Transcript FCO Presentation for MDs - Farabaugh Chiropractic Office

THE FARABAUGH
CHIROPRACTIC OFFICE
Providing Quality Chiropractic
Services Since 1982
Introducing the Doctors and Staff
Dr. Ronald J. Farabaugh
Clinic Director
Dr. Ronald J. Farabaugh
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1982 Cum Laude Graduate of Palmer College of Chiropractic
Past President of the Ohio State Chiropractic Association
2 time winner of both the OSCA Chiropractor of the Year Award
and the OSCA President’s Award
Treatment Guideline Chairman of OSCA
Certified in Low Speed Rear Impact Crash Reconstruction
Certified as a Chiropractic Sports Physician
Appointed by Governor Voinovich to help develop the HPP and
QHP programs
2003..Selected to serve on the Council on Chiropractic Guidelines
and Practice Parameters (CCGPP) to develop “Best Practice”
documents for the Chiropractic profession.
Dr. Mark A. Marohl
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1991 Cum Laude Graduate of
Palmer College of Chiropractic
Diplomat of the National Board of
Chiropractic Examiners
Post graduate studies: Skeletal
radiology and spinal rehabilitation
Advanced studies in the Gonstead
Technique of Chiropractic
Allow us to introduce the Farabaugh
Chiropractic Office
A review of our personnel, facility,
procedures and policies.
Intradiscal Disc Decompression..ie,
“cervical and lumbar
decompression”
By painlessly stretching the spine, IDD
treatments create a vacuum within the discs,
drawing fluid back in so they rehydrate, and
essentially, return to their natural, healthier
state.
Over time, healing occurs and along with it,
increased flexibility and diminished pain. And,
the success rate is unusually high --- more that
75 percent of patients are successfully treated
and find significant relief.
Intradiscal Disc Decompression..ie,
“lumbar decompression”
Intradiscal Disc Decompression..ie,
“lumbar decompression”
Intradiscal Disc Decompression..ie,
“lumbar decompression”
Digital Infrared Thermal Imaging
“DITI”
A low cost, low tech, revealing,
painless, non-invasive, screening
test.
We use Infrared Thermal Imaging as a screening
test only. We do not diagnose from these images.
In fact, when we discover an abnormal scan,
these patients are referred to their primary care
physician for further evaluation.
Digital Infrared Thermal Imaging
“DITI”
Digital Infrared Thermal Imaging
“Active Trigger Point”
Digital Infrared Thermal Imaging
“Angiogenesis”
Digital Infrared Thermal Imaging
“Confirmed Colon Cancer”
Mission Statement
“Our mission is to provide the most
scientifically based, unique, high
quality, cost, and treatment effective
chiropractic care possible, while
maintaining our office guarantee.”
Our Office Guarantee
Our office guarantee is simple and
reflects the integrity of our staff:
“If we can help someone we will tell them. If
we cannot help, we will tell them that as
well, and make the appropriate referral.”
Dr. Farabaugh
Where To Find Us
• Our office is conveniently located at
2879 East Dublin-Granville Rd. on the
Northeast side of Columbus (1 block
east of Cleveland Ave.)
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Phone number: (614)-898-0787
Fax number: (614)-898-1945
Email: [email protected]
Website: chirocolumbus.com
Office Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
8am to 6pm
8am to 6pm
8am to 6pm
8am to 6pm
8am to 12pm
By appointment only
*The office closes daily from 12:30 to 2:30pm
Rehabilitation
• We offer low-tech, highly effective
rehabilitation services (Nautilus, therabands,
exercise balls, wobble boards, stretching
classes, etc.) in addition to spinal
manipulation, to those patients who require
additional stretching and strengthening.
• All rehab is doctor or therapist supervised
and closely monitored to track the
progression of the patient.
Rehabilitation
Core Strengthening
• Swiss Ball/Rehab
• Treating DC
Using Technology…..
