CF 289: Motor Control Stiffening &amp; Spinal Manipulation And The Vertebral ArteryToday we’re going to talk about Motor Control Stiffening &amp; Spinal Manipulation And The Vertebral ArteryBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com You have found yourself smack dab in the middle of Episode #289Now if you missed last week’s episode, we talked about COVID delayed surgeries and lumbar stenosis. Make sure you don’t miss that info. Keep up with the class.On the personal end of things…..What a day and what a week. In trying to keep up with the work/life balance thing, my wife and I took our 16 year old daughter to the Taylor Swift show up in Denver last weekend. From here in Amarillo, TX, that’s about a 7 hour drive. Not terrible overall and for a big portion of the drive you have mountains to look at so it’s all good.We found an app called Autio that is co-owned by Kevin Costner. Along your drive, certain things are marked on the app and there are stories about the area you’re driving through that you can listen to while you’re driving through it. Pretty cool and definitely adds another layer to your drive if you’re a traveler like we are.TSwift brough in 73,000 screaming fans and it was the second night of a 2-night stand there in Denver. That’s just unreal, honestly. The numbers and money are just staggering when you think about it.Now, beyond that, we’re just ramping up some new marketing ideas, working on updating my stats, and getting ready to go to Alaska. We’re going on a cruise in a week and a half or so. If I can, I’m going to pre-record some episodes. If I just don’t have time to do that, you’ll be out of an episode for a week or two and we’ll pick it back up on my return. .Most of you know how it goes. It’s tough to be gone and it’s even tougher to catch up when you return. But I’ll do my very best.Let’s hop in.Item #1The first one today is called “Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study” by Meisingset et. al. and published in BMC Musculoskeletal Disorders onMarch 17, 2015.Why They Did ItNeck pain is associated with several alterations in neck motion and motor control. Previous studies have investigated single constructs of neck motor control, while few have applied a comprehensive set of tests to investigate cervical motor control. This comparative cross- sectional study aimed to investigate different motor control constructs in neck pain patients and healthy controls.How They Did It A total of 166 subjects participated in the study, 91 healthy controls (HC) and 75 neck pain patients (NP) with long-lasting moderate to severe neck pain. Neck flexibility, proprioception, head steadiness, trajectory movement control, and postural sway were assessed using a 3D motion tracking system (Liberty). What They Found Neck flexibility was lower in neck pain patients compared to healthy controls, indicated by reduced cervical ROM and conjunct motion. Movement velocity was slower in neck pain patients compared to healthy controls. Tests of head steadiness showed a stiffer movement pattern in neck pain patients compared to healthy controls, indicated by lower head angular velocity. Neck pain patients patients departed less from a predictable trajectory movement pattern (figure of eight) compared to healthy controls, but there was no difference for unpredictable movement patterns (the Fly test). No differences were found for postural sway in standing with eyes open and eyes closed. However, neck pain patients patients had significantly larger postural sway when standing on a balance pad. Proprioception did not differ between the groups. Largest effect sizes were found for neck and head steadiness. Neck flexibility was the only construct that showed a significant association with current neck pain, while peak velocity was the only variable that showed a significant association with kinesiophobia. Wrap It Up Neck pain patients patients showed an overall stiffer and more rigid neck motor control pattern compared to healthy controls, indicated by lower neck flexibility, slower movement velocity, increased head steadiness and more rigid trajectory head motion patterns. Only neck flexibility showed a significant association with clinical features in neck pain patients   Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.  When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.Item #2Our last one this week is called, “Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers” by Lindsay M. Gorrell,Andrew Sawatsky, W Brent Edwards &amp; Walter Herzog and published in Taylor and Francis Online on 15 Nov 2022. Hot potato!Why They Did It The objective of this study was to measure VA length changes that occur during cervical spine manipulation and to compare these to the VA failure length.How They Did It Piezoelectric ultrasound crystals were implanted along the length of the VA (C1 to C7) and were used to measure length changes during cervical spine manipulation of seven un-embalmed, post-rigor human cadavers.  Arteries were then excised, and elongation from arbitrary in-situ head/neck positions to first force (0.1 N) was measured. Following this, VA were stretched (8.33 mm/s) to mechanical failure. Failure was defined as the instance when VA elongation resulted in a decrease in force.   What They Found From arbitrary in-situ head/neck positions, the greatest average VA length change during spinal manipulation was 5.1%  From arbitrary in-situ head/neck positions, arteries were elongated on average 33.5% prior to first force occurrence and 51.3% to failure.  Average failure forces were 3.4 N Wrap It Up Measured in arbitrary in-situ head/neck positions, VA were slack. It appears that this slack must be taken up prior to VA experiencing tensile force.  During cervical spine manipulations (using cervical spine extension and rotation), arterial length changes remained below that slack length, suggesting that VA elongated but were not stretched during the manipulation.  However, in order to answer the question if cervical spine manipulation is safe from a mechanical perspective, the testing performed here needs to be repeated using a defined in-situ head/neck position and take into consideration other structures (e.g. carotid arteries). Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at chiropracticforward.com. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!   Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That’s Chiropractic!ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.WebsiteHome  Social Media Links https://www.facebook.com/chiropracticforward/  Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/  Twitter Tweets by Chiro_Forward  YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q  iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2  Player FM Link https://player.fm/series/2291021  Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through  TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/  About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  Meisingset I, Woodhouse A, Stensdotter AK, Stavdahl Ø, Lorås H, Gismervik S, Andresen H, Austreim K, Vasseljen O. Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study. BMC Musculoskelet Disord. 2015 Mar 17;16:56. doi: 10.1186/s12891-015-0517-2. PMID: 25888215; PMCID: PMC4377005.   Lindsay M. Gorrell, Andrew Sawatsky, W Brent Edwards &amp; Walter Herzog (2023) Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers, Journal of Manual &amp; Manipulative Therapy, 31:4, 261-269, DOI: 10.1080/10669817.2022.2148048The post Motor Control Stiffening &amp; Spinal Manipulation And The Vertebral Artery appeared first on Chiropractic Forward.

<a></a><a></a>CF 289: Motor Control Stiffening &amp; Spinal Manipulation And The Vertebral ArteryToday we’re going to talk about <a></a>Motor Control Stiffening &amp; Spinal Manipulation And The Vertebral ArteryBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul>You have found yourself smack dab in the middle of Episode #289Now if you missed last week’s episode, we talked about COVID delayed surgeries and lumbar stenosis. Make sure you don’t miss that info. Keep up with the class.On the personal end of things…..What a day and what a week. In trying to keep up with the work/life balance thing, my wife and I took our 16 year old daughter to the Taylor Swift show up in Denver last weekend. From here in Amarillo, TX, that’s about a 7 hour drive. Not terrible overall and for a big portion of the drive you have mountains to look at so it’s all good.We found an app called Autio that is co-owned by Kevin Costner. Along your drive, certain things are marked on the app and there are stories about the area you’re driving through that you can listen to while you’re driving through it. Pretty cool and definitely adds another layer to your drive if you’re a traveler like we are.TSwift brough in 73,000 screaming fans and it was the second night of a 2-night stand there in Denver. That’s just unreal, honestly. The numbers and money are just staggering when you think about it.Now, beyond that, we’re just ramping up some new marketing ideas, working on updating my stats, and getting ready to go to Alaska. We’re going on a cruise in a week and a half or so. If I can, I’m going to pre-record some episodes. If I just don’t have time to do that, you’ll be out of an episode for a week or two and we’ll pick it back up on my return. .Most of you know how it goes. It’s tough to be gone and it’s even tougher to catch up when you return. But I’ll do my very best.Let’s hop in.Item #1<h1>The first one today is called “Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study” by Meisingset et. al. and published in BMC Musculoskeletal Disorders onMarch 17, 2015.</h1>Why They Did ItNeck pain is associated with several alterations in neck motion and motor control. Previous studies have investigated single constructs of neck motor control, while few have applied a comprehensive set of tests to investigate cervical motor control. This comparative cross- sectional study aimed to investigate different motor control constructs in neck pain patients and healthy controls.How They Did It<ul> <li>A total of 166 subjects participated in the study,</li> <li>91 healthy controls (HC) and</li> <li>75 neck pain patients (NP) with long-lasting moderate to severe neck pain.</li> <li>Neck flexibility, proprioception, head steadiness, trajectory movement control, and postural sway were assessed using a 3D motion tracking system (Liberty).</li> </ul>What They Found<ul> <li>Neck flexibility was lower in neck pain patients compared to healthy controls, indicated by reduced cervical ROM and conjunct motion.</li> <li>Movement velocity was slower in neck pain patients compared to healthy controls.</li> <li>Tests of head steadiness showed a stiffer movement pattern in neck pain patients compared to healthy controls, indicated by lower head angular velocity.</li> <li>Neck pain patients patients departed less from a predictable trajectory movement pattern (figure of eight) compared to healthy controls, but there was no difference for unpredictable movement patterns (the Fly test).</li> <li>No differences were found for postural sway in standing with eyes open and eyes closed.</li> <li>However, neck pain patients patients had significantly larger postural sway when standing on a balance pad.</li> <li>Proprioception did not differ between the groups.</li> <li>Largest effect sizes were found for neck and head steadiness.</li> <li>Neck flexibility was the only construct that showed a significant association with current neck pain, while peak velocity was the only variable that showed a significant association with kinesiophobia.</li> </ul>Wrap It Up<ul> <li>Neck pain patients patients showed an overall stiffer and more rigid neck motor control pattern compared to healthy controls, indicated by lower neck flexibility, slower movement velocity, increased head steadiness and more rigid trajectory head motion patterns.</li> <li>Only neck flexibility showed a significant association with clinical features in neck pain patients</li> </ul> Before getting to the next one, Next thing, go to <a href="https://www.tecnobody.com/en/products" rel="nofollow" target="_blank">https://www.tecnobody.com/en/products</a> That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> and the discount code is HOTSTUFF. Go do it.Item #2Our last one this week is called, “Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers” by Lindsay M. Gorrell,Andrew Sawatsky, W Brent Edwards &amp; Walter Herzog and published in Taylor and Francis Online on 15 Nov 2022. Hot potato!Why They Did It The objective of this study was to measure VA length changes that occur during cervical spine manipulation and to compare these to the VA failure length.How They Did It<ul> <li>Piezoelectric ultrasound crystals were implanted along the length of the VA (C1 to C7) and were used to measure length changes during cervical spine manipulation of seven un-embalmed, post-rigor human cadavers.</li> </ul><ul> <li>Arteries were then excised, and elongation from arbitrary in-situ head/neck positions to first force (0.1 N) was measured. Following this, VA were stretched (8.33 mm/s) to mechanical failure. Failure was defined as the instance when VA elongation resulted in a decrease in force.</li> </ul> What They Found<ul> <li>From arbitrary in-situ head/neck positions, the greatest average VA length change during spinal manipulation was 5.1%</li> </ul><ul> <li>From arbitrary in-situ head/neck positions, arteries were elongated on average 33.5% prior to first force occurrence and 51.3% to failure.</li> </ul><ul> <li>Average failure forces were 3.4 N</li> </ul>Wrap It Up<ul> <li>Measured in arbitrary in-situ head/neck positions, VA were slack. It appears that this slack must be taken up prior to VA experiencing tensile force.</li> </ul><ul> <li>During cervical spine manipulations (using cervical spine extension and rotation), arterial length changes remained below that slack length, suggesting that VA elongated but were not stretched during the manipulation.</li> </ul><ul> <li>However, in order to answer the question if cervical spine manipulation is safe from a mechanical perspective, the testing performed here needs to be repeated using a defined in-situ head/neck position and take into consideration other structures (e.g. carotid arteries).</li> </ul>Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That’s Chiropractic!ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger Meisingset I, Woodhouse A, Stensdotter AK, Stavdahl Ø, Lorås H, Gismervik S, Andresen H, Austreim K, Vasseljen O. Evidence for a general stiffening motor control pattern in neck pain: a cross sectional study. BMC Musculoskelet Disord. 2015 Mar 17;16:56. doi: 10.1186/s12891-015-0517-2. PMID: 25888215; PMCID: PMC4377005. Lindsay M. Gorrell, Andrew Sawatsky, W Brent Edwards &amp; Walter Herzog (2023) Vertebral arteries do not experience tensile force during manual cervical spine manipulation applied to human cadavers, Journal of Manual &amp; Manipulative Therapy, 31:4, 261-269, DOI: <a href="https://doi.org/10.1080/10669817.2022.2148048" rel="nofollow" target="_blank">10.1080/10669817.2022.2148048</a>The post <a href="https://www.chiropracticforward.com/motor-control-stiffening-spinal-manipulation-and-the-vertebral-artery/" rel="nofollow" target="_blank">Motor Control Stiffening &amp; Spinal Manipulation And The Vertebral Artery</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

Motor Control Stiffening & Spinal Manipulation And The Vertebral Artery

CF 288: COVID-Delayed Surgeries &amp; Lumbar Stenosis Research Today we’re going to talk about COVID-Delayed Surgeries &amp; Lumbar Stenosis Research But first, here’s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!    OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while  we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com  You have found yourself smack dab in the middle of Episode #289 Now if you missed last week’s episode, we talked about Mindfulness For Knee Replacement &amp; The Use Of Tuina.Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..I’ll share with you all that I’ve been messing around a lot with AI and how it can make my life easier while saving me money. And it has. What I’ve figured out so far: I used to have to hire a virtual assistant off of Upwork to create my personal website blogs. I would always go in and take out the vitalist, philosophy stuff and make the blog mine but, for the bulk of the blogging, they would do it. Now, AI does it. I do the same process on my end but it doesn’t cost me nearly as much each week. In fact, the assistant, come to find out, was using AI and charging me as if they were the one creating it all. Now, I’ve cut out the middleman and saved money. I was intimidated in the beginning, but I recently started experimenting with lots of AI image creation apps. I finally settled on one I really like and now, I can make unique, non-copyrighted images for my blogs, social media, etc. No more lame images off of Pixabay to find a non-licensed image anymore. I just make my own and, I have to admit, it’s kind of fun.  There is definitely a learning curve on AI right now but once you’ve crossed the threshold, it’s all downhill and life is good. I have some crude southern sayings to describe the easy life but I’ll save those for personal, one on one conversations if we ever meet in person. So that’s what’s been on my radar lately. Also, there is a group here in Texas that is buying percentages of practices. You still run it as you always have but they do the HR, billing and collections, AR, etc. All of the soul sucking parts of practice. No name change and the valuation and offering for 60% is more than fair. That’s on my radar. We might do that. Life would smooth out if we did some of that. Keeping up with this machine without a dependable billing/collections dept is just a train wreck and hurts the heart pretty much every week. As always, as we make our way through the mud and muck, I’ll be sure to keep you updated. For now though, let’s get into the research, shall we?  Item #1 The first one today is called “Patients who delayed non-emergency surgeries during the pandemic are returning for care” by Beth Kutscher and published in LinkedIn on June 29, 2023. Dayum. That’s hot.  Why They Did It The patients who postponed non-emergency surgeries during the pandemic are now seeking care, leading to an increase in surgical volume. This has sparked a discussion about the necessity of these procedures. The motive behind studying the prevalence of unnecessary surgeries is to identify potential areas where healthcare resources and costs can be optimized.  How They Did It  The analysis involves studying the rates of surgical procedures and identifying cases that may be deemed unnecessary. The Lown Institute conducted a controversial study that identified over 106,000 potentially unnecessary surgeries between March and December 2020. However, the study’s methodology and conclusions were criticized by the American Hospital Association for having limitations and flaws. Other studies have also shown significant variations in surgical rates across countries and states, such as the high c-section rate in the United States and the discrepancy in lumbar fusion rates.   Vijay Yanamadala, a spine surgeon, conducted his own research on unnecessary lumbar spinal fusions, estimating that over 50% of such surgeries may be unnecessary. He also referenced the Lown Institute data, which suggests that back procedures, including vertebroplasty for osteoporosis and spinal fusion for back pain, contribute to about one-third of unnecessary surgeries.   Yanamadala wears two hats in this context, serving as a neurosurgeon and also as the chief medical officer for Sword Health, a company providing digital physical therapy.   What They Found  The Lown Institute’s study identified a large volume of potentially unnecessary procedures. Yanamadala’s research specifically focused on lumbar spinal fusions and suggested that over 50% of them could be unnecessary. Back procedures, including vertebroplasty and spinal fusion, were found to account for a significant portion of unnecessary surgeries.   Wrap It Up  The analysis of surgical procedures suggests that there is an issue with unnecessary surgeries in the healthcare system. Factors contributing to unnecessary surgeries include poor compliance with physical therapy before surgery and the profit-driven nature of the U.S. healthcare system. While elective surgeries are profitable for hospitals, there is a shortage of physical therapists, and certain specialties, such as neurosurgery, are more sought-after than non-surgical specialties like spinal cord injury fellowships.   The findings emphasize the need for a more balanced and patient-centered approach to surgical decision-making. Optimizing healthcare resources, improving compliance with non-surgical alternatives like physical therapy, and addressing the disparities in access to appropriate care are important steps toward reducing unnecessary surgeries and ensuring that patients receive the right care.    Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.  When you decide you can’t live without those products, send me an email and I’ll give you the hookup. They will 100% differentiate your clinic from your competitors.  I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it. Item #2 Our last one this week is called, “A prospective study of non-surgical versus surgical treatment for lumbar spinal stenosis without instability” by Jung et al.  and published in PubMed on August 17, 2020.   Why They Did It This study compared non-surgical and surgical outcomes in surgical candidates for lumbar spinal stenosis (LSS).  How They Did It  Surgical candidates for stenosis were prospectively screened. Patients were offered the option to be enrolled in a randomized cohort, an observational cohort, or not to participate. Patient-reported outcomes were evaluated at baseline, and at 1, 3, 6, and 12 month The primary outcomes were measures of pain and functional outcomes such as the Korean version of the Oswestry Disability Index (K-ODI), the EuroQol 5-Dimension instrument (EQ-5D), and 36-Item Short-Form Health Survey (SF-36).   What They Found  110 patients were enrolled in the randomized cohort and 37 patients in the observational cohort.   Among them, 97 patients received non-surgical treatment, and 50 patients underwent surgical treatment.   At 12 months, the non-surgical treatment group had less improvements in the primary outcome measures of back pain, leg pain, EQ-5D utility index and EQ-5D VAS.   Most SF-36 section parameters also showed less improvement in the non-surgical treatment group than in the surgical treatment group throughout the 12-month follow-up.  Wrap It Up In stenosis patients without instability, non-surgical treatment resulted in less pain improvement and functional recovery through 1 year.  Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at chiropracticforward.com.  Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!    The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. WebsiteHome   Social Media Links https://www.facebook.com/chiropracticforward/   Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/   Twitter Tweets by Chiro_Forward   YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q   iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2   Player FM Link https://player.fm/series/2291021   Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through   TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/   About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger    The post COVID-Delayed Surgeries &amp; Lumbar Stenosis Research appeared first on Chiropractic Forward.

<a></a>CF 288: COVID-Delayed Surgeries &amp; Lumbar Stenosis Research Today we’re going to talk about <a></a>COVID-Delayed Surgeries &amp; Lumbar Stenosis Research But first, here’s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while  we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul> You have found yourself smack dab in the middle of Episode #289 Now if you missed last week’s episode, we talked about Mindfulness For Knee Replacement &amp; The Use Of Tuina.Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..I’ll share with you all that I’ve been messing around a lot with AI and how it can make my life easier while saving me money. And it has. What I’ve figured out so far:<ol> <li>I used to have to hire a virtual assistant off of Upwork to create my personal website blogs. I would always go in and take out the vitalist, philosophy stuff and make the blog mine but, for the bulk of the blogging, they would do it. Now, AI does it. I do the same process on my end but it doesn’t cost me nearly as much each week. In fact, the assistant, come to find out, was using AI and charging me as if they were the one creating it all. Now, I’ve cut out the middleman and saved money.</li> <li>I was intimidated in the beginning, but I recently started experimenting with lots of AI image creation apps. I finally settled on one I really like and now, I can make unique, non-copyrighted images for my blogs, social media, etc. No more lame images off of Pixabay to find a non-licensed image anymore. I just make my own and, I have to admit, it’s kind of fun.</li> </ol> There is definitely a learning curve on AI right now but once you’ve crossed the threshold, it’s all downhill and life is good. I have some crude southern sayings to describe the easy life but I’ll save those for personal, one on one conversations if we ever meet in person. So that’s what’s been on my radar lately. Also, there is a group here in Texas that is buying percentages of practices. You still run it as you always have but they do the HR, billing and collections, AR, etc. All of the soul sucking parts of practice. No name change and the valuation and offering for 60% is more than fair. That’s on my radar. We might do that. Life would smooth out if we did some of that. Keeping up with this machine without a dependable billing/collections dept is just a train wreck and hurts the heart pretty much every week. As always, as we make our way through the mud and muck, I’ll be sure to keep you updated. For now though, let’s get into the research, shall we? Item #1 The first one today is called “Patients who delayed non-emergency surgeries during the pandemic are returning for care” by Beth Kutscher and published in LinkedIn on June 29, 2023. Dayum. That’s hot. Why They Did It The patients who postponed non-emergency surgeries during the pandemic are now seeking care, leading to an increase in surgical volume. This has sparked a discussion about the necessity of these procedures. The motive behind studying the prevalence of unnecessary surgeries is to identify potential areas where healthcare resources and costs can be optimized. How They Did It <ul> <li>The analysis involves studying the rates of surgical procedures and identifying cases that may be deemed unnecessary.</li> <li>The Lown Institute conducted a controversial study that identified over 106,000 potentially unnecessary surgeries between March and December 2020.</li> <li>However, the study’s methodology and conclusions were criticized by the American Hospital Association for having limitations and flaws. Other studies have also shown significant variations in surgical rates across countries and states, such as the high c-section rate in the United States and the discrepancy in lumbar fusion rates.</li> </ul> <ul> <li>Vijay Yanamadala, a spine surgeon, conducted his own research on unnecessary lumbar spinal fusions, estimating that over 50% of such surgeries may be unnecessary. He also referenced the Lown Institute data, which suggests that back procedures, including vertebroplasty for osteoporosis and spinal fusion for back pain, contribute to about one-third of unnecessary surgeries.</li> </ul> <ul> <li>Yanamadala wears two hats in this context, serving as a neurosurgeon and also as the chief medical officer for Sword Health, a company providing digital physical therapy.</li> </ul> What They Found <ul> <li>The Lown Institute’s study identified a large volume of potentially unnecessary procedures.</li> <li>Yanamadala’s research specifically focused on lumbar spinal fusions and suggested that over 50% of them could be unnecessary.</li> <li>Back procedures, including vertebroplasty and spinal fusion, were found to account for a significant portion of unnecessary surgeries.</li> </ul> Wrap It Up <ul> <li>The analysis of surgical procedures suggests that there is an issue with unnecessary surgeries in the healthcare system.</li> <li>Factors contributing to unnecessary surgeries include poor compliance with physical therapy before surgery and the profit-driven nature of the U.S. healthcare system.</li> <li>While elective surgeries are profitable for hospitals, there is a shortage of physical therapists, and certain specialties, such as neurosurgery, are more sought-after than non-surgical specialties like spinal cord injury fellowships.</li> </ul> <ul> <li>The findings emphasize the need for a more balanced and patient-centered approach to surgical decision-making. Optimizing healthcare resources, improving compliance with non-surgical alternatives like physical therapy, and addressing the disparities in access to appropriate care are important steps toward reducing unnecessary surgeries and ensuring that patients receive the right care.</li> </ul> Before getting to the next one, Next thing, go to <a href="https://www.tecnobody.com/en/products" rel="nofollow" target="_blank">https://www.tecnobody.com/en/products</a> That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can’t live without those products, send me an email and I’ll give you the hookup. They will 100% differentiate your clinic from your competitors. I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> and the discount code is HOTSTUFF. Go do it. Item #2 Our last one this week is called, “A prospective study of non-surgical versus surgical treatment for lumbar spinal stenosis without instability” by Jung et al.  and published in PubMed on August 17, 2020. Why They Did It This study compared non-surgical and surgical outcomes in surgical candidates for lumbar spinal stenosis (LSS). How They Did It <ul> <li>Surgical candidates for stenosis were prospectively screened.</li> <li>Patients were offered the option to be enrolled in a randomized cohort, an observational cohort, or not to participate.</li> <li>Patient-reported outcomes were evaluated at baseline, and at 1, 3, 6, and 12 month</li> <li>The primary outcomes were measures of pain and functional outcomes such as the Korean version of the Oswestry Disability Index (K-ODI), the EuroQol 5-Dimension instrument (EQ-5D), and 36-Item Short-Form Health Survey (SF-36).</li> </ul> What They Found <ul> <li>110 patients were enrolled in the randomized cohort and 37 patients in the observational cohort.</li> </ul> <ul> <li>Among them, 97 patients received non-surgical treatment, and 50 patients underwent surgical treatment.</li> </ul> <ul> <li>At 12 months, the non-surgical treatment group had less improvements in the primary outcome measures of back pain, leg pain, EQ-5D utility index and EQ-5D VAS.</li> </ul> <ul> <li>Most SF-36 section parameters also showed less improvement in the non-surgical treatment group than in the surgical treatment group throughout the 12-month follow-up.</li> </ul> Wrap It Up In stenosis patients without instability, non-surgical treatment resulted in less pain improvement and functional recovery through 1 year. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/covid-delayed-surgeries-lumbar-stenosis-research/" rel="nofollow" target="_blank">COVID-Delayed Surgeries &amp; Lumbar Stenosis Research</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

COVID-Delayed Surgeries & Lumbar Stenosis Research

CF 287: Mindfulness For Knee Replacement &amp; The Use Of TuinaToday we’re going to talk about Mindfulness For Knee Replacement &amp; The Use Of TuinaBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com You have found yourself smack dab in the middle of Episode 287Now if you missed last week’s episode, we talked about Nonsurgical Decompression and sugar substitutes. Make sure you don’t miss that info. Keep up with the class.On the personal end of things…..Let’s talk about integration briefly. There’s so much to discuss but I mostly want to talk about time. How much time does it take to build a practice for your Nurse Practitioner.Let me just say…..longer than I expected. Here’s the first thing to understand about those in the medical field. They are clock in and clock outers. Unless they are owners, of course.Think about it; they go to the hospital, do their 12-hour shift, and go home. They have patients provided to them and they never have to give it much thought. There is also a lot of turnover in the NP space in most areas. They’re bouncing from one job to another where needed and it’s just normal. When they get to the new place, patients are provided blah blah blah.But what about when you start something from scratch? From the ground up? Making something out of absolutely nothing? What about that? Well, that’s a different story, of course.That’s what we did. We went from a chiropractic office to a medical office in one day once it was all set up. Now…..where do you get your medical patients from? Not all of your chiro patients need any medical care and if they wanted medical care, they wouldn’t be in your office in the first place, would they?So, if you are a marketing mastermind, you got this just throw a bunch of money at it. Unfortunately, I am not a marketing mastermind. I’m a marketer, but I am busy enough with patients that I just don’t have the time to figure out online marketing. It’s a black hole for me.I’ve marketed to my email list every week. I’ve done a ton of internal, in-office marketing, I’ve marketed to our attorney referral friends, I’ve marketed to the Work Comp demographic, and have posted countless times about what we have to offer here at my clinic.STILL….it just takes time, doesn’t it? Luckily, we had a war chest of money prepared to get us started. I was talking to a NP friend of mine after we had started our integration and she said in the industry, the word is that it takes up to 2 years to build a new practice.That’s about what I’m discovering. I was hoping I could shorten that but nope….at about the 2-year mark, we’re starting to see the numbers come up to where things are covering the overhead and we’re looking at hopefully seeing some profit soon.But, the point on integration, if you’ve ever considered it, if you are not a master marketer or have one you’ve hired, you’re looking at roughly 2 years of building. Or more. And….you’re going to most likely do it yourself unless you find an NP that is on fire to build their own thing.Just a few tips from your ol Uncle Jeffro.Now, into the research. Here we go.Item #1 The first on today is called “Brief Mindfulness-Based Cognitive Behavioral Therapy is Associated with Faster Recovery in Patients Undergoing Total Knee Arthroplasty: A Pilot Clinical Trial” by Bethany D Pester, et. al. and published in Pain Medicine on 17 November 2022. Dayum. That’s steamy.Why They Did ItTo assess whether brief mindfulness-based cognitive behavioral therapy (MBCBT) could enhance the benefits of total knee arthroplasty (TKA) in improving pain and pain-related disability.Specifically, to determine whether patients who received mindfulness-based cognitive behavioral therapy differed from matched controls who received treatment-as-usual with regard to postsurgical pain outcomes and 2) whether changes in pain catastrophizing, depression, or anxiety explained the potential effects of mindfulness-based cognitive behavioral therapy on pain outcomes.How They Did It  The mindfulness-based cognitive behavioral therapy intervention included four 60-minute sessions delivered by a pain psychologist in person and via telephone during the perioperative period. Participants were assessed at baseline and at 6 weeks, 3 months, and 6 months after surgery. What They Found Compared with matched controls, patients who received mindfulness-based cognitive behavioral therapy had lower pain severity and pain interference at 6 weeks after surgery. Group differences in outcomes were mediated by changes in pain catastrophizing but not by changes in depression or anxiety. The mindfulness-based cognitive behavioral therapy group had similar reductions in pain severity and interference as the control group did at 3 and 6 months after surgery. Wrap It Up This work offers evidence for a safe and flexibly delivered nonpharmacological treatment (mindfulness-based cognitive behavioral therapy) to promote faster recovery from total knee arthoplasty and identifies change in pain catastrophizing as a mechanism by which this intervention could lead to enhanced pain-related outcomes.  Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.  When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.Item #2Our last one this week is called, “The Effectiveness of Tuina in Relieving Pain, Negative Emotions, and Disability in Knee Osteoarthritis: A Randomized Controlled Trial” by Hui Xu, et. al. and published in Pain Medicine on 23 August 2022. It’s warm-ish!Why They Did ItTo evaluate the effectiveness of Tuina in relieving the pain, negative emotions, and disability of patients with knee osteoarthritis (KOA).How They Did It A total of 104 patients were randomly allocated to receive the 6-week treatment of Tuina (Tuina group) or celecoxib (celecoxib group).  Data on pain, negative emotions, and disability were collected at baseline, at week 2, 4, and 6, and follow-up (1 month after the last treatment).  The primary outcomes were the pressure pain thresholds.  The secondary outcomes were: (1) numerical rating scale at rest and with movement; (2) Hamilton Anxiety Scale; (3) Hamilton Depression Scale; (4) Western Ontario and McMaster Universities Osteoarthritis Index; and (5) clinical effective rate. The adverse events of the trial were evaluated.   What They Found In total, 99 patients completed the follow-up. Generalized linear mixed models were constructed to analyse the between-group differences.  Statistically significant differences were found in the interaction effects. In evaluating the group effect, statistical differences were found at week 6 and follow-up.  Further, all variables showed a time effect. A statistical difference in the clinical effective rate was found between the Tuina and celecoxib groups. Wrap It UpTuina produced superior effects for pain, negative emotions, and disability over time, as compared to celecoxib in patients with knee osteoarthritis.Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at chiropracticforward.com. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!   Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That‘s Chiropractic!ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.WebsiteHome  Social Media Links https://www.facebook.com/chiropracticforward/  Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/  Twitter Tweets by Chiro_Forward  YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q  iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2  Player FM Link https://player.fm/series/2291021  Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through  TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/  About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; VloggerThe post Mindfulness For Knee Replacement &amp; The Use Of Tuina appeared first on Chiropractic Forward.

