01-32 Backspace Oct20-FINAL-WEB

General news
video, I told him that the only
shoulder injury I could think of
which restricts adduction to this
degree was a dislocation. You can
imagine his disbelief that this may
have been missed by the doctor
and he was less than keen on
presenting to the local emergency
department. I persuaded him, sent
him off with an email from me to
ensure the staff took it seriously
and 30 minutes later he was under
general anaesthetic to have his
shoulder relocated.
The other exercise related
injuries I dealt with over Zoom
were generally in people deciding
to embark on a fitness regime
over lockdown, as some of
them overcooked their activities
dramatically. Joe Wicks, the UK
based online fitness guru, was
generally the cause of many a
patient realising that being fit
for walking and cycling doesn’t
mean you can launch yourself into
squat thrusts and burpees without
paying the price. This was met with
questions about whether these were
‘bad exercises’ - followed by my
second favourite mantra: ‘There is
no bad exercise – only exercise you
are not prepared for’.
Now that we are back in clinic,
a lot of the athletes are streaming
in, realising that their regular
maintenance chiropractic checkups
really did keep them going; and
that three to four months without
care have taken their toll. Some of
our regular competitive runners
and cyclists have found that cross
training and new sports have kept
them fit and less bored. Others
disappeared into three months of
eating, drinking and the general
disappearance of life routines,
which meant that their regular
exercise went out the window too.
They are now presenting to all our
clinics as they jump straight into
deadlifting their old weights in the
newly opened gyms, confirming
my very favourite mantra: ‘Most
people injure by doing too much
too soon – after doing too little for
too long’.
Never let a good crisis go to waste
We asked leading chiropractors how they think the chiropractic
profession should respond to Covid-19
Tony Accardi CAI The demands of the pandemic have taught us many lessons, among them
the importance of time efficiency, efficiency in daily activities, patient
examinations, communication and delivery of care.
Guillermo Busto AEQ Covid-19, the subsequent lockdown and the associated increase of
musculoskeletal disorders, should be a clear reminder of the importance of
having good health, and produce important changes in people's lifestyle,
including an increase in the percentage of the population that choose to
receive chiropractic care.
Philippe Fleuriau AFC
Vasileios
Gkolfinopoulos
The chiropractor must refocus on the needs of his patients through honest
care, as close to scientific data as possible.
ECU President Adaptation and speedier evolution are key elements to a successful
response to any crisis; hence, the chiropractic profession must mature and
get realistic about the delivery of health care during and after Covid-19.
Jan Hartvigsen NIKKB Chiropractors should show that they can be helpful in other ways than
manual treatment, such as by promoting self-management through advice
and teleconsultations.
Lone Kousgaard
Jørgensen
Greg Kawchuk
DKF
University of
Alberta
Always evaluate new procedures introduced in an emergency as they might
be better than the things you used to do; and look further ahead to see
how you can enhance resilience in the long run.
Now that Covid-19 has shown how tele-health can extend practice, let's
keep going to help patients for whom distance and/or disability prevent
them from seeking care.
Alice Kongsted NIKKB Chiropractors have the opportunity to show that information, advice and
coaching are central, and often sufficient, elements of chiropractic care.
Olivier Lanlo IFEC This crisis is a unique opportunity to rethink our teaching methods and to
implement new skills and competencies when it comes to chiropractic care.
Tom Michielsen EAC We are overwhelmed with scientific evidence on mask efficacy, Covid-19
transmission rates, lockdown effect and many others; knowing how to read,
judge and apply this evidence is crucial to surviving the crisis and gaining
skills in critically reading evidence will greatly increase our credibility in
health care systems.
Espen Ohren NKF Associations must get more involved with government and health
authorities; the more they know about chiropractors’ knowledge, diagnostic
skills and success in enabling people to be economically productive, the
more they will value us and listen to what we have to say.
Stathis
Papadopoulos
Cyprus
Chiropractors’
Association
The profession should emphasise our drug-free clinical results, safety, and
cost effectiveness.
Steffen Stumpp DCG Chiropractic is about movement, life is about movement, and now it's about
the movement of our perceptions.
Thomas
Thurnherr
ChiroSuisse
While the whole world is busy fighting a communicable disease,
chiropractors have a great opportunity to demonstrate the importance
of their role in the management of one of the most prevalent noncommunicable
diseases.
Gitte Tønner NCA In the face of unprecedented crisis outside wartime, by the NCA staying
rational, reasonable and firm on the points that we are fully qualified health
care providers, that we deliver safe, effective and cost-effective care, we
have proven ourselves to be mature partners and worthy of the Health
Ministry’s time in upcoming conversations about securing the position of
chiropractic in The Netherlands.
Bart Vandendries BCU
Jan Geert
Wagenaar
ECU Vice
President
In times where social distancing is the new normal, the privilege of being a
chiropractor with face-to face close contact and a hands-on approach with
patients has become even greater; the positive contextual effects of these
'touching' encounters can hardly be overestimated.
Being touched and touching someone else are fundamental modes of
human interaction; the chiropractic approach, being safe, patient specific
and hands-on will become even more important for patients’ wellbeing.
John Williams AIC Research illustrates how NSAIDS and other pharmaceutical treatments for
musculoskeletal pain have undesirable consequences involving the immune
system; we should emphasise the successful treatment of musculoskeletal
pain by chiropractic, drug-free care.
Kenneth Young UCLAN Build on the increased awareness of the usefulness of multidisciplinary
clinical and research health care teams, and on the visible strong public
support for the heroes in the national health systems.
20BACKspace www.chiropractic-ecu.org October 2020
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