exercises into your practice, you’re missing out on a critical tool that can set yo

Radiculopathy

ChiroUp

SEPTEMBER 6, 2024

The Condition Reference is the backbone of ChiroUp, providing up-to-date, evidence-based insights for over 150 conditions. This powerful resource fuels ChiroUp’s core functionalities, ensuring that your clinical decisions are backed by the latest research. In our latest update , we've enhanced the condition reference to improve your clinical outcomes and practice efficiency.

Radiculopathy

ChiroUp

AUGUST 29, 2024

As a chiropractor, you’ve likely encountered patients with persistent mechanical low back pain that defies conventional treatments. What if the root cause of this pain is a commonly overlooked condition known as back mice, or episacral lipomas? These small, tender nodules can significantly impact your patients’ well-being, yet many healthcare professionals are unaware of their presence and potential treatments.

Chiropractor

ChiroUp

AUGUST 9, 2024

As chiropractors, we often see patients who experience lower back pain due to everyday activities like lifting their children, carrying groceries, or tackling yard work. These routine tasks can place significant stress on the lower back muscles, making building strength and tolerance in these movements crucial. While the deadlift is traditionally viewed as a weightlifting exercise, it can be an invaluable tool in a rehab setting to help patients recover from or prevent lower back pain.

Lower Back Pain

ChiroUp

JULY 19, 2024

An Introduction to Temporomandibular Joint Disorders (TMD) Temporomandibular Joint Disorder (TMD) encompasses a complex set of muscular and articular disorders affecting the TMJ, leading to pain, dysfunction, and potential degeneration. Understanding the etiology is crucial for effective assessment and treatment. For a comprehensive guide and research-backed assessment and treatment, refer back to ChiroUp.com in the condition reference section.

Chiropractor

ChiroUp

JULY 3, 2024

Can you remember all the positive orthopedic tests needed to be documented for tarsal tunnel syndrome? What about the positive and negative tests associated with a shoulder dislocation? I can’t, but fortunately, ChiroUp can! Today, let’s explore something crucial yet often overlooked in our daily practice: the art of performing a simple orthopedic exam using clinical prediction rules/clusters.

Radiculopathy

ChiroUp

JUNE 26, 2024

Radiculopathies and peripheral neuropathies are some of the most common presentations in chiropractic offices. Success in managing these cases often hinges on having the right skills. This blog offers a quick 7-question quiz to see how your knowledge stacks up against your peers. Not only will you challenge yourself, but you'll also gain valuable insights from our accompanying tutorial, where we'll review the answers and share essential clinical pearls.

Radiculopathy

ChiroUp

MAY 31, 2024

Nerves are dynamic structures that require the ability to glide and stretch for optimal function. Edema and fibrosis can impair this normal nerve movement, often resulting in neurogenic complaints. Nerve tension tests are crucial for identifying altered neurodynamics and effectively addressing these issues. Evidence-based chiropractors frequently manage lower extremity radicular pain, with sciatica being the most common culprit.

Radiculopathy

ChiroUp

MAY 16, 2024

The Chiropractic AI Dilemma In the ever-evolving landscape of healthcare, artificial intelligence (AI) holds immense promise for revolutionizing various aspects of clinical care. However, AI faces significant challenges regarding the intricate realm of musculoskeletal diagnosis within chiropractic care. While AI systems have shown remarkable capabilities in specific domains, accurately diagnosing musculoskeletal pain requires complexity and nuance that presents hurdles for even the most advanced

Diagnosis

ChiroUp

OCTOBER 19, 2023

Are you interested in the latest buzz surrounding Schmorl's nodes? Want to gain new insights in less than five minutes? You're in the right place! Welcome to our ultimate Schmorl's Nodes refresher that keeps you in the know. Let’s pop right in. ? 1. What is a schmorl’s node? A Schmorl’s node (aka intraosseous disc herniation or intravertebral disc herniation) represents an area where the disc nucleus has herniated through the cartilaginous vertebral endplate. (1) The lesion appears on imaging as