<a></a>CF 287: Mindfulness For Knee Replacement &amp; The Use Of TuinaToday we’re going to talk about <a></a>Mindfulness For Knee Replacement &amp; The Use Of TuinaBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul>You have found yourself smack dab in the middle of Episode 287Now if you missed last week’s episode, we talked about Nonsurgical Decompression and sugar substitutes. Make sure you don’t miss that info. Keep up with the class.On the personal end of things…..Let’s talk about integration briefly. There’s so much to discuss but I mostly want to talk about time. How much time does it take to build a practice for your Nurse Practitioner.Let me just say…..longer than I expected. Here’s the first thing to understand about those in the medical field. They are clock in and clock outers. Unless they are owners, of course.Think about it; they go to the hospital, do their 12-hour shift, and go home. They have patients provided to them and they never have to give it much thought. There is also a lot of turnover in the NP space in most areas. They’re bouncing from one job to another where needed and it’s just normal. When they get to the new place, patients are provided blah blah blah.But what about when you start something from scratch? From the ground up? Making something out of absolutely nothing? What about that? Well, that’s a different story, of course.That’s what we did. We went from a chiropractic office to a medical office in one day once it was all set up. Now…..where do you get your medical patients from? Not all of your chiro patients need any medical care and if they wanted medical care, they wouldn’t be in your office in the first place, would they?So, if you are a marketing mastermind, you got this just throw a bunch of money at it. Unfortunately, I am not a marketing mastermind. I’m a marketer, but I am busy enough with patients that I just don’t have the time to figure out online marketing. It’s a black hole for me.I’ve marketed to my email list every week. I’ve done a ton of internal, in-office marketing, I’ve marketed to our attorney referral friends, I’ve marketed to the Work Comp demographic, and have posted countless times about what we have to offer here at my clinic.STILL….it just takes time, doesn’t it? Luckily, we had a war chest of money prepared to get us started. I was talking to a NP friend of mine after we had started our integration and she said in the industry, the word is that it takes up to 2 years to build a new practice.That’s about what I’m discovering. I was hoping I could shorten that but nope….at about the 2-year mark, we’re starting to see the numbers come up to where things are covering the overhead and we’re looking at hopefully seeing some profit soon.But, the point on integration, if you’ve ever considered it, if you are not a master marketer or have one you’ve hired, you’re looking at roughly 2 years of building. Or more. And….you’re going to most likely do it yourself unless you find an NP that is on fire to build their own thing.Just a few tips from your ol Uncle Jeffro.Now, into the research. Here we go.Item #1 The first on today is called “Brief Mindfulness-Based Cognitive Behavioral Therapy is Associated with Faster Recovery in Patients Undergoing Total Knee Arthroplasty: A Pilot Clinical Trial” by Bethany D Pester, et. al. and published in Pain Medicine on 17 November 2022. Dayum. That’s steamy.Why They Did ItTo assess whether brief mindfulness-based cognitive behavioral therapy (MBCBT) could enhance the benefits of total knee arthroplasty (TKA) in improving pain and pain-related disability.Specifically, to determine<ul> <li>whether patients who received mindfulness-based cognitive behavioral therapy differed from matched controls who received treatment-as-usual with regard to postsurgical pain outcomes and</li> </ul>2) whether changes in pain catastrophizing, depression, or anxiety explained the potential effects of mindfulness-based cognitive behavioral therapy on pain outcomes.How They Did It <ul> <li>The mindfulness-based cognitive behavioral therapy intervention included four 60-minute sessions delivered by a pain psychologist in person and via telephone during the perioperative period.</li> <li>Participants were assessed at baseline and at 6 weeks, 3 months, and 6 months after surgery.</li> </ul>What They Found<ul> <li>Compared with matched controls, patients who received mindfulness-based cognitive behavioral therapy had lower pain severity and pain interference at 6 weeks after surgery.</li> <li>Group differences in outcomes were mediated by changes in pain catastrophizing but not by changes in depression or anxiety.</li> <li>The mindfulness-based cognitive behavioral therapy group had similar reductions in pain severity and interference as the control group did at 3 and 6 months after surgery.</li> </ul>Wrap It Up This work offers evidence for a safe and flexibly delivered nonpharmacological treatment (mindfulness-based cognitive behavioral therapy) to promote faster recovery from total knee arthoplasty and identifies change in pain catastrophizing as a mechanism by which this intervention could lead to enhanced pain-related outcomes. Before getting to the next one, Next thing, go to <a href="https://www.tecnobody.com/en/products" rel="nofollow" target="_blank">https://www.tecnobody.com/en/products</a> That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> and the discount code is HOTSTUFF. Go do it.Item #2Our last one this week is called, “The Effectiveness of Tuina in Relieving Pain, Negative Emotions, and Disability in Knee Osteoarthritis: A Randomized Controlled Trial” by Hui Xu, et. al. and published in Pain Medicine on 23 August 2022. It’s warm-ish!Why They Did ItTo evaluate the effectiveness of Tuina in relieving the pain, negative emotions, and disability of patients with knee osteoarthritis (KOA).How They Did It<ul> <li>A total of 104 patients were randomly allocated to receive the 6-week treatment of Tuina (Tuina group) or celecoxib (celecoxib group).</li> </ul><ul> <li>Data on pain, negative emotions, and disability were collected at baseline, at week 2, 4, and 6, and follow-up (1 month after the last treatment).</li> </ul><ul> <li>The primary outcomes were the pressure pain thresholds.</li> </ul><ul> <li>The secondary outcomes were: (1) numerical rating scale at rest and with movement; (2) Hamilton Anxiety Scale; (3) Hamilton Depression Scale; (4) Western Ontario and McMaster Universities Osteoarthritis Index; and (5) clinical effective rate. The adverse events of the trial were evaluated.</li> </ul> What They Found<ul> <li>In total, 99 patients completed the follow-up. Generalized linear mixed models were constructed to analyse the between-group differences.</li> </ul><ul> <li>Statistically significant differences were found in the interaction effects. In evaluating the group effect, statistical differences were found at week 6 and follow-up.</li> </ul><ul> <li>Further, all variables showed a time effect. A statistical difference in the clinical effective rate was found between the Tuina and celecoxib groups.</li> </ul>Wrap It UpTuina produced superior effects for pain, negative emotions, and disability over time, as compared to celecoxib in patients with knee osteoarthritis.Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That‘s Chiropractic!ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; VloggerThe post <a href="https://www.chiropracticforward.com/mindfulness-for-knee-replacement-the-use-of-tuina/" rel="nofollow" target="_blank">Mindfulness For Knee Replacement &amp; The Use Of Tuina</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

Mindfulness For Knee Replacement & The Use Of Tuina

CF 286: Nonsurgical Decompression &amp; Sugar SubstitutesToday we’re going to talk about Nonsurgical Decompression &amp; Sugar SubstitutesBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com You have found yourself smack dab in the middle of Episode 286Now if you missed last week’s episode, we talked about Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical PatientsMake sure you don’t miss that info. Keep up with the class.On the personal end of things…..Dudes, sisters, and bros…..American Airlines got me home a day late from my visit to Boston this weekend. In short, my daughter got accepted to The Congress of Future Medical Leaders…..or something like that….where they got to listen to Nobel Laureates and movers and shakers. One speaker was a surgeon and an astronaut. Yes, that caliber of speaker.It was in Boston so we did that, drove to New Hampshire for breakfast one morning. That was something straight from a movie. Good stuff. Got to do the Freedom Trail and I’m a history nerd. That might be something you didn’t know about me but, specifically, the American Revolution and WWII. I think the Civil War was just too ugly all around to be at the top of the list and WWI just never really grabbed me for some reason.But yeah, anyway, we did it all and loved my first trip to Boston. Loved it A LOT actually. The trip there, American Airlines delayed me a day by making me miss my connecting plane in Dallas. Then did it again on the way home. I was supposed to get home last night. Instead, finally got to an unplanned hotel around 1:30am just to get up and Uber to the airport around 5:45 am this morning, fly home, change clothes and get to work to salvage what I could of this work day.Luckily I have a great staff that got everyone re-scheduled and super cool and understanding patients. So, that’s all I have time for. I’m cutting it short. Let’s hop into the research.Item #1 The first on today is called “Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study” by Christian C Apfel, et. al and published in PubMed on July 8th 2010.Why They Did ItThe goal of this study was to determine if changes in LBP, as measured on a verbal rating scale, before and after a 6-week treatment period with non-surgical spinal decompression, correlate with changes in lumbar disc height, as measured on CT scans.How They Did It  A retrospective cohort study of adults with chronic LBP attributed to disc herniation and/or discogenic LBP who underwent a 6-week treatment protocol of motorized non-surgical spinal decompression via the DRX9000 with CT scans before and after treatment. The main outcomes were changes in pain as measured on a verbal rating scale from 0 to 10 during a flexion-extension range of motion evaluation and changes in disc height as measured on CT scans. Paired t-test or linear regression was used as appropriate What They Found They identified 30 patients with lumbar disc herniation with an average age of 65 years, proper BMI, 21 females and 9 males, and an average duration of LBP of 12.5 weeks. During treatment, low back pain decreased from 6.2 to 1.6 and disc height increased from 7.5 mm to 8.8 Increase in disc height and reduction in pain were significantly correlated Wrap It Up Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.The correlation of these variables suggests that pain reduction may be mediated, at least in part, through a restoration of disc height.Item #2Our last one this week is called, “Sugar Substitutes Don’t Help Weight Control and May Increase Risk of Heart Disease and Diabetes, WHO Warns” by Melissa Suran, PhD, MSJ published in JAMA Network on June 14, 2023. Hot potato!Why They Did ItThe study was done to know if sugar substitutes which are often touted for having fewer calories than sugar—or no calories at all—long-term use can aid weight loss or management.How They Did It The guideline is relevant for children and adults without preexisting diabetes. It applies to artificial and natural sweeteners not classified as sugar—like aspartame, saccharin, stevia, and sucralose—but not sugar alcohols or low-calorie sugars. It also doesn’t apply to medications or hygiene and personal care products, which sometimes contain traces of sugar substitutes for palatability. Thus, nonsugar sweetener use or consumption means consuming foods and beverages containing sugar substitutes or adding them to such products.  To inform their recommendation, investigators reviewed 283 studies, including randomized trials, prospective cohort studies, and case-control studies.   What They FoundIn adults: Consuming nonsugar sweeteners for short periods of time, about 3 months or less, was associated with lower weight and body mass index. Yet short-term use didn’t improve other indicators of cardiometabolic health, such as glucose or insulin levels. Longer-term use between 6 months and 18 months didn’t appear to affect weight, but data from related trials were difficult to interpret because of the various methodologies. Across prospective cohort studies, including those that followed participants for a decade, higher use of nonsugar sweeteners correlated with an increased risk of obesity, type 2 diabetes, several cardiovascular diseases—including stroke—and death from any cause. Although using sugar substitutes wasn’t associated with an overall higher risk of cancer, saccharin was linked with bladder cancer in a small number of case-control studies. In children: Evidence for the health effects of sugar substitutes was limited. Even though children lost weight when sugar-sweetened beverages were replaced with beverages containing sugar substitutes, there was no observable difference in body mass index scores. Moreover, several studies found no significant connections between consuming nonsugar sweeteners and improved health outcomes. In pregnant individuals: Data were also limited. Whereas higher use of nonsugar sweeteners during pregnancy was associated with an increased risk of preterm birth, it’s unclear whether offspring’s weight at birth or later in life was affected. Sugar substitutes didn’t decrease the risk of gestational diabetes, but using such sweeteners during pregnancy may affect some offspring outcomes: maternal consumption was associated with an increased risk of asthma and allergies, as well as reduced cognitive function. Wrap It UpWhen possible, the guideline suggests opting for unsweetened foods and beverages. It also recommends that policy makers focus on reducing consumption of sugar and its  substitutes in infants and young children still forming taste preferences.Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at chiropracticforward.com. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!   Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That‘s Chiropractic!ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.WebsiteHome  Social Media Links https://www.facebook.com/chiropracticforward/  Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/  Twitter Tweets by Chiro_Forward  YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q  iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2  Player FM Link https://player.fm/series/2291021  Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through  TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/  About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post Nonsurgical Decompression &amp; Sugar Substitutes appeared first on Chiropractic Forward.

<a></a>CF 286: <a></a>Nonsurgical Decompression &amp; Sugar SubstitutesToday we’re going to talk about Nonsurgical Decompression &amp; Sugar SubstitutesBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul>You have found yourself smack dab in the middle of Episode 286<h2>Now if you missed last week’s episode, we talked about <a href="https://www.chiropracticforward.com/neuroplasticity-and-chronic-pain-surgeons-showing-excised-disc-fragments-to-postsurgical-patients/" rel="nofollow" target="_blank">Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical Patients</a></h2>Make sure you don’t miss that info. Keep up with the class.On the personal end of things…..Dudes, sisters, and bros…..American Airlines got me home a day late from my visit to Boston this weekend. In short, my daughter got accepted to The Congress of Future Medical Leaders…..or something like that….where they got to listen to Nobel Laureates and movers and shakers. One speaker was a surgeon and an astronaut. Yes, that caliber of speaker.It was in Boston so we did that, drove to New Hampshire for breakfast one morning. That was something straight from a movie. Good stuff. Got to do the Freedom Trail and I’m a history nerd. That might be something you didn’t know about me but, specifically, the American Revolution and WWII. I think the Civil War was just too ugly all around to be at the top of the list and WWI just never really grabbed me for some reason.But yeah, anyway, we did it all and loved my first trip to Boston. Loved it A LOT actually. The trip there, American Airlines delayed me a day by making me miss my connecting plane in Dallas. Then did it again on the way home. I was supposed to get home last night. Instead, finally got to an unplanned hotel around 1:30am just to get up and Uber to the airport around 5:45 am this morning, fly home, change clothes and get to work to salvage what I could of this work day.Luckily I have a great staff that got everyone re-scheduled and super cool and understanding patients. So, that’s all I have time for. I’m cutting it short. Let’s hop into the research.Item #1 The first on today is called “Restoration of disk height through non-surgical spinal decompression is associated with decreased discogenic low back pain: a retrospective cohort study” by Christian C Apfel, et. al and published in PubMed on July 8th 2010.Why They Did ItThe goal of this study was to determine if changes in LBP, as measured on a verbal rating scale, before and after a 6-week treatment period with non-surgical spinal decompression, correlate with changes in lumbar disc height, as measured on CT scans.How They Did It <ul> <li>A retrospective cohort study of adults with chronic LBP attributed to disc herniation and/or discogenic LBP who underwent a 6-week treatment protocol of motorized non-surgical spinal decompression via the DRX9000 with CT scans before and after treatment.</li> <li>The main outcomes were changes in pain as measured on a verbal rating scale from 0 to 10 during a flexion-extension range of motion evaluation and changes in disc height as measured on CT scans.</li> <li>Paired t-test or linear regression was used as appropriate</li> </ul>What They Found<ul> <li>They identified 30 patients with lumbar disc herniation with an average age of 65 years, proper BMI, 21 females and 9 males, and an average duration of LBP of 12.5 weeks.</li> <li>During treatment, low back pain decreased from 6.2 to 1.6 and disc height increased from 7.5 mm to 8.8</li> <li>Increase in disc height and reduction in pain were significantly correlated</li> </ul>Wrap It Up Non-surgical spinal decompression was associated with a reduction in pain and an increase in disc height.The correlation of these variables suggests that pain reduction may be mediated, at least in part, through a restoration of disc height.Item #2Our last one this week is called, “Sugar Substitutes Don’t Help Weight Control and May Increase Risk of Heart Disease and Diabetes, WHO Warns” by Melissa Suran, PhD, MSJ published in JAMA Network on June 14, 2023. Hot potato!Why They Did ItThe study was done to know if sugar substitutes which are often touted for having fewer calories than sugar—or no calories at all—long-term use can aid weight loss or management.How They Did It<ul> <li>The guideline is relevant for children and adults without preexisting diabetes.</li> <li>It applies to artificial and natural sweeteners not classified as sugar—like aspartame, saccharin, stevia, and sucralose—but not sugar alcohols or low-calorie sugars.</li> <li>It also doesn’t apply to medications or hygiene and personal care products, which sometimes contain traces of sugar substitutes for palatability.</li> <li>Thus, nonsugar sweetener use or consumption means consuming foods and beverages containing sugar substitutes or adding them to such products.</li> </ul><ul> <li>To inform their recommendation, investigators reviewed 283 studies, including randomized trials, prospective cohort studies, and case-control studies.</li> </ul> What They FoundIn adults:<ul> <li>Consuming nonsugar sweeteners for short periods of time, about 3 months or less, was associated with lower weight and body mass index.</li> <li>Yet short-term use didn’t improve other indicators of cardiometabolic health, such as glucose or insulin levels.</li> <li>Longer-term use between 6 months and 18 months didn’t appear to affect weight, but data from related trials were difficult to interpret because of the various methodologies.</li> <li>Across prospective cohort studies, including those that followed participants for a decade, higher use of nonsugar sweeteners correlated with an increased risk of obesity, type 2 diabetes, several cardiovascular diseases—including stroke—and death from any cause.</li> <li>Although using sugar substitutes wasn’t associated with an overall higher risk of cancer, saccharin was linked with bladder cancer in a small number of case-control studies.</li> </ul>In children:<ul> <li>Evidence for the health effects of sugar substitutes was limited. Even though children lost weight when sugar-sweetened beverages were replaced with beverages containing sugar substitutes, there was no observable difference in body mass index scores.</li> <li>Moreover, several studies found no significant connections between consuming nonsugar sweeteners and improved health outcomes.</li> </ul>In pregnant individuals:<ul> <li>Data were also limited. Whereas higher use of nonsugar sweeteners during pregnancy was associated with an increased risk of preterm birth, it’s unclear whether offspring’s weight at birth or later in life was affected.</li> <li>Sugar substitutes didn’t decrease the risk of gestational diabetes, but using such sweeteners during pregnancy may affect some offspring outcomes: maternal consumption was associated with an increased risk of asthma and allergies, as well as reduced cognitive function.</li> </ul>Wrap It UpWhen possible, the guideline suggests opting for unsweetened foods and beverages. It also recommends that policy makers focus on reducing consumption of sugar and its  substitutes in infants and young children still forming taste preferences.Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That‘s Chiropractic!ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/nonsurgical-decompression-sugar-substitutes/" rel="nofollow" target="_blank">Nonsurgical Decompression &amp; Sugar Substitutes</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

Nonsurgical Decompression & Sugar Substitutes

CF 285: Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical PatientsToday we’re going to talk about Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical PatientsBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com You have found yourself smack dab in the middle of Episode #285Now if you missed last week’s episode, we talked about acupuncture for IBS and how chronic pain develops. Make sure you don’t miss that info. Keep up with the class.On the personal end of things…..I love conferences. I don’t always love the classes and continuing education but you gotta do it, right? So might as well get after it and maybe even learn something.I remember when I was first out of school and had to go to conferences. I hated it. Every bit of it. It was something being forced on me and I don’t like to be told what to do. It’s chaps my behind and gives me a rash. I’ve gotten better through the years though. I’ll admit.I remember growing up, my step-dad always told us, “You might as well get used to the idea right now, you’ll always have someone else to answer to.” Regardless – it may be your spouse, you rparents, your teachers, your practice owners, you own your practice? – OK, maybe it’s you state regulating board for your license, maybe it’s your city, your patients, your local, state, or federal government….whatever it is, you answer to someone.If you don’t think you answer to anyone, you may just be a problem and I don’t mean that as a compliment. Being humble, a team player, and cooperative within reason all has value.Anyway, I somehow began to enjoy and see the value of conferences and the connections that could be made there. I also started enjoying some of the education you can get there.At this point now, I’ve even taught at a few of them.It started by getting involved in thee Texas Chiropractic Association. Once you meet the whole crew and become embedded in the group, the conferences mean more all of the sudden. It’s all for one, one for all. You’re all driving the same direction with the same or similar goals. It’s rather unique actually. It becomes a brotherhood.Sooner or later, people from around the state begin to know you and, dare I say, maybe even respect you on some level. Especially the more you are willing to demonstrate your unique talents and value to the profession.Then, I began loving conferences. Which is why I hate that I’ve had to miss both big TCA conferences here in Texas this year. One is called the MidWinter conference in Lubbock, TX. I had to be in Atlanta at a voiceover conference. Y’all….I like conferences, OKThen this week, TCA is having the big ChiroTexpo event in the Dallas area. It’s the yearly state convention and I’m missing it for the first time in about 10 years because I have to be at a conference in Boston. Are you seeing the theme here? Lol. Except Boston is a conference my 16 year old mega mind daughter is going to. She was invited to the future medical professionals thingy majig. She gets to hear TED talks from nobel laureates for a few days and see a live surgery. She’s like 5th out of 290 kids in her class. Super proud of this little one but yeah, I have to miss my TCA conference.That means I have to figure out other ways to get the hours to maintain my license. So, I found a great way and I want to share it with you.If you’ve been listening to this podcast since 2019 or so, you know I got my Diplomate in Neuromusculoskeletal Medicine. Formerly the DACO or orthopedic Diplomate.A huge portion of the learning is online through the CDI which is an Australian group and this program is beyond any learning you’ll get anywhere else in the chiropractic realm. Maybe the Donald Murphy, Spine Practitioner learning but you get what I’m saying.It’s special. And now, the credits are good for lots of states and their CEUs. So you can dabble in some of their online learning and use them for your continuing ed. Let’s say you love the classes, well….just keep taking them and end up with a Diplomate.If you don’t love them, you got your continuing ed knocked out and learned a ton.I love this group, I love the lectures and the lecturers, I’ve learned more through them in 6 months than I learned in three years of chiropractic school, and I know you’re going to love them too.No affiliate code. No kick backs. Just mad respect for this group.Go to cdi.edu.auGo poke around there and see what you find. Then thank me later.Item #1 The first on today is called “ The effect of manual therapy and neuroplasticity education on chronic low back pain: a randomized clinical trial” by Adriaan Louw, Kevin Farrell, Merrill Landers, Martin Barclay, Elise Goodman, Jordan Gillund, Sara McCaffrey, Laura Timmerman and published in PubMed on December 25, 2017.Why They Did ItTo determine if a neuroplasticity educational explanation for a manual therapy technique will produce a different outcome compared to a traditional mechanical explanation.How They Did It  Sixty-two patients with chronic low back pain (CLBP) were recruited for the study. Pain ratings obtained for low back pain and leg pain, Numeric Pain Rating Scale, Oswestry Disability Index, Fear-Avoidance-Beliefs Questionnaire, forward flexion (fingertips-to-floor), and straight leg raise (SLR)  Patients were then randomly allocated to receive one of two explanations – either neuroplasticity or mechanical, a manual therapy technique to their lumbar spine, followed by post-intervention measurements of LBP, leg pain, forward flexion, and SLR. What They Found There were no statistically significant interactions for LBP, leg pain, and trunk flexion between the groups, but SLR showed a significant difference in favor of the neuroplasticity explanation.  Additionally, the neuroplasticity group were 7.2 times more likely to improve beyond the MDC on the SLR than participants in the mechanical group. Wrap It Up The results of this study show that a neuroplasticity explanation, compared to a traditional biomechanical explanation, resulted in a measurable difference in SLR in patients with CLBP when receiving manual therapy.  Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.  When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.Item #2Our last one this week is called, “ Improved outcome after lumbar microdiscectomy in patients shown their excised disc fragments: a prospective, double blind, randomised, controlled trial” by M J Tait, J Levy, M Nowell, C Pocock, V Petrik, B A Bell, M C Papadopoulos published in PubMed on 9 September 2009. !Why They Did ItLumbar microdiscectomy (LMD) is a commonly performed neurosurgical procedure. We set up a prospective, double blind, randomised, controlled trial to test the hypothesis that presenting the removed disc material to patients after LMD improves patient outcome.How They Did It Adult patients undergoing LMD for radiculopathy caused by a prolapsed intervertebral disc were randomised into one of two groups, termed experimental and control.  Patients in the experimental group were given their removed disc fragments whereas patients in the control group were not. Patients were unaware of the trial hypothesis and investigators were blinded to patient group allocation.  Outcome was assessed between 3 and 6 months after LMD. Primary outcome measures were the degree of improvement in sciatica and back pain reported by the patients. Secondary outcome measures were the degree of improvement in leg weakness, paraesthesia, numbness, walking distance and use of analgesia reported by the patients.  What They Found Data from 38 patients in the experimental group and 36 patients in the control group were analysed. The two groups were matched for age, sex and preoperative symptoms.  More patients in the experimental compared with the control group reported improvements in leg pain (91.5 vs 80.4%; p&lt;0.05), back pain (86.1 vs 75.0%; p&lt;0.05), limb weakness (90.5 vs 56.3%; p&lt;0.02), paraesthesia (88 vs 61.9%; p&lt;0.05) and reduced analgesic use (92.1 vs 69.4%; p&lt;0.02) than preoperatively. Wrap It UpPresentation of excised disc fragments is a cheap and effective way to improve outcome after LMD.Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at chiropracticforward.com. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That‘s Chiropractic!ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.WebsiteHome  Social Media Links https://www.facebook.com/chiropracticforward/  Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/  Twitter Tweets by Chiro_Forward  YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q  iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2  Player FM Link https://player.fm/series/2291021  Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through  TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/  About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  The post Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical Patients appeared first on Chiropractic Forward.

<a></a>CF 285: <a></a>Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical PatientsToday we’re going to talk about <a></a>Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical PatientsBut first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.comIf you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul>You have found yourself smack dab in the middle of Episode #285Now if you missed last week’s episode, we talked about acupuncture for IBS and how chronic pain develops. Make sure you don’t miss that info. Keep up with the class.On the personal end of things…..I love conferences. I don’t always love the classes and continuing education but you gotta do it, right? So might as well get after it and maybe even learn something.I remember when I was first out of school and had to go to conferences. I hated it. Every bit of it. It was something being forced on me and I don’t like to be told what to do. It’s chaps my behind and gives me a rash. I’ve gotten better through the years though. I’ll admit.I remember growing up, my step-dad always told us, “You might as well get used to the idea right now, you’ll always have someone else to answer to.” Regardless – it may be your spouse, you rparents, your teachers, your practice owners, you own your practice? – OK, maybe it’s you state regulating board for your license, maybe it’s your city, your patients, your local, state, or federal government….whatever it is, you answer to someone.If you don’t think you answer to anyone, you may just be a problem and I don’t mean that as a compliment. Being humble, a team player, and cooperative within reason all has value.Anyway, I somehow began to enjoy and see the value of conferences and the connections that could be made there. I also started enjoying some of the education you can get there.At this point now, I’ve even taught at a few of them.It started by getting involved in thee Texas Chiropractic Association. Once you meet the whole crew and become embedded in the group, the conferences mean more all of the sudden. It’s all for one, one for all. You’re all driving the same direction with the same or similar goals. It’s rather unique actually. It becomes a brotherhood.Sooner or later, people from around the state begin to know you and, dare I say, maybe even respect you on some level. Especially the more you are willing to demonstrate your unique talents and value to the profession.Then, I began loving conferences. Which is why I hate that I’ve had to miss both big TCA conferences here in Texas this year. One is called the MidWinter conference in Lubbock, TX. I had to be in Atlanta at a voiceover conference. Y’all….I like conferences, OKThen this week, TCA is having the big ChiroTexpo event in the Dallas area. It’s the yearly state convention and I’m missing it for the first time in about 10 years because I have to be at a conference in Boston. Are you seeing the theme here? Lol. Except Boston is a conference my 16 year old mega mind daughter is going to. She was invited to the future medical professionals thingy majig. She gets to hear TED talks from nobel laureates for a few days and see a live surgery. She’s like 5th out of 290 kids in her class. Super proud of this little one but yeah, I have to miss my TCA conference.That means I have to figure out other ways to get the hours to maintain my license. So, I found a great way and I want to share it with you.If you’ve been listening to this podcast since 2019 or so, you know I got my Diplomate in Neuromusculoskeletal Medicine. Formerly the DACO or orthopedic Diplomate.A huge portion of the learning is online through the CDI which is an Australian group and this program is beyond any learning you’ll get anywhere else in the chiropractic realm. Maybe the Donald Murphy, Spine Practitioner learning but you get what I’m saying.It’s special. And now, the credits are good for lots of states and their CEUs. So you can dabble in some of their online learning and use them for your continuing ed. Let’s say you love the classes, well….just keep taking them and end up with a Diplomate.If you don’t love them, you got your continuing ed knocked out and learned a ton.I love this group, I love the lectures and the lecturers, I’ve learned more through them in 6 months than I learned in three years of chiropractic school, and I know you’re going to love them too.No affiliate code. No kick backs. Just mad respect for this group.Go to <a href="http://cdi.edu.au" rel="nofollow" target="_blank">cdi.edu.au</a>Go poke around there and see what you find. Then thank me later.Item #1 The first on today is called “ The effect of manual therapy and neuroplasticity education on chronic low back pain: a randomized clinical trial” by Adriaan Louw, Kevin Farrell, Merrill Landers, Martin Barclay, Elise Goodman, Jordan Gillund, Sara McCaffrey, Laura Timmerman and published in PubMed on December 25, 2017.Why They Did ItTo determine if a neuroplasticity educational explanation for a manual therapy technique will produce a different outcome compared to a traditional mechanical explanation.How They Did It <ul> <li>Sixty-two patients with chronic low back pain (CLBP) were recruited for the study.</li> <li>Pain ratings obtained for low back pain and leg pain, Numeric Pain Rating Scale, Oswestry Disability Index, Fear-Avoidance-Beliefs Questionnaire, forward flexion (fingertips-to-floor), and straight leg raise (SLR)</li> </ul><ul> <li>Patients were then randomly allocated to receive one of two explanations – either neuroplasticity or mechanical, a manual therapy technique to their lumbar spine, followed by post-intervention measurements of LBP, leg pain, forward flexion, and SLR.</li> </ul>What They Found<ul> <li>There were no statistically significant interactions for LBP, leg pain, and trunk flexion between the groups, but SLR showed a significant difference in favor of the neuroplasticity explanation.</li> </ul><ul> <li>Additionally, the neuroplasticity group were 7.2 times more likely to improve beyond the MDC on the SLR than participants in the mechanical group.</li> </ul>Wrap It Up The results of this study show that a neuroplasticity explanation, compared to a traditional biomechanical explanation, resulted in a measurable difference in SLR in patients with CLBP when receiving manual therapy. Before getting to the next one, Next thing, go to <a href="https://www.tecnobody.com/en/products" rel="nofollow" target="_blank">https://www.tecnobody.com/en/products</a> That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> and the discount code is HOTSTUFF. Go do it.Item #2Our last one this week is called, “ Improved outcome after lumbar microdiscectomy in patients shown their excised disc fragments: a prospective, double blind, randomised, controlled trial” by M J Tait, J Levy, M Nowell, C Pocock, V Petrik, B A Bell, M C Papadopoulos published in PubMed on 9 September 2009. !Why They Did ItLumbar microdiscectomy (LMD) is a commonly performed neurosurgical procedure. We set up a prospective, double blind, randomised, controlled trial to test the hypothesis that presenting the removed disc material to patients after LMD improves patient outcome.How They Did It<ul> <li>Adult patients undergoing LMD for radiculopathy caused by a prolapsed intervertebral disc were randomised into one of two groups, termed experimental and control.</li> </ul><ul> <li>Patients in the experimental group were given their removed disc fragments whereas patients in the control group were not. Patients were unaware of the trial hypothesis and investigators were blinded to patient group allocation.</li> </ul><ul> <li>Outcome was assessed between 3 and 6 months after LMD. Primary outcome measures were the degree of improvement in sciatica and back pain reported by the patients. Secondary outcome measures were the degree of improvement in leg weakness, paraesthesia, numbness, walking distance and use of analgesia reported by the patients.</li> </ul> What They Found<ul> <li>Data from 38 patients in the experimental group and 36 patients in the control group were analysed. The two groups were matched for age, sex and preoperative symptoms.</li> </ul><ul> <li>More patients in the experimental compared with the control group reported improvements in leg pain (91.5 vs 80.4%; p&lt;0.05), back pain (86.1 vs 75.0%; p&lt;0.05), limb weakness (90.5 vs 56.3%; p&lt;0.02), paraesthesia (88 vs 61.9%; p&lt;0.05) and reduced analgesic use (92.1 vs 69.4%; p&lt;0.02) than preoperatively.</li> </ul>Wrap It UpPresentation of excised disc fragments is a cheap and effective way to improve outcome after LMD.Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a><a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient.And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….That‘s Chiropractic!ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes.Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/neuroplasticity-and-chronic-pain-surgeons-showing-excised-disc-fragments-to-postsurgical-patients/" rel="nofollow" target="_blank">Neuroplasticity and Chronic Pain &amp; Surgeons Showing Excised Disc Fragments To Postsurgical Patients</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

Neuroplasticity and Chronic Pain & Surgeons Showing Excised Disc Fragments To Postsurgical Patients

CF 284: Acupuncture For IBS &amp; How Chronic Pain Develops Today we’re going to talk about Acupuncture For IBS &amp; How Chronic Pain Develops But first, here‘s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!     OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com  You have found yourself smack dab in the middle of Episode #283. Now if you missed last week’s episode, we talked about The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use. Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..Welcome to this week, happy to have you and happy to be here. Numbers in the clinic are still coming back up a bit and I’m digging it. Let’s talk about the difference in the providers in the medical world vs. our world for a sec. We are integrated here in my clinic. It’s me, a nurse practitioner, an acupuncturist, and 2-3 massage therapists depending on what day you’re asking. Here’s what I have discovered. Those in the medical world are not entrepreneurial by general rule. They are used to going into a clinic and patients are there waiting on them. They treat and then they go home. So nurse pracs, PAs, and PTs are not out beating the streets. So if you think you’re going to hire one of these providers and they’re going to be out and about helping your clinic grow, as a general rule, that is not going to happen. They’re show up and they’re going to learn fast and do a wonderful job. But they’re not going to build your practice by actively marketing. So don’t expect it. I’ve seen acupuncturists build their clientele but not mine. Until the VA came on board, that was a barren wasteland for us and I couldn’t tell that there was any effort on that end of things. Massage therapists…..if it’s theirs, they’ll build it. Some will push it a bit in their circles but it’s rare for them to be out beating the streets. But chiropractors…..look guys and gals…..we are one of a freaking kind my friends. We, for the most part, are owners and marketers and builders and entrepreneurs. Not to mention driven and ambitious. Some are too ambitious to be honest with you. Some want to make money and grow so badly to the detriment of their patients. So keep an eye on that. Don’t sell multilevel marketing to your patients. Don’t look like a street corner huckster. That’s not a good look folks. So kudos on your entrepreneur game. Keep crushing it in an evidence-informed, patient centered way. Crack Addicts: have you seen the new TV series on TLC yet? I believe it comes on on Wednesday nights. It’s Dr. Alessandra Colon somewhere in Florida. For me, there are some cringy things like in one episode she said, “The power is on!” after an adjustment. Well, that’s the vitalist saying and I’m just not a fan but that’s my baggage. The rest of the world probably knows nothing about that stuff. She talks about alignment here and there and we evidence-informed chiros know that alignment isn’t really a thing but, for the most part, I’ll say that she’s doing a good job. If her job is to walk the line between vitalists and the evidence-informed camps, then she’s doing a pretty good job. I think that the overall score is a net gain for chiropractic in general and we haven’t had a positive light shined on us like this in a long time. If ever. There is so much opportunity with this show for the profession. I hope she knows that and I hope continues to keep it between the lines. So far, I think I’m a fan. Dr. Kevin Christie and the Mastermind. You’ve been hearing me talk about our Florida Mastermind for a couple of years now. Well, Dr. Kevin Christie has started a West Coast Mastermind. Their meetings will be in San Diego, Denver, Arizona, and Jackson Hole, Wyoming. Great locations and great learning, bonding, and networking. I cannot tell you how valuable the group has been for me and our Florida group. I suggest you visit the link I’m putting in my show notes right here at this point in the text. Visit that link and get signed up. He only allows approximately 25 providers into each group so don’t sit around on your butt. Get it going. https://www.modernchiropracticmarketing.com/mastermind-2024-west?mc_cid=03245907d3&amp;mc_eid=8424d1275e Alright, that’s it, let’s get into the research.  Item #1 The first one today is called “Acupuncture for the Treatment of Diarrhea-Predominant Irritable Bowel Syndrome” by Ling-Yu Qi, MM; Jing-Wen Yang, PhD; Shi-Yan Yan, PhD and published in JAMA Network Open on December 29, 2022. Dayum. That’s hot.   Why They Did It To preliminarily test the feasibility of using US Food and Drug Administration (FDA)–recommended end points to evaluate the efficacy of acupuncture in the treatment of IBS.  How They Did It  This pilot, multicenter randomized clinical trial was conducted in 4 tertiary hospitals in China from July 1, 2020, to March 31, 2021, and 14-week data collection was completed in March 2021. Individuals with a diagnosis of IBS with diarrhea (IBS-D) were randomized to 1 of 3 groups, including 2 acupuncture groups    What They Found  Ninety patients were enrolled, with 30 patients in each group. There were substantial improvements in the primary outcomes for all groups although the difference between them was not statistically significant   The response rates of adequate relief at week 4 were 64.3% in the specific acupoints group, 62.1% in the nonspecific acupoints group, and 55.2% in the nonspecific acupoints group   Adverse events were reported in 2 patients (6.7%) in the specific acupoints group and 3 patients (10%) in nonspecific acupoints or nonspecific acupoints group.   Wrap It Up In this pilot randomized clinical trial, acupuncture in both the specific acupoints and nonspecific acupoints groups showed clinically meaningful improvement in IBS with diarrhea symptoms, although there were no significant differences among the 3 groups. These findings suggest that acupuncture is feasible and safe; a larger, sufficiently powered trial is needed to accurately assess efficacy.  Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.  When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.  I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.    Item #2 Our last one this week is called, “Mechanisms behind the Development of Chronic Low Back Pain and Its Neurodegenerative Features” by Abdullah Mosabbir published in Molecular and Cellular Mechanisms in Neurodegenerative Diseases on 28 December 2022. Hot potato!  Why They Did It To understand and update the current state of knowledge of the pathophysiology of back pain in educating patients as well as guiding the development of novel therapeutics. How They Did It Many clinicians, caregivers and researchers aim to help educate patients about their pain and try to help them live a better quality of life despite their condition. This may include using strategies such as pain neuroscience education (PNE) and cognitive behavior therapy What They Found A systematic review and meta-analysis demonstrated that PNE can have a significant effect in reducing pain catastrophizing as well as kinesiophobia. This is highly beneficial in pain management, as reduced catastrophic thinking can help orient a person away from their pain and towards living their life, and reduced fear helps patients to be more open to active interventions like physical therapy and exercise.  Wrap It Up  cLBP is complex and there is no guarantee that treating its potential causes will cause the pain to go away. Therefore, rather than attempting to “cure” chronic pain, many clinicians, caretakers and researchers aim to help educate patients about their pain and try to help patients live a better quality of life, despite their condition. Understanding and updating our current state of knowledge of the pathophysiology of cLBP is important in educating patients as well as guiding the development of novel therapeutics.   The current understanding of the source of cLBP stems from damage to the ligamentous structures of the body due to prolonged poor posture, sub-failure injury, or major trauma. These contribute to abnormal forces acting on the spine, which leads to the degeneration of intervertebral discs and joints that directly or indirectly stimulate a painful sensation.   If these sensations persist, acute pain transitions to a chronic state that sustains the pain independent of the source of the initial damage. Once this occurs, further degeneration occurs in the spinal cord and brain, leading to peripheral sensitization, central sensitization, apoptosis of neurons and the reduction of grey matter in the brain. This ultimately can lead to cognitive impairment among cLBP patients.   Let’s get to the message. Same as it is every week.  StoreRemember the evidence-informed brochures and posters at chiropracticforward.com. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!    The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That‘s Chiropractic! ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. WebsiteHome   Social Media Links https://www.facebook.com/chiropracticforward/   Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/   Twitter Tweets by Chiro_Forward   YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q   iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2   Player FM Link https://player.fm/series/2291021   Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through   TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/   About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger    The post Acupuncture For IBS &amp; How Chronic Pain Develops appeared first on Chiropractic Forward.

