Advertise on podcast: All Things Chiropractic

Join hosts Paul Andrews and Dr. Mark Davini as they break down the management styles that shape successful chiropractic practices. In this episode they explore leadership approaches from benevolent dictatorship and contributory (democratic) models to coaching, laissez-faire, transactional, and transformational techniques. Paul and Dr. Mark discuss generational dynamics, hiring challenges, staff training, rotating staff-led meetings, and the importance of walking the walk as a practice owner. They share real-world stories about setting expectations, giving feedback, rewarding staff, and maintaining proper hierarchy without losing team morale. Listen for practical takeaways on staff meetings, onboarding, coaching versus delegation, bonus strategies, and how owners can balance business realities with empathy to build a loyal, high-performing team.

In this episode of All Things Chiropractic, Paul Andrews and Dr. Mark Davini break down the Department of Education’s new STATS (Student Tuition and Transparency System) and Earnings Accountability Framework finalized in July 2026, and explain why it may pose an existential threat to chiropractic schools and the profession. They unpack how the federal benchmark—comparing chiropractic doctor earnings to bachelor’s degree holders—interacts with high tuition, student loan repayments, regional salary variations, and the high cost of College's compliance requirements. The hosts discuss how low insurance fee schedules and in‑network reimbursement pressure new graduates and small practice owners, and why many schools could lose federal funding if graduates don’t meet income thresholds. Paul and Mark offer concrete responses and hope: entrepreneurship, shifting to self‑pay services and newer clinical modalities, investing in staff and practice culture, coaching, and sharing successful models so more chiropractors can thrive. They emphasize clinical excellence paired with business savvy as the path forward. Guests: Paul Andrews and Dr. Mark Davini. Key takeaways include the regulatory timeline, the risks to schools and the profession, income benchmarks, root causes (tuition inflation and insurance), and practical strategies for individual chiropractors to increase revenue and protect the profession. Send feedback or success stories to [email protected] or visit allthingschiropractic.com.

In Part 2 of our interview with Dr Lisa Rister, hosts Paul Andrews and Dr. Mark Davini continue their conversation with Dr. Rister about GLP-1 medications and the evolving obesity-medicine landscape. The discussion covers how these drugs work, potential side effects like dopamine suppression and mood changes, and emerging agents. Dr. Rister outlines practical clinical concerns for chiropractors and patients: the importance of individualized care, nutrition and lifestyle management, monitoring body composition (lean muscle vs. fat loss), micronutrient deficiencies, osteoporosis risk, and safe titration to reduce toxin release and side effects. The episode also addresses the challenges of easy online access to prescriptions, medico-legal implications, and how to collaborate with prescribers. Key takeaways include counseling patients before starting medication, running targeted tests (e.g., fasting insulin, micronutrient panels), tailored supplement strategies, and providing ongoing support for titration and maintenance. For resources mentioned in the episode, listeners can visit spinalcarechiropractic.com or email [email protected].

Hosts Paul Andrews and Dr. Mark Davini welcome Dr. Lisa Rister from The Woodlands, Texas, for part one of a two-part conversation. Dr. Rister shares her chiropractic origin story—from Saskatchewan, Canada, through Northwestern Chiropractic College, to co-founding Spinal Care Chiropractic Center in 1999—and reflects on long-term partnerships in practice. The episode covers clinical observations about obesity’s impact on spinal health, how adipose tissue drives inflammation, and why chiropractors are well positioned to advise on nutrition and lifestyle. Dr. Rister also discusses her advanced training in nutrition and functional medicine, practical experiences with GLP‑1 medications (Ozempic/Wegovy), and the broader benefit-versus-risk conversation surrounding their use. This is an engaging, informative first part that blends personal story with actionable insights for chiropractors and patients interested in weight, metabolic health, and integrative care. Stay tuned for part two next week. spinalcarechiropractic.com/balancepoint-nutrition/

