SEO for Chiropractors

Archive for March, 2010

Defining Your Workspace: Ergonomic Basics

Setting up your office space correctly definitely requires some expert input. That being said, many aspects of setting up your office space are based on common sense.

We all have specific items at work that we handle more frequently than others. In my work environment for instance, I use the mouse and keyboard more than any other object on my desk. At this point I will inject a shameless plug for my Ergo Nav. Since I use my mouse most frequently, I have it perched right at the end of my chairs’ armrest. My Ergo Nav positions my mouse close enough to my body to avoid any reaching for the mouse at all. From an ergonomic standpoint, this positioning is ideal.

Visit the Ergo Nav site to see a demo of how it Reduces Wrist, Arm and Neck Pain For Computer Users

My keyboard is also within my immediate reach as are my writing instruments such as pens and pencils. All of the items that I have discussed so far are within my immediate reach area, which is also known as the “usual work space”.

Most people only have a handful of objects that truly belong in their “usual work space”. The actual dimensions of this space vary with the size of the worker, therefore, you have to keep the principals of good ergonomics in mind when determining the actual size of your “usual work space”. As far as placement of mice, keyboards, pens, phones etc., within your “usual work space” you have to position these items in a way that avoids or limits hunching of the shoulders, flaring out of the elbows or forward flexion of the shoulders.

The area beyond the “usual work space” is considered the “occasional work space” and should contain objects that are only occasionally used. In my circumstances, the “occasional work space” contains my cpu, monitor, printer and my phone. Most of the time I have an assistant to answer my phone and I may only make a handful of calls each day. My monitor only requires that I turn it on and off once a day – the same being the case with my printer and the computer itself. My desk space is limited so the items that I have covered are the only items in my space. Staplers, files and paper are needed infrequently enough to not deserve the chance to clutter my work area.

Ergo Van Site San Diego Chiropractic Website to read more about workplace injuries and Repetitive Stress Syndrome
and how I can help you set up your workspace and work with any pain you may already have

Better Health

Steve Jones San Diego Chiropractor

Call Steve at
(619) 280 0554

Dr Steve Jones San Diego Chiropractic “Lynn has helped me greatly with Search Engine Optimization for my chiropractic website. Over the years so many “experts” have promised me the moon regarding their ability to deliver internet traffic to my site. Lynn did not promise me anything outrageous but her service QUADRUPLED my internet traffic inside of eight weeks. I have since requested her help with other projects that are in the works. She is knowledgeable, personable and very easy to work with. Highly recommend!!!!!!” Service Category: IT Consultant Year first hired: 2009 (hired more than once) Top Qualities: Great Results, Personable, Expert Steve Jones San Diego Chiropractor

Update: We scheduled 8 new patients from the internet in the last two days!  Two of them were PI patients! It was great – reminded me of the good old days. Thanks Guys, what you did really worked….

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Andrew Mairs San Diego Chiropractic: I am a Chiropractor here in San Diego, and had Canz Design re-design my website. They are hands down the best web designers in San Diego. I have experience with several other web designers and was extremely impressed by their professionalism, quality of work, and the timely fashion in which they did my site. My new site from canzdesign is far superior in every way from my previous website; more eye appealing, more modern looking, better functionality, and far more content. I would highly recommend that anyone wanting a brand new website or an overhaul on an existing site should hire Canz Design, you will not be disappointed.? Andrew Mairs San Diego

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Greg Smith Columbus Ohio: Look’s great! I talked to Kym and mentioned that I was getting a lot of activity. Last week one new auto injury patient,week before I got another auto injury patient and three new cash paying patient’s.

Thank’s Greg

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Articles for Blogs for Sale

- $50 for 5  Articles

many other prices options,

including Unique Article

Articles on this site you are free to use as long as you leave the writers bio and links. Changing the title is ok, and encouraged.

Using articles already published online, isn’t the best possible way to get visitors to your site, if I was to do SEO for you, I would suggest using articles that are uniquely worded.

SEO4Chiros@gmail.com

The “Well Managed Soft Tissue Injury Case” can be a bit misleading as it means different things to different people.

The insurance companies or “defense” side, seem to have one set of expectations from the medical and chiropractic communities, while those who treat these injuries have a different set of expectations from the insurance carriers.

There are those on the “defense” side who maintain all soft tissue injury patients should be released after several weeks of care and any patient who complains further has a financial motive.

The other extreme is typified by our personal experience with a case in which the doctor treated the patient 454 times for an uncomplicated soft tissue injury.