<h1><a></a>CF 284: Acupuncture For IBS &amp; How Chronic Pain Develops</h1> Today we’re going to talk about <a></a>Acupuncture For IBS &amp; How Chronic Pain Develops But first, here‘s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul> You have found yourself smack dab in the middle of Episode #283. Now if you missed last week’s episode, we talked about The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use. Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..Welcome to this week, happy to have you and happy to be here. Numbers in the clinic are still coming back up a bit and I’m digging it. Let’s talk about the difference in the providers in the medical world vs. our world for a sec. We are integrated here in my clinic. It’s me, a nurse practitioner, an acupuncturist, and 2-3 massage therapists depending on what day you’re asking. Here’s what I have discovered. Those in the medical world are not entrepreneurial by general rule. They are used to going into a clinic and patients are there waiting on them. They treat and then they go home. So nurse pracs, PAs, and PTs are not out beating the streets. So if you think you’re going to hire one of these providers and they’re going to be out and about helping your clinic grow, as a general rule, that is not going to happen. They’re show up and they’re going to learn fast and do a wonderful job. But they’re not going to build your practice by actively marketing. So don’t expect it. I’ve seen acupuncturists build their clientele but not mine. Until the VA came on board, that was a barren wasteland for us and I couldn’t tell that there was any effort on that end of things. Massage therapists…..if it’s theirs, they’ll build it. Some will push it a bit in their circles but it’s rare for them to be out beating the streets. But chiropractors…..look guys and gals…..we are one of a freaking kind my friends. We, for the most part, are owners and marketers and builders and entrepreneurs. Not to mention driven and ambitious. Some are too ambitious to be honest with you. Some want to make money and grow so badly to the detriment of their patients. So keep an eye on that. Don’t sell multilevel marketing to your patients. Don’t look like a street corner huckster. That’s not a good look folks. So kudos on your entrepreneur game. Keep crushing it in an evidence-informed, patient centered way. Crack Addicts: have you seen the new TV series on TLC yet? I believe it comes on on Wednesday nights. It’s Dr. Alessandra Colon somewhere in Florida. For me, there are some cringy things like in one episode she said, “The power is on!” after an adjustment. Well, that’s the vitalist saying and I’m just not a fan but that’s my baggage. The rest of the world probably knows nothing about that stuff. She talks about alignment here and there and we evidence-informed chiros know that alignment isn’t really a thing but, for the most part, I’ll say that she’s doing a good job. If her job is to walk the line between vitalists and the evidence-informed camps, then she’s doing a pretty good job. I think that the overall score is a net gain for chiropractic in general and we haven’t had a positive light shined on us like this in a long time. If ever. There is so much opportunity with this show for the profession. I hope she knows that and I hope continues to keep it between the lines. So far, I think I’m a fan. Dr. Kevin Christie and the Mastermind. You’ve been hearing me talk about our Florida Mastermind for a couple of years now. Well, Dr. Kevin Christie has started a West Coast Mastermind. Their meetings will be in San Diego, Denver, Arizona, and Jackson Hole, Wyoming. Great locations and great learning, bonding, and networking. I cannot tell you how valuable the group has been for me and our Florida group. I suggest you visit the link I’m putting in my show notes right here at this point in the text. Visit that link and get signed up. He only allows approximately 25 providers into each group so don’t sit around on your butt. Get it going. <a href="https://www.modernchiropracticmarketing.com/mastermind-2024-west?mc_cid=03245907d3&amp;mc_eid=8424d1275e" rel="nofollow" target="_blank">https://www.modernchiropracticmarketing.com/mastermind-2024-west?mc_cid=03245907d3&amp;mc_eid=8424d1275e</a> Alright, that’s it, let’s get into the research. Item #1 The first one today is called “Acupuncture for the Treatment of Diarrhea-Predominant Irritable Bowel Syndrome” by Ling-Yu Qi, MM; Jing-Wen Yang, PhD; Shi-Yan Yan, PhD and published in JAMA Network Open on December 29, 2022. Dayum. That’s hot. Why They Did It To preliminarily test the feasibility of using US Food and Drug Administration (FDA)–recommended end points to evaluate the efficacy of acupuncture in the treatment of IBS. How They Did It <ul> <li>This pilot, multicenter randomized clinical trial was conducted in 4 tertiary hospitals in China from July 1, 2020, to March 31, 2021, and 14-week data collection was completed in March 2021.</li> <li>Individuals with a diagnosis of IBS with diarrhea (IBS-D) were randomized to 1 of 3 groups, including 2 acupuncture groups</li> </ul> What They Found <ul> <li>Ninety patients were enrolled, with 30 patients in each group.</li> <li>There were substantial improvements in the primary outcomes for all groups although the difference between them was not statistically significant</li> </ul> <ul> <li>The response rates of adequate relief at week 4 were 64.3% in the specific acupoints group, 62.1% in the nonspecific acupoints group, and 55.2% in the nonspecific acupoints group</li> </ul> <ul> <li>Adverse events were reported in 2 patients (6.7%) in the specific acupoints group and 3 patients (10%) in nonspecific acupoints or nonspecific acupoints group.</li> </ul> Wrap It Up In this pilot randomized clinical trial, acupuncture in both the specific acupoints and nonspecific acupoints groups showed clinically meaningful improvement in IBS with diarrhea symptoms, although there were no significant differences among the 3 groups. These findings suggest that acupuncture is feasible and safe; a larger, sufficiently powered trial is needed to accurately assess efficacy. Before getting to the next one, Next thing, go to <a href="https://www.tecnobody.com/en/products" rel="nofollow" target="_blank">https://www.tecnobody.com/en/products</a> That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors. I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> and the discount code is HOTSTUFF. Go do it. Item #2 Our last one this week is called, “Mechanisms behind the Development of Chronic Low Back Pain and Its Neurodegenerative Features” by Abdullah Mosabbir published in Molecular and Cellular Mechanisms in Neurodegenerative Diseases on 28 December 2022. Hot potato! Why They Did It To understand and update the current state of knowledge of the pathophysiology of back pain in educating patients as well as guiding the development of novel therapeutics. How They Did It Many clinicians, caregivers and researchers aim to help educate patients about their pain and try to help them live a better quality of life despite their condition. This may include using strategies such as pain neuroscience education (PNE) and cognitive behavior therapy What They Found A systematic review and meta-analysis demonstrated that PNE can have a significant effect in reducing pain catastrophizing as well as kinesiophobia. This is highly beneficial in pain management, as reduced catastrophic thinking can help orient a person away from their pain and towards living their life, and reduced fear helps patients to be more open to active interventions like physical therapy and exercise. Wrap It Up <ul> <li>cLBP is complex and there is no guarantee that treating its potential causes will cause the pain to go away. Therefore, rather than attempting to “cure” chronic pain, many clinicians, caretakers and researchers aim to help educate patients about their pain and try to help patients live a better quality of life, despite their condition. Understanding and updating our current state of knowledge of the pathophysiology of cLBP is important in educating patients as well as guiding the development of novel therapeutics.</li> </ul> <ul> <li>The current understanding of the source of cLBP stems from damage to the ligamentous structures of the body due to prolonged poor posture, sub-failure injury, or major trauma. These contribute to abnormal forces acting on the spine, which leads to the degeneration of intervertebral discs and joints that directly or indirectly stimulate a painful sensation.</li> </ul> <ul> <li>If these sensations persist, acute pain transitions to a chronic state that sustains the pain independent of the source of the initial damage. Once this occurs, further degeneration occurs in the spinal cord and brain, leading to peripheral sensitization, central sensitization, apoptosis of neurons and the reduction of grey matter in the brain. This ultimately can lead to cognitive impairment among cLBP patients.</li> </ul> Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That‘s Chiropractic! ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/acupuncture-for-ibs-how-chronic-pain-develops/" rel="nofollow" target="_blank">Acupuncture For IBS &amp; How Chronic Pain Develops</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

Acupuncture For IBS & How Chronic Pain Develops

CF 283: The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use Today we’re going to talk about The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use But first, here‘s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!     OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com  You have found yourself smack dab in the middle of Episode #283 Now if you missed last week’s episode, we talked about new dietary ideas and how the doctor’s words matter. Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..Summer is upon us and let’s talk about what happens in the Summer, you and your patients typically go places. When school is away, people tend to go out and play. I’d be lying if I didn’t share that I have a little anxiety about it. Here’s why, if you listen regularly here, you know I’ve been a little slow this year and kind of hating life as a result. I’m very growth minded. Maybe life is just telling me to slow down, I don’t know. But, it’s looking like things are picking up. And what’s the quickest way to kill your momentum, yeah…..take days off. Of course. With that being said, I have a trip to Boston in a couple of weeks. I’m only missing 2 days but it is what it is. My daughter was invited to a future medical professionals conference out there and you just have to go. Then, we have an Alaskan cruise in late July early August. That’s a WEEK off and I’m so anxious about this. Then in September, we have a front row seats for my wife’s favorite band on her birthday, it’s a Trane concert in Charleston, SC and the night before that, we’ll be at a Savannah Bananas game in Savannah, GA. So here’s my thought process. In 10 years, I won’t remember the patients I saw in my clinic if I had stayed in town and not taken these trips. But I’ll always remember my daughter going to the conference in Boston. I’ll always remember the Alaskan cruise that we took. And I’ll always remember The Savannah/Charleston trip. I guess my point is, we can experience only our clinic or we can experience life. Responsibly! You can’t abandon the responsibilities but life isn’t life if we’re not partaking in it. I’m all about my patients but I spent years and years so concerned about numbers that I lost sanity on some level. I’m still concerned about numbers. Don’t get me wrong. I’m at 150 a week now instead of my usual 185-190 a week. That’s a solid hit folks but, I can hunker down and lose my mind about a practice that has shrunk a bit, or I can say it is what it is and I can keep on cooking but also stay busy living. I’m going on my trips. My patients are going to go on their trips too. I’m going to freak out about being gone a little bit. It’s just going to happen. It’s going to be really slow when I get back and you know what? It’s going to be OK because my clinic has a reputation and the patients will continue to come. So, if you’re where I’m at and you have some anxiety about taking trips with your family and enjoying your people, get your butt out fo the clinic and enjoy yourself. We only get one spin on the Earth. Let’s do it and let’s not worry about it.   Item #1 The first one today is called “ Nondisordered Cannabis Use Among US Adolescents” by Ryan S. Sultan et al and published in JAMA Network Open on May 3, 2023. Dayum. That’s hot.   Why They Did It To describe the prevalence and demographics of nondisordered cannabis use and to compare associations of cannabis use with adverse psychosocial events among adolescents with no cannabis use, of nondisordered cannabis use, and cannabis use disorder. How They Did It This cross-sectional study used a nationally representative sample derived from the 2015 to 2019 National Survey on Drug Use and Health. Participants were adolescents aged 12 to 17 years, separated into 3 distinct groups: nonuse (no recent cannabis use), of nondisordered cannabis use (recent cannabis use below diagnostic threshold), and cannabis use disorder. Analysis was conducted from January to May 2022.  What They Found  The 68 263 respondents) included in the analysis represented an estimated yearly mean of 25 million US adolescents during 2015 to 2019. Among respondents, 1675 adolescents had cannabis use disorder, 6971 adolescents had of nondisordered cannabis use, and 59 617 adolescents reported nonuse. Compared with nonusers, individuals with of nondisordered cannabis use had approximately 2 to 4 times greater odds of all adverse psychosocial events examined, including major depression, suicidal ideation, slower thoughts, difficulty concentrating, truancy, low grade point average, arrest, fighting, and aggression. Prevalence of adverse psychosocial events was greatest for adolescents with cannabis use disorder, followed by of nondisordered cannabis use, then nonuse   Wrap It Up In this cross-sectional study of US adolescents, past-year of nondisordered cannabis use was approximately 4 times as prevalent as past-year cannabis use disorder. A stepwise gradient association was observed for odds of adverse psychosocial events between adolescent of nondisordered cannabis use and cannabis use disorder. In the context of US normalization of cannabis use, prospective research into of nondisordered cannabis use is necessary.  Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.  When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.  I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.    Item #2 Our last one this week is called, “Estimated Rates of Incident and Persistent Chronic Pain Among US Adults, 2019-2020” by Richard L. Nahin, MPH; Termeh Feinberg, MPH; Flavia P. Kapos, DDS, M; et al published in JAMA Network Open on May 16, 2023. Hot potato!  Why They Did It To estimate rates of chronic pain and high-impact chronic pain (HICP) incidence and persistence in US adults across demographic groups. How They Did It  This cohort study examined a nationally representative cohort with 1 year of follow-up. Data from the 2019-2020 National Health Interview Survey (NHIS) Longitudinal Cohort were used to assess the incidence rates of chronic pain across demographic groups.   The cohort was created using random cluster probability sampling of noninstitutionalized civilian US adults 18 years or older in 2019.   Of the 19 081, the final analytic sample of 10 415 adults also participated in the 2020 NHIS. Data were analyzed from January 2022 to March 2023.  What They Found  Among 10 415 participants included in the analytic sample, 51.7% were female, 54.0% were aged 18 to 49 years, 72.6% were White, 84.5%were non-Hispanic or non-Latino, and 70.5% were not college graduates.   Among pain-free adults in 2019, incidence rates of chronic pain and high-impact chronic pain in 2020 were 52.4 and 12.0 cases per 1000 PY, respectively.   The rates of persistent chronic pain and persistent high-impact chronic pain in 2020 were 462.0 and 361.2 cases per 1000 PY, respectively.  Wrap It Up In this cohort study, the incidence of chronic pain was high compared with other chronic diseases. These results emphasize the high disease burden of chronic pain in the US adult population and the need for early management of pain before it becomes chronic.  Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.  StoreRemember the evidence-informed brochures and posters at chiropracticforward.com.  Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!    The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That‘s Chiropractic! ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. WebsiteHome   Social Media Links https://www.facebook.com/chiropracticforward/   Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/   Twitter Tweets by Chiro_Forward   YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q   iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2   Player FM Link https://player.fm/series/2291021   Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through   TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/   About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger    The post The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use appeared first on Chiropractic Forward.

CF 283: The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use Today we’re going to talk about <a></a>The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use But first, here‘s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul> You have found yourself smack dab in the middle of Episode #283 Now if you missed last week’s episode, we talked about new dietary ideas and how the doctor’s words matter. Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..Summer is upon us and let’s talk about what happens in the Summer, you and your patients typically go places. When school is away, people tend to go out and play. I’d be lying if I didn’t share that I have a little anxiety about it. Here’s why, if you listen regularly here, you know I’ve been a little slow this year and kind of hating life as a result. I’m very growth minded. Maybe life is just telling me to slow down, I don’t know. But, it’s looking like things are picking up. And what’s the quickest way to kill your momentum, yeah…..take days off. Of course. With that being said, I have a trip to Boston in a couple of weeks. I’m only missing 2 days but it is what it is. My daughter was invited to a future medical professionals conference out there and you just have to go. Then, we have an Alaskan cruise in late July early August. That’s a WEEK off and I’m so anxious about this. Then in September, we have a front row seats for my wife’s favorite band on her birthday, it’s a Trane concert in Charleston, SC and the night before that, we’ll be at a Savannah Bananas game in Savannah, GA. So here’s my thought process. In 10 years, I won’t remember the patients I saw in my clinic if I had stayed in town and not taken these trips. But I’ll always remember my daughter going to the conference in Boston. I’ll always remember the Alaskan cruise that we took. And I’ll always remember The Savannah/Charleston trip. I guess my point is, we can experience only our clinic or we can experience life. Responsibly! You can’t abandon the responsibilities but life isn’t life if we’re not partaking in it. I’m all about my patients but I spent years and years so concerned about numbers that I lost sanity on some level. I’m still concerned about numbers. Don’t get me wrong. I’m at 150 a week now instead of my usual 185-190 a week. That’s a solid hit folks but, I can hunker down and lose my mind about a practice that has shrunk a bit, or I can say it is what it is and I can keep on cooking but also stay busy living. I’m going on my trips. My patients are going to go on their trips too. I’m going to freak out about being gone a little bit. It’s just going to happen. It’s going to be really slow when I get back and you know what? It’s going to be OK because my clinic has a reputation and the patients will continue to come. So, if you’re where I’m at and you have some anxiety about taking trips with your family and enjoying your people, get your butt out fo the clinic and enjoy yourself. We only get one spin on the Earth. Let’s do it and let’s not worry about it. Item #1 The first one today is called “ Nondisordered Cannabis Use Among US Adolescents” by Ryan S. Sultan et al and published in JAMA Network Open on May 3, 2023. Dayum. That’s hot. Why They Did It To describe the prevalence and demographics of nondisordered cannabis use and to compare associations of cannabis use with adverse psychosocial events among adolescents with no cannabis use, of nondisordered cannabis use, and cannabis use disorder. How They Did It This cross-sectional study used a nationally representative sample derived from the 2015 to 2019 National Survey on Drug Use and Health. Participants were adolescents aged 12 to 17 years, separated into 3 distinct groups: nonuse (no recent cannabis use), of nondisordered cannabis use (recent cannabis use below diagnostic threshold), and cannabis use disorder. Analysis was conducted from January to May 2022. What They Found <ul> <li>The 68 263 respondents) included in the analysis represented an estimated yearly mean of 25 million US adolescents during 2015 to 2019.</li> <li>Among respondents, 1675 adolescents had cannabis use disorder, 6971 adolescents had of nondisordered cannabis use, and 59 617 adolescents reported nonuse.</li> <li>Compared with nonusers, individuals with of nondisordered cannabis use had approximately 2 to 4 times greater odds of all adverse psychosocial events examined, including major depression, suicidal ideation, slower thoughts, difficulty concentrating, truancy, low grade point average, arrest, fighting, and aggression.</li> <li>Prevalence of adverse psychosocial events was greatest for adolescents with cannabis use disorder, followed by of nondisordered cannabis use, then nonuse</li> </ul> Wrap It Up In this cross-sectional study of US adolescents, past-year of nondisordered cannabis use was approximately 4 times as prevalent as past-year cannabis use disorder. A stepwise gradient association was observed for odds of adverse psychosocial events between adolescent of nondisordered cannabis use and cannabis use disorder. In the context of US normalization of cannabis use, prospective research into of nondisordered cannabis use is necessary. Before getting to the next one, Next thing, go to <a href="https://www.tecnobody.com/en/products" rel="nofollow" target="_blank">https://www.tecnobody.com/en/products</a> That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors. I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> and the discount code is HOTSTUFF. Go do it. Item #2 Our last one this week is called, “Estimated Rates of Incident and Persistent Chronic Pain Among US Adults, 2019-2020” by Richard L. Nahin, MPH; Termeh Feinberg, MPH; Flavia P. Kapos, DDS, M; et al published in JAMA Network Open on May 16, 2023. Hot potato! Why They Did It To estimate rates of chronic pain and high-impact chronic pain (HICP) incidence and persistence in US adults across demographic groups. How They Did It <ul> <li>This cohort study examined a nationally representative cohort with 1 year of follow-up.</li> <li>Data from the 2019-2020 National Health Interview Survey (NHIS) Longitudinal Cohort were used to assess the incidence rates of chronic pain across demographic groups.</li> </ul> <ul> <li>The cohort was created using random cluster probability sampling of noninstitutionalized civilian US adults 18 years or older in 2019.</li> </ul> <ul> <li>Of the 19 081, the final analytic sample of 10 415 adults also participated in the 2020 NHIS. Data were analyzed from January 2022 to March 2023.</li> </ul> What They Found <ul> <li>Among 10 415 participants included in the analytic sample, 51.7% were female, 54.0% were aged 18 to 49 years, 72.6% were White, 84.5%were non-Hispanic or non-Latino, and 70.5% were not college graduates.</li> </ul> <ul> <li>Among pain-free adults in 2019, incidence rates of chronic pain and high-impact chronic pain in 2020 were 52.4 and 12.0 cases per 1000 PY, respectively.</li> </ul> <ul> <li>The rates of persistent chronic pain and persistent high-impact chronic pain in 2020 were 462.0 and 361.2 cases per 1000 PY, respectively.</li> </ul> Wrap It Up In this cohort study, the incidence of chronic pain was high compared with other chronic diseases. These results emphasize the high disease burden of chronic pain in the US adult population and the need for early management of pain before it becomes chronic. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That‘s Chiropractic! ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/5094-2/" rel="nofollow" target="_blank">The Rate of Chronic Pain in the US &amp; Adolescents And Cannabis Use</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

The Rate of Chronic Pain in the US & Adolescents And Cannabis Use

CF 282: New Dietary Ideas &amp; The Doctor’s Words MatterToday we’re going to talk about new dietary ideas and the doctor’s words matter.But first, here‘s that sweet sweet bumper musicPurchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!     OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com  You have found yourself smack dab in the middle of Episode #282 Now if you missed last week’s episode, we were joined by Dr. Lindsay Mumma and talked about clinical excellence and pelvic floors.Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..What’s going on in my world these days? It’s interesting always. To say the least. The biggest on our radars at the moment are three things actually. We have always leased our space and I would love to own the property for obvious reasons. But prices are just ridiculous, honestly. So it’s been a challenge when we’re looking at property. We still have one year on our current lease but just had this building come open that is looking pretty good both size-wise and price-wise. So it has to be looked at. We know our current space is going to go up in a year and our monthly nut on the building will probably be about the same so, why not? But there’s still the process of moving everything, the IT stuff, the making it all work stuff, setting up a clinic/gym hybrid and all that gobbled gook. Geez. It’s daunting. The second thing we’re looking at is hiring an associate. But can both of these be done at the same time? Hiring an associate and moving into a new building. I don’t think they can be done simultaneously without putting us in a precarious position financially. The extra info on that thought is that it doesn’t seem to matter because associates are getting out of school and they’re going to work for a franchise and aren’t really doing associate-ships anymore. Every chiro I know out in the world that is looking for an associate tells me they’re not to be found and in the last 7 months or so that I’ve been looking, they’re exactly right. Plus, living in Amarillo, TX isn’t as appealing as living in Dallas or Houston or wherever. A person has to almost be from the Texas Panhandle to see my job offering as a blessing. So, if the associate situation continues the way it is, it’ll be no question. We’ll just move into the new building. Lol. The third thing is that there is a company out of the Houston, TX area that is an investment gropu and they’re buying 60% of practices that qualify within their metrics and they take over all of the soul-crushing parts of your clinic. They do the HR, the billing, and the collecting. The clinics keep their name and nobody but the owner and the staff will ever even know that part of the practice was sold. Dentists have been doing this model for years. Clinic owners make a solid salary and make their 40% commission. They can bill on the medical E&amp;M scale and get paid at a higher level than we could on our own DC codes so the same work for more money. Plus they help bring in medical if you want and they help bring in PT if you want. And they’ll help bring in associates as well. My colleagues working with the company tell me they’re working less and making more and it was the best decision they ever made. So, I’m looking at seriously. With a little side eye but the wife is on board, which is the most important thing. I just need to get the price I’m looking for. Then we shall see.  So, there are 3 biggies that are weighing me down because not a one of those are small decisions. They’re actually monumental decisions and they’re all sitting on my plate currently. I’ll let you know how it unfolds as it unfolds. Stay tuned. For now, let’s dive into the research.  Item #1 The first one today is called “Dietary recommendations for cardiovascular health challenged by new evidence on saturated fatty acids’ effects on LDL-C and Lp(a) levels” by Dr. Chinta Sidharthan and published in News Medical Life Sciences on May 15, 2023. Dayum. That’s hot.   Why They Did It The study was conducted to investigate the effects of dietary modifications on cardiovascular health, specifically focusing on the impact of reducing saturated fatty acid intake on lipid profiles and the risk of cardiovascular diseases.  How They Did It  The research on the relationship between dietary modifications, lipoprotein A, and cardiovascular disease risk is based on a review of existing scientific literature and studies.   The research involved analyzing and synthesizing data from multiple studies that investigated the effects of dietary modifications, particularly the reduction of saturated fatty acids, on lipoprotein A and LDL-C levels.   To assess the impact of dietary modifications on lipoprotein A and LDL-C levels, the researchers collected and analyzed data from participants, including their dietary intake, lipoprotein A and LDL-C levels, and potentially other relevant markers or risk factors for cardiovascular disease. Statistical was performed to determine the associations between different variables and to assess the significance of the findings.    What They Found  Despite the lack of data for conclusive inferences, it appears that the risk of cardiovascular disease depends on a relative balance between the levels of the two lipoproteins — LDL-C and lipoprotein A — and the baseline values of both in each individual.   Furthermore, while reducing cardiovascular risk due to high LDL-C levels through the modulation of saturated fatty acid intake remains important, the clinical LDL-C measurements also include the cholesterol component from lipoprotein A.   Wrap It Up  Overall, the evidence indicated that the standard recommendations for a heart-healthy diet which includes reduced consumption of saturated fatty acids, might have a negative impact by increasing the lipoprotein A levels despite lowering the LDL-C levels.   Since dietary changes are the most prevalent non-pharmacological form of disease prevention, tailored recommendations for dietary changes after considering individual lipid profiles might be required.   Furthermore, additional cardiac health markers such as lipoprotein A cholesterol content are necessary to assess cardiovascular disease risk accurately.   Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.  When you decide you can‘t live without those products, send me an email and I‘ll give you the hookup. They will 100% differentiate your clinic from your competitors.  I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. drop-release.com and the discount code is HOTSTUFF. Go do it.    Item #2 Our last one this week is called, “ The enduring impact of what clinicians say to people with low back pain” by Ben Darlow, Anthony Dowell, G David Baxter, Fiona Mathieson, Meredith Perry, Sarah Dean published in PubMed on December 11, 2013. Hot potato!  Why They Did It The purpose of this study was to explore the formation and impact of attitudes and beliefs among people experiencing acute and chronic low back pain. How They Did It Semistructured qualitative interviews were conducted with 12 participants with acute low back pain (less than 6 weeks’ duration) and 11 participants with chronic low back pain (more than 3 months’ duration) from 1 geographical region within New Zealand. Data were analyzed using an Interpretive Description framework.  What They Found  Participants’ underlying beliefs about low back pain were influenced by a range of sources. Participants experiencing acute low back pain faced considerable uncertainty and consequently sought more information and understanding.   Although participants searched the Internet and looked to family and friends, health care professionals had the strongest influence upon their attitudes and beliefs. Clinicians influenced their patients’ understanding of the source and meaning of symptoms, as well as their prognostic expectations. Such information and advice could continue to influence the beliefs of patients for many years.   Many messages from clinicians were interpreted as meaning the back needed to be protected.   These messages could result in increased vigilance, worry, guilt when adherence was inadequate, or frustration when protection strategies failed.   Clinicians could also provide reassurance, which increased confidence, and advice, which positively influenced the approach to movement and activity.   Wrap It Up Health care professionals have a considerable and enduring influence upon the attitudes and beliefs of people with low back pain. It is important that this opportunity is used to positively influence attitudes and beliefs. When a patient is standing on the ledge of chronic pain, we can push them in or pull them back literally based on what we say and how we behave. If you make a big deal out of ddd, they’re gone, echoing as they fall into the pit. If you tell them that everyone has ddd at some point and usually zero pain associated with it, you start pulling them back. Certainly after you encourage them to move, go for a walk, hurt doesn’t mean harm, and you get some pain free movement wins through your treatment and exercises…..well then we’re having two completely different outcomes altogether now, aren’t we? Be smart with your words and your behavior. It’ll make you look like you’re up on your research and education and it’ll make all the difference in the world in your patients.  Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.  StoreRemember the evidence-informed brochures and posters at chiropracticforward.com.  Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!     The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can‘t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That‘s Chiropractic! ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can‘t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. WebsiteHome   Social Media Links https://www.facebook.com/chiropracticforward/   Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/   Twitter Tweets by Chiro_Forward   YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q   iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2   Player FM Link https://player.fm/series/2291021   Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through   TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/   About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger    The post New Dietary Ideas &amp; The Doctor’s Words Matter appeared first on Chiropractic Forward.

New Dietary Ideas & The Doctor’s Words Matter

Lindsay Mumma

CF 281: w/ Dr. Lindsay Mumma – Excellence in Practice &amp; Pelvic Floors. Oh How They Suck Today we’re going to be joined by the amazing breath of fresh air called Dr. Lindsey Mumma. A force to be reckoned with, and an interview you’re going to absolutely love. But first, here’s that sweet sweet bumper music     Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!               OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.  We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending your time with us learning together.  Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do.   Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.  Then go Like our Chiropractic Forward Facebook page,  Join our private Chiropractic Forward Facebook group, and then  Review our podcast on whatever platform you’re listening to  Last thing real quick, we also have an evidence-based brochure and poster store at chiropracticforward.com  You have found yourself smack dab in the middle of Episode #281 Now if you missed last week’s episode , we talked about Catastrophizing and Proprioception. Make sure you don’t miss that info. Keep up with the class.  On the personal end of things….. I don’t want to take up a lot of time on personal happenings. I want to save as much time as I can for our force-to-be-reckoned with cool super guest. So, let’s just hop in and let me tell you all about her.  Dr. Lindsay Mumma is the owner of Triangle Chiropractic and Rehabilitation Center in Raleigh, NC,  Triangle is a multidisciplinary practice she opened in 2012 after graduating from Palmer College of Chiropractic with the Clinical Excellence Award. And I’m sure you’ll agree soon that she is indeed excellent, my friends.  She teaches for the Motion Palpation Institute and moveMentors. Her private practice focuses on rehabilitative chiropractic care across the lifespan and with a specific focus on prenatal and postpartum health.  She is a wife, mother to two boys, she’s a speaker, a life enthusiast, and author of The Trimester Series, the best-selling book Your Pelvic Floor Sucks, and the Top 50 in Health Substack publication Dr. Lindsay Mumma’s Newsletter.  So, pretty good start, right? I think I spent my first 11-12 years playing music and being crazy. Lol.  Welcome Dr. Mumma who will remain, Lindsay the rest of this podcast if that’s OK with you  The first thing I want to know is…..why chiropractic? What got you interested in the more evidence-based side of our profession rather than the more vitalistic approach many of us were taught years ago? We are going to talk about your new book specificaly but first, tell me about the Trimester Series and about your newsletter.  I saw you hanging out with Brett Winchester recently on Facebook. I guess he and some others came to your clinic and did a workshop? Let’s talk about that insance genius and the visit. So, let’s get to your latest big huge achievement. You recently published your best seller called ‘Your Pelvic Floor Sucks’ which is a genius title for lots of reasons but tell me….why is a chiropractor the best person to be addressing pelvic floor dysfunction? How long did it take you to write the book? Did you use ChatGPT to help you get it done? Are female practitioners better suited for these types of conversations with patients? What’s the hardest part about improving pelvic floor function? Do you find that these patients are more motivated than your regular Joe off the street considering the symptoms? Or are they still difficult to get to exercise? If someone reads your book, will they actually be able to make themselves better, or do they need to work with someone in person? What is on the horizon for Dr. Super Mumma? What do you have cooking up? You are my favorite witch. Lol. In Tampa at our masterrmind meeting, you let drink beer and old fashioneds all night but when I was going upstairs to go to bed I was trying to buy myself a coke zero in the lobby and you were having none of it, sister. You made me get water and then put some vitamin powder witchy concoction in it. Which actually turned out to be rather yummy so all was good but that brings us to the question.  Why are you so witchy? Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.  Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!               The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes.  Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.  We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website http://www.chiropracticforward.com Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter https://twitter.com/Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  The post w/ Dr. Lindsay Mumma – Excellence in Practice &amp; Pelvic Floors. Oh How They Suck appeared first on Chiropractic Forward.