• Dr. Marohl
specializes in a
new adjusting
technique, the
Pro-Adjustor, for
those patients
who cannot
tolerate traditional
spinal
adjustments.
Spinal Decompression
Flexion-Distraction/Disc
Injury
Cervical Manipulation
Low back spinal adjustment
Our incredible staff!
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Alissa Fry, Front office/scheduling
Lisa Button, Financial Department
Melinda Conley, Clinical assistant/therapy
Brenda Wyant, Financial Department
Roberta Martin, Front Desk/Patient Advocate
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All dedicated to making life easy for the patients we serve!!
Massage Therapist
David Vanscoy, MT
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In practice since 1986 and a graduate of
Central Ohio School of Massage
Certified Reflexologist
Utilizes trigger point, classic Swedish, and
deep tissue massage.
Both therapeutic and relaxation massage
available.
By Appointment only.
What Do We Treat ?
• Our doctors specialize in the evaluation and treatment
of neuromusculoskeletal disorders
• We excel in the treatment of low back pain, neck pain,
and headaches, including disc injury, and soft tissue
injury secondary to Low Speed Rear Impact Collisions
(LOSRIC)
• Virtually 100% of what we treat is of a
musculoskeletal origin and responds very well to
conservative chiropractic care
Commonly Treated
Conditions
• Neck pain, arm pain, and headache
• Low back and/or leg pain including HNP/radiculopathy
(usually treated conservatively with flexion-distraction)
• Extremity sprain/strain
• Carpal/Tarsal Tunnel Syndromes
• Facet syndrome, myofascial pain disorders, fibromyalgia
(MD/DC approach preferred)
• Scoliosis evaluation
Spinal Manipulation/Therapy
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The mode of treatment most often used in a Chiropractic setting is
spinal manipulation.
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A wealth of research exists on the effectiveness and safety of
appropriately administered spinal manipulation (copies of specific
literature can be provided upon request).
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Therapy modalities are also administered when pain, spasm and
inflammation are present.
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Exercises are given to virtually every patient.
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Activities of Daily Living are also discussed with each patient,
in addition to nutritional issues when appropriate or requested.
Therapy Modalities
Our office utilizes several forms of basic
therapeutic modalities. Patients requiring
more extensive therapy are referred to local
PT centers.
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High volt: electric muscle stimulation
Interferrential Current
Intersegmental Traction
Hot and Cold packs
TENS: In advanced or permanent cases
Safety Issues
• Patient safety is always a concern.
• Our doctors carefully screen each patient to
determine if they are a candidate for
chiropractic care/manipulation/rehab.
• If a potential risk is identified the patient is
sent back to the referring physician for
further diagnostic tests or alternative
treatment options.
Liability
• One of the greatest concerns regarding a referral
to a chiropractor is that of liability. However,
please consider that our doctors follow very strict
guidelines.
• Liability associated with spinal manipulation is
very low. The average D.C. pays a mere $1,400
per year in malpractice premiums……so you be
the judge whether or not liability truly exists
concerning referral to a DC.
Treatment Guidelines
Our office adheres to stringent nationally accepted guidelines.
In general, if a patient does not respond with 2-4 weeks of care,
treatment is terminated and other factors are considered.
Typical Treatment Strategy
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2 weeks initially, followed by re-evaluation.
If improvement noted, treatment continues.
If no improvement, change treatment for two weeks, and
re-evaluate again.
Referral back to PCP/Specialist if improvement unsatisfactory
at any point.
Manipulation
Contraindications
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Advancing neurological deficits
Joint infection
Fracture
Joint instability
Ankylosing Spondylitis
Tumor
Abnormal provocative maneuver (History of CVA)
High risk pregnancy
Exploring The Myths:
“Drugs”
• One of the most common myths surrounding
Chiropractic is the belief that Chiropractors do not
advocate the use of medication or surgery.
• Nothing could be further from the truth. Our office
works closely with and receives a large number of
referrals from area medical physicians.