Neither point, in our opinion, is rational and both fail to represent a well managed soft tissue injury. The management of these patients should fall under the dual heading of “medical” and “legal” issues as both areas are critical to the case.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs. www.JonesPainRelief.com

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav
Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

This discussion is designed to address the soft tissue personal injury case and to offer what we consider are reasonable points of view which are supportable in the literature when possible.
In our experience, failure to follow a reasonable approach often leads to close scrutiny of the claim. It is our hope this discussion will bring the two different levels of expectation a bit closer and result in a higher level of cooperation between the two sides.
Additionally, if the case you manage as the treating practitioner can pass through the medical/legal system, your relationship with the plaintiff attorney can only flourish.
However, if the attorney representing the patient loses a potential award as a result of many of the topics mentioned in this article, how likely could an expanding relationship be?

Scope of Care in Personal Injury Cases

Obviously, the correct diagnosis is paramount in treating any patient following trauma. We will assume, for the purposes of this discussion, the case being treated represents an uncomplicated soft tissue injury. Specifically, injuries that are absent fractures neurological deficits, dislocations, disc herniations or vascular complications.
Treatment rendered for these injuries should represent the standard of care for the geographic area serviced.
The “scope of practice” or treatment rendered should be designed to make passage through the medical/legal system easier. For example, performing reflexology on a patient’s feet for cervical spine injuries will draw more attention than the well accepted treatment course of manipulation, moist heat, ice, ultrasound, and other therapies.
This is not to say that payment will be denied, but the road to reimbursement and settlement would be much easier if a more traditional approach to care is rendered.

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs. www.JonesPainRelief.com

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav
Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

Frequency of Care for Soft Tissue Injuries

It is reasonable to assume the injured tissues will necessitate a higher frequency of care during the initial stages of injury. This is due to the fact that the patient’s subjective complaints are often at or near their zenith during the first week after the accident.

The injured tissues swell to their greatest degree during this time; thus, the level of the patient’s complaints. As the injuries enter the subacute and chronic stages, it is reasonable to assume the treatment frequency would decrease and correlate with the clinical gains being made.

Since the goal of all treatment is to return the patient to their preinjury status, a well managed case will include decreased treatment frequency while occupational and daily activities are slowly reintroduced.

In our experience, we have found a constant treatment frequency maintained from the onset of care can lead to problems for the plaintiff attorney as they have to explain this apparent inconsistency.

Consider how they will attempt to explain the following questions: First, how can an accurate prognosis of the patient’s future medical/chiropractic condition be measured if the treatment has remained the same?

Secondly, how could the patient reach their preinjury status if the normal occupational and daily stressors were not introduced while under treatment? An unreasonable approach to treatment frequency complicates settlement.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs. www.JonesPainRelief.com

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav
Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

This discussion is designed to address the soft tissue

personal injury case and to offer what we consider are reasonable points of view which are supportable in the literature when possible.

In our experience, failure to follow a reasonable approach often leads to close scrutiny of the claim. It is our hope this discussion will bring the two different levels of expectation a bit closer and result in a higher level of cooperation between the two sides.

Additionally, if the case you manage as the treating practitioner can pass through the medical/legal system, your relationship with the plaintiff attorney can only flourish. However, if the attorney representing the patient loses a potential award as a result of many of the topics mentioned in this article, how likely could an expanding relationship be?

Scope of Care

Obviously, the correct diagnosis is paramount in treating any patient following trauma. We will assume, for the purposes of this discussion, the case being treated represents an uncomplicated soft tissue injury. Specifically, injuries that are absent fractures neurological deficits, dislocations, disc herniations or vascular complications.

Treatment rendered for these injuries should represent the standard of care for the geographic area serviced.

The “scope of practice” or treatment rendered should be designed to make passage through the medical/legal system easier.

For example, performing reflexology on a patient’s feet for cervical spine injuries will draw more attention than the well accepted treatment course of manipulation, moist heat, ice, ultrasound, and other therapies.

This is not to say that payment will be denied, but the road to reimbursement and settlement would be much easier if a more traditional approach to care is rendered.

Special Tests for Soft Tissue Injuries

The use of special imaging and diagnostic procedures are becoming more popular in the clinical management of patients. Attorneys will be placed in the position of justifying the expense and use of these tests to the claims adjustor or judge. The doctor should consider the following questions before ordering such tests:

What is the clinical criteria for performing the test? If based solely on the patient’s subjective complaints, this represents a very poor criteria.