CF 281: w/ Dr. Lindsay Mumma – Excellence in Practice &amp; Pelvic Floors. Oh How They Suck Today we’re going to be joined by the amazing breath of fresh air called Dr. Lindsey Mumma. A force to be reckoned with, and an interview you’re going to absolutely love. But first, here’s that sweet sweet bumper music     Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY! <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.  We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending your time with us learning together.  Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com If you haven’t yet I have a few things you should do.  <ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. </li> <li>Then go Like our Chiropractic Forward Facebook page, </li> <li>Join our private Chiropractic Forward Facebook group, and then </li> <li>Review our podcast on whatever platform you’re listening to </li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a></li> </ul> You have found yourself smack dab in the middle of Episode #281 Now if you missed last week’s episode , we talked about Catastrophizing and Proprioception. Make sure you don’t miss that info. Keep up with the class.  On the personal end of things….. I don’t want to take up a lot of time on personal happenings. I want to save as much time as I can for our force-to-be-reckoned with cool super guest. So, let’s just hop in and let me tell you all about her.  Dr. Lindsay Mumma is the owner of Triangle Chiropractic and Rehabilitation Center in Raleigh, NC,  Triangle is a multidisciplinary practice she opened in 2012 after graduating from Palmer College of Chiropractic with the Clinical Excellence Award. And I’m sure you’ll agree soon that she is indeed excellent, my friends.  She teaches for the Motion Palpation Institute and moveMentors. Her private practice focuses on rehabilitative chiropractic care across the lifespan and with a specific focus on prenatal and postpartum health.  She is a wife, mother to two boys, she’s a speaker, a life enthusiast, and author of The Trimester Series, the best-selling book Your Pelvic Floor Sucks, and the Top 50 in Health Substack publication Dr. Lindsay Mumma’s Newsletter.  So, pretty good start, right? I think I spent my first 11-12 years playing music and being crazy. Lol.  Welcome Dr. Mumma who will remain, Lindsay the rest of this podcast if that’s OK with you  The first thing I want to know is…..why chiropractic? What got you interested in the more evidence-based side of our profession rather than the more vitalistic approach many of us were taught years ago? We are going to talk about your new book specificaly but first, tell me about the Trimester Series and about your newsletter.  I saw you hanging out with Brett Winchester recently on Facebook. I guess he and some others came to your clinic and did a workshop? Let’s talk about that insance genius and the visit. So, let’s get to your latest big huge achievement. You recently published your best seller called ‘Your Pelvic Floor Sucks’ which is a genius title for lots of reasons but tell me….why is a chiropractor the best person to be addressing pelvic floor dysfunction? How long did it take you to write the book? Did you use ChatGPT to help you get it done? Are female practitioners better suited for these types of conversations with patients? What’s the hardest part about improving pelvic floor function? Do you find that these patients are more motivated than your regular Joe off the street considering the symptoms? Or are they still difficult to get to exercise? If someone reads your book, will they actually be able to make themselves better, or do they need to work with someone in person? What is on the horizon for Dr. Super Mumma? What do you have cooking up? You are my favorite witch. Lol. In Tampa at our masterrmind meeting, you let drink beer and old fashioneds all night but when I was going upstairs to go to bed I was trying to buy myself a coke zero in the lobby and you were having none of it, sister. You made me get water and then put some vitamin powder witchy concoction in it. Which actually turned out to be rather yummy so all was good but that brings us to the question.  Why are you so witchy? Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.  Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY! <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! Contact Send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes.  Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.  We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website <a href="http://www.chiropracticforward.com" rel="nofollow" target="_blank">http://www.chiropracticforward.com</a> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward" rel="nofollow" target="_blank">https://twitter.com/Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  The post <a href="https://www.chiropracticforward.com/w-lindsay-mumma-excellence-in-practice-pelvic-floors-oh-how-they-suck/" rel="nofollow" target="_blank">w/ Dr. Lindsay Mumma – Excellence in Practice &amp; Pelvic Floors. Oh How They Suck</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

w/ Dr. Lindsay Mumma – Excellence in Practice & Pelvic Floors. Oh How They Suck

CF 280: Catastrophizing and ProprioceptionToday we’re going to talk about catastrophizing and we’ll talk about proprioception in chronic low back pain patients as well.But first, here’s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!    OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.   We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.   I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending y  our time with us learning together.   Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com   If you haven’t yet I have a few things you should do. Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. Then go Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast on whatever platform you’re listening to Last thing real quick, we also have an evidence-based brochure and poster store at com  You have found yourself smack dab in the middle of Episode #280   Now if you missed last week’s episode, we talked about Newer Information On Nonsurgical Spinal Decompression Make sure you don’t miss that info. Keep up with the class.  On the personal end of things…..Things seem to be humming along nicely around my clinic, other than still needing a good, solid, driven associate. But, it is what it is and that’s OK. The right on will come along when they’re supposed to come along. And we’ll take good care of them when they do.  In other news, I’m still digging on BlueIQ.I buy a lot of goofy crap and have bought goofy things and services over the years. Always trying to get that competitive advantage.   Some of the more solid investments I’ve made over the years have been ChiroUp, ReviewWave, being in Dr. Kevin Christie’s Mastermind group, and then I think BlueIQ. I think.I’m still evaluating and using it but I think I really really like it.  Stats right from my phone if I want them and they’re updated every hour from my EHR, well hell yes. Please and thank you. Thank you, may I have another.  Also big in the clinic now is that we’ve been using a software called SignPresenter. Now think about it; I have an integrated clinic and that means I have a crap ton of services when you combine all providers.Well, I got to thinking, why the hell don’t I have a TV in our lobby with all of our services being splashed across the screen and across the brains of all of the people that come through our doors?Why am I being a dummy?   So I started a little research and came across SignPresenter and signed up muy pronto. There’s a small learning curve on the thing but I think I bout got it handled.   I’ve started making my own graphics, videos, etc, and can now showcase things on it for our lobby-dwelling folks.Including QR codes for landing pages and more information and things like that.   I think it matters. Our front desk pro, Elexis, tells me that people will just stand in front of the TV watching it. Lol. So that’s a good thing. Can’t be bad!! I’ll let you know how that goes but early signs say that it’s a big, big win.  OK, enough of the ramblings, let’s get ot the research.    Item #1  The first one today is called “Widespread Proprioceptive Acuity Impairment in Chronic Back Pain: A Cross-sectional Study” by Matthias Poesl MSc, Gabriela F. Carvalho Ph.D., Waclaw M. Adamczyk Ph.D., Beate Schüßler MSc, Michael Richter Ph.D., Kerstin Luedtke Ph.D., Tibor M. Szikszay Ph.D. and published in Science Direct on 17 March 2023. Dayum. That’s hot.  Why They Did ItTo investigate whether proprioceptive accuracy measured with the Joint Position Sense (JPS) in patients with chronic neck and low back pain is impaired exclusively in affected areas or also in distant areas, not affected by pain.  How They Did It   Patients with chronic neck pain, patients with chronic low back pain, and age- and sex-matched asymptomatic control subjects. One hundred and thirty-three patients with chronic neck and back pain were recruited. Among them, 33 did not meet the inclusion and exclusion criteria or decided not to participate in the study. In total, 30 patients with CLBP, 30 patients with CNP, and 30 pain-free control participants were included. No significant differences were found between all 3 groups regarding sociodemographic and between both patient groups regarding disease-related characteristics. What They Found Both patients with chronic neck pain and patients with chronic low back pain differed significantly from asymptomatic controls in the Joint Position Sense of the cervical spine, lumbar spine and ankle joint, regardless of the painful area. No difference was shown between patient groups. An association of the Joint Position Sense with clinical characteristics, however, could not be shown.  Wrap It UpThese results suggest widespread impairment of proprioceptive accuracy in patients with chronic and low back pain and a role for central sensorimotor processes in musculoskeletal pain conditions.     Before getting to the next one,   Next thing, go to https://www.tecnobody.com/en/products That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.    When you decide you can’t live without those products, send me an email and I’ll give you the hookup. They will 100% differentiate your clinic from your competitors.   I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.   Item #2   Our last one this week is called, “Level of pain catastrophizing determines if patients with long-standing subacromial impingement benefit from more resistance exercise: predefined secondary analyses from a pragmatic randomized controlled trial (the SExSI Trial)” by Mikkel Bek Clausen, Michael Skovdal, Thomas Graven-Nielsen, Thomas Bandholm, Karl Bang Christensen, Kristian Thorborg and published in British Journal Of Sports Medicine on March 10, 2023. Steamy stack of simmering sausage!  Why They Did ItThe primary aim was to investigate the effectiveness of adding more resistance exercise to usual care on pain mechanisms (including temporal summation, conditioned pain modulation and local pain sensitivity) and pain catastrophizing in people with subacromial impingement at 16 weeks follow-up. Second, to investigate the modifying effect of pain mechanisms and pain catastrophizing on the interventions’ effectiveness in improving shoulder strength and disability  How They Did It 200 consecutive patients were randomly allocated to usual exercise-based care or the same plus additional elastic band exercise to increase total exercise dose.   Completed add-on exercise dose was captured using an elastic band sensor. Outcome measures recorded at baseline, 5 weeks, 10 weeks and 16 (primary end point) weeks included temporal summation of pain (TSP) and conditioned pain modulation assessed at the lower leg, pressure pain threshold at the deltoid muscle (PPT-deltoid), pain catastrophizing and the Shoulder Pain and Disability Index.   What They Found Additional elastic band exercise was not superior to usual exercise-based care in improving pain mechanisms or pain catastrophizing after 16 weeks.   Interaction analyses showed that pain catastrophizing (median split) modified the effectiveness of additional exerciseswith superior results in the additional exercise group compared with the usual care group in patients with less pain catastrophizing.  Wrap It UpAdditional resistance exercise added to usual care was not superior to usual care alone in improving pain mechanisms or pain catastrophizing. Additional exercise was, however, superior in improving self-reported disability in patients with lower levels of pain catastrophizing at baseline. Alright, that’s it. Keep on keepin’ on.Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen.  Let’s get to the message. Same as it is every week.  StoreRemember the evidence-informed brochures and posters at chiropracticforward.com.   Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!    The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! ContactSend us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. WebsiteHome   Social Media Links https://www.facebook.com/chiropracticforward/   Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/   Twitter Tweets by Chiro_Forward   YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q   iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2   Player FM Link https://player.fm/series/2291021   Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through   TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/   About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger    The post Catastrophizing and Proprioception appeared first on Chiropractic Forward.

<h1><a></a>CF 280: <a></a>Catastrophizing and Proprioception</h1>Today we’re going to talk about catastrophizing and we’ll talk about proprioception in chronic low back pain patients as well.But first, here’s that sweet sweet bumper music Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.   We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.   I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  I’m so glad you’re spending y  our time with us learning together.   Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com   If you haven’t yet I have a few things you should do.<ul> <li>Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.</li> <li>Then go Like our Chiropractic Forward Facebook page,</li> <li>Join our private Chiropractic Forward Facebook group, and then</li> <li>Review our podcast on whatever platform you’re listening to</li> <li>Last thing real quick, we also have an evidence-based brochure and poster store at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">com</a></li> </ul> You have found yourself smack dab in the middle of Episode #280   Now if you missed last week’s episode, we talked about Newer Information On Nonsurgical Spinal Decompression Make sure you don’t miss that info. Keep up with the class.  On the personal end of things…..Things seem to be humming along nicely around my clinic, other than still needing a good, solid, driven associate. But, it is what it is and that’s OK. The right on will come along when they’re supposed to come along. And we’ll take good care of them when they do.  In other news, I’m still digging on BlueIQ.I buy a lot of goofy crap and have bought goofy things and services over the years. Always trying to get that competitive advantage.   Some of the more solid investments I’ve made over the years have been ChiroUp, ReviewWave, being in Dr. Kevin Christie’s Mastermind group, and then I think BlueIQ. I think.I’m still evaluating and using it but I think I really really like it.  Stats right from my phone if I want them and they’re updated every hour from my EHR, well hell yes. Please and thank you. Thank you, may I have another.  Also big in the clinic now is that we’ve been using a software called SignPresenter. Now think about it; I have an integrated clinic and that means I have a crap ton of services when you combine all providers.Well, I got to thinking, why the hell don’t I have a TV in our lobby with all of our services being splashed across the screen and across the brains of all of the people that come through our doors?Why am I being a dummy?   So I started a little research and came across SignPresenter and signed up muy pronto. There’s a small learning curve on the thing but I think I bout got it handled.   I’ve started making my own graphics, videos, etc, and can now showcase things on it for our lobby-dwelling folks.Including QR codes for landing pages and more information and things like that.   I think it matters. Our front desk pro, Elexis, tells me that people will just stand in front of the TV watching it. Lol. So that’s a good thing. Can’t be bad!! I’ll let you know how that goes but early signs say that it’s a big, big win.  OK, enough of the ramblings, let’s get ot the research.    Item #1 The first one today is called “Widespread Proprioceptive Acuity Impairment in Chronic Back Pain: A Cross-sectional Study” by Matthias Poesl MSc, Gabriela F. Carvalho Ph.D., Waclaw M. Adamczyk Ph.D., Beate Schüßler MSc, Michael Richter Ph.D., Kerstin Luedtke Ph.D., Tibor M. Szikszay Ph.D. and published in Science Direct on 17 March 2023. Dayum. That’s hot.  Why They Did ItTo investigate whether proprioceptive accuracy measured with the Joint Position Sense (JPS) in patients with chronic neck and low back pain is impaired exclusively in affected areas or also in distant areas, not affected by pain.  How They Did It <ul> <li>Patients with chronic neck pain, patients with chronic low back pain, and age- and sex-matched asymptomatic control subjects.</li> <li>One hundred and thirty-three patients with chronic neck and back pain were recruited.</li> <li>Among them, 33 did not meet the inclusion and exclusion criteria or decided not to participate in the study.</li> <li>In total, 30 patients with CLBP, 30 patients with CNP, and 30 pain-free control participants were included.</li> <li>No significant differences were found between all 3 groups regarding sociodemographic and between both patient groups regarding disease-related characteristics.</li> </ul>What They Found<ul> <li>Both patients with chronic neck pain and patients with chronic low back pain differed significantly from asymptomatic controls in the Joint Position Sense of the cervical spine, lumbar spine and ankle joint, regardless of the painful area.</li> <li>No difference was shown between patient groups.</li> <li>An association of the Joint Position Sense with clinical characteristics, however, could not be shown.</li> </ul> Wrap It UpThese results suggest widespread impairment of proprioceptive accuracy in patients with chronic and low back pain and a role for central sensorimotor processes in musculoskeletal pain conditions.     Before getting to the next one,   Next thing, go to <a href="https://www.tecnobody.com/en/products" rel="nofollow" target="_blank">https://www.tecnobody.com/en/products</a> That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office.   When you decide you can’t live without those products, send me an email and I’ll give you the hookup. They will 100% differentiate your clinic from your competitors.   I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> &amp; get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. <a href="http://droprelease.com/" rel="nofollow" target="_blank">droprelease.com</a> and the discount code is HOTSTUFF. Go do it.   Item #2   Our last one this week is called, “Level of pain catastrophizing determines if patients with long-standing subacromial impingement benefit from more resistance exercise: predefined secondary analyses from a pragmatic randomized controlled trial (the SExSI Trial)” by Mikkel Bek Clausen, Michael Skovdal, Thomas Graven-Nielsen, Thomas Bandholm, Karl Bang Christensen, Kristian Thorborg and published in British Journal Of Sports Medicine on March 10, 2023. Steamy stack of simmering sausage!  Why They Did ItThe primary aim was to investigate the effectiveness of adding more resistance exercise to usual care on pain mechanisms (including temporal summation, conditioned pain modulation and local pain sensitivity) and pain catastrophizing in people with subacromial impingement at 16 weeks follow-up. Second, to investigate the modifying effect of pain mechanisms and pain catastrophizing on the interventions’ effectiveness in improving shoulder strength and disability How They Did It<ul> <li>200 consecutive patients were randomly allocated to usual exercise-based care or the same plus additional elastic band exercise to increase total exercise dose.</li> </ul> <ul> <li>Completed add-on exercise dose was captured using an elastic band sensor. Outcome measures recorded at baseline, 5 weeks, 10 weeks and 16 (primary end point) weeks included temporal summation of pain (TSP) and conditioned pain modulation assessed at the lower leg, pressure pain threshold at the deltoid muscle (PPT-deltoid), pain catastrophizing and the Shoulder Pain and Disability Index.</li> </ul> What They Found<ul> <li>Additional elastic band exercise was not superior to usual exercise-based care in improving pain mechanisms or pain catastrophizing after 16 weeks.</li> </ul> <ul> <li>Interaction analyses showed that pain catastrophizing (median split) modified the effectiveness of additional exerciseswith superior results in the additional exercise group compared with the usual care group in patients with less pain catastrophizing.</li> </ul> Wrap It UpAdditional resistance exercise added to usual care was not superior to usual care alone in improving pain mechanisms or pain catastrophizing. Additional exercise was, however, superior in improving self-reported disability in patients with lower levels of pain catastrophizing at baseline. Alright, that’s it. Keep on keepin’ on.Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen.  Let’s get to the message. Same as it is every week. StoreRemember the evidence-informed brochures and posters at <a href="http://chiropracticforward.com/" rel="nofollow" target="_blank">chiropracticforward.com</a>. Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!<a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a>The MessageI want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries &amp; disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point:At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! ContactSend us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. ConnectWe can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website<blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/catastrophizing-and-proprioception/" rel="nofollow" target="_blank">Catastrophizing and Proprioception</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

Catastrophizing and Proprioception

The Chiropractic Forward podcast clearly demonstrates how research, evidence, and experience puts Chiropractic Care firmly in consideration for integration into the mainstream healthcare. Advanced chiropractic knowledge, learning, and active chiropractic protocols have been clinically proven to be effective for mechanical pain. The newest recommendations coming from the medical world align chiropractic with the most effective protocols currently available for back and neck pain.

stayed for that sweet, sweet bumper music.

Came for the research reviews...

Up to date research with a down to earth delivery. Great podcast!

Entertaining and packed with info

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

Crazy Update On Run-Away Healthcare Spending in America In today’s podcast, we are going to talk about the crazy, run-away healthcare spending in America and we’re going to use an article straight from the leading authority, the Journal of the American Medical Association, to help us out. Before we get started, I want to share with you how much have enjoyed getting this podcast up and running. I strongly doubt it’s as popular as the other great chiropractic podcasts that have been up and going for a couple of years now. Heck, Chiropractic Forward has just been going since December so, at this point, one would expect for us to still be trying to gain attention and trying to gain some ears. And…..we are. No doubt. But I can say that is has been pure joy to look up the downloads for each episode and seeing that, no…..its not just me that finds this stuff fascinating. Lol. You guys and gals are starting to listen and starting to pay attention. We’re still struggling for those like and retweets on Twitter. That’s the frustrating part if I’m being honest. To KNOW that you have put together an effective article on how chiropractors do not cause strokes and then to have such a hard time getting the word out. It’s frustrating to be sure but it’s also part of building something new and exciting. So, I will simply continue to remind you that we need your help if we are to make a difference and I will keep reminding you to like our Facebook page, follow us on Twitter, sign up for our weekly reminder newsletter through the form on our homepage, and share us with your network. We would certainly appreciate that help. Some of you may have actually gotten to see me arguing the stroke issue on our Facebook page. My gosh, some people, you could hit them with a research book full of papers in your favor and some would still argue just to try to prevent being wrong. Not only do I get to argue about stroke or whatever the topic may be, it always strays into generalized ignorant statements like, “Chiropractic is bunk.” I can use research to absolutely wipe the floor with people like that. And, the irritating thing is that the people, or trolls spouting off like that are usually computer majors, musicians, or something else completely removed from healthcare. It is enough to make a man insane if you allow it. So I don’t. Anyway, check us on Twitter and Facebook. Every now and then, you may find an enthusiastic discussion. lol. To say the least. Since I haven’t yet, I’ll introduce myself, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. We are honored to have you listening. Now, here we go with some vital information that we think can build confidence and improve your practice which will improve your life overall. That’s a tall order but that is the goal. You have shaked, shimmied, and rolled into Episode #21 I’d like to start by saying that it is good to see the medical world beginning to examine itself with a clear lens. We have seen them turn blind eyes to many things we notice and research notices. As we have mentioned, there has been little attention given to the updated recommendations in favor of chiropractic, massage, and acupuncture in February of 2017. It is yet to be known what, or if anything, will change following the series of low back pain papers recently published in The Lancet (March21, 2018).   As we have mentioned, there has been little attention given to the updated recommendations in favor of chiropractic, massage, and acupuncture in February of 2017. It is yet to be known what, or if anything, will change following the series of low back pain papers recently published in The Lancet (March21, 2018). 				Click To Tweet 				  I have been mentioning how I feel that the opioid crisis has opened many many doors recently in regards to the medical field, clinical pathways, and in they way they are starting to look at the costs. Kudos to those in the medical field for beginning to call out their own protocols and questions them for effectiveness vs. risk. Some procedures may be effective here and there but, in general, if the squeeze is not worth the push, then there is little to zero return on investment and it should be abandoned. Obviously, one’s health is different than a business stat sheet but the metaphor is a valid one I believe. Obamacare was supposed to heal all of our healthcare woes, right? From what I can tell, all it did was squeeze out the middle class. The folks that make too much to be subsidized but do not make enough to not really care about the new jacked health insurance rates. For example, the premiums here in Texas have doubled or tripled in many cases while the insurance companies cover less and less. The co-payments have gone from $15-$20 all the way up to $50 and even $100. The deductibles have gone from $250 or $1,000 all the way up to $5000 or $10,000. In addition, the insurance companies are now reimbursing healthcare providers less. in many cases, 3/4 less. Did you know that here in Texas, where a medical radiologist was once reimbursed up to $28+ or so for reading a neck series, they now get paid in the ballpark of $7 for the same series? I promise the doctors are not living less of a life than they were prior to Obamacare. Not at all. But, what is likely happening unconsciously is they are probably reading more x-rays more quickly to attempt to make up for the reduction in their pay. Would you agree that this may put patients at more risk? I’m not saying doctors make a conscious decision to put patients at risk but, if a professional in ANY industry has a house in town, a house and boat on the lake, 3 cars, time share on a private plane, and things of that nature, when their income is cut by 3/4 in some cases, they will tend to find ways to make that up in ways that make sense to them. Regardless of profession or industry. Maybe Obamacare just makes them more efficient rather than raising the patient risk. I do not have the answer on this but I do know that radiologists are responsible for everything on a film and their license is at risk on each and every film. When the government cut their pay that dramatically, the government began putting people at more risk. In my opinion of course. I am firmly on the side of the medical field on this issue. The same type of thing is currently happening with the chiropractic industry as well. We are being reimbursed at smaller and smaller rates. We are seeing our covered patients being turned into cash patients whether we like it or not. The co-pays and deductibles are so high, the could just as easily be cash patients for our purposes. For this very reason, you are seeing more and more chiropractors in America begin to look at changing over to a cash-based practice model and drop insurance contracts all together. I’m not certain every bit of this discussion is completely on topic but let me tie it up and bring it home through the use of this research paper. This paper appeared in the Journal of the American Medical Association (JAMA) on March 23, 2018. It was titled “Health Care Spending in the United States and Other High-Income Countries” and was authored by Irene Papanicolas, PhD (Papanicolas I 2018). Why They Did It Healthcare spending in America is a long-time hot topic and issue that has never been adequately addressed. Part of the problem is that we Americans spend more than other high-income countries with little information that shows that any efforts to control expenses has done anything to help the problem. These authors attempted to compare the big ticket items in healthcare in America with the same items in ten other high-income countries in an attempt to learn where improvement might be made here at home.   These authors attempted to compare the big ticket items in healthcare in America with the same items in ten other high-income countries in an attempt to learn where improvement might be made here at home. 				Click To Tweet 				  How They Did It Information was mostly gained from the Organization for Economic Cooperation and Development (OECD) from 2013-16. The OECD is an international organization comparing underlying differences in structural features, types of health care and social spending, and performance for several high-income countries. What They Found In 2016, America spent 17.8% of its gross domestic product on healthcare while the other 10 nations spent from 9.6%-12.4%. Surprise, surprise….pharmaceutical costs spending per capita in America was $1443 vs. from $466-$939 in the other 10 countries. American doctors and patients love those pills. That is healthcare spending in America at its best. 90% of Americans are insured while 99%-100% were insured in the other 10 countries. The U.S. has the highest proportion of private insurance when compared to the other 10 countries, which is 55.3%. When it comes to smoking, Americans actually have the second lowest rate sitting at 11.4% When we talk about obesity, the US has the highest proportion at 70.1%. Others range from 23.8%-63.4% for comparison purposes. The US life expectancy was the lowest at 78.8 years. US infant mortality was the highest rate of the 11 countries. There was no real difference in the American physician workforce, nurse workforce, etc., when compared to the other 10 countries. America has comparable numbers of hospital beds Americans use MRIs and CTs when compared to the other 10 countries. The US had similar rates of utilization for acute myocardial infarction, pneumonia, chronic obstructive pulmonary disease, hip replacements, knee replacements, and coronary artery bypass graft surgery. Administrative costs of care in American stood at 8% while the same measure in the other 10 countries ranged from 1%-3%. Salaries of physicians and nurses were higher in the US; for example, generalist physicians salaries were $218?173 in the US compared with a range of $86?607 to $154?126 in the other countries. Wrap It Up The authors of the paper concluded that, “The United States spent approximately twice as much as other high-income countries on medical care, yet utilization rates in the United States were largely similar to those in other nations.   The authors of the paper concluded that, “The United States spent approximately twice as much as other high-income countries on medical care, yet utilization rates in the United States were largely similar to those in other nations. 				Click To Tweet 				  Prices of labor and goods, including pharmaceuticals, and administrative costs appeared to be the major drivers of the difference in overall cost between the United States and other high-income countries” My own wrap up would be that America spends twice as much money on healthcare while we have the highest rate of obesity, double the amount of pharmaceuticals, lower life expectancy, higher infant mortality, and higher administrative costs when we are compared to 10 other countries of similar income. Healthcare spending in America is out of hand. That’s not good, folks. Not good at all. When do the pharmaceutical companies stop controlling the medical profession and the medical profession turn it around to control the pharmaceutical companies? When does that happen exactly? Did you know that, from 1948 until 1996, there was a TV ban on running liquor ads? You may see beer or wine ads but you would never see Jim Beam running a commercial between Alf and Different Strokes. But, how often do we see pharmaceutical ads on TV these days? It’s a shame to be honest. Shouldn’t the doctor be the one that is informed on medications rather than a 320 million people that are almost completely uneducated on pharmaceuticals? Should patients be going into doctors’ offices ready to pressure them into a certain medication because they saw it on TV?   Should patients be going into doctors’ offices ready to pressure them into a certain medication because they saw it on TV? 				Click To Tweet 				  It is absolutely insane and should have been stopped at the first mention of it. To make it fair or legal or whatever may be the case, they state a long laundry list of all of the things that may happen to you if you take it. But, the information is delivered and people are influenced. If a patient goes in for something like erectile dysfunction, the doctor tells them what they need. They don’t tell the doctor!! Do you see the problem here? If the patient goes in for potential blood clots, the doctor should be telling them they need a certain type of thinner. That is not the patient’s place in any country on the entire planet. Not only do the pharma companies control patient mentality in this way but they attempt control of the physicians. Pharma reps are skilled at what they do. They are highly trained and very well-paid to effect influence in their market’s physicians. They take them on dinners, bring the office lunches, pay for trips, etc. You can spot them at any doctor’s office you go to. Just look for the well-dressed person in the waiting room with a clip board and a bag of goodies. That’s them! I had a general practitioner that I had to finally fire. I had been living a bit unhealthy for several months when I went for a yearly checkup. My blood pressure was high. He immediately tried to put me on life-long meds. I was overweight and drank a 12-pack of Bud Light here and there while traveling in a band playing music. You might say that I used to be a little bit ornery. Again, I was admittedly behaving badly. His diagnosis was that I was depressed and needed an anti-depressant. Really? Instead of trying some behavior modification, according to him, I needed life-long blood pressure meds and life-long antidepressant meds. Where does this mentality come from? What if we treat the CAUSE rather than the SYMPTOM? First, I lost weight and started to behave. Guess what? My blood pressure returned to normal. As a result of ceasing traveling in a band, I basically quit drinking beer outside of social events. Boom! I was no longer depressed according to his definition. This may seem like an extreme example to some but, it is my estimation that this sort of “doctoring” and “pill pushing” is far more common than one may even dream. I am in no way against the medical field or against surgery or against medicine. I am against simple pill fixes. I’m against long-term meds when not needed. There are some conditions like diabetes or genetic high blood pressure that require long-term meds but, in many cases, they should be avoided. I’m against the medical field performing shots and surgeries and using opioids for musculoskeletal pains when the research is clear when it recommends chiropractic, massage, etc.. for those pains. Basically, the medical field needs to stop thinking the pills are the be all – end all of healthcare and start looking more to the cause rather than just treating the symptoms. The physicians need to take the reins of their profession away from the pharmaceutical companies and wield the power over pharma that they attempt to wield over chiropractic and other alternative means of healthcare. Enough about them for this episode. I want you to know with absolute certainty that When Chiropractic is at its best, you cannot beat the risk vs reward ratio. Plain and simple. Spinal pain is a mechanical pain and responds better to mechanical treatment rather than chemical treatment such as pain killers, muscle relaxants, and anti-inflammatories. When you look at the body of literature, it is clear: research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, compared to the traditional medical model, patients get good to excellent results with Chiropractic. It’s safe, more cost-effective, decreases chances of surgery, and reduces chances of becoming disabled. We do this conservatively and non-surgically with minimal time requirements and hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward, we can likely keep it that way while raising the general, overall level of health! And patients have the right to the best treatment that does the least harm. THAT’S Chiropractic folks. Please feel free to send us an email at dr dot williams at chiropracticforward.com and let us know what you think or what suggestions you may have for us for future episodes. Feedback and constructive criticism is a blessing and we want to hear from you on a range of topics so bring it on folks! If you love what you hear, be sure to check out www.chiropracticforward.com. We want to ask you to share us with you network and help us build this podcast into the #1 Chiropractic evidence-based podcast in the world. We cannot wait to connect again with you next week. From Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. CF 013: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 1 of 3)  CF 016: Review of The Lancet Article on Low Back Pain (Pt. 1)  Bibliography Papanicolas I (2018). “Health Care Spending in the United States and Other High-Income Countries.” JAMA 319(10): 1024-1039. The post CF 021: Crazy Update On Run-Away Healthcare Spending in America appeared first on Chiropractic Forward.