Hosts Paul Andrews and Dr. Mark Davini discuss how rapidly evolving technology is changing chiropractic practice and whether seasoned professionals must adapt. They examine the difference between being "old school" and truly "outdated," using examples like EHRs, online continuing education, shockwave versus ultrasound, AI front-desk systems, and appointment text reminders. Key topics include generational attitudes toward learning new tools, how COVID accelerated online adoption, practical advice to learn EHRs the right way, and when new technology genuinely improves practice versus when it only helps keep a business compliant. Listeners can expect candid conversation, real-world examples, and actionable takeaways about what to adopt, what to be discerning about, and how to give yourself permission to learn (and fail) as you modernize your practice.

On this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini sit down with Dr. John O'Connor to hear his personal journey from paralysis to elite practitioner and to preview his interactive six-CEU class (Sept. 25, Norwood, MA). The conversation covers three core technologies—photobiomodulation/class IV laser, cervical and lumbar spinal decompression, and radial shockwave therapy and how to integrate them into effective protocols. Dr. O'Connor shares practical tips on intake and patient communication, shifting to an elevated private‑pay model, increasing treatment acceptance and ROI, and moving from high‑volume insurance care to outcome-focused, boutique clinical pathways. Expect actionable advice on documentation, case selection, and creating compelling care plans that patients understand and buy into.

Hosts Paul Andrews and Dr. Mark Davini explore the growing ‘AI arms race’ between providers and payers, discussing how artificial intelligence is reshaping documentation, coding, claims processing, and audits in chiropractic practices. They share real-world examples—from classroom AI cheats to law school laptop bans—and dive into AI tools like EHR listeners, payer analytics, and appeals drafting. Key points include the power of payer-side algorithms, the risks of AI hallucination, the need for human oversight, and how expanded ICD-10 coding and electronic records fuel data-driven scrutiny.

Hosts Paul Andrews and Dr. Mark Davini dig into why missed appointments are more than an annoyance — they undermine patient care and cost practices significant revenue. In this episode they talk about weak or absent recall systems erode credibility, interrupt treatment plans, and shrink the bottom line. Topics covered include: the difference between time and number-of-adjustments-based care, quick-response outreach (call within 10–15 minutes), wording and scripts to keep patients from becoming defensive, using technology (texts, emails) to automate confirmations, and multi-step follow-up examples (calls, postcards, signed doctor self-termination letters). They also discuss scheduling capacity, when to avoid squeezing patients in, handling payment/credit-card holds and insurance complications, and how staff training and consistent procedures prevent revenue loss and malpractice exposure.

Join hosts Paul Andrews and Dr. Mark Davini with special guest Dr. Daniel Reida as he recounts his 54-year chiropractic career — from a sickly childhood healed by upper cervical care to building one of the largest practices on Cape Cod. Dr. Reida shares early clinic memories, his approach to patient care, and why x-rays remain a critical roadmap for treatment. He also reflects on long hours, hiring and mentoring associates, and what it really takes to run a successful practice. The episode covers changes in the profession, insurance and Medicare challenges, the rising cost of chiropractic education, practice-management advice for new doctors, and memorable personal anecdotes — from luxury cars to a racehorse investment. Candid and full of practical wisdom, this episode is for students, associates, and seasoned doctors wanting real-world insights on clinical technique and building a sustainable practice.

In this episode Dr. Mark Davini and Paul Andrews unpack the growing interest in peptide therapies within chiropractic practices. They explain what peptides are, the common routes of administration (topical, oral, subcutaneous, IV), and why injectables—especially IV and sub-Q—raise unique safety, legal, and scope-of-practice concerns. The hosts discuss FDA status, contamination and compounding risks, malpractice and state board implications, kickback/self-referral issues, informed consent, drug interactions, and the financial incentives driving clinics toward injectables. They recommend checking state board guidance and malpractice coverage, considering safer in-scope alternatives (decompression, shockwave, laser), and referring patients without accepting kickbacks. The episode is a cautionary guide for chiropractors weighing peptides’ clinical promise against regulatory and liability pitfalls.

