All Things Chiropractic

Join hosts Paul Andrews and Dr. Mark Davini as they explore the Certified Chiropractic Clinical Assistant (CCCA) credential, the FCLB’s national standard, and the Tools of Practice CAP training that prepares assistants to sit for the exam. Topics include the clinical and administrative scope of certified CAs, career-path advantages, return on investment for practices, malpractice and standard-of-care implications, continuing education requirements, and real-world anecdotes illustrating how trained assistants improve patient experience and clinic efficiency. Resources and next steps are provided — where to find the CAP course, FCLB details, and how certification can help practices build a competent, professional team.

Join hosts Paul Andrews and Dr. Mark Davini for a Thanksgiving special of All Things Chiropractic focused on gratitude. They discuss personal anecdotes Thanksgiving, the mental-health and professional benefits of gratitude, forgiveness, and reframing challenges as growth opportunities. Topics covered include expressing thanks to patients and staff, practical ways gratitude improves patient relationships and office culture, and simple reflective exercises to carry into the holiday season. A short, uplifting episode with actionable takeaways for chiropractors and listeners alike.

Join hosts Paul Andrews and Dr. Mark Davini as they unpack the National Board of Chiropractic Examiners' five‑year practice analysis. Topics covered include practitioner demographics, practice settings (solo vs. group), income and patient‑volume trends, education and licensing differences, technology and AI, diagnostic imaging, techniques, and the surprising omission of chiropractic assistants. Key takeaways: solo practices are declining, patient volumes and reimbursement pressures impact income, opportunities are shifting toward employed roles, and the need to better educate patients on the value of chiropractic care.

Hosts Paul Andrews and Dr. Mark Davini close out a three-part series on chiropractic by focusing on philosophy — the "why" behind the profession. This episode explores the art, science, and vitalistic versus mechanistic approaches to care, debates the nature of subluxation, and examines how education, technique diversity, and insurance pressures shape practice. Dr. Mark Davini joins Paul to share personal insights, historical quotes, and practical examples (including upper cervical vs full-spine approaches, supportive therapies, and analysis methods). They discuss the balance between letting the body heal itself and when to intervene, plus how schools and carriers influence philosophical direction. Expect a lively, reflective conversation that clarifies key distinctions between symptom-based and philosophically based chiropractic, highlights takeaways for practitioners and patients, and encourages choosing and maintaining a guiding principle that balances philosophy, art, and science.

Hosts Paul Andrews and Dr. Mark Davini continue their three-part series on the art of chiropractic, exploring why so many approaches exist within the profession and how technique, intuition, and experience shape care. Topics include palpation and observational skills, manual vs. instrument-based adjustments, the role of clinical reasoning and customization, evolving techniques over generations, and the importance of communication, bedside manner, business skills, and ongoing hands-on learning. Key takeaways: understand your chosen techniques and why you use them, prioritize patient-centered care and connection, avoid shortcuts driven by convenience, and strive to become a master of your own chiropractic art.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini explore the ‘science’ pillar of chiropractic, covering anatomy and physiology, biomechanics and neuroscience, and how these shape everyday practice. Topics include the tiers of evidence and misconceptions about evidence-based practice, the prevalence of pain-focused research versus broader health effects, outcome assessment tools and the need for standardized protocols, and challenges around research funding and insurer reimbursement. Key points: chiropractic’s proven role in pain relief and broader physiological effects, the importance of practice-based data and outcome measures, strategies to avoid being boxed into pain-management, and using chiropractic to reduce opioid reliance. 

Dry needling continues to gaining traction in chiropractic — but what exactly is it, and should you add it to your practice? In this episode of All Things Chiropractic, Paul Andrews and Dr. Mark Davini cut through the confusion with a clear, practitioner-focused look at dry needling. You’ll learn how it differs from acupuncture, what the AMA’s CPT codes mean, and the regulatory issues that vary from state to state. They also cover training requirements, clinical risks, and how patients perceive needle-based care. Most importantly, you’ll discover where dry needling fits into the chiropractic toolbox—as a complement to adjustments, not a replacement.  Tune in now to weigh the legal, clinical, and business considerations before deciding if this modality belongs in your practice.

Politics isn’t just background noise—it directly shapes how chiropractors practice every day. From licensure to billing, laws and policies determine what’s possible for both doctors and patients. In this episode of All Things Chiropractic, Paul Andrews and Dr. Mark Davini break down how regulation, reimbursement, and advocacy affect the profession. You’ll hear about the history of licensure, scope of practice battles, Medicare/ACA policies, and real-world examples of how rules limit—or expand—patient access. Most importantly, you’ll discover why grassroots engagement and professional unity matter more than ever. Learn practical steps to monitor state boards, connect with legislators, and protect the future of chiropractic care. Tune in now to see how policy shapes your practice—and how you can influence it.