<h2>Crazy Update On Run-Away Healthcare Spending in America</h2> In today’s podcast, we are going to talk about the crazy, run-away healthcare spending in America and we’re going to use an article straight from the leading authority, the Journal of the American Medical Association, to help us out. Before we get started, I want to share with you how much have enjoyed getting this podcast up and running. I strongly doubt it’s as popular as the other great chiropractic podcasts that have been up and going for a couple of years now. Heck, Chiropractic Forward has just been going since December so, at this point, one would expect for us to still be trying to gain attention and trying to gain some ears. And…..we are. No doubt. But I can say that is has been pure joy to look up the downloads for each episode and seeing that, no…..its not just me that finds this stuff fascinating. Lol. You guys and gals are starting to listen and starting to pay attention. <h2>We’re still struggling for those like and retweets on Twitter.</h2> That’s the frustrating part if I’m being honest. To KNOW that you have put together an effective article on how chiropractors do not cause strokes and then to have such a hard time getting the word out. It’s frustrating to be sure but it’s also part of building something new and exciting. So, I will simply continue to remind you that we need your help if we are to make a difference and I will keep reminding you to like our Facebook page, follow us on Twitter, sign up for our weekly reminder newsletter through the form on our homepage, and share us with your network. We would certainly appreciate that help. Some of you may have actually gotten to see me arguing the stroke issue on our Facebook page. My gosh, some people, you could hit them with a research book full of papers in your favor and some would still argue just to try to prevent being wrong. Not only do I get to argue about stroke or whatever the topic may be, it always strays into generalized ignorant statements like, “Chiropractic is bunk.” I can use research to absolutely wipe the floor with people like that. And, the irritating thing is that the people, or trolls spouting off like that are usually computer majors, musicians, or something else completely removed from healthcare. It is enough to make a man insane if you allow it. So I don’t. Anyway, check us on Twitter and Facebook. Every now and then, you may find an enthusiastic discussion. lol. To say the least. Since I haven’t yet, I’ll introduce myself, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. We are honored to have you listening. Now, here we go with some vital information that we think can build confidence and improve your practice which will improve your life overall. That’s a tall order but that is the goal. <h2>You have shaked, shimmied, and rolled into Episode #21</h2> I’d like to start by saying that it is good to see the medical world beginning to examine itself with a clear lens. We have seen them turn blind eyes to many things we notice and research notices. As we have mentioned, there has been little attention given to the updated recommendations in favor of chiropractic, massage, and acupuncture in February of 2017. It is yet to be known what, or if anything, will change following the series of low back pain papers recently published in The Lancet (March21, 2018). <a href="http://ctt.ec/dETKP" rel="nofollow" target="_blank"> </a><a href="http://ctt.ec/dETKP" rel="nofollow" target="_blank">As we have mentioned, there has been little attention given to the updated recommendations in favor of chiropractic, massage, and acupuncture in February of 2017. It is yet to be known what, or if anything, will change following the series of low back pain papers recently published in The Lancet (March21, 2018).</a><a href="http://ctt.ec/dETKP" rel="nofollow" target="_blank"> 				Click To Tweet 				</a> I have been mentioning how I feel that the opioid crisis has opened many many doors recently in regards to the medical field, clinical pathways, and in they way they are starting to look at the costs. Kudos to those in the medical field for beginning to call out their own protocols and questions them for effectiveness vs. risk. Some procedures may be effective here and there but, in general, if the squeeze is not worth the push, then there is little to zero return on investment and it should be abandoned. Obviously, one’s health is different than a business stat sheet but the metaphor is a valid one I believe. Obamacare was supposed to heal all of our healthcare woes, right? From what I can tell, all it did was squeeze out the middle class. The folks that make too much to be subsidized but do not make enough to not really care about the new jacked health insurance rates. For example, the premiums here in Texas have doubled or tripled in many cases while the insurance companies cover less and less. The co-payments have gone from $15-$20 all the way up to $50 and even $100. The deductibles have gone from $250 or $1,000 all the way up to $5000 or $10,000. In addition, the insurance companies are now reimbursing healthcare providers less. in many cases, 3/4 less. Did you know that here in Texas, where a medical radiologist was once reimbursed up to $28+ or so for reading a neck series, they now get paid in the ballpark of $7 for the same series? I promise the doctors are not living less of a life than they were prior to Obamacare. Not at all. But, what is likely happening unconsciously is they are probably reading more x-rays more quickly to attempt to make up for the reduction in their pay. Would you agree that this may put patients at more risk? I’m not saying doctors make a conscious decision to put patients at risk but, if a professional in ANY industry has a house in town, a house and boat on the lake, 3 cars, time share on a private plane, and things of that nature, when their income is cut by 3/4 in some cases, they will tend to find ways to make that up in ways that make sense to them. Regardless of profession or industry. Maybe Obamacare just makes them more efficient rather than raising the patient risk. I do not have the answer on this but I do know that radiologists are responsible for everything on a film and their license is at risk on each and every film. When the government cut their pay that dramatically, the government began putting people at more risk. In my opinion of course. I am firmly on the side of the medical field on this issue. The same type of thing is currently happening with the chiropractic industry as well. We are being reimbursed at smaller and smaller rates. We are seeing our covered patients being turned into cash patients whether we like it or not. The co-pays and deductibles are so high, the could just as easily be cash patients for our purposes. For this very reason, you are seeing more and more chiropractors in America begin to look at changing over to a cash-based practice model and drop insurance contracts all together. I’m not certain every bit of this discussion is completely on topic but let me tie it up and bring it home through the use of this research paper. This paper appeared in the Journal of the American Medical Association (JAMA) on March 23, 2018. It was titled “Health Care Spending in the United States and Other High-Income Countries” and was authored by Irene Papanicolas, PhD (Papanicolas I 2018). Why They Did It Healthcare spending in America is a long-time hot topic and issue that has never been adequately addressed. Part of the problem is that we Americans spend more than other high-income countries with little information that shows that any efforts to control expenses has done anything to help the problem. These authors attempted to compare the big ticket items in healthcare in America with the same items in ten other high-income countries in an attempt to learn where improvement might be made here at home. <a href="http://ctt.ec/TFaoc" rel="nofollow" target="_blank"> </a><a href="http://ctt.ec/TFaoc" rel="nofollow" target="_blank">These authors attempted to compare the big ticket items in healthcare in America with the same items in ten other high-income countries in an attempt to learn where improvement might be made here at home.</a><a href="http://ctt.ec/TFaoc" rel="nofollow" target="_blank"> 				Click To Tweet 				</a> How They Did It Information was mostly gained from the Organization for Economic Cooperation and Development (OECD) from 2013-16. The OECD is an international organization comparing underlying differences in structural features, types of health care and social spending, and performance for several high-income countries. What They Found In 2016, America spent 17.8% of its gross domestic product on healthcare while the other 10 nations spent from 9.6%-12.4%. Surprise, surprise….pharmaceutical costs spending per capita in America was $1443 vs. from $466-$939 in the other 10 countries. American doctors and patients love those pills. That is healthcare spending in America at its best. 90% of Americans are insured while 99%-100% were insured in the other 10 countries. The U.S. has the highest proportion of private insurance when compared to the other 10 countries, which is 55.3%. When it comes to smoking, Americans actually have the second lowest rate sitting at 11.4% When we talk about obesity, the US has the highest proportion at 70.1%. Others range from 23.8%-63.4% for comparison purposes. The US life expectancy was the lowest at 78.8 years. US infant mortality was the highest rate of the 11 countries. There was no real difference in the American physician workforce, nurse workforce, etc., when compared to the other 10 countries. America has comparable numbers of hospital beds Americans use MRIs and CTs when compared to the other 10 countries. The US had similar rates of utilization for acute myocardial infarction, pneumonia, chronic obstructive pulmonary disease, hip replacements, knee replacements, and coronary artery bypass graft surgery. Administrative costs of care in American stood at 8% while the same measure in the other 10 countries ranged from 1%-3%. Salaries of physicians and nurses were higher in the US; for example, generalist physicians salaries were $218?173 in the US compared with a range of $86?607 to $154?126 in the other countries. Wrap It Up The authors of the paper concluded that, “The United States spent approximately twice as much as other high-income countries on medical care, yet utilization rates in the United States were largely similar to those in other nations. <a href="http://ctt.ec/43U6r" rel="nofollow" target="_blank"> </a><a href="http://ctt.ec/43U6r" rel="nofollow" target="_blank">The authors of the paper concluded that, “The United States spent approximately twice as much as other high-income countries on medical care, yet utilization rates in the United States were largely similar to those in other nations.</a><a href="http://ctt.ec/43U6r" rel="nofollow" target="_blank"> 				Click To Tweet 				</a> Prices of labor and goods, including pharmaceuticals, and administrative costs appeared to be the major drivers of the difference in overall cost between the United States and other high-income countries” My own wrap up would be that America spends twice as much money on healthcare while we have the highest rate of obesity, double the amount of pharmaceuticals, lower life expectancy, higher infant mortality, and higher administrative costs when we are compared to 10 other countries of similar income. Healthcare spending in America is out of hand. That’s not good, folks. Not good at all. When do the pharmaceutical companies stop controlling the medical profession and the medical profession turn it around to control the pharmaceutical companies? When does that happen exactly? Did you know that, from 1948 until 1996, there was a TV ban on running liquor ads? You may see beer or wine ads but you would never see Jim Beam running a commercial between Alf and Different Strokes. But, how often do we see pharmaceutical ads on TV these days? It’s a shame to be honest. Shouldn’t the doctor be the one that is informed on medications rather than a 320 million people that are almost completely uneducated on pharmaceuticals? Should patients be going into doctors’ offices ready to pressure them into a certain medication because they saw it on TV? <a href="http://ctt.ec/0beiQ" rel="nofollow" target="_blank"> </a><a href="http://ctt.ec/0beiQ" rel="nofollow" target="_blank">Should patients be going into doctors’ offices ready to pressure them into a certain medication because they saw it on TV?</a><a href="http://ctt.ec/0beiQ" rel="nofollow" target="_blank"> 				Click To Tweet 				</a> It is absolutely insane and should have been stopped at the first mention of it. To make it fair or legal or whatever may be the case, they state a long laundry list of all of the things that may happen to you if you take it. But, the information is delivered and people are influenced. If a patient goes in for something like erectile dysfunction, the doctor tells them what they need. They don’t tell the doctor!! Do you see the problem here? If the patient goes in for potential blood clots, the doctor should be telling them they need a certain type of thinner. That is not the patient’s place in any country on the entire planet. Not only do the pharma companies control patient mentality in this way but they attempt control of the physicians. Pharma reps are skilled at what they do. They are highly trained and very well-paid to effect influence in their market’s physicians. They take them on dinners, bring the office lunches, pay for trips, etc. You can spot them at any doctor’s office you go to. Just look for the well-dressed person in the waiting room with a clip board and a bag of goodies. That’s them! I had a general practitioner that I had to finally fire. I had been living a bit unhealthy for several months when I went for a yearly checkup. My blood pressure was high. He immediately tried to put me on life-long meds. I was overweight and drank a 12-pack of Bud Light here and there while traveling in a band playing music. You might say that I used to be a little bit ornery. Again, I was admittedly behaving badly. His diagnosis was that I was depressed and needed an anti-depressant. Really? Instead of trying some behavior modification, according to him, I needed life-long blood pressure meds and life-long antidepressant meds. Where does this mentality come from? What if we treat the CAUSE rather than the SYMPTOM? First, I lost weight and started to behave. Guess what? My blood pressure returned to normal. As a result of ceasing traveling in a band, I basically quit drinking beer outside of social events. Boom! I was no longer depressed according to his definition. This may seem like an extreme example to some but, it is my estimation that this sort of “doctoring” and “pill pushing” is far more common than one may even dream. I am in no way against the medical field or against surgery or against medicine. I am against simple pill fixes. I’m against long-term meds when not needed. There are some conditions like diabetes or genetic high blood pressure that require long-term meds but, in many cases, they should be avoided. I’m against the medical field performing shots and surgeries and using opioids for musculoskeletal pains when the research is clear when it recommends chiropractic, massage, etc.. for those pains. Basically, the medical field needs to stop thinking the pills are the be all – end all of healthcare and start looking more to the cause rather than just treating the symptoms. The physicians need to take the reins of their profession away from the pharmaceutical companies and wield the power over pharma that they attempt to wield over chiropractic and other alternative means of healthcare. Enough about them for this episode. I want you to know with absolute certainty that When Chiropractic is at its best, you cannot beat the risk vs reward ratio. Plain and simple. Spinal pain is a mechanical pain and responds better to mechanical treatment rather than chemical treatment such as pain killers, muscle relaxants, and anti-inflammatories. When you look at the body of literature, it is clear: research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, compared to the traditional medical model, patients get good to excellent results with Chiropractic. It’s safe, more cost-effective, decreases chances of surgery, and reduces chances of becoming disabled. We do this conservatively and non-surgically with minimal time requirements and hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward, we can likely keep it that way while raising the general, overall level of health! And patients have the right to the best treatment that does the least harm. THAT’S Chiropractic folks. Please feel free to send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think or what suggestions you may have for us for future episodes. Feedback and constructive criticism is a blessing and we want to hear from you on a range of topics so bring it on folks! If you love what you hear, be sure to check out <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">www.chiropracticforward.com</a>. We want to ask you to share us with you network and help us build this podcast into the #1 Chiropractic evidence-based podcast in the world. We cannot wait to connect again with you next week. From Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. <blockquote><a href="https://www.chiropracticforward.com/debunked-the-odd-myth-that-chiropractors-cause-strokes/" rel="nofollow" target="_blank">CF 013: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 1 of 3)</a></blockquote> <blockquote><a href="https://www.chiropracticforward.com/cf-016-review-of-the-lancet-article-pt-1-low-back-pain-a-major-global-challenge-part-one/" rel="nofollow" target="_blank">CF 016: Review of The Lancet Article on Low Back Pain (Pt. 1)</a></blockquote> Bibliography Papanicolas I (2018). “Health Care Spending in the United States and Other High-Income Countries.” JAMA 319(10): 1024-1039. The post <a href="https://www.chiropracticforward.com/cf-021-crazy-update-on-run-away-healthcare-spending-in-america/" rel="nofollow" target="_blank">CF 021: Crazy Update On Run-Away Healthcare Spending in America</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

CF 021: Crazy Update On Run-Away Healthcare Spending in America

CF 062: Chiropractic Prevalence, JAMA’s Awful Info on Opioids, &amp; New Info on Screen Time Today we’re going to talk about chiropractic prevalence, a new article in JAMA with some pretty terrible projections for opioid use and deaths, and new information on kiddos and the time they spend on screens.  But first, here’s that bumper music   OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have collapsed into Episode #62 Introduction We’re here to advocate for chiropractic and to give you some awesome information to make your life easier from day-to-day. We’re going to keep you from wasting time through your week by giving you confidence in your recommendations and in your treatments. This is something I feel confident in guaranteeing you if you listen and stick to it here at the Chiropractic Forward Podcast.   Evidence-Based Chiropractic Store Part of saving you time and effort is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running.  DACO Let’s talk a bit about the DACO program. Man, this is how it goes with the DACO: just yesterday morning, I had a patient come in, mid-’60s and literally everything hurt. Restless leg syndrome was her main complaint but her GP just yesterday already started her on Vitamin D and iron supplements so she’s going in the right direction there. I have heard of acupuncture being good for it as well but have not seen any research on that so can’t make that claim.  Anyhooo…literally everything hurt, couldn’t sit down and basically, a general overall look of being unwell for a lack of a better word. She just didn’t look healthy. I started asking her about bone scans and she’d never had one. Well, this guy just gets feelings and when I get a feeling, they get sent out. I sent her out for a bone scan.  No kidding, that afternoon I sit down for a class. The next one up? Yep, diagnosing osteoporosis. Lol. Wouldn’t you know it? Anyway, had I had this class before the encounter with the new patient, I might not have sent her. I’m not sure. But, it’s just funny how in tune with clinical practice the classes really are. Also, as a consequence of the class, I have a quick sheet made up that changes the way I deal with potential osteoporosis patients from here on out. Forever and ever amen.  Personal Happenings So far, not a lot of blowback on my recent episode covering my thoughts on faith-based practices. Sometimes I’m mouthy, right? I get it. Who the hell cares what I have to say? I don’t know who cares honestly. Lol. But, we’re growing and growing so at least some of you identify with my way of thinking. I’m religious and I think that’s what makes me feel that I can be credible in critiquing certain things in regard to religion. I just have a hard time with management companies coaching their impressionable doctors how to use the bible to manipulate scared patients looking for answers. When I think about it, it makes my pee hot.  Anyway, it turns out that you guys agree with me and that makes me like you even more. Before you know it, we’re all going to be besties and share milkshakes with two straws and all of that mumbo jumbo.  I’m glad you’re here with me today as we dive into the information I have for you this week. Here we go.  Item #1 I want to start with one that had some conclusions I found surprising and somewhat encouraging……sort of. This new paper from The Journal of Alternative and Complementary Medicine published January 18, 2019, and authored by Stephanie Taylor, Patricia Herman, Nell Marshall, and colleagues called “Use of Complementary and Integrated Health: A Retrospective Analysis of US Veterans with Chronic Musculoskeletal Pain Nationally[1].” Due to time constraints on me, I didn’t go beyond the abstract here so….freaking sue me. I’ll have it cited in the show notes at chiropracticforward.com so you can go get it and dive in you over-over-achiever you with all that time sitting around. Must be nice pal.  Why They Did It The authors say that little is known regarding the use of complementary and integrative health therapies for chronic pain in the VA system which is the nation’s largest integrated healthcare system. We will get into chiropractic prevalence briefly. In my experience, I can echo this paper’s sentiment that the VA is at the forefront of the movement away from opioids and toward alternative healthcare.  They researched this paper over 2 years for the use of 9 types of alternative therapies that included meditation, yoga, acupuncture, chiropractic, guided imagery, biofeedback, tai chi, massage, and hypnosis.  What they found 27% of younger veterans with chronic musculoskeletal pain use alternative healthcare The most used for was meditation at 15%. I found that surprising. Meditation means slowing down, sitting still, relaxing, and all that good stuff. In this day and age, I just have a hard time seeing that as the most prevalent form of alternative healthcare.  We all think we’re so busy and, for us chiropractors, a lot of us really ARE too busy to stop and meditate. I may just be taking my own personal experience here and assuming everyone else on the planet is like me and, of course, that’s not true. Still, meditation was the most prevalent in this study.  Yoga was next at 7%. Again, I guess I haven’t realized how popular yoga is getting these days but, I know the VA is pushing it so that may be playing a part in it.  Coming in in 3rd place we have acupuncture. Once again, it’s surprising to me but, the VA is directing the recommendations and, in the real world, outside of the VA, acupuncture does not out-pace chiropractic. I do believe the VA is seeing it’s use for PTSD and chronic pain though and is responding appropriately.  Finally, here comes Chiropractic care coasting in in 4th place for chiropractic prevalence. Ugh. We know outside the enclosed ecosystem of the VA, chiropractic care is not less prevalent than yoga, meditation, and acupuncture. But, being within the VA, we know that medical doctors, PA’s, and nurse practitioners are making these recommendations and referrals so we still clearly have a lot of work to do. We are still a world away from where we need to be in regard to chiropractic prevalence, You know what else that means though right? There are incredible potential and opportunity. If the VA is an example of the rest of the allopathic world, we could say that even fewer than 5% of chronics get referred to us from the GPs and orthopedic surgeons. I think that’s fair because most of them are unaware of Dr. Christine Goertz’s work that was published in JAMA not long ago. If you’re unfamiliar with that, go listen to Episode 25 of this podcast. In short, she showed how veterans with chiropractic care mixed in with their traditional care had better outcomes. That’s when we started seeing the referrals from the VA Also, you’ll notice that all of the nine therapies tracked here were on the list of first-line therapies that came from the updated recommendations by the American College of Physicians in February of 2016[2].  I guess my point on the paper here is that the medical world, or at least the VA part of it, is paying attention to research regardless of whether it goes against their previously held biases. They are absolutely trying to reverse the opioid epidemic. And we have a lot of work to do to gain that trust and get those referrals. When they’re recommending meditation before chiropractic care for chronic pain, then there is a ton of room for us to shine. So go shine it up all you shiny happy people out there.    I guess my point on the paper here is that the medical world, or at least the VA part of it, is paying attention to research regardless of whether it goes against their previously held biases. They are absolutely trying to reverse the opioid epidemic.				Click To Tweet				  Item #2 On to item numero dos, number 2 for our non-Spanish speaking population out there. This one is discouraging and…..well….awful if I’m being honest. This one is from JAMA called “Prevention of Prescription Opioids Misuse and Projected Overdose Deaths in the United States” published on February 1, 2019, and authored by Quiushi Chen, Marc Larochelle, David Weaver, and colleagues[3]. Why They Did It In JAMA, they always start with the question being answered here. The authors wanted to answer this one: “what is the projected effect of lowering incident non-medical prescription opioid use on the future trajectory of the opioid overdose crisis in the USA? I’m just going to cut to the chase on it and leave a bunch of details out. Here’s why. I don’t want us getting bogged down in the details and methods and all that stuff. I want you to be able to retain just a few numbers and not be distracted by the rest of the minutiae. You like that word? I know you do. Minutiae, You say that to the right fellow nerd and you may just get you a date, people. It’s a powerful word so take it, use it, enjoy it. I swear I’m undiagnosed ADHD. I swear it.  Anyway, here’s the deal, although we as a nation, as a world, now see the issues with opioids and are now trying to address the issue, It’s not getting better and it won’t get any better according to this paper.    Although we as a nation, as a world, now see the issues with opioids and are now trying to address the issue, It’s not getting better and it won’t get any better according to this paper. 				Click To Tweet				  Check it out, according to this paper, the annual number of opioid overdose deaths is projected to increase from 33,100 in 2015…..then we know that 72,000 died in 2017….all the way up to 81,700 deaths projected 2025.  They are projecting from 2016-2025 to lose a total of approximately 700,400 people to opioid deaths. They say about 80% of that will be due to illicit opioids. I don’t know how the hell they can tell that but that may be a little bit of, “yeah it’s happening but it’s not our fault,” BS going on there but who knows? In this paper, they’re assuming that the illegal use of opioids will increase from 61% in 2015 to 80% by 2025. I don’t know. Sounds like fuzzy math to me but I’m not a researcher.    They are projecting from 2016-2025 to lose a total of approximately 700,400 people to opioid deaths.				Click To Tweet				  I think their numbers are fuzzy because we know 2015 saw about 36,000 die, but then 2016 saw around 63,000 die if I remember correctly. Then, 2017 saw 72,000 die. Are you seeing the graph there in your mind? It’s not only up and to the right on this deal, but its up and to the right like it’s climbing Mt. Everest. The numbers have harnesses fastened tightly and ropes and expert climbing guides and they’re going straight up the face like pros!  These guys are guessing that by 2025, in 9 years, the deaths will only have increased a total of 9,000 per year, so….they’ll only increase an average of 1,000 deaths per year. Do you see why I think they’re crazy? The deaths increased by 9,000 just last year. Do you see what I’m saying? I’m not saying they’re wrong but….they’re wrong. Lol.  They then say that across all interventions tested, further lowering the incidence of prescription opioid misuse from 2015 levels is projected to decrease overdose deaths by only 3%-5.3%.  Their quoted conclusion is, “This study’s findings suggest that interventions targeting prescription opioid misuse such as prescription monitoring programs may have a modest effect, at best, on the number of opioid overdose deaths in the near future. Additional policy interventions are urgently needed to change the course of the epidemic.” So what do we take from this exactly? Here’s my deal. On the surface at least it smells like a steaming pot of shoo shoo caca doody,  Instead of recognizing the fact that unnecessary surgeries were many times the reason people got addicted in the first place, and that there are amazing opportunities outside the allopathic world to prevent those unnecessary and financially motivated surgeries, they say, “Hey look, a lot of this is done illegally and that’s just going to get worse and our part of this is really very small. In fact, we can lower the prescriptions of opioids but it’s really not going to do a lot of good and, in fact, we think we should still be able to prescribe them as much as we are right now….blah blah blah poop coming out of the mouth and falling onto the floor with a splat.  They are making guesses 9 years in the future what addict behaviors will be. I think that’s presumptuous and ultimately impossible. I just thought it was entertaining and that you all might enjoy this group trying to minimize responsibility or what role they can really play on decreasing opioid use. I could totally be mischaracterizing this and they may have the best intentions in mind. While I trust my GP and I trust the friends of mine that are surgeons personally….I just don’t trust stuff like this.  Obviously, I don’t agree with them but I’m a bumpkin chiro on the Texas Plains. I wouldn’t listen to me if I were them either. Lol.  Item #3 OK, last item for this week and it’s something I’m admittedly fascinated with and I think that’s because I have a high schooler and a 5th grader and this stuff hits home any time I see it or read about it.  This one was in JAMA too and called, “Association Between Screen Time and Children’s Performance on a Developmental Screening Test” written by Sheri Madigan, Dillon Browne, Nicole Racine and colleagues[4] published January 28, 2019.  Why They Did It The main question they were trying to answer was this, “Is increased screen time associated with poor performance on children’s developmental screening tests?” Basically, does screen time have a direct effect on child development? They had 2,441 kiddos in it. A random-intercepts, cross-lagged panel model revealed that higher levels of screen time at 24 and 36 months were significantly associated with poorer performance on developmental screening tests at 36 months and 60 months.  What They Found Their conclusion was, “The results of this study support the directional association between screen time and child development. Recommendations include encouraging family media plans, as well as managing screen time, to offset the potential consequences of excess use.”   The results of this study support the directional association between screen time and child development. Recommendations include encouraging family media plans, as well as managing screen time, to offset the potential consequences of excess use.				Click To Tweet				  Yes, it’s easy to just hand them a device and hope they’re quiet long enough to get a nap in. Guilty as charged. Guilty as charged.  But, turns out as we may have guessed if we really thought about it 8-9 years ago when all of this really started….this isn’t in their best interest in the long run.    The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website https://www.chiropracticforward.com Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter https://twitter.com/Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger   Bibliography 1. Taylor S, H.P., Marshal N,, Use of Complementary and Integrated Health: A Retrospective Analysis of U.S. Veterans with Chronic Musculoskeletal Pain Nationally. J Altern Complement Med, 2019. 25(1). 2. Qaseem A, Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med, 2017. 4(166): p. 514-530. 3. Chen Q, L.M., Weaver D,, Prevention of Prescription Opioid Misuse and Projected Overdose Deaths in the United States. JAMA Network Open, 2019. 2(2): p. e187621-e187621. 4. Madigan S, Association Between Screen Time and Children’s Performance on a Developmental Screening TestAssociation Between Screen Time and Child DevelopmentAssociation Between Screen Time and Child Development. JAMA Pediatrics, 2019. CF 025: Vets With Low Back Pain. Usual Care + Chiropractic vs. Usual Care Alone  CF 027: WANTED – Safe, Nonpharmacological Means Of Treating Spinal Pain  CF 052: Chiropractic Forward Podcast Year One Review        The post CF 062: Chiropractic Prevalence, JAMA’s Awful Info on Opioids, &amp; New Info on Screen Time appeared first on Chiropractic Forward.

CF 062: Chiropractic Prevalence, JAMA’s Awful Info on Opioids, & New Info on Screen Time

Christine Goertz

Today, we have one of the giants of chiropractic research as our guest. I will go further into her background in a moment but we have Dr. Christine Goertz joining us today and, if you do not know who she is, it is time to listen up. Don’t you go anywhere because this is going to be an excellent episode full of great information.  But first, here’s that “oh how sweet it is” bumper music      OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have bounced your way into Episode #68 and we are so glad you did.  Introduction We’re here to advocate for chiropractic while we also make your life easier.  Store Part of that is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.  Guest Introduction Christine Goertz, D.C., Ph.D., is the Chief Operating Officer of the Spine Institute for Quality. She is also an Adjunct Associate at the Department of Orthopaedic Surgery, Duke University Medical Center and Adjunct Professor in the Department of Epidemiology, College of Public Health at the University of Iowa. Prior to joining Spine IQ, she was Vice Chancellor of Research and Health Policy at Palmer College of Chiropractic for eleven years.  Dr. Goertz received her Doctor of Chiropractic (D.C.) degree from Northwestern Health Sciences University in 1991 and her Ph.D. in Health Services Research, Policy and Administration from the School of Public Health at the University of Minnesota in 1999. Her 25-year research career has focused on working with multi-disciplinary teams to design and implement clinical and health services research studies designed to increase knowledge regarding the effectiveness and cost of complementary and integrative healthcare delivery. She has extensive experience in the administration of Federal grants, both as a PI and as a program official at the National Institutes of Health (NIH). Dr. Goertz has received nearly $32M in federal funding as either principal investigator or co-principal investigator, primarily from NIH and the Department of Defense, and has authored or co-authored more than 100 peer-reviewed papers. Her primary area of focus is the investigation of patient-centered, non-pharmacological treatments for spine-related disorders. Dr. Goertz is a former member of the NIH/NCCIH National Advisory Council and currently serves on the Board of Governors for the Patient Centered Outcomes Research Institute (PCORI), where she has assumed numerous leadership roles. In September 2018 Dr. Goertz was appointed to a 3-year term as Vice Chair of the PCORI Board by the Comptroller General of the United States.  Welcome to the show Dr. Goertz. I can’t tell you how excited I am to have on our podcast.  Can I first ask you what was the impetus for your wanting to get into the research end of the profession? How do you come to the decision to dive into research full-time vs. treating patients day-to-day like so many of us do? I noticed on your CV that you are currently an adjunct professor with the Department of Orthopaedic Surgery at Duke University Medical Center in Durham, North Carolina and also an Adjunct Professor in the Department of Epidemiology, College of Public Health, University of Iowa. All the while, you are working with The Pine Institue for Quality (AKA Spine IQ). Can you tell us what a regular day looks like for you? Whether you know it or not, you have been a game-changer for this profession. You have, likely unknowingly, played a big part in some of our podcast episodes. I want to start with a paper we covered. I called it The Veterans Paper and it was HUGE. Though I call it the Veterans Paper, you say it was done as part of the Department of Defense. I wonder….did you notice anything BIG after it was published in JAMA? Was it, in your opinion, any more impactful than your other papers? Here’s what happened as soon as that paper came out from my perspective; almost immediately, we began getting interest from our local VA and, once we completed credentialing, we started seeing referrals. Before that paper…..nothing. No interest. I don’t know if you’re ready to take all of the credit for that but I’m going to give it to your regardless. On behalf of the entire evidence-informed chiropractic profession, thank you for that.  In emails we have exchanged leading up to our time together today, you mentioned you have a large pragmatic trial funded by the NIH in the VA. Can you tell us anything about that? In your work called “Insurer Coverage of Nonpharmacological Treatments for Low Back Pain – Time for a Change” published in JAMA October 2015, you say there are no policies emphasizing nonpharma treatment at the forefront of the patient experience, no meaningful levels of coverage for care professionals focussing on nonpharma therapy, and no policies providing financial incentives in favor of nonpharma. I have seen your work make huge differences but have to admit, I’m still seeing reimbursements for chiropractors being a challenge. We have folks out here struggling in practice in spite of everything in our favor. Have you experienced any changes after this came out in JAMA? Can we expect these sentiments you describe to gather steam in the next year or so? In another piece of yours called “What does research reveal about chiropractic costs?” you say something I want to commend you on. You say, “without a doubt, the most common issues raised by those outside the profession relate to the quality and consistency of chiropractic care delivery.” I think we can all agree that standardization is likely the biggest hurdle our profession faces in regard to integration. Do you believe chiropractic residency training would better prepare chiropractic providers to offer high quality care within medical facilities? I’m currently over 2/3 of the way through the Diplomate for the Academy of Chiropractic Orthopedists. I see the value every day but, in your opinion, should Board Certification become the norm for chiropractic providers rather than the exception? In that same paper, when talking about costs for chiropractic care you point out that we are likely equal or less in cost. You say, “In particular, it appears that patients who visit a chiropractor are less likely to undergo hospitalization, resulting in lower global healthcare costs than those who receive medical care only.” Do you feel that the medical field is coming to the point they are seeing our potential in improvement as well as our cost-effectiveness on more of a widespread scale or are there just little pockets here and there? Is the medical field starting to catch on but the insurance companies are still not allowing the change? What are you seeing on your end of things? You recently were part of a paper that was published just this year, 2019, called, “Effect of chiropractic manipulative therapy on reaction time in special operations forces military personnel: a randomized controlled trial.” I really have to talk to you researchers about trying to shorten the names of these papers.  Anyway, you all concluded on that one that one session of chiropractic manipulative therapy had immediate effect of reducing the time required for asymptomatic special operations forces to complete a complex whole-body motor response task. Tell me….what are we looking at here? Where is this line of research leading future research? I personally love it and think it has extremely high value so when I ask you this question, please don’t take it as a negative. Are you responsible for instigating the Palmer-Gallup Poll? What were the main goals for starting it and has it lived up to the original thought process behind its beginning?  I thought this was an interesting question. A listener and member of our private group on Facebook, Dr. Trent Peng, suggested I ask you which chiropractic adjustment techniques are sufficiently evidence-based in the scientific literature? In an article by Lisa Rappaport, called “Adding chiropractic to back pain care may reduce disability,” she interviewed you for the article. She had a quote in the article from you that said, “Spinal manipulation (often referred to as chiropractic adjustment) may help heal tissues in your body that form as a result of injury, decreasing pain and improving your body’s ability to move correctly.”  The other was, “It is also possible that manipulation impacts the way that your body perceives pain through either the brain or the spinal cord and/or decreases pain from muscle strain, inflammation and/or spasm in the muscles next to your spine.”  The first comment I have on this is that I love the second quote because there is more and more information coming out about what part the central nervous system plays in regard to pain. Pain sensitization, movement dysfunction, joint proprioception and thing of that nature. I thought that quote brought some of that into consideration without getting too complicated for a normal reader. So, kudos on that! I remember thinking to myself that there are a lot of “may help” and “it is possible” kind of language. I understand that researchers shouldn’t formulate opinions or conclusions in definite terms or absolutes and I completely understand that, but my question to this point is do you ever see a time that all chiropractors can say with a high degree of confidence exactly what happens and exactly why it helps people heal or feel better? I was sent a paper I believe you have in progress called “Assessment of chiropractic care on strength, balance, and endurance in active-duty US military personnel with low back pain: a protocol for a randomized controlled trial. In the Background section, you all say, Chiropractic care may facilitate the strengthening of trunk muscles, the alteration of sensory and motor signaling, and a reduction in pain sensitivity, which may contribute to improving strength, balance, and endurance for individuals with low back pain.” As you probably know, here in Texas, we are in a perpetual battle against the Texas Medical Association. Recently, they won a decision that was upheld on appeal to remove the ‘neuro’ snippet from our scope description of treatment the neuromusculoskeletal system. Essentially, they say we only treat the musculoskeletal system. With the research you have done and are currently involved in, what do you say to this? What has been your favorite project or finding you have been a part of so far? What has been your favorite paper, project, or finding that a colleague has written but you were not a part of? What conclusion have you had to draw at the end of a paper that surprised you the most? How do you see quality research translating into a greater level of inter-professional collaboration and how do you see the future of chiropractic unfolding in terms of integration into the healthcare system? A tie-in question here, where do you see the profession in 10 years? I know that low back is one of the biggest reasons for disability worldwide, if not the biggest. It deserves the attention it has received. We have research on low back pain now to the point that even traditional chiropractic detractors can’t really argue all that much with us on low back pain. But we still have a fight on our hands when it comes to cervical manipulation. My question is why do you think we don’t see more research for cervical manipulation and do you see the spotlight ever changing and the research beginning to focus on cervical manipulation and the benefits for neck pain and headache/migraine? In the private Chiropractic Forward Facebook Group, we are curious….what are you up to right now? What are you working on?  Apart from what you are working on right now, what are your goals in regard to research in the next 10 years? Thank you so much for taking time out of your day to join us. I hope our listeners got as much use out of our talk as I did. I truly believe that our profession is where it is and going the direction it’s going in large part because of you an d your efforts.  And I thank you so much.       The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  The post w/ Dr. Christine Goertz – Chiropractic Research, What Does The Science Say, And Where Are We Going? appeared first on Chiropractic Forward.