Join Paul Andrews and Dr. Mark Davini as they host Dr. Michael Miller for Part Two of an in-depth conversation about his 38-year career as the Patriots team chiropractor. In this episode they discuss the relentless schedule of balancing an NFL sideline role with a private practice, memorable anecdotes about Super Bowl tickets (including a canceled pair that ended up on Craigslist), and the personal sacrifices of seven-day work weeks. Dr. Miller also reflects on professional highlights—writing a chapter for a neurosurgical textbook, being inducted into the Pro Football Chiropractic Hall of Fame, and collaborating with physicians—while sharing candid advice for younger chiropractors about advocacy, technique, and building a practice based on results and relationships. Expect personal stories, practical takeaways for clinicians, and a celebration of dedication and legacy in chiropractic care. Guests: Dr. Michael Miller; Hosts: Paul Andrews and Dr. Mark Davini.

In this first of a two-part interview, hosts Paul Andrews and Dr. Mark Davini sit down with Dr. Michael Miller to explore his path from Boston University neurosurgical research to a 38-season career as the New England Patriots’ chiropractor. Dr. Miller shares how early medical mentors steered him toward chiropractic, his hands-on approach to player care, and the link between his TBI research and work with collision sports. Topics include his start at Palmer College, how he built trust with players and coaches (including Bill Belichick), the role of chiropractic in injury prevention and game-day treatment, anecdotes about Super Bowl rings and locker-room culture, and his efforts to expand chiropractic presence across the NFL.

Hosts Paul Andrews and Dr. Mark Davini break down H.R. 539, the Chiropractic Medicare Coverage Modernization Act filed in 2025, explaining how the bill would expand Medicare reimbursement beyond spinal manipulation to any service within a chiropractor’s state scope of practice. They cover the bill’s broad strokes, potential for increased coverage (including examples like acupuncture in some states), and the historical context of past demonstration projects. The episode highlights the critical need for improved documentation, the one-time HHS webinar requirement in the bill, and the likelihood of greater audits and scrutiny if the bill passes. The hosts discuss cost and budgeting implications, comparisons to physical therapy reporting burdens, and practical clinic impacts such as EHR compliance tools. Finally, Paul and Dr. Davini issue a clear call to action: engage patients and staff, use links on allthingschiropractic.com to track the bill and send messages to representatives and prepare your practice for the responsibilities that expanded Medicare coverage would bring.

Hosts Paul Andrews and Dr. Mark Davini explore when chiropractors should refer patients out, how to build collaborative relationships with orthopedists, neurologists, primary care, imaging centers and physical therapists, and when additional testing (MRI, electrodiagnostics) or co‑treatment is appropriate. Referencing guest perspectives like Dr. Bill Owens and clinical experience, they cover practical guidelines—recognizing inadequate response (notable improvement within about two weeks), signs of space‑occupying lesions, reimbursement realities, and effective communication with other providers. Key takeaways: referring is part of modern patient‑centered care, it doesn’t mean losing the patient if you maintain communication, and timely referrals protect patients and reduce liability while improving outcomes.

In this episode of All Things Chiropractic, hosts Paul Andrews and Dr. Mark Davini dive into the critical compliance responsibilities of chiropractic assistants (CAs). They discuss real-life front-desk stories, HIPAA basics, patient privacy rules, documentation and risk management, cyber security and password management, operating system updates, and the changing regulatory landscape including the No Surprises Act. Paul and Mark explain practical steps CAs and doctors should take — from handling patient records and attorney requests to enforcing office procedures and protecting portal access — and emphasize ongoing staff training and communication. This episode is aimed at CAs, office managers, and doctors who want clear, actionable guidance on keeping their practice compliant and secure.