Chiropractic care looks different in a post-COVID world. Patients may carry hidden vascular risks—fragility, clotting issues, or higher chances of vertebral artery dissections (VADs). That can leave chiropractors wondering: how do I adapt without compromising care? In this episode of All Things Chiropractic, Paul Andrews and Dr. Mark Davini share practical steps to stay safe, compliant, and confident. Learn how to update your approach with vitals at every visit, thorough histories, and informed consent. Plus, hear what malpractice trends, insurers, and interdisciplinary partners are saying about best practices right now. Stay ahead, protect your patients, and strengthen your practice.  Listen now to discover how to thrive in today’s changing clinical landscape.

Join hosts Paul Andrews and Dr. Mark Davini on All Things Chiropractic as they dig into how social media affects chiropractic practices — from marketing ROI and patient education to research and professional networking. They discuss real risks including HIPAA breaches, responding to online reviews, staff and patient privacy, platform differences (Facebook, Instagram, TikTok), the pitfalls of posting adjustment videos, and digital security concerns. The episode includes practical recommendations: create clear social-media policies, separate personal and professional accounts, obtain releases, avoid posting minors' faces, and don't respond to patient complaints publicly. Whether you’re considering advertising on social platforms or tightening office protocols, this episode offers actionable insights to balance the benefits of online engagement with compliance and patient trust.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini explore the expanding world of frequency therapies — from PEMF, lasers, red light and shockwave to tuning forks, ultrasound and biofeedback. They explain the science behind frequency and vibration, how electromagnetic wavelengths interact with the body, and how resonance and grounding can affect health. The conversation covers practical clinic applications (what many offices already use), targeted frequencies, differences between therapeutic and harmful frequencies, and the importance of combining these modalities with chiropractic adjustments. The hosts also discuss business implications: cash-based services, patient education, and choosing modalities that “resonate” with your practice to improve outcomes and revenue. Key takeaways include how to introduce frequency therapies responsibly, the need for clear patient communication, examples of common tools and settings, and the reminder that these therapies are supportive — best used alongside adjustments and good clinical judgment.

Welcome to another episode of All Things Chiropractic, where hosts Paul Andrews and Dr. Mark Davini look into healthcare from a patient's perspective. In this engaging discussion, they explore the importance of understanding what patients see and feel when they visit a chiropractic office. The conversation highlights the difference between perception and perspective, emphasizing the value of seeing the world through the patient's eyes to enhance communication and care. The hosts address the pivotal issue of affordability and how perceived value plays a crucial role in patient decisions. As healthcare costs rise, they discuss strategies for chiropractors to communicate the necessity and high value of their services, particularly when patients are concerned about insurance coverage and out-of-pocket expenses. The episode also tackles the challenge of meeting patient expectations and the significance of providing optimistic, empathetic care. Paul and Dr. Mark stress the need for clear communication and the alignment of office practices with a practitioner's philosophy and approach. In a world where AI and digital technologies rapidly evolve, they touch upon the impact on chiropractic practices and patient perceptions. This episode is a must-listen for those looking to deepen their understanding of patient dynamics and the role of effective communication in the chiropractic field.

Welcome to "All Things Chiropractic" with Paul Andrews and Dr. Mark Davini. In this engaging episode, the hosts delve into the topic of increasing staff productivity in chiropractic practices. Discover how setting clear goals and expectations can lead to enhanced productivity, which in turn increases revenue without focusing solely on income. Dr. Mark and Paul share their insights on the importance of teamwork as the foundation for a successful practice. With a focus on creating a cohesive office environment, they emphasize the value of involving chiropractic assistants in goal-setting and decision-making, ensuring everyone feels invested in the practice's success. Explore the significance of SMART goals, effective communication, and staff training as essential components in improving practice productivity. Learn how to balance clinical duties with business responsibilities and how regular staff meetings and feedback can foster improved performance and job satisfaction. Additionally, the hosts discuss the relevance of open communication channels, staff empowerment, and implementing efficient processes to create a productive work environment. Tune into this episode to gain valuable insights and practical tips on transforming your chiropractic practice into a well-oiled machine that thrives on teamwork and productivity.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini look at malpractice insurance for chiropractors. They discuss the different types of policies available, including claims-made and occurrence-based coverage, and highlight the importance of selecting the right policy to ensure perpetual protection. Dr. Davini shares insights on why occurrence policies may offer better security, especially for retired or part-time practitioners, and talks about the necessity of tail coverage when switching policy types. The conversation also addresses the significance of coverage limits, corporate and personal umbrella policies, and the potential pitfalls related to policy exclusions and scope of practice. The hosts provide valuable advice on dealing with malpractice claims, emphasizing the need for supportive legal representation and understanding consent-to-settle clauses. Alongside their examination of malpractice insurance, Paul and Dr. Davini offer practical tips for chiropractors to assess their current coverage, the cost of insurance relative to coverage benefits, and ways to protect themselves in the legal landscape.