X-ray

ChiroUp

NOVEMBER 3, 2023

Gravity is a fundamental force. If you remove it, you get gravy. ? As you ponder this ‘subtle’ dad joke, it's crucial to reflect on some concerning statistics that underscore the importance of reevaluating your approach to patient education regarding the elderly and their susceptibility to falls. It falls within the realm of chiropractors' responsibilities to not only inform patients about the potential risks associated with falling but also to conduct comprehensive assessments and provide targe

Fall Prevention

ChiroUp

NOVEMBER 10, 2023

Patellofemoral pain affects nearly one-fourth of the population each year, with females experiencing almost double the risk of males. (1,2) The condition accounts for approximately 7% of all medical diagnoses. (3) Fortunately, evidence-based chiropractors are well-equipped to manage patellofemoral pain syndrome (PFPS). This blog will highlight the most essential clinical pearls from the past year of research, including a dozen systematic reviews.

Treatment

ChiroUp

NOVEMBER 16, 2023

Updated from 9/24/2020 The relationship between chiropractors and shoulder pain is similar to the inseparable pairing of peanut butter and jelly. Our shoulders often bear the brunt of poor ergonomics and repetitive stress, a shared experience between chiropractors and their patients. While some patients engage in activities contributing to shoulder issues, most exhibit degeneration within the rotator cuff.

Exercise

ChiroUp

NOVEMBER 30, 2023

As we wrap up another outstanding year it's time to unveil the top chiropractic content of 2023! Curious about what piqued the interest of your peers? We've curated a must-see list of our top blogs, engaging webinars, enlightening podcasts, and more. Top Chiropractic Blogs The ChiroUp blog has nearly become the #1 chiropractic blog, with over 20,000 DCs reading worldwide.

Chiropractic

ChiroUp

DECEMBER 8, 2023

In the ever-evolving field of chiropractic care, staying abreast of the latest research and treatment modalities is crucial for practitioners to provide the best care for their patients. Recent studies have highlighted the importance of assessing and treating suboccipital muscles in patients suffering from headaches. This blog aims to guide chiropractors through the significance of suboccipital muscles in headache treatment and outlines four essential treatments for addressing these issues.

Headache

ChiroUp

DECEMBER 14, 2023

Do you ever feel inspired but overwhelmed by the vast ocean of chiropractic research? Don't worry; your ChiroUp research team is here to be your life raft! We navigate the ever-growing waves of scientific knowledge (over 30 million references and counting!) and deliver the essential chiropractic clinical pearls directly to your door. Our latest research roundup has hand-picked this year’s ten top SMT research studies to elevate your knowledge and supercharge your patient care.

Radiculopathy

ChiroUp

DECEMBER 29, 2023

Carpal Tunnel Syndrome (CTS) is a prevalent condition that challenges patients and healthcare professionals. Evidence-based chiropractors may utilize conservative treatments to alleviate symptoms, avoiding surgical interventions. One such approach gaining attention is using wrist splints, specifically those incorporating the metacarpophalangeal (MCP) joints.

Treatment

ChiroUp

JANUARY 12, 2024

Get ready for a new type of survey that will change how you perform your initial consultation with a new patient presentation, as every minute counts when you're guiding a patient through the OPPQRST interview. This process normally takes between 5 and 20 minutes and is undeniably necessary yet unfavorably time-consuming. Imagine a world where your SOAP note's subjective portion is complete before seeing the patient.

Neck Pain

ChiroUp

JANUARY 19, 2024

Knee pain, affecting 25-46% of adults and trailing only back pain in prevalence, accounts for 4 million primary care visits annually and represents 5% of all primary consultations. (1,2) Fortunately, evidence-based chiropractors are well-suited to manage many of these patients. This week's blog and video will delve into the crucial aspects of a knee evaluation, featuring a comprehensive knee physical exam tutorial to help you elevate your diagnostic skills to the next level!

Knee Pain

ChiroUp

FEBRUARY 2, 2024

Chiropractors must acknowledge the prevalence of epidural steroid injections (ESI) as a potential therapeutic option for their patients. Many patients undergo lumbar ESI before seeking chiropractic care. Alternatively, some chiropractors incorporate ESIs into their treatment plans for challenging cases. Regardless of when the injection occurred, it is crucial to understand when to use an ESI and be aware of the potential side effects of this treatment method.

Radiculopathy