Is the test both sensitive and specific for the condition? Computerized Axial Tomography (CAT) and Magnetic Resonance Imaging (MRI), for example, represent procedures which are both sensitive and specific. However, their use is often inappropriate in an uncomplicated soft tissue injury. Thermography, in comparison, is very sensitive, yet due to vast testing and interpretation variables, often renders the use of this test questionable.

Is the testing procedure well accepted in the scientific literature? For example, the timely use of paraspinal EMGs producing $900 to the incurred bills, in our experience, will bring the settlement process to a halt. The treating doctor may contend that the use of this special procedure was clinically necessary, but the insurance carrier will only reimburse those procedures proven in the clinical and literary arenas.

How will a “positive” or “negative” test alter the form of care rendered? A “positive” paraspinal EMG finding, in our experience, has never produced a change in the type of care rendered. For that matter neither has a “negative” result.

Is the test timely? The thermogram, for example, would be expected to be “positive” on the first days following the trauma, thus, negating the clinical criteria for performing said test during the acute stages of injury. For the above reasons, plus the high fees associated with these procedures, we feel the improper use of these tests often produces prolonged reimbursement to all parties; patients, attorneys, and doctors.

Narrative Reports for Soft Tissue Injuries personal Injury Cases

In our experience, this is far and away the greatest downfall in the well managed soft tissue case. We, as a profession, have become dependent on the computer generated narrative report.

In our opinion, and that of the legal community as well, these types of reports often do not represent original thought or an accurate depiction of the patient’s condition. The various legal arenas involved in personal injury suits take a very dim light as to the veracity of these types of reports.

The narrative report must also be an accurate reflection of the treatment rendered. All sections of the report should correlate to eliminate inconsistencies, and above all should represent accurate and original work. Remember, the attorney will use the report as a settlement tool. It should contain answers, not new problems.

The quality and accuracy of the narrative report should not be underestimated.

It alone represents months of care, the patient’s basis for future medical considerations, prognosis, and most important of all, reimbursement for the services rendered. “He who botches the report, botches the case.”

End Points of Care for a Personal Injury Case

In our experience, this is often the most debated aspect of the personal injury case. The attorney is again forced to justify the length of his client’s care, and thereby support the amount billed as well. The care rendered should be reasonable and fall within reasonable guidelines for treatment duration.

In our opinion, when one or more of the following occurs, the patient has reached the maximum point of medical/chiropractic improvement from the type of care rendered.

1.    If the patient’s condition gets worse under the care rendered.

2.    When the patient’s subjective complaints have clearly reached the upper and lower limits. An example is when the patient’s subjective complaints have reached a point where the treatment rendered only “makes them feel better” for a few days and then they are the same as before the visit.

It is clear that the feeling of being “better” for a few days is only temporary and the patient has more than likely reached the clinical limitations of matter from the type of care rendered.

This is not to say the patient does not have complaints, or that the care does not make him feel good, only that further treatment will more than likely be of very little clinical benefit. Thus, the criteria for determining the end points of care.

3.    When the patient fails to make clinical progress between lengthening dates of service. All care is based on achieving a preinjury status.

If the patient fails to make progress between visits over an expected period of time, the clinical potential for further healing is remote.

Treatment, after these points have been achieved, increases the total amount of services rendered and makes a timely settlement more difficult.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs. www.JonesPainRelief.com

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav
Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

Prognosis Personal Injury Case:
The need for future care and the amount of settlement for that care is based on an accurate prognosis. Due to overuse, the term “guarded” has lost most of it’s meaning in the medical/legal world.

We contend a more accurate system will benefit the patient, insurance carrier, representing attorney, treating doctor, and most important, the profession as a whole.

The prognosis should encompass facts from the history of the accident, physical examination, and the radiographic studies.

Personal Injuries Lawsuit Fees:

As one might imagine, this is also a hotly debated subject. We fully believe the doctor has the prerogative to charge any fee he chooses for the level of service rendered.

For example, a charge of $5,000/visit can be made and reimbursement can be sought. However, it should be realized an uphill battle for total reimbursement will ensue. In other words, the fees charged may only be paid at the end of expensive litigation and in all likelihood will not be the amount billed.

We strongly suggest the doctors use fees which are both usual and customary to their geographic location.

Relative value studies can be a key to determine these fees. Use of these accepted relative value guides is a powerful weapon for the attorney when he argues the reasonableness of the charges as they are able to show the fees fell within an accepted range and do not represent an unreasonable amount on the doctor’s part.

