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Spinal Chat with PCA
The PCA Podcast Each episode brings you insights, conversations, and practical guidance to help chiropractors strengthen their practice, elevate patient care, and thrive in today’s evolving healthcare landscape. Tune in, stay informed, and be part of the movement advancing chiropractic in Pennsylvania.

Welcome to Spinal Chat, the official podcast of the Pennsylvania Chiropractic Association. Each episode brings you insights, conversations, and practical guidance to help chiropractors strengthen their practice, elevate patient care, and thrive in today’s evolving healthcare landscape. Tune in, stay informed, and be part of the movement advancing chiropractic in Pennsylvania.
PCA Strategic Business Partner Highlight: Foot Levelers
In this PCA Strategic Business Partner Highlight, we sit down with Jamie Greenawalt, President of Foot Levelers, a long-time sponsor and trusted partner of the Pennsylvania Chiropractic Association.
This conversation explores how continuity of care extends beyond the adjustment table and into everyday life, particularly through sleep posture and recovery. Patients may only see their chiropractor once or twice a month, but posture, gravity, and healing occur daily. Technology-backed tools that reinforce care between visits play a critical role in improving outcomes and long-term patient engagement.
Jamie shares the clinical and historical foundation behind Foot Levelers’ custom pillow technology, including its biomechanical design, data-driven customization, and role as an extension of chiropractic care rather than a lifestyle accessory. The discussion highlights how aligning daytime support, through orthotics, with nighttime recovery, through sleep posture, creates a more complete approach to whole-body biomechanics.
The episode also addresses how strategic business partners can help practices responsibly diversify revenue, strengthen patient interactions, and support compliance without compromising clinical integrity. Education, mentorship, and evidence-informed tools are positioned as force multipliers that enhance both patient experience and practice sustainability.
This highlight underscores the value of PCA’s strategic partnerships and their role in supporting chiropractors with practical solutions, professional advocacy, and long-term practice resilience.
00:00 Introduction to PCA Strategic Business Partner Highlight
01:03 Meet Jamie Greenwalt and Foot Levelers
01:31 The Evolution of Foot Levelers’ Custom Pillow
02:25 The Science Behind the Nexi Pillow
04:09 Success Stories and Patient Feedback
05:55 Integrating the Pillow into Chiropractic Care
10:20 Training and Continuing Education for Doctors
11:19 Business Benefits of Foot Levelers’ Products
12:48 Final Thoughts and Call to Action
Foot Levelers’:https://www.footlevelers.com/
YouTube Link: https://youtu.be/eKAG5aiii7U?si=nqBlzdliLmOvYUBi
Email the PCA: pca@pennchiro.org

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The COCSA (Congress of Chiropractic State Associations) called our Scope “the most archaic and restrictive in the entire country”. It’s time to make a change.
PA Chiropractors have been using an outdated scope of practice for more than half of a Century!
PCA at Work
Current News for PA Chiropractors
University of Pittsburgh launches a Doctor of Chiropractic program
The University of Pittsburgh School of Health and Rehabilitation Sciences (SHRS) will begin offering a Doctor of Chiropractic program, the first at a research-intensive public university in the United States and the only one in Pennsylvania, Anthony Delitto, dean of...
Working Group Updates & Info
- Dry Needling Working Group
- UPMC Working Group
- Functional Nutrition Working Group
- Animal & Veterinary Chiropractic Working Group
- Sports Chiropractic Working Group
- Radiology Working Group
- Pediatrics and Pregnancy Working Group
- Neurology Working Group
UPMC Working Group
Co-Chairs Drs. Vic Rizzo and Justin Miller
Functional Nutrition Working Group
Chair Dr. Doug Pfeiffer
FNWG December 2023 Newsletter
FNWG November 2023 Newsletter
FNWG October 2023 Newsletter
FNWG September 2023 Newsletter
FNWG August 2023 Newsletter
FNWG July 2023 Newsletter
FNWG June 2023 Newsletter
FNWG April 2023 Newsletter
FNWG February/March 2023 Newsletter
FNWG January 2023 Newsletter
2022
FNWG December 2022 Newsletter
FNWG November 2022 Newsletter
FNWG October 2022 Newsletter
FNWG September 2022 Newsletter
FNWG August 2022 Newsletter
FNWG July 2022 Newsletter
FNWG June 2022 Newsletter
Animal & Veterinary Chiropractic Working Group
Chair Dr. Gregory Gray, DC
November 2023 Newsletter
October 2023 Newsletter
September 2023 Newsletter
August 2023 Newsletter
July 2023 Newsletter
June 2023 Newsletter
November Newsletter
Please be advised that the PCA X-ray Working Group was successful (as previously mentioned in emails and videos) in petitioning the Department of Environmental Protection (DEP) in 2022 to lower the annual DEP fees chiropractic offices pay per x-ray tube. This endeavor was started in 2015 by myself, Dr Vic Rizzo chairperson of the X-ray working group, in my position as the chiropractic representative to the PA Radiation and Protection Advisory Committee (RPAC).
The video above explains that the recent June1, 2023 letter you received from DEP refers to an upcoming fee increase to the prior category that chiropractors are leaving. It fails to mention that chiropractors will actually see a fee decrease from $400 to $195 per year per x-ray tube beginning of October 1. This was done by moving chiropractors into the dentist, podiatrist and veterinarian category due to our limited use of x-ray versus continuing in the same category as outpatient x-ray imaging centers like hospitals where chiropractors have been since the beginning of this fee. For those who were billed before October 1, 2023 you must pay the current $400 fee. For those billed after October 1, 2023 you will see the new fees.
Had the PCA NOT been able to get chiropractors moved into this new category, and then instead you would have seen a $130 increase in chiropractic office’s annual fees, or $530 per tube. Therefore, through the hard work of the PCA, ALL Pennsylvania Chiropractors will receive a $335 savings per year to chiropractors who take x-rays. Your PCA dues do make a difference. That means that if you have an X-ray machine, the PCA is really only costing you $265 a year, since the PCA saved you a $335 a year! PCA Dues pay for themselves!
Update from PCA Pediatrics and Pregnancy Working Group Co-Chair Dr. Lawrence Bagnell
News Across the Country
Let’s pass the Chiropractic Medicare Coverage Modernization Act this year!
The ACA is aware of, and is attempting to correct the error that is occuring with the original flyer/QR code. IN THE MEANTIME PLEASE USE QR Code: Sign for Your Office (PDF) (updated 4.4.2023) Please print and hang this near the front desk. Your patients can...




























