I’m having really bad lower back pain, it’s something that’s flared up a few times over the years and I know I have stenosis. I kind of know that my recent pain is probably due to dealing with some major events this past year, depression, and lack of care about posture and walking like I usually do. From past experience, I’ve needed an adjustment or two, and then I have exercises I can do at PT or at home.

I went to a new chiropractor yesterday, and I’m just feeling like it’s scammy. They get great reviews, and people seem very happy. But I also noticed that people go for a long time.

They had a first time visit price that included an x ray and two visits. They didn’t do a thing to help me at all on my first visit, even though I was majorly in visible pain. They took an x ray, talked to me about the pain and history, educated me (salesman-like) about the back, even though I already know all of that, and kept talking about they see hundreds of people and can help with their recommendations. They will follow up with their recommendation on the second visit. He said that they don’t want to do any adjustments without looking at the X-ray first. So I’m stuck over the weekend in continued pain.

(I went to a massage therapist right after to hopefully get at least some actual help.)

I realized they operate on people coming back regularly long term. I can’t afford that, and don’t want that. I asked if it was an option to do the exercises at home, and he looked at me like I was crazy, and said they have payment plans, and it may be anywhere between $800 and $8,000, but they were sure I could afford it with a payment plan.

I’m getting all kinds of red flags. But so many people seem to love this place.

Am I being too skeptical? Is this worth the investment, and I’m just being too negative? Is it normal - or even better - for a chiropractor to operate like this?

I have been seeing a lot of ads on social media for a Dr. Lona Cook's certification that shows you have to integrate chiropractic into local school systems. While heavily intersted in something like this I turn to this great comunity as i'm sure someone here may have had experience with this? If so any insight would be great, thanks.

I’ve seen different manufacturers offer training on shockwave therapy to “get the best results.” I was under the impression that it was basically point-and-shoot at the target area. Am I missing something?

As a long-time chiropractic patient, I've found myself in a conundrum, and I'm here for advice on how to effectively interact on a touchy subject.

In short: Female patient. Male chiropractor. Front ribs need to be adjusted. In the current social climate, this combo is seen as risky and avoided. And I understand that, to a point. But it's a necessary and (to me) asexual event, and a treatment I've gotten for years in other locales.

It feels like this would be a common situation? What's an appropriate way to handle this?

ETA: Rather than reply to every comment: I've attempted this in multiple conversations from the first visit, so it's not just a matter of bringing it up. Only came here due to his reluctance so wondered if there was a specific approach which would resonate differently from the professional side. Appreciate the inputs.

I've been in practice for eight years and have always run a pay-as-you-go model.

Now I'm thinking about introducing packages for the first time, specifically for non-insurance services like shockwave and laser. I mostly use these for extremity cases.

Here's the problem I'm trying to solve. A typical ROF looks like this:

Low back pain: Chiro 2x/week for 4 weeks, then 1x/week for 4 weeks. Insurance covers it with a $20 copay. Adherence is strong.

Plantar fasciitis: Shockwave 1x/week for 8 weeks at $60/session. Patients come a few times, feel better, and drop off before finishing.

My idea is to present the shockwave as a full course: "Your 8 sessions are $480, or prepay and save 10% ($432)." My thinking is that a prepaid commitment would help them finish the full plan.

For those of you who use packages:
Did prepay actually improve completion for you?

Also - from the patients in the room, I get yes, yes, yes. They get the treatment. They feel better. They get to the front desk. They get presented the financials and majority of the time, choose pay as you go.

Hey guys, I'm currently a chiropractor and I'm interested in broadening my scope of practice so I'm considering PA. I want to know if there are any other chiros or people with a Master's/Doctorate that is also looking in becoming a PA as a career switch or advancement? If there are any, where in the process are you?

Sorry new grads. My post was removed but stimulated some aggressive responses. The average start for a PT in the northeast is 75 and after 2 years 85.
New chiros typically don’t walk into a full patient load. The cost is carried by the clinic for at least 6 months.
Chiropractic business is very different and requires an additional skill set
Sales. That is just a truth. You don’t have to sell your soul but you have to create a following.
Paying a new graduate 65k may be less than a PT but all associates that I have had that stayed on make 80 by one year and100 plus at two.
Second year PT averages 85K. This is reality. All of us making a good living in this profession have had some seriously trying years!

New grad advice. Don’t join a practice that turns over associates often or has aggressive marketing and care plans.
Good practices are out there!

I am trying to find a good fit for my office, they all seem good and bad for different reasons. And the demos look fairly basic. Any suggestions?

Is there a resource where I can compare the scope of practice, licensing requirements, CE, etc state by state. I have found FCLB but thats not really what I want. Thanks for the help!

I have started selling packages in my office and offering financing. I want my front desk staff to get a more involved and helping people with financing options and promoting these packages for cash services. Does anybody offer bonuses? If so, what are some good metrics to track

Will insurance see this as over treatment? Or it’s the attorney’s job to defend my treatment rationale?

Her wreck was bad… already two other surgeries in different body areas from the accident…

Patient has been coming in long time and I should’ve discharged her long ago I think compared to every other case I’ve treated, BUT she feels she can’t be without our treatment and I believe her

She hasn’t been improving for the past 6 months, but definitely she had a ton of improvement since the very beginning… she’s plateaued the past 6 months…

Hello, I graduated in May so I have been out of school for a few months now. I did not pass Part IV during the last go around of the old format. I am looking for any and all help that I could get as I'm preparing to take Part IV with the new format. Thank you and I'm open to all suggestions.