Today, we have one of the giants of chiropractic research as our guest. I will go further into her background in a moment but we have Dr. Christine Goertz joining us today and, if you do not know who she is, it is time to listen up. Don’t you go anywhere because this is going to be an excellent episode full of great information.  But first, here’s that “oh how sweet it is” bumper music <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have bounced your way into Episode #68 and we are so glad you did.  Introduction We’re here to advocate for chiropractic while we also make your life easier.  Store Part of that is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a>. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at <a href="mailto:dr.williams@chiropracticforward.com">dr.williams@chiropracticforward.com</a> if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.  Guest Introduction Christine Goertz, D.C., Ph.D., is the Chief Operating Officer of the Spine Institute for Quality. She is also an Adjunct Associate at the Department of Orthopaedic Surgery, Duke University Medical Center and Adjunct Professor in the Department of Epidemiology, College of Public Health at the University of Iowa. Prior to joining Spine IQ, she was Vice Chancellor of Research and Health Policy at Palmer College of Chiropractic for eleven years.  Dr. Goertz received her Doctor of Chiropractic (D.C.) degree from Northwestern Health Sciences University in 1991 and her Ph.D. in Health Services Research, Policy and Administration from the School of Public Health at the University of Minnesota in 1999. Her 25-year research career has focused on working with multi-disciplinary teams to design and implement clinical and health services research studies designed to increase knowledge regarding the effectiveness and cost of complementary and integrative healthcare delivery. She has extensive experience in the administration of Federal grants, both as a PI and as a program official at the National Institutes of Health (NIH). Dr. Goertz has received nearly $32M in federal funding as either principal investigator or co-principal investigator, primarily from NIH and the Department of Defense, and has authored or co-authored more than 100 peer-reviewed papers. Her primary area of focus is the investigation of patient-centered, non-pharmacological treatments for spine-related disorders. Dr. Goertz is a former member of the NIH/NCCIH National Advisory Council and currently serves on the Board of Governors for the Patient Centered Outcomes Research Institute (PCORI), where she has assumed numerous leadership roles. In September 2018 Dr. Goertz was appointed to a 3-year term as Vice Chair of the PCORI Board by the Comptroller General of the United States.  Welcome to the show Dr. Goertz. I can’t tell you how excited I am to have on our podcast.  Can I first ask you what was the impetus for your wanting to get into the research end of the profession? How do you come to the decision to dive into research full-time vs. treating patients day-to-day like so many of us do? I noticed on your CV that you are currently an adjunct professor with the Department of Orthopaedic Surgery at Duke University Medical Center in Durham, North Carolina and also an Adjunct Professor in the Department of Epidemiology, College of Public Health, University of Iowa. All the while, you are working with The Pine Institue for Quality (AKA Spine IQ). Can you tell us what a regular day looks like for you? Whether you know it or not, you have been a game-changer for this profession. You have, likely unknowingly, played a big part in some of our podcast episodes. I want to start with a paper we covered. I called it The Veterans Paper and it was HUGE. Though I call it the Veterans Paper, you say it was done as part of the Department of Defense. I wonder….did you notice anything BIG after it was published in JAMA? Was it, in your opinion, any more impactful than your other papers? Here’s what happened as soon as that paper came out from my perspective; almost immediately, we began getting interest from our local VA and, once we completed credentialing, we started seeing referrals. Before that paper…..nothing. No interest. I don’t know if you’re ready to take all of the credit for that but I’m going to give it to your regardless. On behalf of the entire evidence-informed chiropractic profession, thank you for that.  In emails we have exchanged leading up to our time together today, you mentioned you have a large pragmatic trial funded by the NIH in the VA. Can you tell us anything about that? In your work called “Insurer Coverage of Nonpharmacological Treatments for Low Back Pain – Time for a Change” published in JAMA October 2015, you say there are no policies emphasizing nonpharma treatment at the forefront of the patient experience, no meaningful levels of coverage for care professionals focussing on nonpharma therapy, and no policies providing financial incentives in favor of nonpharma. I have seen your work make huge differences but have to admit, I’m still seeing reimbursements for chiropractors being a challenge. We have folks out here struggling in practice in spite of everything in our favor. Have you experienced any changes after this came out in JAMA? Can we expect these sentiments you describe to gather steam in the next year or so? In another piece of yours called “What does research reveal about chiropractic costs?” you say something I want to commend you on. You say, “without a doubt, the most common issues raised by those outside the profession relate to the quality and consistency of chiropractic care delivery.” I think we can all agree that standardization is likely the biggest hurdle our profession faces in regard to integration. Do you believe chiropractic residency training would better prepare chiropractic providers to offer high quality care within medical facilities? I’m currently over 2/3 of the way through the Diplomate for the Academy of Chiropractic Orthopedists. I see the value every day but, in your opinion, should Board Certification become the norm for chiropractic providers rather than the exception? In that same paper, when talking about costs for chiropractic care you point out that we are likely equal or less in cost. You say, “In particular, it appears that patients who visit a chiropractor are less likely to undergo hospitalization, resulting in lower global healthcare costs than those who receive medical care only.” Do you feel that the medical field is coming to the point they are seeing our potential in improvement as well as our cost-effectiveness on more of a widespread scale or are there just little pockets here and there? Is the medical field starting to catch on but the insurance companies are still not allowing the change? What are you seeing on your end of things? You recently were part of a paper that was published just this year, 2019, called, “Effect of chiropractic manipulative therapy on reaction time in special operations forces military personnel: a randomized controlled trial.” I really have to talk to you researchers about trying to shorten the names of these papers.  Anyway, you all concluded on that one that one session of chiropractic manipulative therapy had immediate effect of reducing the time required for asymptomatic special operations forces to complete a complex whole-body motor response task. Tell me….what are we looking at here? Where is this line of research leading future research? I personally love it and think it has extremely high value so when I ask you this question, please don’t take it as a negative. Are you responsible for instigating the Palmer-Gallup Poll? What were the main goals for starting it and has it lived up to the original thought process behind its beginning?  I thought this was an interesting question. A listener and member of our private group on Facebook, Dr. Trent Peng, suggested I ask you which chiropractic adjustment techniques are sufficiently evidence-based in the scientific literature? In an article by Lisa Rappaport, called “Adding chiropractic to back pain care may reduce disability,” she interviewed you for the article. She had a quote in the article from you that said, “Spinal manipulation (often referred to as chiropractic adjustment) may help heal tissues in your body that form as a result of injury, decreasing pain and improving your body’s ability to move correctly.”  The other was, “It is also possible that manipulation impacts the way that your body perceives pain through either the brain or the spinal cord and/or decreases pain from muscle strain, inflammation and/or spasm in the muscles next to your spine.”  The first comment I have on this is that I love the second quote because there is more and more information coming out about what part the central nervous system plays in regard to pain. Pain sensitization, movement dysfunction, joint proprioception and thing of that nature. I thought that quote brought some of that into consideration without getting too complicated for a normal reader. So, kudos on that! I remember thinking to myself that there are a lot of “may help” and “it is possible” kind of language. I understand that researchers shouldn’t formulate opinions or conclusions in definite terms or absolutes and I completely understand that, but my question to this point is do you ever see a time that all chiropractors can say with a high degree of confidence exactly what happens and exactly why it helps people heal or feel better? I was sent a paper I believe you have in progress called “Assessment of chiropractic care on strength, balance, and endurance in active-duty US military personnel with low back pain: a protocol for a randomized controlled trial. In the Background section, you all say, Chiropractic care may facilitate the strengthening of trunk muscles, the alteration of sensory and motor signaling, and a reduction in pain sensitivity, which may contribute to improving strength, balance, and endurance for individuals with low back pain.” As you probably know, here in Texas, we are in a perpetual battle against the Texas Medical Association. Recently, they won a decision that was upheld on appeal to remove the ‘neuro’ snippet from our scope description of treatment the neuromusculoskeletal system. Essentially, they say we only treat the musculoskeletal system. With the research you have done and are currently involved in, what do you say to this? What has been your favorite project or finding you have been a part of so far? What has been your favorite paper, project, or finding that a colleague has written but you were not a part of? What conclusion have you had to draw at the end of a paper that surprised you the most? How do you see quality research translating into a greater level of inter-professional collaboration and how do you see the future of chiropractic unfolding in terms of integration into the healthcare system? A tie-in question here, where do you see the profession in 10 years? I know that low back is one of the biggest reasons for disability worldwide, if not the biggest. It deserves the attention it has received. We have research on low back pain now to the point that even traditional chiropractic detractors can’t really argue all that much with us on low back pain. But we still have a fight on our hands when it comes to cervical manipulation. My question is why do you think we don’t see more research for cervical manipulation and do you see the spotlight ever changing and the research beginning to focus on cervical manipulation and the benefits for neck pain and headache/migraine? In the private Chiropractic Forward Facebook Group, we are curious….what are you up to right now? What are you working on?  Apart from what you are working on right now, what are your goals in regard to research in the next 10 years? Thank you so much for taking time out of your day to join us. I hope our listeners got as much use out of our talk as I did. I truly believe that our profession is where it is and going the direction it’s going in large part because of you an d your efforts.  And I thank you so much.  <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website <blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/w-dr-christine-goertz-chiropractic-research-what-does-the-science-say-and-where-are-we-going/" rel="nofollow" target="_blank">w/ Dr. Christine Goertz – Chiropractic Research, What Does The Science Say, And Where Are We Going?</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

w/ Dr. Christine Goertz – Chiropractic Research, What Does The Science Say, And Where Are We Going?

CF 084: Multifidus &amp; Disc Degeneration, Opioids &amp; First Provider, Craniocervical Instability      Today, it’s like the olden days here at the Chiropractic Forward Podcast. That’s right. No guests, just moiah. Me. Unfiltered and onery as usual. I’ve had stuff piling up in my archives and we’re going to sprint through some of it and see what sticks. We’re going to talk about the multifidus and some new research on it having to do with disc degeneration, we’ll talk about why what provider you see after low back injury can make all the difference, and we’ll talk about some hint that fibromyalgia and even POTS is theorized to be caused by craniocervical instability. Maybe? It’s a heaping plate of knowledge noodles so keep your seat, the Italian mama that feeds you too much is in the kitchen. But first, here’s that yummy like a meatball bumper music       OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have shimmied into Episode #84 Before we get started,  I’m happy to introduce a new sponsor for the Chiropractic Forward Podcast called GoChiroTV. GoChiroTV is a patient education system for your office that will eliminate the need for running cable TV or the same DVDs over and over again on a loop in your waiting room. The bite-sized videos are specifically made to inform your patients about the importance of chiropractic and healthy living, to encourage referrals, and to present the benefits of the specific and different products and services you offer. It works by using a tailored-fit video playlist that will only promote the products and services available at your practice, and the videos are replaced automatically on a weekly basis. There’s no need to manually update your playlist or learn any complicated software. With this system, you tcan truly just set it and forget it. Listeners of the Chiropractic Forward Podcast can use the promo code CFP19 at checkout to get 15% off all subscriptions, which also comes with a 45-day free trial to see if it’s right for your practice and…your discounted rate will be locked in for as long as you have a subscription.  So visit GoChiroMedia.com (that’s g-o-c-h-i-r-o-m-e-d-i-a-.com) to check out the demo reels, and to get started on your free trial. Take your practice to the next level with GoChiroTV. And thanks to them for being involved in what we’re trying to accomplish here.  Personal Happenings If you hear something here that you really like and would like it in written form rather than spoken, just hop onto  chiropracticforward.com, find the episode, and just scroll down to copy and paste it. If you’re using it for content or on your website for some reason, just be cool and give us some credit please. I’d sure appreciate it and I’m sure the researchers we discuss would too.  Item #1 Our first paper to cover is called “Physical activity attenuates fibrotic alterations to the multifidus muscle associated with intervertebral disc degeneration” and is authored by G. James, D. M. Klyne, et. al. and was published in European Spine Journal in May of 2019(James G 2019).  Why They Did It The authors here say that chronic low back pain….chronic…longstanding low back pain literally changes and remodels the multifidus muscles. They go on to say that physical activity reduces the local inflammation that comes before multifidus fibrosis during intervertebral disc degeneration (IDD), but its effect is unknown. This study aimed to assess the development of fibrosis and its underlying genetic network during intervertebral disc degeneration and the impact of physical activity. Chiropractic Wins Again, Push Ups Say A Lot, Low Iron &amp; The Disc How They Did It This research was actually done on mice. To keep the entertainment value of this podcast as high as possible, I’m not going to get specific here as far as substance P, MMP2, blah blah blah. We’ll just head right to the conclusion of the paper.  They say “these data reveal the fibrotic networks that promote fibrosis in the multifidus muscel during chronic intervertebral disc degeneration. Furthermore, physical activity is shown to reduce fibrosis and regulate the fibrotic gene network.”  So they’re saying move it move it move it.  Item #2 This next paper is called “Initial Provider Specialty Is Associated With Long-term Opiate Use in Patients With Newly Diagnosed Low Back and Lower Extremity Pain” and is authored by TC Azad, D Vail, and J. Bentley et. al. It was published in the esteemed Spine Journal in February of 2019. (Azad TD 2019) Why They Did It The authors wanted to determine whether provider specialty influences patterns of opiate utilization long after initial diagnosis. I’d say that’s a great question to be asking these days. When we have 72,000 die in one year from opioid-related causes, that should be up there on the ‘what the hell’ list wouldn’t you agree? How They Did It The study was a retrospective longitudinal cohort analysis of patients diagnosed in 2010, with continuous enrollment 6 months prior to and 12 months following the initial visit. They identified 478,981 newly diagnosed opiate-naive patients.  They estimated the risk of early opiate prescription and long-term opiate use based on the provider type at initial diagnosis. What They Found 40.4% of the patients received an opiate prescription within 1 year and 4% met the criteria for long-term use. The most common provider was family practice. They were associated with 24.4% risk of early opiate prescription and a 2% risk of long-term opiate use. Risk o freceiving an early opiate prescription was higher among patients initially diagnosed by emergency medicine or at an urgent care. Risk of Long-term opiate use was highest for aptietns initially diagnosed by pain management doctors or by physical medicine and rehabiliation providers.  Wrap It Up Initial provider type influences early opiate prescription and long-term opiate use among opiate-naïve patients with newly diagnosed low back and lower extremity pain. Looky here ya see, I’m just going to lay it out for you. Zero percent of opiate-naive patients get prescribed OR hooked on opiates from seeing a chiropractor. Zero.  I’ll even go further than that and say that approximately 70-80% of them get good to excellent results and improvement of their complaint. I know this through the ChiroUp tracking system they use across the country.  You know what else I know through the ChiroUp tracking? I know that these results happen in only about 7 visits. Kow a Chow!! I know you can’t see it but you can picture that karate chop placed precisely to deliver a virtual coup de grace.  Alright, Enough silliness. On to out final item here.  But before we do that –  Let’s take a short break to talk about ChiroUp. If you’re a regular listener of our podcast, you I use it and I’ve told everyone how amazing it is since about June of 2018. Well now they’re a sponsor of our show and we are really excited to have ChiroUp on board the train.  Have you heard about the #1 online resource for chiropractors? Well, let me tell you about it.  ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to Chiroup.com today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s ChiroUp.com and super double secret code Williams99.  Item #3 Item #3 is an article titled “Could Craniocervical Instability Be Causing myalgic encephalomyelitis/chronic fatigue syndrome, Fibromyalgia &amp; POTS?” written by Cort Johnson and published in Health rising.org on February 27, 2019. (Johnson 2019) This was actually sent to me by a cardiologist friend of mine and I’m really glad he sent it my way because it’s interesting as hell. Follow along.  I’ll read you the first paragraph here, “Jeff had a typical ME/CFS onset: he was a young, healthy and active individual before being felled by a viral infection and a high temperature. The infection left him with headaches, dizziness, muscle weakness and pain, sound and light sensitivity, and a general sense of being worn down that was exacerbated by exercise – which he soon had to stop altogether. Socializing was the next activity to go as he buckled down to focus on getting through graduate school.” The article goes on to talk about all of his various visits to specialists and how nothing seemed to work. In fact, he continued to decline in health all of the way to the point that he was essentially bedridden with little to no tolerance for any kind of exertion. We’re talking little energy to chew food and being wheeled into the bathroom to take a shower. Serious stuff.  Turning his head one way could cause him to nearly lose consciousness and he felt a little like a bobble doll when he walked. His head felt heavy.  Doing his own homework to try to basically save his own life, he stumbled across craniocervical instability, aka atlantoaxial instability, aka cranial-cervical syndrome and things started to make sense for Jeff.  Here’s another quoted paragraph from the article, “The strange headaches, the heavy head, the problems turning his head in one direction, the autonomic nervous system issues – they could all be explained by loosened or lax ligaments at the junction between his skull and his vertebrae which kept his head properly situated atop his body.  With his head destabilized, his spinal column was contacting and compressing his brainstem – throwing his autonomic nervous and sensory systems out of whack. His ANS had become so disturbed that even during sleep when it theoretically should have been mostly at rest – it was oscillating up and down causing bizarre heart rates.” Craniocervical instability has been associated with conditions like rheumatoid arthritis, Ehlers Danlos Syndrome, Downs Syndrome, and other inflammatory conditions. The doctors were dismissive that, outside of any of these conditions, that he could actually have it.  Just to expound on Ehlers Danlos a bit, one in 15 of EDS patients have craniocervical instability. 1 in 15 is a pretty good amount. Just another good reason to familiarize yourself with the Beighton scale and see if your EDS patients have other issues like we’re discussing here.  It seems the correct imaging for CCI is a dynamic CT scan with flexion and extension view but not everyone can get dynamic CTs can they? I believe flexion and extension x-rays can give you a hint as well.  So, skipping to the end of the story, Jeff had a fusion of the top two vertebrae to his skull and all symptoms poof disappeared. Which is awesome and good for him for diagnosing his issue and for being an advocate for himself. Those medical doctors can be a bit pesky when you go against what they think.  The article also says there are only a few neurosurgeons in the world that can perform this sort of fusion. I sent the article to another friend of mine who just happens to be a neurosurgeon himself. He said that the whole article was really interesting and he was glad I sent it but he was confused why they think that there are only a few in the world that can do this surgery. He said they have to do it all of the time but, admittedly, it’s because of trauma. Not CCI.  Still, it seem this is a surgery most neurosurgeons can do if needed.  Great article, and great story that I’m linking in the show notes for you so click on it and check it out for yourself. There is a ton more with differenct patient stories so give it a read through. It’ll make you better.  Could Craniocervical Instability Be Causing ME/CFS, Fibromyalgia &amp; POTS? Pt I – The Spinal Series  The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.  Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  Bibliography Azad TD, V. D., Bentley J, (2019). “Initial Provider Specialty Is Associated With Long-term Opiate Use in Patients With Newly Diagnosed Low Back and Lower Extremity Pain.” Spine 44(3): 211-218. James G, K. D., Millecamps M, (2019). “ISSLS Prize in Basic science 2019: Physical activity attenuates fibrotic alterations to the multifidus muscle associated with intervertebral disc degeneration.” Euro Spine J 28(5): 893-904. Johnson, C. (2019). “Could Craniocervical Instability Be Causing ME/CFS, Fibromyalgia &amp; POTS? Pt I – The Spinal Series.” Health Rising. The post Multifidus &amp; Disc Degeneration, Opioids &amp; First Provider, Craniocervical Instability appeared first on Chiropractic Forward.

Multifidus & Disc Degeneration, Opioids & First Provider, Craniocervical Instability

Chiropractic Better Than Physical Therapy and Usual Medical Care For Musculoskeletal Issues.   Today we’re going to talk about chiropractic better than physical therapy and new info and new articles coming out on how chiropractors fit into an integrated care protocol and we’ll explore chiropractic vs. physical therapy according to research. Which should be the first referral in the medical kingdom and why? We hope you’ll help us by liking, sharing, and retweeting our content.   But first, here’s that bumper music OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   Before we get started, I want to ask you to go to chiropracticforward.com and sign up for our newsletter. On another note, we are accepting speaking engagements so shoot us an email at dr.williams@chiropracticforward.com so we can connect.  I need to thank Dr. Chris Carr out in Pittsburgh, PA with the Health Nuts Podcast for having me as a guest on Tuesday, May 29th. I had a blast. We talked all about stroke risk, or the lack thereof, and all kinds of good stuff. Make sure you check it out at the link in the show notes Click here to listen to Health Nuts episode 37 with guest Dr. Jeff Williams  http://directory.libsyn.com/episode/index/id/6644712/tdest_id/531106 Now, here we go with some vital information that we think can build confidence and improve your practice which will improve your life overall. That’s a tall order but that is the goal. When you know the research, which is what we talk about every week, then you start to speak to colleagues in a more effective way. With stats, research, and confidence.  You have scooted into Episode #26 But first, my week has been one of renewal I’d say. Don’t we get into a rut sometimes where we go through our lives in a robotic sense? I’m as guilty of it as the next person. As I’ve said here on the podcast before, I’m a big music fan. I used ot be a traveling musician. I wrote and recorded the bumper music you just heard. i am a sculptor. Check out River Horse Art on Facebook. I build live edge furniture if you’d like to see the stuff at Amarillo Furniture and Live Edge Customs on Facebook. I have lots of interests but…..don’t we fall into ruts regardless of how many hobbies or interests we have? The trick, I think, is outside influence. The right kind of outside influence. Undoubtedly, many of you are non-Christian and I’m not the kind of Christian to tell anyone they’re right or wrong but, if you’ll hang with me just a sec, maybe I can make sense to the non-christians as well.  On the way to work this morning, I was listening to a podcast by a preacher named Jenetzen Franklin. Now, I usually listen to murder mysteries, music, news, or silence but, every now and then, I just get a calling of sorts to listen to something faith based. Well, that happened this morning.  This episode was called Don’t Call This Common. Franklin was talking about how we go through our days in a robotic mentality many times. He was saying how, nothing blessed by God can be called common. From our relationships, family and friends, our interactions, our offices, our patients, our work in general. Nothing we do is common. Our days, our jobs, our profession, and our results are extraordinary indeed. What would out patients do without us in their lives? You don’t have to be a Christian to understand how lucky we are to wake up in the morning. How lucky we are to kiss our spouses and out kids. Or how lucky we are to work in a job that makes us happy and allows us to make such a difference in others’ lives.  It is truly extraordinary.  Thank you for indulging me there for a minute and allowing me to share my heart with you for a little bit. It’s one of those days of renewed energy and renewed perspective for me. I hope my thoughts spark something similar in you as well.  Let’s get to some articles and research to get you thinking and speaking in the right direction.  Last week, we discussed a new paper by Dr. Goertz which had to do with how integrating chiropractors into treatment for Vets suffering from musculoskeltal issues. Mostly low back pain(Goertz C 2018).  Here’s an article written by Reuters’ writer Lisa Rapaport on the paper(Rapaport L 2018).  It’s called “Adding chiropractic to back pain care may reduce disability.” I’d like to say from the top that I’m unhappy with the title. What’s this “May reduce” garbage exactly? If Lisa knew about 1/10th of the research, she’d leave out the questioning tone of the title. That’s like saying that heart surgery MAY save lives. You know, some people die during heart surgery so……it doesn’t ALWAYS work does it? Some people don’t have completely outcomes from low back fusion so….low back surgery MAY work. Follow me?  Dr. Goertz had a couple of interesting quotes included in the article. The first quote is, “Spinal manipulation (often referred to as chiropractic adjustment) may help heal tissues in your body that form as a result of injury, decreasing pain and improving your body’s ability to move correctly.” The other was, “It is also possible that manipulation impacts the way that your body perceives pain through either the brain or the spinal cord and/or decreases pain from muscle strain, inflammation and/or spasm in the muscles next to your spine.” Great quotes from a great doctor and a researcher that has been a game-changer for our profession. But, wouldn’t you say there are questions in those quotes as to exactly how Chiropractic works in the first place? What is it about chiropractic or spinal manipulation that actually caused the effectiveness and the reduced pain? Like, what it is exactly?  Take for example the cardiologist: they are effective because they go in and place a stent or there was blockage in one of the arteries feeding the heart so they either cleared it or bypassed it and now it works better. There’s no doubt as to why they were effective.  I think until we come up with a unified, provable reason as to why we chiropractors get the results we get, we may always be struggling to explain ourselves in a manner that resonates and makes sense to colleagues in the medical field and to the layperson with back pain out in the general population.  This needs some work and some resolution in my humble opinion.  We have mentioned this next paper before so we won’t go through the whole thing again but, when you are discussing chiropractic with medical professionals, it’s clear the MDs prefer to send their musculoskeletal patients to the physical therapist first before taking the next steps toward shots and surgery. That’s progress from immediate medication and shots but, it may not be the most effective referral they can make. What can we do to show that chiropractic better than physical therapy?   It’s clear the MDs prefer to send their musculoskeletal patients to the physical therapist first before taking the next steps toward shots and surgery. That’s progress from immediate medication and shots but, it may not be the most effective referral they can make.  				Click To Tweet				  Let me first say that I love physical therapy and physical therapists. This is not a competition in my opinion. Yes, we cross over into each others’ territory daily but, that is business and that is life. I think physical therapy most definitely has it’s place. Post-operative rehab is the spotlight in my mind for physical therapy. What would surgical patients do without physical therapy following minor and major surgeries? They are game changers.  Now, if we talk about pain caused by discs or something originating in the spine, my 20 years has shown me they have little effectiveness in this area. We all know Mckenzie and core building exercises are beneficial. We all know this stuff. You don’t need to be a physical therapist to figure that out. But effectively treating discs…..I have not seen that much at all. For discs, in general, chiropractic better than physical therapy. In fact, I had a patient that was treating with us. She was a young, healthy, fit, athletic girl having a significant, MRI-confirmed disc issue. We worked and worked with her to the point that she was feeling great. Without consulting yours truly, she got the idea in her head that, if she added physical therapy to the regimen, her results would be twice as good as they already were.  Well, she went to one appointment with the PT and came back in tears, unable to walk or function, and no matter how much we worked with her from that point, we were never able to get her back to where we had her. She ended up having low back surgery. In her 20’s. Again, in this case, chiropractic better than physical therapy. Of course that’s not the common experience of patients that go to PTs and I’m not discouraging going to PTs. As I said, we all have our function and certain things we are truly effective in treating. A truly integrated approach is the ideal way to work it.    “We all have our function and certain things we are truly effective in treating. A truly integrated approach is the ideal way to work it.”				Click To Tweet				  But let’s be clear, this podcast is called “Chiropractic Forward.” We aren’t here to advocate for physical therapists. They have plenty of folks doing that. We aren’t here to bash them either by the way. Our function is chiropractic advocacy based on research and evidence.  In this systematic review and meta-analysis by Ian Coulter, et. al., he concludes by saying, “ There is moderate-quality evidence that manipulation and mobilization are likely to reduce pain and improve function for patients with chronic low back pain; manipulation appears to produce a larger effect than mobilization. Both therapies appear safe(Coulter I 2018).” So…..chiropractic better than physical therapy. Now, when we argue that patients should be seeing a chiropractor prior to, or in conjunction with, a physical therapist, keep in mind this study from 2017 called, “Association Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain” by Marc Andre Blanchette et. al. (Blanchett M 2017).  The study focused on patients in the workers comp system. What practitioner they saw, how long and expensive was treatment, and did they have reoccurrence of the pain? The authors concluded by saying, “The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest. These differences raise concerns regarding the use of physiotherapists as gatekeepers for the worker’s compensation system.” Bam….chiropractic better than physical therapy. Chiropractors…..can I get a hell yeah? Maybe an Amen?!? What about this paper from 2014 called “Cost-effectiveness of manual therapy for the management of musculoskeletal conditions: a systematic review and narrative synthesis of evidence from randomized controlled trials,” by Tsertsvadze(Tsertsvadze A 2014)? When comparing manual therapy with usual medical care and physical therapy, the authors concluded the paper by saying, “Preliminary evidence from this review shows some economic advantage of manual therapy relative to other interventions used for the management of musculoskeletal conditions, indicating that some manual therapy techniques may be more cost-effective than usual GP care, spinal stabilization, GP advice, advice to remain active, or brief pain management for improving low back and shoulder pain/disability.” And lastly for this topic, there’s this paper from 2003 from Korthals-de Bos, et. al. called “Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomised controlled trial. Randomized controlled trial” that was published in the British Medical Journal(Korthals-de Bos IB 2003). Shazzam…..chiropractic better than physical therapy. The authors wanted to evaluate, contrast, and compare effectiveness of manual therapy to physiotherapy/physical therapy and to care by a general medical practitioner in regards to neck pain specifically. They concluded the paper by saying, “Manual therapy (spinal mobilisation) is more effective and less costly for treating neck pain than physiotherapy or care by a general practitioner.”   They concluded the paper by saying, “Manual therapy (spinal mobilization) is more effective and less costly for treating neck pain than physiotherapy or care by a general practitioner.”				Click To Tweet				  So, as you can see, there are several, research-backed arguments to be made to medical colleagues when you are asking them for their referrals rather than physical therapy being their knee-jerk reaction and first choice.   So, as you can see, there are several, research-backed arguments to be made to medical colleagues when you are asking them for their referrals rather than physical therapy being their knee-jerk reaction and first choice.				Click To Tweet				  Go forth with confidence and assertiveness knowing that your profession is validated in a thousand different ways.  Key Takeaways Chiropractic kicks butt any way you want to look at it when you’re looking at it through a research-based lens and it’s great to see it continually excel and surpass usual medical care and physical therapy in terms of effectiveness, cost-effectiveness, and risk vs. reward.   As I mention at the end of every episode, I want you to know with absolute certainty that when Chiropractic is at its best, you cannot beat the risk vs reward ratio. Plain and simple. Spinal pain is a mechanical pain and responds better to mechanical treatment rather than chemical treatment such as pain killers, muscle relaxants, and anti-inflammatories. When you look at the body of literature, it is clear: research and clinical experience shows that, in about 80%-90% of headaches, neck, and back pain, compared to the traditional medical model, patients get good to excellent results with Chiropractic. It’s safe, more cost-effective, decreases chances of surgery, and reduces chances of becoming disabled. We do this conservatively and non-surgically with minimal time requirements and hassle on the part of the patient. And, if the patient develops a “preventative” mindset going forward, we can likely keep it that way while raising the general, overall level of health! And patients have the right to the best treatment that does the least harm. THAT’S Chiropractic folks. Please feel free to send us an email at dr dot williams at chiropracticforward.com and let us know what you think or what suggestions you may have for us for future episodes. Feedback and constructive criticism is a blessing and we want to hear from you on a range of topics so bring it on folks! If you love what you hear, be sure to check out www.chiropracticforward.com. We want to ask you to share us with you network and help us build this podcast into the #1 Chiropractic evidence-based podcast in the world.  We cannot wait to connect again with you next week. From Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Social Media Links  https://www.facebook.com/chiropracticforward/ https://twitter.com/Chiro_Forward https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q  iTunes  https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2  Bibliography Blanchett M (2017). “Association Between the Type of First Healthcare Provider and the Duration of Financial Compensation for Occupational Back Pain.” J Occup Rehabil 27(382). Coulter I (2018). “Manipulation and mobilization for treating chronic low back pain: a systematic review and meta-analysis.” Spine 0(0). Goertz C (2018). “Effect of Usual Medical Care Plus Chiropractic Care vs Usual Medical Care Alone on Pain and Disability Among US Service Members With Low Back Pain A Comparative Effectiveness Clinical Trial.” JAMA 1(1): E180105. Korthals-de Bos IB (2003). “Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomised controlled trial.” British Medical Journal 326(7395): 911. Rapaport L (2018). “Adding chiropractic to back pain care may reduce disability.” Reuters 0(0). Tsertsvadze A, e. a. (2014). “Cost-effectiveness of manual therapy for the management of musculoskeletal conditions: a systematic review and narrative synthesis of evidence from randomized controlled trials.” J Manipulative Physiol Ther 37(6): 343-362. CF 008: With Dr. Craig Benton – Brand New Information Based on Results Chiropractic Proven Effective For Low Back Pain  CF 016: Review of The Lancet Article on Low Back Pain (Pt. 1)  CF 015: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 3 of 3)  CF 007: Awesome Alternatives To High Blood Pressure Treatment    The post CF 026: Chiropractic Better Than Physical Therapy and Usual Medical Care For Musculoskeletal Issues appeared first on Chiropractic Forward.

