Think Upstream!

At a laser therapy seminar, Dr Michael Nelson, DC reported the case of a patient with patellar tracking dysfunction. After imaging, he successfully eliminated the problem –by treating the hip joint and gluteals. “There was no ‘problem’ at the knee, just consequences,” he explained. He achieved success by thinking “upstream.”This patient was typical among female athletes. It’s not “weak knees” or patellar tracking that is the cause of the problem. The relative difference in the pelvic or Q angle (relatively different from males) promotes the vulnerability that may manifesting symptoms elsewhere.Another patient, a gentleman who had had some success with laser therapy by his podiatrist for diabetic neuropathy in his feet, asked him if laser could also help his “incurable” gastroparesis. He was referred to Dr. Sherron Marquina,DC. Within 12 laser treatments the symptoms of constant nausea and abdominal pain that he had experienced for years had disappeared. Described as incurable by his gastroenterologist, the visceral neuropathy responded to laser therapy. What were the treatment targets? Spinal nerve roots of the thoracicspine and the vagus nerve.Astonished by the results the patient asked if the relief was permanent. Dr. Marquina’s advice: “If you want the symptoms to return, just maintain your current diet and lifestyle.” Despite restored neural function, other “upstream” lifestyle factors (poor diet, poor sleep, excessive stress reported by the patient) were likely to recreate the neuropathy if not addressed.Both of these physicians recognized that the symptoms were signals, not the source of the problem. Going “upstream” might be considering distal or proximal structures or systemic mechanisms that create or contribute to the symptoms.“How do I treat XYZ? How long, how many treatments, what settings?” As physicians we can often respond just to symptoms and obtain effective resolution, especially for acute presentations. But chronic, recurrent or persistent conditions mayrequire a different strategy, not necessarily a specific protocol, whether we are treating with spinal adjustments, PEMF, e-stim, laser or combinations of treatments.So, what’s the “protocol” for a chronic condition? First, check the patient for possible “upstream” factors. This is especially important when chronic symptoms have been minimally responsive to previous treatments. Upstream joints and associated…

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How to make Section 179 Work For You
Deciding what laser to purchase is hard is enough.

How to make Section 179 Work For You

Deciding on what laser to purchase is difficult enough. Pay a little + deduct a lot! = Section 179 What is IRS Section 179This section of the tax code is all about the Tax Cuts and Jobs Act of 2017. It allows you to expense the full value of equipment assets, like a laser purchase, on your taxes within the same tax year that you made the purchase.Businesses can deduct the full purchase price of qualifying equipment purchased or financed during the tax year. That means if you buy a piece of qualifying equipment - and put it into service - before December 31st, your business can deduct the FULL PURCHASE PRICE from 2018’s gross income.Who QualifiesAny practice that purchases, finances, or leases new or used business equipment during the tax year should qualify for depreciation tax deductions. However, there are limitations on amounts, so we advise consulting with a tax advisor before taking advantage of a deduction. The IRS list of qualifying equipment is a long list and your therapeutic laser purchase should be on it (again, we recommend discussing this with your tax advisor) And as an added bonus in 2018, depreciation deductions can include qualified property (building) improvements as well-for example, that extra room you created for your laser and the influx of patients that come as a result! Leasing & Tax DeductionsThere is definitely a huge advantage to financing equipment and taking the Full Depreciation Tax Deduction. Section 179 means that, after purchasing equipment, your practice can deduct the total cost of the equipment, even if you have not paid the equipment off in full yet. The benefit in the amount of taxes saved can actually exceed annual monthly payments. And this is where Section 179 can really work for you, since the result should be a very bottom–line friendly deduction.To SummarizeFor a small practice working at managing cash flow, Section 179 leverages your equipment purchase. You can minimize out of pocket expense and take the full tax deductions. Share on facebook Share on twitter Share on linkedin Share on email Share on print Schedule of Continuing Education Request a Demo

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