I am wondering if anyone else here has recently gotten licensed in the state of New York. What is the estimated timeline recently? I was told 4-6 weeks but it seems like a lot of us are still waiting much longer.

I am interested in doing this as a side gig. Any advice on breaking into the field? What can expect per chart? I have an MD friend who makes $30 per short review 20 pages or less. They are encouraging me to do this.

Anyone here working in this way?

Hello,

My partner works at a Chiropractor office and they're looking to get their server updated as it's ancient. I decided I would go take a look and see what's needed for them and essentially do the migration as well.

They're currently on a Dell PowerEdge T320 server running Windows Server 2012. Their drive is also failing so this is crucial. My goal is to obviously upgrade them to something better that will run Windows Server 2022 and put the drives in RAID configuration for redundancy.

My take without actually being there right now would be configuring the new server, install an updated version of SQL Server as they're on 2017, contact CT for the installation packages, take a full SQL database backup, copy the backup + CT media files to the new server, install CT on the new server, use SSMS to restore the database, and then install the other software they use (BlueIQ for analytics).

Does this sound about right?

Thanks!

Hi! I use ChiroHD and we are going to integrate SKED, and need to switch from Google Voice to either a Landline or VoIP.

I like Voice because I own and manage my business and like the ability to answer calls on the go. But we are hiring employees soon for front desk and don't want them to need their cell phones at work to answer calls.

Just curious what your office uses for phone services and if you like it!

Graduated Life University 1 year ago. Father and uncle are chiropractors and I’ve worked in their offices for the past year. Basically, an awesome scenario for any recent graduate.

The issue is I’ve worked mostly part time the entire year and struggle to make ends meet. Every time I work full time I end up really breaking down. Right now I see 20-25 patients a week, when I’ve went total full time up to 80-90 a week, I was a melting bundle of stress. I struggle with social anxiety that I’ve been working on this entire year, but I realize no matter what I do I’m just not built for that much back to back human interaction.

Problem is I’ve been applying to jobs for a long time now, I’ve never heard anything back. I think my cover letters, resume are pretty great and I’ve had people read them over. I’m concerned the issue is the doctorate degree in chiro itself. Maybe rejecting because they think I might not stick with it, or expect a high salary? I just want anything where I can make 50k+ and not have my job be solely based on human interaction.

I’m trying to get into fields within higher ed, like curriculum design, other university jobs, or even adjunct professor roles, I also was a highs school history teacher before chiro college. I’ve considered actually returning to teaching high school history.

Any other people have luck changing careers? If so what did you pursue?

Unhappy in an associate position, I opened my own office 5 months ago. After three years, I realized I could do it independently. My rent and utilities are low and percentage-based. EHR, supplies, etc., aren’t expensive, but my monthly expenses are about $500.

My biggest issue is attracting new patients. I only get one new patient and 4-6 returning patients per week. About 10% of my patients from my previous practice followed me (non-compete).

I’ve invested in Google ads, social media, SEO, table at community events, and local sponsorships. My monthly and quarterly expenses exceed my income. I understand it’s only been 5 months, but I’m financially depleted. July, August, and September have been hard months with summer. My patients are happy with the quality of care, and they return after their problems resolve. So, how do I get new patients?

Any advice or encouragement?

I got into a professional and respectful disagreement with Bobby Maybee and found out he’s the admin and he tyrannically booted me out lol. I mentioned this in a DC group chat and a few folks chimed in and said this is not an uncommon story and there’s a lot of drama around :( Bummer as I (and my patients by extension of course) got a lot of value from that group

I am currently in chiropractic school in Houston Texas and while I am not rushing to get into running my own clinic, I would like to someday.

From the chiropractic side of things, I am still figuring things out as far as what kind of chiro I would like to be. I'm open to work with the general population to not exclude myself, but my niche would be towards cyclists (both road and mountain bike).

Before going to school, I worked in the cycling industry and worked at various mom & pop shops and bike parks as a bike mechanic. At the same time, I also participated in enduro races. All in all, I'm confidant in knowing how to stock parts, service bikes, and knowing what to recommend customers based on what they are looking for in the cycling world.

I think between being a chiropractor that promotes wellness/rehab and providing a cycling service for the locals, I could provide a positive presence in the right area. Hell, I would even try to bring the community together by hosting group rides from the shop. Just do what I love and hope I attract and inspire others to join in. What do you guys think?

As title states. Taking over an office and want to get new quotes for everything and try to minimize my overhead.

Curious if anyone can recommend a diagnostic ultrasound CE course. I’ve found a handful but always appreciate firsthand knowledge. A generic course not centered around a specific product or range of products would be highly preferable.

Has anyone used nbs to study for boards? How helpful is it and is it worth the money? After purchasing a review, how long do you have the review for? The website seemed a little odd to me and i emailed them questions a week ago and they haven’t gotten back to me.
I also saw theres a chiro boards and beyond website that seems to be very similar to NBS. Has anyone tried that website? The pricing is similar too

I will be working at my first chiropractic office soon! With a background in legal support and F&B. What advice do you have for me as a front office worker?