CF 026: Chiropractic Better Than Physical Therapy and Usual Medical Care For Musculoskeletal Issues

CF 106: Joint Replacement Expectations, Spinal Infections, &amp; Vitamin  D with Calcium Today we’re going to talk about Joint Replacement Expectations how long can you expect a joint replacement to actually last, we’ll talk about Spinal Infections – what are some of the signs and symptoms according to research, and they we’ll cover a paper in JAMA on supplementation with Vit D alone vs. Vitamin D with Calcium. Stick around for a great show.  But first, here’s that sweet like a Christmas candy cane bumper music      OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.  We’re the fun kind of research. Not the stuffy, high-brow kind of research. We’re research talk over a couple of beers. So go get one and crack it open because we’re off and running.  Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   If you haven’t yet I have a few things you should do.  Like our facebook page, Join our private facebook group and interact, and then go review our podcast on iTunes and other podcast platforms. We also have an evidence-based brochure and poster store at chiropracticforward.comWhile you’re there, join our weekly email newsletter. No spam, just a reminder when the newest episodes go live. Nothing special so don’t worry about signing up. Just one a week friends.  Do it do it do it.  You have ping ponged into Episode #106. And my Parker alums will remember all of the ping pong that went on there at the student rec room. Pretty heated matches right there! Now if you missed last week’s episode on Groupon deals, Gabapentin, and on Weight Loss…. make sure you don’t miss that info. As I tend to do, I got a little red in the face and probably got a bit dramatic and opinionated but I felt better by the time it was over with.  Thoughts on Chiropractic Groupon, Gabapentin, &amp; Weight Loss Research  Did you know that if you have an Alexa product, you can now just say something like, “Alexa, play The Chiropractic Forward Podcast on Apple Podcasts” and kablooey! You here the golden throated stylings of yours truly! Lol. You can say skip ahead 30 seconds, play previous episode, and on and on so pretty cool right there.  On the personal end of things the Holidays are always stressful and this season has been a bit extra with my Dad having the stroke and being in the rehab hospital. That and whatever other daily trials and tribulations that come along with raising teenagers.  It’s been journey but isn’t life just like that? Whack a mole every day. Whackin whacking whacking. Sometimes it’s exhausting. Obviously, I have a little turmoil poking it’s head up here and there lately but I’m a good swimmer.  What I mean is, this world is full of sinkers and swimmers. Very rarely do you find simple water treaders. We’re sinking or we’re swimming. The sinkers let life happen to them rather than happening to life.  They either make things happen, let things happen, or wonder what the hell just happen.  On the other hand, swimmers are making things happen every day. Things keep coming at them and they keep batting them away and they stay above water. Hell, some of them make a game out of it and adapt to have the best breaststroke or back stroke you’ve ever seen.  CF 016: Review of The Lancet Article on Low Back Pain (Pt. 1)  Those are the ones that just act like they’re indestructible. Well, I’m not indestructible. At all. I’ve been going through a season lately for sure. Nothing about business. All about my dad and other family stuff here and there. Luckily, I have an amazing wife and support structure. Good support allows swimmers to swim. She allows me to be a swimmer. No doubt.  Enough about all that. Again, I share personal aspects because I know many of you will either relate on some level and ideally maybe even draw some inspiration. Others can learn from it I think. At least that’s my hope.  By the time this airs, Christmas will have come and gone. I hope you had the merriest of Christmases. Being a Christian myself, I can’t tell you how much I love the season, the music, the magic of giving. Even with all of the hustle and bustle and pain in the butt it brings, it’s a special time of year and I try to keep it special for me and the family.  Before we dive into the reason we’re here, it’s good to support the people that support you don’t you think? Well, ChiroUp certainly supports evidence-based practices.  If you don’t take advantage of this deal, I just think you might be crazy. If you’re a regular listener of our podcast, you know I’ve used ChiroUp since about June of 2018. Let me tell you about it because I’m about to give you a way to do a FREE TRIAL and, if you sign up, only pay $99/month for the first six months which is pennies compared to what it’s worth. So listen up! ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to Chiroup.com today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s ChiroUp.com and super double secret code Williams99. Item #1 This one is called “Vitamin D and Calcium for the Prevention of Fracture. A Systematic Review and Meta-Analysis” it was authored by Yao, et. al. and published in JAMA Open on December 20, 2019(Yao P 2019).  Hot hot hot like Texas in the Summer. Why They Did It Considering that vitamin D and calcium are recommended for prevention of fracture but prior RCTs have reported conflicting results, the authors wanted to assess the risks of fracture associated with differences in concentrations of 25-hydroxyvitamin D in observational studies and the risks of fracture associated with supplementation with Vitamin D alone or in combination with calcium in RCTs How They Did It Systematic review and meta-analyses. 34,243 participants. They mined data from PubMed, EMBASE, Cochrane Library and other RCT databasesObservational studies involving at least 200 fracture cases and RCTs enrolling at least 500 participants and reporting at least 10 incident fractures were includedRCTs compared Vit D or Vit D with calcium with controlTwo researchers independently extracted the data and assessed possible bias Wrap It Up The authors concluded “In this systematic review and meta-analysis, neither intermittent nor daily dosing with standard doses of vitamin D ALONE was associated with reduced risk of fracture, BUT daily supplementation with both vitamin D and calcium was a more promising strategy.” To the tune of a 16% reduced risk of hip fracture. I’d sure as hell take that reduced risk if it’s my mom, wife, sister, or if it’s a patient.  So, if you have a patient with osteoporosis and I know that you absolutely do…..it looks evidence-based to tell them to supplement with Vitamin D but only if they add Calcium to the mix.  I love getting smarter and better. This is a nugget that does just that for us.  Item #2 Joints!!  How many knee replacements do you check reflexes on during the month? We average around 70-80 new patients per month so the answer in my office is, ‘several’.  You probably already know that surgeons don’t like to do knee or hip replacements on younger folks because they don’t want the replacement to wear out before the patient dies. They don’t want the patient to have to go through the damn thing twice basically.  The Lancet medical journal recently published two papers on the topic. One on the hip and one on the knee. One was called “How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up” and the other was called oddly enough “How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up.” They were both authored by the same group led by Jonathan Evans and were published in The Lancet on February 16, 2019. Not hot off the press but not room temperature either. Very luke warm, folks. (Evans J 2019, Evans J 2019) Why They Did It For both papers, it’s pretty obvious why they did it. They want to know how long hips and knees last when replaced. Easy peesy.  How They Did It The papers were systematic reviews and meta-analyses Medline and Embase were used from Sept 12, 2017 to currentThey used 140 eligible articlesThey also reviewed reports of national joint replacement registries Wrap It Up On the hip paper, they concluded “Assuming that estimates from national registries are less likely to be biased, patients and surgeons can expect a hip replacement to last 25 years in around 58% of patients.” On the knee paper, they concluded “Approximately 82% of total knee replacements last 25 years and 70% of unicondylar knee replacements last 25 years.” Isn’t good to have a solid number you can confidently tell your patients when they’re thinking about making that appointment with the orthopedic surgeon? Item #3 Our last paper this week is on spinal infection. It’s called “Red flags for the early detection of spinal infection in back pain patients” authored by Yusuf et. al. and published in BMC Musculoskeletal Disorders in December of 2019. (Yusuf M 2019) Sizzlin’ hot like a Summer sidewalk come on. Why They Did It The aim was to conduct a systematic review specifically reporting on studies that evaluated the diagnostic accuracy of red flags for Spinal Infection in patients with low back pain. How They Did It Again they mined the biggies like Medline, Cochrane, and EMBASE,  but also Pedro, Web of Science, OpenGrey, and Grey Literature Report40 papers were acceptedA total of 2224 cases of spinal infection were identified What They Found Spinal pain and fever were the most common clinical featuresDiabetes and IV drug use were the most occurring determinantsMRI was the most used imaging and Staphylococcus aureus and mycobacterium tuberculosis were the most common microorganisms detected.  Wrap It Up The authors wrapped it up saying, “The current evidence surrounding red flags for spinal infection remains small, it was not possible to assess the diagnostic accuracy of red flags for spinal infection…..the most frequently reported clinical feature was the classic triad of spinal pain, fever and neurological dysfunction.” Key Takeaways Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.       The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us that patients can get good to excellent results for headaches, neck pain, back pain, and joint pain just to name just a few. It’s safe and cost-effective. It can decrease surgeries &amp; disability and we normally do it through conservative, non-surgical means with minimal hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, we can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger Bibliography Evans J, E. J., Walker R, Blom A, Whitehouse M, Sayers A, (2019). “How long does a hip replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up.” The Lancet 393(10172): 647-654.Evans J, W. R., Evans J, Blom A, Sayers A, Whitehouse M, (2019). “How long does a knee replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up.” The Lancet 393(10172): 655-663.Yao P, B. D., Mafham M, (2019). “Vitamin D and Calcium for the Prevention of Fracture. A Systematic Review and Meta-analysis.” JAMA Open 2(12).Yusuf M, F. L., Selfe J, (2019). “Red flags for the early detection of spinal infection in back pain patients.” BMC Musculoskelet Disord 20.  The post Joint Replacement Expectations, Spinal Infections, &amp; Vitamin  D with Calcium appeared first on Chiropractic Forward.

Joint Replacement Expectations, Spinal Infections, & Vitamin  D with Calcium

James Lehman

CF 055: w/ Dr. James Lehman – The Future Of Chiropractic, Chiropractic Specialization, &amp; Chiropractic Integration   Today we’re going to talk to one of the giants in our profession, Dr. James Lehman. We will be talking to Dr. James Lehman all about all sorts of things but mostly about the future of chiropractic. What is it looking like for those of us in the profession over the course of the next 15-30 years?  But first, here’s that delicious bumper music      OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  We will get to Dr. James Lehman soon.  Introduction You have fluttered into Episode #55 kind of like the feather on Forrest Gump. Come on, you know the feather from literally one of the best movies of all time. Yes, that feather.  Diplomate of the Academy of Chiropractic Orthopedists This is normally the point in the program where I mention the DACO program and how I am progressing through it but, for reasons that will become obvious fairly quickly, we are going to save that talk for just a little later in our program.  However, I will tell you I have 80 online hours at this point and some of my more recent classes have been Why does my shoulder keep hurting and how to diagnose a tension-type headache. If you recall from a week or so ago, two classes on migraines were among the classes so, after this last week, I’m getting a handle on the headache mystery.  I have just about completed all of the Diagnostic Drills. There are 40 of them and I’ve finished 39 of them. The last one is on ankle sprain and what we really need to know about them. Then, we move on to Communication Drills that reinforce these Diagnostic Drills and help you write to your colleagues in an effective and professional way to describe your findings. I’m looking forward to those! Introduction of Dr. James Lehman Now, let’s go ahead and get on with the reason we’re all here. Before we speak with Dr. James Lehman, I want to go through a little background information on him for you so you are well aware of who he is and where he is coming from.  Dr. James Lehman is an Associate Professor of Clinical Sciences at the University of Bridgeport/College of Chiropractic and Director of Health Sciences Postgraduate Education (HSPED).  Dr. James Lehman completed his MBA at the University of New Mexico and a doctorate in chiropractic medicine at the Logan College of Chiropractic in St. Louis, Missouri. Dr. James Lehman is a board-certified, chiropractic orthopedist. He teaches orthopedic and neurological examination and differential diagnosis of neuromusculoskeletal conditions. In addition, he provides clinical rotations for fourth-year chiropractic students and chiropractic residents in the community health center and a sports medicine rotation in the training facility of the local professional baseball team.  As Director, Dr. James Lehman developed the three-year, full-time resident training program in chiropractic orthopedics and neuromusculoskeletal medicine. The program offers training within primary care facilities of a Federally Qualified Health Center and Patient-Centered Medical Home. While practicing in New Mexico, he mentored fourth-year, UNM medical students.  Welcome to the show Dr. James Lehman, it’s an honor to have you on the Chiropractic Forward Podcast this week.  Questions for Dr. Lehman How did the job at UofB become a reality for you? How did you make that happen or even make it a possibility? Can you tell me about your position at UofB?  What are your responsibilities?  What does a regular day for you look like?  Dr. Lehman and I became acquainted with each other through the DACO program. In case you have been hiding under a rock, zoning off during our podcasts, or maybe this is the very first podcast you’ve listened to of ours, DACO stands for Diplomate of American Chiropractic Orthopedists.  What got you so interested in the Orthopedic side of our profession?  What was it that made you want to specialize originally? Can you tell us a little about your experience with chiropractic integration over the years?  Have you had some battles to fight internally against medical practitioners? What are some of the pitfalls and what are some of the rewards beyond seeing the patients recover? Can you tell us about FQHCs? I had no idea they existed, especially in my city, until you showed me. Integrating into an FQHC was something that was never on my radar until we talked in Dallas. At this point in our discussion, I need to tell you, the audience, that Dr. Lehman has played a vital role in furthering the DACO program. Through his position at the University of Bridgeport Connecticut, and through a partnership of sorts with online education through Chiropractic Development International out of Australia, obtaining the DACO has become very do-able and very attainable for all that may be so inclined.  Dr. Lehman, can you tell us a little about how you and the University of Bridgeport got involved in the DACO and how it’s going so far? How did you identify the need and then go about filling that need? Can you tell us why you feel like specialization like the DACO is so important to doctors of chiropractic these days?  Why has this become your mission? Through email, you suggested to me that, for the chiropractic profession to gain the respect of the healthcare system, a reasonable definition of chiropractic would be a good starting point. You offered a definition that doesn’t restrict providers nor does it highlight ‘subluxation.’ That definition is as follows: “The evidence-based practice of differential diagnosis, patient-centered treatment, and prevention of pain and human disease as taught by CCE-approved chiropractic colleges, institutions, or schools.” Tell me how you came up with this definition.  Just to tell a quick personal experience, I have been introduced before by one neurosurgeon to another neurosurgeon using a disclaimer. He said, “He’s not one of THOSE chiropractors. He’s one of the good guys.” Which, I have to say that I appreciated the vote of confidence but at the same time it made me think, “With such a prevailing sentiment toward our profession, how will we ever integrate successfully or is it even possible?” Do you think that even those of us that are specializing are going to be forever introduced with a disclaimer? I personally don’t see how a profession as split as ours progresses and integrates successfully. Is there a solution to this or are we just stuck with the split and the internal fighting? With the knowledge that PTs are now utilizing spinal manipulative therapy, what do you feel is going to happen with our profession in the next 15-30 years? In the two classes I’ve sat through with you as a speaker, you were adamant about Informed Consent. I read your paper on that topic after I got back from Dallas and thought it was pretty interesting. Informed Consent doesn’t sound like a particularly interesting or sexy topic to the general population so, would you mind telling us about that and what interested you enough in a topic like Informed Consent to actually publish a paper on it? We covered the vast divide in our profession, what are some other big obstacles you see on the horizon for our profession right now? In our private Chiropractic Forward Group, when we discussed you episode coming on the show, Dr. Brandon Steele said I need to ask you this question, “What can students do right now to prepare for current trends in Healthcare? Are there residencies, certifications, internships or other equivalents they should be considering going through to prepare for their future after graduation?” Also in the private group, Dr. William Lawson, who has been a guest with us before, told me to ask you about rural healthcare centers and how a chiropractor can work in or own a rural healthcare center.   being with us and taking time out of your day. I really appreciate you and what you are doing for our profession. I don’t know where we would be without folks like you and others just like you.       The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient. And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out. Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website Home  Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn  About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger CF 029: w/ Dr. Devin Pettiet – Is Chiropractic Integration Healthy For The Profession?  CF 039: Communicating Chiropractic  CF 046: Chiropractic Effectiveness – Chiropractic Integration – Chiropractic Future  The post CF 055: w/ Dr. James Lehman – The Future Of Chiropractic, Chiropractic Specialization, &amp; Chiropractic Integration appeared first on Chiropractic Forward.

CF 055: w/ Dr. James Lehman – The Future Of Chiropractic, Chiropractic Specialization, &amp; Chiropractic Integration   Today we’re going to talk to one of the giants in our profession, Dr. James Lehman. We will be talking to Dr. James Lehman all about all sorts of things but mostly about the future of chiropractic. What is it looking like for those of us in the profession over the course of the next 15-30 years? But first, here’s that delicious bumper music <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noopener nofollow" target="_blank"></a> <a href="https://tunein.com/podcasts/Health--Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="noopener nofollow" target="_blank"></a> OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  We will get to Dr. James Lehman soon.  <h4>Introduction</h4> You have fluttered into Episode #55 kind of like the feather on Forrest Gump. Come on, you know the feather from literally one of the best movies of all time. Yes, that feather.  <h4>Diplomate of the Academy of Chiropractic Orthopedists</h4> This is normally the point in the program where I mention the DACO program and how I am progressing through it but, for reasons that will become obvious fairly quickly, we are going to save that talk for just a little later in our program.  However, I will tell you I have 80 online hours at this point and some of my more recent classes have been Why does my shoulder keep hurting and how to diagnose a tension-type headache. If you recall from a week or so ago, two classes on migraines were among the classes so, after this last week, I’m getting a handle on the headache mystery.  I have just about completed all of the Diagnostic Drills. There are 40 of them and I’ve finished 39 of them. The last one is on ankle sprain and what we really need to know about them. Then, we move on to Communication Drills that reinforce these Diagnostic Drills and help you write to your colleagues in an effective and professional way to describe your findings. I’m looking forward to those! <h4>Introduction of Dr. James Lehman</h4> Now, let’s go ahead and get on with the reason we’re all here. Before we speak with Dr. James Lehman, I want to go through a little background information on him for you so you are well aware of who he is and where he is coming from.  Dr. James Lehman is an Associate Professor of Clinical Sciences at the University of Bridgeport/College of Chiropractic and Director of Health Sciences Postgraduate Education (HSPED).  Dr. James Lehman completed his MBA at the University of New Mexico and a doctorate in chiropractic medicine at the Logan College of Chiropractic in St. Louis, Missouri. Dr. James Lehman is a board-certified, chiropractic orthopedist. He teaches orthopedic and neurological examination and differential diagnosis of neuromusculoskeletal conditions. In addition, he provides clinical rotations for fourth-year chiropractic students and chiropractic residents in the community health center and a sports medicine rotation in the training facility of the local professional baseball team.  As Director, Dr. James Lehman developed the three-year, full-time resident training program in chiropractic orthopedics and neuromusculoskeletal medicine. The program offers training within primary care facilities of a Federally Qualified Health Center and Patient-Centered Medical Home. While practicing in New Mexico, he mentored fourth-year, UNM medical students.  Welcome to the show Dr. James Lehman, it’s an honor to have you on the Chiropractic Forward Podcast this week.  <h4>Questions for Dr. Lehman</h4> How did the job at UofB become a reality for you? How did you make that happen or even make it a possibility? Can you tell me about your position at UofB?  What are your responsibilities?  What does a regular day for you look like?  Dr. Lehman and I became acquainted with each other through the DACO program. In case you have been hiding under a rock, zoning off during our podcasts, or maybe this is the very first podcast you’ve listened to of ours, DACO stands for Diplomate of American Chiropractic Orthopedists.  What got you so interested in the Orthopedic side of our profession?  What was it that made you want to specialize originally? Can you tell us a little about your experience with chiropractic integration over the years?  Have you had some battles to fight internally against medical practitioners? What are some of the pitfalls and what are some of the rewards beyond seeing the patients recover? Can you tell us about FQHCs? I had no idea they existed, especially in my city, until you showed me. Integrating into an FQHC was something that was never on my radar until we talked in Dallas. At this point in our discussion, I need to tell you, the audience, that Dr. Lehman has played a vital role in furthering the DACO program. Through his position at the University of Bridgeport Connecticut, and through a partnership of sorts with online education through Chiropractic Development International out of Australia, obtaining the DACO has become very do-able and very attainable for all that may be so inclined.  Dr. Lehman, can you tell us a little about how you and the University of Bridgeport got involved in the DACO and how it’s going so far? How did you identify the need and then go about filling that need? Can you tell us why you feel like specialization like the DACO is so important to doctors of chiropractic these days?  Why has this become your mission? Through email, you suggested to me that, for the chiropractic profession to gain the respect of the healthcare system, a reasonable definition of chiropractic would be a good starting point. You offered a definition that doesn’t restrict providers nor does it highlight ‘subluxation.’ That definition is as follows: “The evidence-based practice of differential diagnosis, patient-centered treatment, and prevention of pain and human disease as taught by CCE-approved chiropractic colleges, institutions, or schools.” Tell me how you came up with this definition.  Just to tell a quick personal experience, I have been introduced before by one neurosurgeon to another neurosurgeon using a disclaimer. He said, “He’s not one of THOSE chiropractors. He’s one of the good guys.” Which, I have to say that I appreciated the vote of confidence but at the same time it made me think, “With such a prevailing sentiment toward our profession, how will we ever integrate successfully or is it even possible?” Do you think that even those of us that are specializing are going to be forever introduced with a disclaimer? I personally don’t see how a profession as split as ours progresses and integrates successfully. Is there a solution to this or are we just stuck with the split and the internal fighting? With the knowledge that PTs are now utilizing spinal manipulative therapy, what do you feel is going to happen with our profession in the next 15-30 years? In the two classes I’ve sat through with you as a speaker, you were adamant about Informed Consent. I read your paper on that topic after I got back from Dallas and thought it was pretty interesting. Informed Consent doesn’t sound like a particularly interesting or sexy topic to the general population so, would you mind telling us about that and what interested you enough in a topic like Informed Consent to actually publish a paper on it? We covered the vast divide in our profession, what are some other big obstacles you see on the horizon for our profession right now? In our private Chiropractic Forward Group, when we discussed you episode coming on the show, Dr. Brandon Steele said I need to ask you this question, “What can students do right now to prepare for current trends in Healthcare? Are there residencies, certifications, internships or other equivalents they should be considering going through to prepare for their future after graduation?” Also in the private group, Dr. William Lawson, who has been a guest with us before, told me to ask you about rural healthcare centers and how a chiropractor can work in or own a rural healthcare center.   being with us and taking time out of your day. I really appreciate you and what you are doing for our profession. I don’t know where we would be without folks like you and others just like you.  <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank"></a><a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noopener nofollow" target="_blank"></a> <a href="https://tunein.com/podcasts/Health--Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="noopener nofollow" target="_blank"></a> <h4>The Message</h4> I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient. And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! <h4>Contact</h4> Send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out. <h4>Connect</h4> We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. <h4>Website</h4> <blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> <h4>YouTube</h4> <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> <h4>iTunes</h4> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> <h4>Player FM Link</h4> <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> <h4>Stitcher:</h4> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> <h4>TuneIn</h4> <h4>About the Author &amp; Host</h4> Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger <blockquote><a href="https://www.chiropracticforward.com/cf-029-w-dr-devin-pettiet-is-chiropractic-integration-healthy-for-the-profession/" rel="nofollow" target="_blank">CF 029: w/ Dr. Devin Pettiet – Is Chiropractic Integration Healthy For The Profession?</a></blockquote> <blockquote><a href="https://www.chiropracticforward.com/cf-039-communicating-chiropractic/" rel="nofollow" target="_blank">CF 039: Communicating Chiropractic</a></blockquote> <blockquote><a href="https://www.chiropracticforward.com/cf-046-chiropractic-effectiveness-chiropractic-integration-chiropractic-future/" rel="nofollow" target="_blank">CF 046: Chiropractic Effectiveness – Chiropractic Integration – Chiropractic Future</a></blockquote> The post <a href="https://www.chiropracticforward.com/cf-055-w-dr-james-lehman-the-future-of-chiropractic-chiropractic-specialization-chiropractic-integration/" rel="nofollow" target="_blank">CF 055: w/ Dr. James Lehman – The Future Of Chiropractic, Chiropractic Specialization, &amp; Chiropractic Integration</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

CF 055: w/ Dr. James Lehman – The Future Of Chiropractic, Chiropractic Specialization, & Chiropractic Integration

CF 013: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 1 of 3)

This week, we are in Episode #3 of the 3 part series where we systematically debunk the odd myth that chiropractors cause strokes. I’m almost done with this chiropractors cause strokes myth, y’all. In this final episode of this series, we will discuss risky interventions, papers having to do with the risk, or lack thereof, of chiropractic adjustments to the cervical region specifically, and then a wrap up of the information. Before we get started with the chiropractors cause strokes myth conclusion, I want to draw your attention to the reviews over at iTunes. If you would be kind enough to leave us a great review we sure would appreciate you! This is a new podcast and we need all the help we can get!Right now though, it’s time for bumper music!Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast where we talk about issues related to health, chiropractic, evidence, chiropractic advocacy, and research. Thank you for taking time out of your day I know your time is valuable and I want to fill it with value so here we go.Let’s begin by thanking those of you that sent even more emails to me after this series kicked off and after the second episode of the stroke series came out last week. It’s good to know you’re listening and finding the value. Again, the best way you can help is to share these three stroke episodes with as many people as you can. We can get this chiropractors cause strokes myth debunked and we can put it to rest right here, right now. But, obviously and once again, I can’t do it myself. I need your help to do it. You have to actively, hit a share button, hit a like button, copy and paste a link into an email, whatever the action may be….you have to actively do it. And I thank you in advance.I also want to remind you that this is part 3 of a three part series on the chiropractors cause strokes myth. Last week was part 2 where we discussed research papers demonstrating and validating benefits of having cervical manipulation treatments. Or chiropractic adjustments to the neck. We talked about the benefits, according to research, for neck pain as well as for headaches. And we talked a little about where this chiropractors cause strokes myth came from and why it perpetuates to this day.In part one of this chiropractors cause strokes series, we discussed some risky odds, some case specific discussion, some signs and symptoms of vertebral artery dissection, and some research dealing with common treatments within the medical profession.Be sure to go back and listen to it if you have not. It’s essential in getting the full picture of the chiropractors cause strokes issue.Now…off into this episode we go.I find it interesting and helpful to put ideas into medical terms. Many times, when one is learning about topics they are unfamiliar with, it helps to familiarize the material by relating it in terms they better understand. Have you ever watched a commercial for a new medicine or pill and, at the end of the commercial, the narrator runs through an obstacle course of side effects and possible harms?Prescription medication can be scary and risky but what about more benign, over-the-counter medications?Briefly, let us discuss some of the other treatment risks patients commonly face with traditional medical interventions. Data obtained from the U.S. Centers for Disease Control and Prevention show that more than 300 people die annually as a result of acetaminophen poisoning. Beginning in 2006, according to the CDC, the number of people who died after accidentally taking too much acetaminophen surpassed the number who died from intentionally overdosing to commit suicide. NSAIDS such as Ibuprofen and Acetaminophen cause at least 16,000 deaths per year and send 100,000 people to the ER in the United States every year.   It is clear that there is risk with ANY sort of intervention when it comes to the living, breathing, constantly changing, human body. There is risk when one chooses to cross the street, walk in a rainstorm, or climb a ladder. 				Click To Tweet				  It is clear that there is risk with ANY sort of intervention when it comes to the living, breathing, constantly changing, human body. There is risk when one chooses to cross the street, walk in a rainstorm, or climb a ladder. Most do not let these minimal risks control their decisions or instill fear into their hearts so that they refuse to take an action. The majority of the population subconsciously realizes a risk, understands minimal odds, and takes action accordingly. What follows is a listing of the papers exploring the RISKS of adverse events as a result of cervical manipulation. Each paper mentioned includes a short description of the conclusion for each paper cited. Each of these papers is referenced in the citation section at the end of this article and can be reviewed independently.  Cassidy JD, et. al. – Spanning over a nine year time period and 109,020,875 person-years, the researchers included visits to chiropractors AND primary practitioners. 				 There was no statistical difference between the likelihood of vertebral artery dissection after having seen a primary medical doctor vs. after having seen a chiropractor. 				Click To Tweet								The only possible conclusions are 1) Chiropractors and medical doctors are causing strokes on rare occasion. 2) Patients are presenting to the offices of chiropractors and medical doctors seeking relief from symptoms of a vertebral arterial dissection already in progress. Obviously the medical professionals are not manipulating the cervical region so option number one makes the least sense. Cassidy’s conclusion was as follows, “This suggests that patients with undiagnosed vertebral artery dissection are seeking clinical care for headache and neck pain before having a VBA stroke[10].” Cassidy JD, Pronfort G, Hartvigsen J, et. al. – This article appeared in the British Medical Journal in 2012. “The effectiveness of manipulation for neck pain has been examined in several high quality systematic reviews, evidence based clinical guidelines, and health technology assessment reports. When combined with recent randomized trial results, this evidence supports including manipulation as a treatment option for neck pain,…..We say no to abandoning manipulation and yes to more rigorous research on the benefits and harms of this and other common interventions for neck pain[1].” Kosloff TM, et. al. – “We found no significant association between exposure to chiropractic care and the risk of VBA (vertebrobasilar artery system) stroke. We conclude that manipulation is an unlikely cause of VBA stroke. The positive association between PCP visits and VBA stroke is most likely due to patient decisions to seek care for the symptoms (headache and neck pain) of arterial dissection. We further conclude that using chiropractic visits as a measure of exposure to manipulation may result in unreliable estimates of the strength of association with the occurrence of VBA stroke[2].” Buzzatti L, et. al. – “….the displacement induced with the present technique seems not to be able to endanger vital structure on the Spinal Cord and the Vertebral Artery. This study also adds to a better comprehension of the kinematic of the atlanto-axial segment during the performance of HVLA manipulation[3].” Whedon JM, et. al. – “Among Medicare B beneficiaries aged 66 to 99 years with neck pain, incidence of vertebrobasilar stroke was extremely low. Small differences in risk between patients who saw a chiropractor and those who saw a primary care physician are probably not clinically significant[4].” Achalandabaso A, et. al. – “Our data show no changes in any of the studied damage markers. Although this study examined the outcomes in an asymptomatic population, lower cervical and thoracic manipulative techniques seem to be safe manual therapies techniques which cause no harm to the health of the subject. These data may be used as evidence of the safe application of spinal manipulation to healthy subjects. Further studies with a large sample size and a patient population are needed to corroborate the innocuous effects of spinal manipulation[5].” Quesnele JJ, et. al. – “There were no significant changes in blood flow or velocity in the vertebral arteries of healthy young male adults after various head positions and cervical spine manipulations[6].” Tuchin P, et. al. – “The evidence for causality of vertebral artery dissection from chiropractic is weak[7].” Symons BP, et. al. – “We conclude that under normal circumstances, a single typical (high-velocity/low-amplitude) SMT thrust is very unlikely to mechanically disrupt the VA[8].” Church EW, et. al. – “Our analysis shows a small association between chiropractic neck manipulation and cervical artery dissection (CAD). This relationship may be explained by the high risk of bias and confounding in the available studies, and in particular by the known association of neck pain with CAD and with chiropractic manipulation. There is no convincing evidence to support a causal link between chiropractic manipulation and CAD. Belief in a causal link may have significant negative consequences such as numerous episodes of litigation[9].”  A methodical, logical, and systematic stroll through the body of literature shows without a doubt there is indeed incredible benefit in the use of cervical manipulative treatments for neck pain and headaches &amp; migraine complaints while there is no more risk of stroke from treating with a chiropractor vs. treating with a medical profession. I want this article to be the final word on this chiropractors cause strokes myth. I want it to be the “end all, be all” on the topic but I have lived long enough to know better and experienced twenty years within the chiropractic profession. I know this information will not change the attitudes of many. But, if this article can be a reference point for learning more about the topic and can be a tool for educating others about this chiropractors cause strokes myth, then I will have fulfilled my function. Key Takeaway: The benefit and effectiveness has been proven, the risks have been disproven, and the “Chiropractors Cause Strokes” myth is ONCE AND FOR ALL  officially and completely DEBUNKED.   The benefit and effectiveness has been proven, the risks have been disproven, and the “Chiropractors Cause Strokes” myth is ONCE AND FOR ALL officially and completely DEBUNKED.				Click To Tweet				  Next Steps: SHARE this information and help us get the news out!!   ­­­­­­­­Please feel free to send us an email at dr dot williams at chiropracticforward.com and let us know what you think or what suggestions you may have for us for future episodes. If you love what you hear, be sure to check out www.chiropracticforward.com. As this podcast builds, so will the website with more content, products, and chances to learn. We cannot wait to connect again with you next week. From Creek Stone, my office here in Amarillo, TX, home of the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. References  Cassidy, e.a., Should we abandon cervical spine manipulation for mechanical neck pain? No. BMJ, 2012. Kosloff T, e.a., Chiropractic care and the risk of vertebrobasilar stroke: results of a case–control study in U.S. commercial and Medicare Advantage populations. Chiropractic &amp; Manual Therapies, 2015. 23(19). Buzzatti L, e.a., Atlanto-axial facet displacement during rotational high-velocity low-amplitude thrust: An in vitro 3D kinematic analysis. Man Ther, 2015. 20(6): p. 783-9. Whedon JM, e.a., Risk of traumatic injury associated with chiropractic spinal manipulation in Medicare Part B beneficiaries aged 66 to 99 years. Spine (Phila Pa 1976), 2015. 40(4): p. 264-270. Achalandabaso A, e.a., Tissue damage markers after a spinal manipulation in healthy subjects: a preliminary report of a randomized controlled trial. Dis Markers, 2014. Quesnele JJ, e.a., Changes in vertebral artery blood flow following various head positions and cervical spine manipulation. J Manipulative Physiol Ther, 2014. 37(1): p. 22-31. Tuchin PJ, e.a., Chiropractic and stroke: association or causation? Int J Clin Pract, 2013. 67(9): p. 825-833. Symons BP, Internal forces sustained by the vertebral artery during spinal manipulative therapy. Science Direct, 2002. 25(8): p. 504-510. Church E, e.a., Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. Cureus 2016. 8(2): p. e498. Cassidy JD, et. al., “Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-corssover study.” Spin (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S176-83.    RELATED ARTICLES CF 013: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 1 of 3)  CF 014: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 2 of 3)    The post CF 015: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 3 of 3) appeared first on Chiropractic Forward.