In this episode of "All Things Chiropractic," hosts Paul Andrews and Dr. Mark Davini navigate the ever-evolving world of insurance reimbursement for chiropractors. They discuss the challenges posed by the current fee-for-service model and the implications of shifting to global payment systems. The conversation also touches upon the historical impact of the Affordable Care Act on private practices and the increasing use of technology and AI in determining reimbursement rates. Dr. Davini shares insights from his extensive experience in the field, discussing topics like EHR systems, ICD-10 coding, and the delicate balance practitioners must maintain between patient care and financial viability. They explore the perceived value of chiropractic services and the financial burden faced by patients, given high co-pays and deductibles. Highlighting the shift towards cash-based practices, the hosts encourage chiropractors to adapt to changes in the insurance landscape while maintaining the quality of care. Tune in to get invaluable insights and practical advice on thriving as a chiropractor in today's challenging healthcare environment.

In this episode of All Things Chiropractic, hosts Dr. Mark Davini and Paul Andrews dig into the critical topic of re-examinations in chiropractic care. Together, they explore whether chiropractors should charge for re-exams and emphasize the importance of managing patient expectations through thorough evaluations. Dr. Davini discusses the necessity of re-exams, not just for identifying treatable issues, but also to rule out conditions beyond chiropractic care. The hosts shed light on the complexities of diagnoses, the importance of accurate ICD coding, and the significance of documenting improvements to validate treatment effectiveness. They also explore the challenges and strategies related to treatment plans, stressing the importance of documenting medical necessity and complying with various regulatory definitions. This episode serves as a crucial guide for chiropractors aiming to enhance patient management and uphold their professional standards while navigating the demands of insurance and regulatory bodies.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive into the often overlooked business side of chiropractic practice. They question whether chiropractic can be profitable and explore strategies to enhance financial success while maintaining high-quality patient care. Listeners will gain insights from Andrews and Davini on the importance of understanding financial fundamentals such as budgeting and cost analysis, which are essential for running a successful practice. They also discuss the challenges and opportunities of insurance reimbursements and self-pay services, emphasizing the value of providing meaningful patient care that patients are willing to invest in. Throughout the episode, the hosts share personal experiences and practical advice on how chiropractors can maximize their profits amidst rising operational costs and a changing healthcare landscape. From budgeting correctly, understanding your per patient visit average cost, to the significance of offering self-pay services, the episode is packed with actionable tips. Join Andrews and Davini for an informative discussion that combines chiropractic passion with business acumen, perfect for both new graduates and seasoned professionals looking to boost their practice’s profitability.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini talk about the increasingly popular weight loss GLP-1 drugs. While initially developed to help control Type 2 diabetes, the drug's surprising side effects have catapulted it into the limelight as a weight loss solution. However, what does this mean from a chiropractic perspective? Join Paul and Dr. Davini as they examine how GLP-1 drugs works, the physiological effects, and the potential chiropractic considerations it entails. The conversation moves from the pharmacological origins of GLP-1 to its societal implications and how it is reshaping patient care in chiropractic offices across the nation. This episode also highlights chiropractic's role amidst these developments, probing into the new challenges chiropractors face, such as dealing with side effects often mistaken for musculoskeletal issues and the financial implications on patient care. If you're curious about the intersection of modern pharmaceuticals and chiropractic care, and how practitioners can navigate this evolving landscape, this episode is a must-listen.

In this engaging episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive into the essential topic of documentation in chiropractic practice. They unravel the complex history and current practices that make documentation a crucial part of the profession. Dr. Davini shares firsthand experiences that highlight the dramatic transition from minimal record-keeping to the robust documentation required today. The episode explores how documentation not only impacts billing and reimbursement but also plays a vital role in risk management and patient care continuity. Both hosts delve into the struggles chiropractors face with third-party carriers and the importance of crafting comprehensive, concise notes. Listeners gain insights into overcoming documentation challenges, including tips on using scribes, optimizing note-taking, and avoiding common pitfalls like batch noting. The episode wraps up with a thoughtful reflection on the future of documentation and the potential impact of AI, leaving listeners with practical advice and a touch of humor.

Join hosts Paul Andrews and Dr. Mark Davini on a new episode of All Things Chiropractic as they explore the intricate dynamics of multidisciplinary chiropractic practices. Delve into the challenges and benefits of integrating diverse disciplines such as acupuncture, massage, physical therapy, and medicine under one roof. Get insight into the importance of clearly defined roles, leadership, and decision-making in such settings, while learning about the potential pitfalls and regulatory complexities faced by practitioners. Understand the crucial role of communication, training, and compliance to ensure a coherent approach to patient management. Whether you’re considering a multidisciplinary practice or already navigating one, this episode provides valuable perspectives on maintaining a harmonious and effective clinical environment. Don’t miss this discussion on bringing varied health disciplines together to enhance patient care.