• We also maintain an extensive list of physicians to
whom we refer. We believe by providing treatment
options, including drugs when necessary, we can better
serve our patients.
How much is enough?
Myth: “Once a patient begins care, they have
to keep going the rest of their life.”
• If that were true, we would never have room
for new patients.
• Reality: The majority of patients consult our office,
get treated, get well, and are released from care…period.
What about Wellness Care?
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Once the patient’s condition has resolved or reaches the
point of maximum therapeutic recovery, they are released
PRN and/or instructed to return to their PCP.
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If a patient chooses wellness care, they are instructed on the
importance of mental, physical, and spiritual well-being
(obviously mental and spiritual concerns are referred
elsewhere), and the need to utilize a multi-disciplinary team
approach. No type of physician does it all! Chiropractic is
but one spoke in the wheel of health.
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Chronic pain: According to the literature, singular
treatment interventions are doomed for failure. MDs should
be referring to DCs, and DCs should be referring to MDs.
It’s the right thing to do for the good of our patients!!
Education/Training/Skill
Myth: “Chiropractors have a limited
education.”
• Fact: Chiropractors are well educated and trained,
completing 4 years of undergraduate studies, 4 years
of study at an accredited chiropractic college with
heavy emphasis on neuromusculoskeletal dx and tx,
followed by passage of stringent national and state
board examinations, then followed by the typical
yearly CE requirements, a minimum of 24 hours.
• Additionally, post-graduate specialties can be
obtained.
• Dr. Farabaugh possesses sub-specialty certifications in
both Sports Medicine and Low Speed Rear Impact
Collision and Accident Reconstruction.
Why Refer Patients To A
Chiropractor?
• If your patient is not responding to traditional medical
care, a referral to a chiropractor is often an appropriate
and effective alternative. Patients appreciate your
willingness to consider other options.
• The types of cases which often frustrate medical physicians
are the very types of cases most commonly treated by DCs.
LBP, leg pain, neck pain, and headaches are the most
common conditions treated in a chiropractic office.
• Chiropractic manipulative techniques and rehab are
also very effective for extremity injury.
Research
• Our office houses a very large data base of research.
• A wealth of research exists demonstrating the
effectiveness and safety of manipulation for both
acute and chronic neck and low back pain.
• Studies and articles concerning soft tissue healing,
chronic pain, etiology of pain, and Low Speed Rear
Impact Collision (LOSRIC) can be obtained upon
request.
If you wish to be added to our monthly research
update program, just let us know!
Why Refer To The Farabaugh
Chiropractic Office?
“Trust and Communication”
 Patients are treated only for the condition(s) in which
they are referred, and we believe we can help.
 The Farabaugh Chiropractic Office has been a
respected name in Columbus for over 25 years.
 Brief written reports are issued regularly to keep you
abreast of the patient’s progress and response to care.
 Patient’s are DISCHARGED once maximal
therapeutic benefit has been attained.
Our Office Guarantee
Our office guarantee is simple and
reflects the integrity of our staff:
“If we can help someone we will tell
them. If we cannot help, we will tell
them that as well, and make the
appropriate referral.”
Contact Us…
• If you have questions regarding chiropractic, our office,
or the appropriateness of CMT for your patients, please
feel free to call. Drs. Farabaugh, Marohl, and Vance,
along with the rest of the staff, stand ready to serve.
• Our goal is to exceed both you and your patient’s
expectations for care. Our desire is for your patient to
report a very pleasant experience in this office. If you
have any questions or concerns, please feel free to call.
• Office: (614)-898-0787
• Email: [email protected]
• Website: chirocolumbus.com
Thank You!
To those of you who regularly refer to
our office we say “thank you”! No
greater compliment can be paid than
the ongoing trust and confidence you place
in this office through your referrals.
Dr. Farabaugh
We will continue to do our best to provide quality
Chiropractic care to your patients. Again, thank you.