The treating practitioner should realize both the legal and insurance communities consider all aspects of the personal injury case to be negotiable. This would certainly include the fees charged by the doctor.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs. www.JonesPainRelief.com

Call Steve Jones at his San Diego Chiropractic Clinic

(619) 280 0554

www.jonespainrelief.com

Visit our Adjustable Economical Mouse Platform website to learn more about or Buy Ergo Nav

Visit my San Diego Chiropractic Website to make an appointment

Read More Articles on Chiropractic, Nutrition, Preventative Health, Back pain, Neck Pain and more

An Introduction to Outcome Assessment(Part 2)
________________________________________
Mark van Hemert, DC, DACS

IME was originally an acronym for independent medical examination, but the IME doctor is now chosen by and paid by the insurance industry. The acronym now stands for insurance medical examination.

The most recent development in the insurance medical examination has been the multidisciplinary examination, where a chiropractor and a medical doctor, both with higher credentials than the average clinician, examine the patient simultaneously.

This creates an appearance of a high level of specialization and expertise. The opinion in a majority of these reviews is that care beyond two months is not needed. The rational is that the laying down of scar tissue is completed by the eighth week and therefore further treatment in not medically necessary or therapeutic.

They state that the patient is at maximum improvement and no further treatment is necessary. This rational does not consider the remodeling and strengthening of scar tissue, nor the need to restore maximum joint function.

However, without an attending physician who is knowledgeable about the guidelines and who has accumulated objective data of improvement, the professional response to this rational will be based solely on opinion and not fact.

Mercy specifically does not give a limit for reasonable care, but observations, assessments and the definitions of care based on scientific evidence.

It states that these guidelines are not designed to be a cookbook. The listed time for acute stage of care ranges from 8-16 weeks, depending on which of three cited references you go by.

In reviewing those references, I believe that the eight weeks refer to the acute healing cycle of the injury, and the 16 weeks to the acute physiology or rehabilitative healing time.

The healing and rehabilitative acute stages are followed by the subacute stage, before the unresponsive chronic phase of function and pain begin. Rebuttals of IME opinions using the Mercy guidelines increase your credibility when justifying your clinical rational to claims adjudicators.

The insurance industry recognizes the Mercy document as the authority in the chiropractic profession. The parameter of clinical practice that Mercy most fully addresses is the trauma induced patient.

Perhaps if “Acute Traumatic Cases” had been added to the title of the guidelines the criticism of the document would have been muted. Mercy creates a solid, well thought out guideline for the traumatic personal injury and workers’ compensation case.

Mercy very effectively deals with narrow minded, nonflexible professional rational and makes the third-party payers conform to a set of standards which is fair to the patient and respectful of.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Case Study 1
Another chiropractic, was getting about 80 visitors to his website a month, 30 of those visitors were being paid for using Googles pay per click program adwords, yet still he wasn’t getting any new patients to his practice.

This chiropractic had already paid over $3000 to another SEO to create a blog for him, this other SEO was a cowboy, and created blog posts from supposed patients that were so obviously fake, that instead of getting patients were actually doing his practice harm.

Apart from the fake posts, the SEO cowboy was also now asking for yet more money on a regular basis for incidentals, which although sounded good, were in fact BS. When the ranking fell for the new blog, the SEO told the chiropractic that there was too much competition in the city he was in, and he would need more money to get the blog ranking highly… the requests for more money just kept coming.
A quick look at his site, and besides the usual problems of the site being Search engine unfriendly that site itself was “built by a friend” and the site itself wasn’t doing the chiropractic any favors at all. It was unprofessional and didn’t instill confidence in the chiropractic at all.

A new website was built, at first using exactly the same information, just laid out in an attractive professional manner. The webpage’s were made Search engine friendly, adwords were left running initially, and within days of the new professional site going live the first new patient rang to make an appointment.

This chiropractic specialized in prenatal visits and did a form of soft tissue massage called SASTM. Yet these treatment options were only mentioned along with general chiropractic treatments on his services page. New pages were created especially for each specialization the chiropractic had.

The blog was recreated, and the domain name the other SEO had brought and was holding hostage, was quickly returned to the chiropractic and used for the new blog.

Today, 5 months later, this Chiropractor is receiving about 600 visitors a month, through both this new blog and his new website; he isn’t using adwords at all, and is getting regular calls from new patients wanting to make an appointment.

Visitors will now continue to grow to the website, as new articles are added to the blog on a regular basis.

Write to Lynny at
help1@seobycanz.com
to have your chiropractic website accessed for Search Engine Friendliness and get your chiropractic website working for your practice, bringing in new patients, just like you thought it would.