This week, we are in Episode #3 of the 3 part series where we systematically debunk the odd myth that chiropractors cause strokes. I’m almost done with this chiropractors cause strokes myth, y’all. In this final episode of this series, we will discuss risky interventions, papers having to do with the risk, or lack thereof, of chiropractic adjustments to the cervical region specifically, and then a wrap up of the information. <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noopener nofollow" target="_blank"></a>Before we get started with the chiropractors cause strokes myth conclusion, I want to draw your attention to the reviews over at iTunes. If you would be kind enough to leave us a great review we sure would appreciate you! This is a new podcast and we need all the help we can get!Right now though, it’s time for bumper music!Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast where we talk about issues related to health, chiropractic, evidence, chiropractic advocacy, and research. Thank you for taking time out of your day I know your time is valuable and I want to fill it with value so here we go.Let’s begin by thanking those of you that sent even more emails to me after this series kicked off and after the second episode of the stroke series came out last week. It’s good to know you’re listening and finding the value. Again, the best way you can help is to share these three stroke episodes with as many people as you can. We can get this chiropractors cause strokes myth debunked and we can put it to rest right here, right now. But, obviously and once again, I can’t do it myself. I need your help to do it. You have to actively, hit a share button, hit a like button, copy and paste a link into an email, whatever the action may be….you have to actively do it. And I thank you in advance.I also want to remind you that this is part 3 of a three part series on the chiropractors cause strokes myth. Last week was part 2 where we discussed research papers demonstrating and validating benefits of having cervical manipulation treatments. Or chiropractic adjustments to the neck. We talked about the benefits, according to research, for neck pain as well as for headaches. And we talked a little about where this chiropractors cause strokes myth came from and why it perpetuates to this day.In part one of this chiropractors cause strokes series, we discussed some risky odds, some case specific discussion, some signs and symptoms of vertebral artery dissection, and some research dealing with common treatments within the medical profession.Be sure to go back and listen to it if you have not. It’s essential in getting the full picture of the chiropractors cause strokes issue.Now…off into this episode we go.I find it interesting and helpful to put ideas into medical terms. Many times, when one is learning about topics they are unfamiliar with, it helps to familiarize the material by relating it in terms they better understand. Have you ever watched a commercial for a new medicine or pill and, at the end of the commercial, the narrator runs through an obstacle course of side effects and possible harms?Prescription medication can be scary and risky but what about more benign, over-the-counter medications?Briefly, let us discuss some of the other treatment risks patients commonly face with traditional medical interventions.<ul> <li>Data obtained from the U.S. Centers for Disease Control and Prevention show that more than 300 people die annually as a result of acetaminophen poisoning.</li> <li>Beginning in 2006, according to the CDC, the number of people who died after accidentally taking too much acetaminophen surpassed the number who died from intentionally overdosing to commit suicide.</li> <li>NSAIDS such as Ibuprofen and Acetaminophen cause at least 16,000 deaths per year and send 100,000 people to the ER in the United States every year.</li> </ul> <a href="http://ctt.ec/Ec77j" rel="nofollow" target="_blank"> </a><a href="http://ctt.ec/Ec77j" rel="nofollow" target="_blank">It is clear that there is risk with ANY sort of intervention when it comes to the living, breathing, constantly changing, human body. There is risk when one chooses to cross the street, walk in a rainstorm, or climb a ladder. </a><a href="http://ctt.ec/Ec77j" rel="nofollow" target="_blank"> 				Click To Tweet 				</a> It is clear that there is risk with ANY sort of intervention when it comes to the living, breathing, constantly changing, human body. There is risk when one chooses to cross the street, walk in a rainstorm, or climb a ladder. Most do not let these minimal risks control their decisions or instill fear into their hearts so that they refuse to take an action. The majority of the population subconsciously realizes a risk, understands minimal odds, and takes action accordingly. What follows is a listing of the papers exploring the RISKS of adverse events as a result of cervical manipulation. Each paper mentioned includes a short description of the conclusion for each paper cited. Each of these papers is referenced in the citation section at the end of this article and can be reviewed independently. <ol> <li>Cassidy JD, et. al. – Spanning over a nine year time period and 109,020,875 person-years, the researchers included visits to chiropractors AND primary practitioners. 				<a href="http://ctt.ec/5J5nd" rel="nofollow" target="_blank"> There was no statistical difference between the likelihood of vertebral artery dissection after having seen a primary medical doctor vs. after having seen a chiropractor. 				Click To Tweet 				</a> 				The only possible conclusions are 1) Chiropractors and medical doctors are causing strokes on rare occasion. 2) Patients are presenting to the offices of chiropractors and medical doctors seeking relief from symptoms of a vertebral arterial dissection already in progress. Obviously the medical professionals are not manipulating the cervical region so option number one makes the least sense. Cassidy’s conclusion was as follows, “This suggests that patients with undiagnosed vertebral artery dissection are seeking clinical care for headache and neck pain before having a VBA stroke[10].”</li> <li>Cassidy JD, Pronfort G, Hartvigsen J, et. al. – This article appeared in the British Medical Journal in 2012. “The effectiveness of manipulation for neck pain has been examined in several high quality systematic reviews, evidence based clinical guidelines, and health technology assessment reports. When combined with recent randomized trial results, this evidence supports including manipulation as a treatment option for neck pain,…..We say no to abandoning manipulation and yes to more rigorous research on the benefits and harms of this and other common interventions for neck pain[1].”</li> <li>Kosloff TM, et. al. – “We found no significant association between exposure to chiropractic care and the risk of VBA (vertebrobasilar artery system) stroke. We conclude that manipulation is an unlikely cause of VBA stroke. The positive association between PCP visits and VBA stroke is most likely due to patient decisions to seek care for the symptoms (headache and neck pain) of arterial dissection. We further conclude that using chiropractic visits as a measure of exposure to manipulation may result in unreliable estimates of the strength of association with the occurrence of VBA stroke[2].”</li> <li>Buzzatti L, et. al. – “….the displacement induced with the present technique seems not to be able to endanger vital structure on the Spinal Cord and the Vertebral Artery. This study also adds to a better comprehension of the kinematic of the atlanto-axial segment during the performance of HVLA manipulation[3].”</li> <li>Whedon JM, et. al. – “Among Medicare B beneficiaries aged 66 to 99 years with neck pain, incidence of vertebrobasilar stroke was extremely low. Small differences in risk between patients who saw a chiropractor and those who saw a primary care physician are probably not clinically significant[4].”</li> <li>Achalandabaso A, et. al. – “Our data show no changes in any of the studied damage markers. Although this study examined the outcomes in an asymptomatic population, lower cervical and thoracic manipulative techniques seem to be safe manual therapies techniques which cause no harm to the health of the subject. These data may be used as evidence of the safe application of spinal manipulation to healthy subjects. Further studies with a large sample size and a patient population are needed to corroborate the innocuous effects of spinal manipulation[5].”</li> <li>Quesnele JJ, et. al. – “There were no significant changes in blood flow or velocity in the vertebral arteries of healthy young male adults after various head positions and cervical spine manipulations[6].”</li> <li>Tuchin P, et. al. – “The evidence for causality of vertebral artery dissection from chiropractic is weak[7].”</li> <li>Symons BP, et. al. – “We conclude that under normal circumstances, a single typical (high-velocity/low-amplitude) SMT thrust is very unlikely to mechanically disrupt the VA[8].”</li> <li>Church EW, et. al. – “Our analysis shows a small association between chiropractic neck manipulation and cervical artery dissection (CAD). This relationship may be explained by the high risk of bias and confounding in the available studies, and in particular by the known association of neck pain with CAD and with chiropractic manipulation. There is no convincing evidence to support a causal link between chiropractic manipulation and CAD. Belief in a causal link may have significant negative consequences such as numerous episodes of litigation[9].”</li> </ol> A methodical, logical, and systematic stroll through the body of literature shows without a doubt there is indeed incredible benefit in the use of cervical manipulative treatments for neck pain and headaches &amp; migraine complaints while there is no more risk of stroke from treating with a chiropractor vs. treating with a medical profession. I want this article to be the final word on this chiropractors cause strokes myth. I want it to be the “end all, be all” on the topic but I have lived long enough to know better and experienced twenty years within the chiropractic profession. I know this information will not change the attitudes of many. But, if this article can be a reference point for learning more about the topic and can be a tool for educating others about this chiropractors cause strokes myth, then I will have fulfilled my function. Key Takeaway: The benefit and effectiveness has been proven, the risks have been disproven, and the “Chiropractors Cause Strokes” myth is ONCE AND FOR ALL  officially and completely DEBUNKED. <a href="http://ctt.ec/cRa3Y" rel="nofollow" target="_blank"> </a><a href="http://ctt.ec/cRa3Y" rel="nofollow" target="_blank">The benefit and effectiveness has been proven, the risks have been disproven, and the “Chiropractors Cause Strokes” myth is ONCE AND FOR ALL officially and completely DEBUNKED.</a><a href="http://ctt.ec/cRa3Y" rel="nofollow" target="_blank"> 				Click To Tweet 				</a> Next Steps: SHARE this information and help us get the news out!! ­­­­­­­­Please feel free to send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think or what suggestions you may have for us for future episodes. If you love what you hear, be sure to check out <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">www.chiropracticforward.com</a>. As this podcast builds, so will the website with more content, products, and chances to learn. We cannot wait to connect again with you next week. From Creek Stone, my office here in Amarillo, TX, home of the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. References <ol> <li>Cassidy, e.a., Should we abandon cervical spine manipulation for mechanical neck pain? No. BMJ, 2012.</li> <li>Kosloff T, e.a., Chiropractic care and the risk of vertebrobasilar stroke: results of a case–control study in U.S. commercial and Medicare Advantage populations. Chiropractic &amp; Manual Therapies, 2015. 23(19).</li> <li>Buzzatti L, e.a., Atlanto-axial facet displacement during rotational high-velocity low-amplitude thrust: An in vitro 3D kinematic analysis. Man Ther, 2015. 20(6): p. 783-9.</li> <li>Whedon JM, e.a., Risk of traumatic injury associated with chiropractic spinal manipulation in Medicare Part B beneficiaries aged 66 to 99 years. Spine (Phila Pa 1976), 2015. 40(4): p. 264-270.</li> <li>Achalandabaso A, e.a., Tissue damage markers after a spinal manipulation in healthy subjects: a preliminary report of a randomized controlled trial. Dis Markers, 2014.</li> <li>Quesnele JJ, e.a., Changes in vertebral artery blood flow following various head positions and cervical spine manipulation. J Manipulative Physiol Ther, 2014. 37(1): p. 22-31.</li> <li>Tuchin PJ, e.a., Chiropractic and stroke: association or causation? Int J Clin Pract, 2013. 67(9): p. 825-833.</li> <li>Symons BP, Internal forces sustained by the vertebral artery during spinal manipulative therapy. Science Direct, 2002. 25(8): p. 504-510.</li> <li>Church E, e.a., Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation. Cureus 2016. 8(2): p. e498.</li> <li>Cassidy JD, et. al., “Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-corssover study.” Spin (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S176-83.</li> </ol> RELATED ARTICLES <blockquote><a href="https://www.chiropracticforward.com/2018/03/15/debunked-the-odd-myth-that-chiropractors-cause-strokes/" rel="nofollow" target="_blank">CF 013: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 1 of 3)</a></blockquote> <blockquote><a href="https://www.chiropracticforward.com/2018/03/22/cf-episode-14-debunked-the-odd-myth-that-chiropractors-cause-strokes-part-2-of-3/" rel="nofollow" target="_blank">CF 014: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 2 of 3)</a></blockquote> The post <a href="https://www.chiropracticforward.com/cf-015-debunked-the-odd-myth-that-chiropractors-cause-strokes-part-3-of-3/" rel="nofollow" target="_blank">CF 015: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 3 of 3)</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

CF 015: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 3 of 3)

Anthony Nicholson

CF 080: w/ Anthony Nicholson – Decoding Chronic Pain Today we’re going to be fortunate enough to be joined by Dr. Anthony Nicholson from Australia. It was so nice we had to do it twice. This time around though, we are focusing mostly on chronic pain. Pain in the frame, if you will. If you are new to the concept of chronic pain as part of a centralized experience, buckle up because the school bus is about to arrive But first, here’s that delightful bumper music     OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have skidded your way into Episode #80 and we are glad to have you.  We here at the Chiropractic Forward Podcast have gotten fancy.  I’m happy to introduce a new sponsor for the Chiropractic Forward Podcast called GoChiroTV. GoChiroTV is a patient education system for your office that will eliminate the need for running cable TV or the same DVDs over and over again in your waiting room. The bite-sized videos are specifically made to inform your patients about the importance of chiropractic and healthy living, encourage referrals, and present the benefits of all the different products and services you offer. It works by using a tailored-fit video playlist that will only promote the products and services available at your practice, and the videos are replaced automatically on a weekly basis. There’s no need to manually update your playlist or learn any complicated software. You truly can set it and forget it. Listeners of the Chiropractic Forward Podcast can use the promo code CFP19 at checkout to get 15% off all subscriptions, which also comes with a 45-day free trial to see if it’s right for your practice. Your discounted rate will be locked in for as long as you have a subscription.  So visit GoChiroMedia.com (that’s g-o-c-h-i-r-o-m-e-d-i-a-.com) to check out the demo reels, and to get started on your free trial. Take you practice to the next level with GoChiroTV. Store Go check out chiropracticforward.com and go to the store link. That’s where you’ll find brochures a plenty to get you started with some good, solid patient education. They look sharp and they read smart if you’re picking up what I’m throwing down.  Do it do it, chiropracticforward.com and sign up for our newsletter while you’re at it, won’t you? I want to thank Dr. Nickell in Kansas City for your recent feedback and for all of your encouraging words. Made my day and I appreciate it.  DACO Let’s talk a bit about the DACO program. Not a lot to talk about right now. Just studying my little hiney off. I li e. Not about the studying. About being little. I’m a big guy. The studying part is good. I enjoy going back through the courses.  It’s funny to see the sort of student I am at this time in my life compared to me in school. Lol. I guess I thought I HAD to do it the first time through so I wasn’t as interested as I probably should have been. NOW, I want to be learning so I’m all in and my notes and study habits certainly reflect the fact.  Personal Happenings If you hear something here that you really like and would like it in written form rather than spoken, just hop onto  chiropracticforward.com, find the episode, and just scroll down to copy and paste it. If you’re using it for content or on your website for some reason, just be cool and give us some credit please. I’d sure appreciate it and I’m sure the researchers we discuss would too.  Now, let’s get to our incredible guest today. Dr. Tim Bertelsman, one of the most talented speakers out there on the circuit today, says that our guest is just one of those people that really make you proud to be a chiropractor and I agree 187%.  That’s a glowing endorsement but that not my official intro. Here’s the official intro: Dr Anthony Nicholson is the CEO of Chiropractic Development International (CDI), a global continuing education organization for chiropractors that he co-founded in 2002.   CDI’s innovative online learning technology has led to formal accreditation in over 35 states in North America, along with a growing learner base in the UK, Europe and South East Asia.   CDI provides 250 hours of advanced online clinical training for the Neuromusculoskeletal Medicine Program offered by the University of Bridgeport in Connecticut and had developed an online board examination for the Academy of Chiropractic Orthopedics. As a partner of Spine Partners Wahroonga in Sydney Australia, Dr Nicholson is also a full-time chiropractic physician in private practice, is a board certified chiropractic neurologist (DACNB) and is board certified in Chiropractic Orthopedics (FACO).  That means he has a Diplomate in Neurology AND Orthopedics.  In addition, he is an adjunct senior lecturer in Neuromusculoskeletal Diagnosis and Evidence-based Practice at Macquarie University ion Sydney’s north shore.   Welcome to the show Dr. Nicholson thank you for joining us for the second time. We already had you on the show for a two-part discussion so we have already covered a lot of topics from medical marketing, to CDI, to the DACO. For this episode, I’d like to concentrate mostly on the topic of pain. Particulary centralized pain.  When I started the DACO program I had no idea what you were talking about. I was slow to the show but find myself fascinated by it all.  I don’t know if this is the best starting point or not but….What is pain? What basic responses are needed in response to a noxious stimulus?  OK, now we know what pain is…can you tell us….what is chronic pain? How is it defined? I believe this questions will lead us into the big concept. Can you tell us a bit about neuroplasticity? What is it? What does the term mean and what do we know about it now vs. traditional thinking on neuroplasticity? OK….here’s the big question and the reason I wanted to do this interview with you. This question may just take up the majority of the episode and that’s OK. That’s what we’re here for and this questions gets to the foundation of it.  For our audience’s benefit, what’s the difference between peripheral pain sources and central pain sources and what exactly is an upregulated or a sensitized central nervous system? Let’s say someone has a bad shoulder for a while…..does anyone that has had literally anything hurting for 3 months or more now have an upregulated CNS? Other than hurting chronically, are there other signs and symptoms that can give us a clue someone is suffering from chronic pain or are in chronic pain syndrome? To me, having chronic pain at one site seems different than chronic pain SYNDROME. Let’s continue with the person with the bad shoulder for six months. Is that considered being in chronic pain syndrome vs. just having chronic shoulder pain? What are we learning about centralized chronic pain and how to treat it effectively? What do you do in your office to treat it? Let’s say someone doesn’t have the time or maybe the money to go through the DACO. Where would you tell them to start searching to learn more on the condition?      The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post w/ Dr. Anthony Nicholson – (Part One) Decoding Chronic Pain appeared first on Chiropractic Forward.

CF 080: w/ Anthony Nicholson – Decoding Chronic Pain Today we’re going to be fortunate enough to be joined by Dr. Anthony Nicholson from Australia. It was so nice we had to do it twice. This time around though, we are focusing mostly on chronic pain. Pain in the frame, if you will. If you are new to the concept of chronic pain as part of a centralized experience, buckle up because the school bus is about to arrive But first, here’s that delightful bumper music <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have skidded your way into Episode #80 and we are glad to have you.  We here at the Chiropractic Forward Podcast have gotten fancy.  I’m happy to introduce a new sponsor for the Chiropractic Forward Podcast called GoChiroTV. GoChiroTV is a patient education system for your office that will eliminate the need for running cable TV or the same DVDs over and over again in your waiting room. The bite-sized videos are specifically made to inform your patients about the importance of chiropractic and healthy living, encourage referrals, and present the benefits of all the different products and services you offer. It works by using a tailored-fit video playlist that will only promote the products and services available at your practice, and the videos are replaced automatically on a weekly basis. There’s no need to manually update your playlist or learn any complicated software. You truly can set it and forget it. Listeners of the Chiropractic Forward Podcast can use the promo code CFP19 at checkout to get 15% off all subscriptions, which also comes with a 45-day free trial to see if it’s right for your practice. Your discounted rate will be locked in for as long as you have a subscription.  So visit <a href="http://GoChiroMedia.com" rel="nofollow" target="_blank">GoChiroMedia.com</a> (that’s <a href="http://g-o-c-h-i-r-o-m-e-d-i-a-.com" rel="nofollow" target="_blank">g-o-c-h-i-r-o-m-e-d-i-a-.com</a>) to check out the demo reels, and to get started on your free trial. Take you practice to the next level with GoChiroTV. Store Go check out <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and go to the store link. That’s where you’ll find brochures a plenty to get you started with some good, solid patient education. They look sharp and they read smart if you’re picking up what I’m throwing down.  Do it do it, <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and sign up for our newsletter while you’re at it, won’t you? I want to thank Dr. Nickell in Kansas City for your recent feedback and for all of your encouraging words. Made my day and I appreciate it.  DACO Let’s talk a bit about the DACO program. Not a lot to talk about right now. Just studying my little hiney off. I li e. Not about the studying. About being little. I’m a big guy. The studying part is good. I enjoy going back through the courses.  It’s funny to see the sort of student I am at this time in my life compared to me in school. Lol. I guess I thought I HAD to do it the first time through so I wasn’t as interested as I probably should have been. NOW, I want to be learning so I’m all in and my notes and study habits certainly reflect the fact.  Personal Happenings If you hear something here that you really like and would like it in written form rather than spoken, just hop onto  <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a>, find the episode, and just scroll down to copy and paste it. If you’re using it for content or on your website for some reason, just be cool and give us some credit please. I’d sure appreciate it and I’m sure the researchers we discuss would too.  Now, let’s get to our incredible guest today. Dr. Tim Bertelsman, one of the most talented speakers out there on the circuit today, says that our guest is just one of those people that really make you proud to be a chiropractor and I agree 187%.  That’s a glowing endorsement but that not my official intro. Here’s the official intro: Dr Anthony Nicholson is the CEO of Chiropractic Development International (CDI), a global continuing education organization for chiropractors that he co-founded in 2002.   CDI’s innovative online learning technology has led to formal accreditation in over 35 states in North America, along with a growing learner base in the UK, Europe and South East Asia.   CDI provides 250 hours of advanced online clinical training for the Neuromusculoskeletal Medicine Program offered by the University of Bridgeport in Connecticut and had developed an online board examination for the Academy of Chiropractic Orthopedics. As a partner of Spine Partners Wahroonga in Sydney Australia, Dr Nicholson is also a full-time chiropractic physician in private practice, is a board certified chiropractic neurologist (DACNB) and is board certified in Chiropractic Orthopedics (FACO).  That means he has a Diplomate in Neurology AND Orthopedics.  In addition, he is an adjunct senior lecturer in Neuromusculoskeletal Diagnosis and Evidence-based Practice at Macquarie University ion Sydney’s north shore.   Welcome to the show Dr. Nicholson thank you for joining us for the second time. We already had you on the show for a two-part discussion so we have already covered a lot of topics from medical marketing, to CDI, to the DACO. For this episode, I’d like to concentrate mostly on the topic of pain. Particulary centralized pain.  When I started the DACO program I had no idea what you were talking about. I was slow to the show but find myself fascinated by it all.  I don’t know if this is the best starting point or not but….What is pain? What basic responses are needed in response to a noxious stimulus?  OK, now we know what pain is…can you tell us….what is chronic pain? How is it defined? I believe this questions will lead us into the big concept. Can you tell us a bit about neuroplasticity? What is it? What does the term mean and what do we know about it now vs. traditional thinking on neuroplasticity? OK….here’s the big question and the reason I wanted to do this interview with you. This question may just take up the majority of the episode and that’s OK. That’s what we’re here for and this questions gets to the foundation of it.  For our audience’s benefit, what’s the difference between peripheral pain sources and central pain sources and what exactly is an upregulated or a sensitized central nervous system? Let’s say someone has a bad shoulder for a while…..does anyone that has had literally anything hurting for 3 months or more now have an upregulated CNS? Other than hurting chronically, are there other signs and symptoms that can give us a clue someone is suffering from chronic pain or are in chronic pain syndrome? To me, having chronic pain at one site seems different than chronic pain SYNDROME. Let’s continue with the person with the bad shoulder for six months. Is that considered being in chronic pain syndrome vs. just having chronic shoulder pain? What are we learning about centralized chronic pain and how to treat it effectively? What do you do in your office to treat it? Let’s say someone doesn’t have the time or maybe the money to go through the DACO. Where would you tell them to start searching to learn more on the condition? <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website <blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/w-dr-anthony-nicholson-part-one-decoding-chronic-pain/" rel="nofollow" target="_blank">w/ Dr. Anthony Nicholson – (Part One) Decoding Chronic Pain</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

w/ Dr. Anthony Nicholson – (Part One) Decoding Chronic Pain

CF 056: What Does A Spinal Manipulation Do In Medical Terms & What I Despise About My Profession

CF 014: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 2 of 3)

CF 092: The History of Chiropractic (Do You Know What You Think You Know?) Today we’re going to talk about the history of spinal manipulative therapy and the history of chiropractic.  But first, here’s that sweet sweet bumper music      OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun and accessible while we make you and your patients better all the way around. Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have collapsed into Episode #92 Now i you missed last week’s episode on the 10,000 Steps Myth, the neuro aspect of an adjustment, and sodas kill, make sure you don’t miss that info.  Keep up with your colleagues and listen. Also, don’t miss Episode #13. I systematically debunk the myth that we chiropractors cause strokes. I’m not having it, y’all. It’s just not reality and I show you how to fight the myth.  Also, a few episodes back we talked about Closing Patients and my opinion on that. It may not be what you think it is.  w/ Dr. David Graber (Part One) – Chiropractic Technique, Chiropractic Gurus, Teaching  This week has been more of just catching up. My new schedule I mentioned last week either has my world screwed epically or it’s working beautifully. Lol. Time will only tell but I’m pretty confident we’re doing just fine.  w/ Dr. Anthony Nicholson (PART 2) – Medical Referral, Chiropractic Specialization, Chiropractic Standardization If you missed last week, I talked about implementing a firmer policy of having patient time and new patient/paper time.  Since doing that, we have been a bit lighter on the schedule that in recent weeks past but I am getting so much more done right now and it feels good. I have more energy at the end of the day. And doesn’t it feel good to feel good? It’s cool. For now. If it gets much lighter on the schedule, I’ll hit the WTF? Button and switch gears. WTF….that stands for Why The Face right?Lol.  Kidding!! I know what it means but I run a mostly clean business here!! But, the point was….. I’m not worried at all right now.  We are about to get to all things History here but I saw an interesting thing on Facebook this week and it made me want to punt a kitten. I thought I’d share.  I was on Facebook and saw a couple of knuckleheads coming live from a coffee house. They do it once a week. Doesn’t sound too miserable just yet, does it? It’s actually a decent idea. Get the coffee shop in on it and Facebook live it once a week from the coffee shop talking about certain issues and what your solution to the certain issues might be. Maybe take questions from the crowd there too. Not a bad idea honestly. Hell, I’d do that myself. Problem is that I’m too damn busy to do it and I’m not a morning person so I’m not getting up early enough to do it before work. Just forget it. Freaking forget it.  These guys are there at like 10 am on a specific day and I’m like….why aren’t you at work working on people in your work place where people work at 10 am on a work day? Lol.  They say build it and they will come and Maybe they haven’t built it just yet so the crowds are not coming just yet. I don’t know. Maybe they just make this coffee shop thing a priority for now and choose to not be working on a work day. Either way, one day the one dude wore a cap in the video and the next week he wore a tight little top knot man bun.  YESSSS I’m old. Yess I think it looks unprofessional. Yes…it makes me crazy like so many other things of his generation tend to do,  and yes…..I’d rather take a kick in the nuggets than to allow someone that looks and talks like him work on me or my kid.  CF 034: Chiropractic Information To Help You Form Your Practice  But…..Yes….there’s a chiropractor for everyone so…..what the hell do I know. Look the way you want I suppose. I’ve heard they have chiros in Florida and California that dress in flip flops and shorts so….when it Rome I guess.  Here’s my deal, they target kids and parents. Nothing wrong with that. But, they are busy talking about kids that can’t concentrate at school and how there’s just a disconnect in what God meant them to be capable of and what they are currently doing and, if the parents just bring them in to the chiropractor, these guys can help the kids make the connection back and lead that kiddo to the awesome shining light of a life that God intended for them.  Ummmm…..no you can’t. Is that judgy? Yup. Sorry, whether you admit it or not, we make snap judgements of each other. Rightly or wrongly. IT’s a fact of life. My snap judgement is…..son of a mother. Son of a motherless goat.  There are so many great chiropractors engaged in research, engaged in diplomat programs. Engaged in taking themselves and this profession to the next level. And this crap trashes all of it. Chunks it all in to the garbage immediately.   They chunk it in the garage with their ‘truth’. You hear that crap all of the time now. Speak YOUR truth. We all have our own truth. When did that start exactly? There’s the truth and that’s it. There’s not your truth, my truth, my dog’s truth, some talking head on TV’s truth…..none of it. There is only THE truth.  And the truth is I’ve seen nothing convincing about this sort of stuff. Absolutely 100% nothing to the level allowing people to get on Facebook touting the ability in a voice that says “You’re great parents. You’re doing everything for your kiddo and we know that. You just need the right kind of help.” Srsly? I you could just get the parents on your brogram…..err…I mean program.  Come on bruh. Bro. Broseph, I can see it now, they sell brotein shakes at their office and it’s part of the brogram that Billbro Baggins and his buddy Chillbro Swaggins put together after a night of hitting the hookah.  Show me the support for chiropractors resolving ADHD, autism, and all of that other stuff they claim to help with. Show me it in systematic trials. Maybe randomized controlled trials. Hell, just something peer reviewed and published in a reputable journal?  But DON’T show me a damn case study or pilot study. Don’t do it or I’ll name you publicly. Lol. I can’t handle people that think case studies hold up to proper scrutiny. They do not. They’re interesting and, for the most part, that’s it.  They could be doing these in business suits and ties and start spouting unsupported claims like this and they would still look like space cadets claiming they have been to the moon, looked back at Earth, and it is indeed flat despite all evidence to the contrary. Seriously. Srsly.  I can’t stand this sort of gibberish. It’s a waste of time and talent.  I’m getting to Item #1 in just a second but we can’t get started without mentioning the sponsor of the first half of our show,  Let’s talk about GoChiroTV. GoChiroTV is a patient education system for your office that actually saves you money. Instead of spending money on cable TV or looping a DVD over and over in your lobby, the bite-sized videos are specifically made to inform your patients about the importance of chiropractic, healthy living, and to encourage referrals while, at the same time, presenting the benefits of all of the different products and services that you offer. Specific to your office. That’s right. It works by using a tailor-fit video playlist that only promotes the products and services offered in your specific practice. Not only that but the videos are updated automatically on a weekly basis so there’s no need to manually update your playlist AND you don’t have to learn any complicated software. You get to just set it and forget it. And don’t we busy doctors need just that? Listeners of the Chiropractic Forward Podcast can use the promo code CFP19 at checkout to get 15% off all subscriptions. That’s CFP19, which also comes with a 45-day free trial to see if it’s right for your practice. Your discounted rate will be locked in for as long as you have a subscription. Go visit GoChiroMedia.com to check out the demo reels and get started on your free trial. Item #1 Now we know a little about our more recent history like chiropractors used to go to jail for treating patients. We know that the AMA has wanted us banished form Earth since our inceptions. Most chiropractors know this stuff. And you should know this stuff.  But, I remember Dr. Anthony Nicholson, on one of his guest spots with us, I remember him mentioning that spinal manipulative therapy was actually one of the mainstays of treatment before the explosion of the physician/medical complex. I honestly did not know that.  So, when I stumbled across this paper called “A History fo Manipulative Therapy.” I started reading. It was written by Erlan Pettman(Pettman E 2007) who is actually a PT and published in the Journal of Manual Manipulative Therapeutics in 2007, Old man river…..it’s an oldie but goodie, people.  So, the author is a PT and this is basically his devotion to getting spinal manipulative therapy under the scope of physical therapists. Or to get more PTs to utilize it. I don’t know but, he says that the earliest reference to its use is in 400 BC back in Europe.  Interestingly, he says that spinal manipulative therapy rose simultaneously in cultures from Indonesia, Hawaii, Japan, China and India, to Central Asia, Mexico, Nepal, Russia, and Norway. All things I did not know. He also mentions that historical reference to Greece show the first direct evidence of its use and that it was well-established at the 400 BC mark so certainly predated that time going even further back.  Get this: Hippocrates who lived from 460-385 BC and who is referred to as the father of medicine….you know….the whole hippocratic oath thing….anyway, even back then he wrote a book on joints and described using spinal manipulative therapy. He even noted that the treatment should be followed by exercises. That’s sort of being ahead of ones time wouldn’t you agree? This is such an interesting paper that I do hope you’ll check it out. I’m linking it in the show notes right here at this point in the text of the podcast.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2565620/ While it’s very interesting, it is also very long and you’re not going to stick with me through it. There’s enough here that I may need to do an entire episode just on this paper because it’s THAT fascinating.  Briefly, he says that as common as spinal manipulative therapy was throughout the origins of mankind, it appears that physicians and surgeons began to abandon the acceptance of it in the 18th century. Though he can’t say exactly why, he offers that it could conceivably be from using the technique for the wrong candidate or potentially the perceived danger in manipulating a spine weakened by tuberculosis which was ravaging the population at that time.  So that’s where the downturn started for spinal manipulative therapy and, as he says, by the 19th century, a significant part of the medical establishment has a true disdain for bonesetters and their practices.  While there were many throwing the proverbial poo at spinal manipulative therapy, there were others with the power to recognize the obvious. Robert Jones, the founder of British Orthopaedics, wrote, “We should mend our ways rather than abuse the unqualified. Dramatic success in their hands should cause us to enquire as to the reason. It is not wise or dignified to waste time denouncing their mistakes, for we cannot hide the fact that their successes are our failures” INDEED Mr. Jones. Indeed…. Were you told that DD Palmer invented chiropractic? Of course you were. I was too. And, in as far as ‘chiropractic’ is an industry or a profession, he did. But, he did not invent the idea of ‘bonesetting’ through some magical discovery. At least it doesn’t appear that way in this article.  The author talks about Andrew Taylor Still. Still was also a magnetic healer. He suffered from chronic headache and took note one day. He had fallen asleep with his neck wedged between the roots of an oak tree. Upon waking, he had no more headaches. From there he began conceiving a theory about health and how it could only be maintained and, therefore, disease defeated, through normal function of the musculoskeletal system. This was all in 1874. Still went on to create the practice of Osteopathy. Did you know that Still’s practice was only about a day’s drive from DD Palmer’s town? An astute listener will see the parallels of where osteopathy WAS and originated very similar to where chiropractic was and originated. And very astute listeners will make note of where osteopathy is now and where some in the chiropractic profession wish to keep us…..right back where we started. No progress. No learning. No breakthroughs. Nothing. It’s dumbfounding to say the least.  The author also talks about DD Palmer in the article. How could you not? He says that he was not the first to use the word subluxation nor was he the first to describe the use of the spinous and transverse processes as levers to adjust said subluxation. Those honors go to Johannes Hieronymi, William and Daniel Griffen, and Edward Harrison.  Did you know that in the 1920’s chiropractic was on life support but that the GI Bill after WWII was what enabled returning soldiers to go to chiropractic college and really bolster the numbers? I didn’t know that. Pretty cool.  Also of particular note is that in 1958, the National New from the National Chiropractic Association warned about the rising numbers of PT’s training in manipulative procedures. So…..that’s been a thing for a long time it seems. Lol.  Just a fascinating read for us chiropractors. Go give it a look see and see what you think. I’d love to hear your impressions. Email me at dr.williams@chiropracticforward.com and let me know what you thought.  It’s good to support the people that support you don’t you think? Well, ChiroUp certainly supports evidence-based practices.  If you’re a regular listener of our podcast, you know I used it since about June of 2018. Let me tell you about it.  ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to Chiroup.com today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s ChiroUp.com and super double secret code Williams99. Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.      The History of Chiropractic (Do You Know What You Think You Know?) The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger Bibliography Pettman E (2007). “A History of Manipulative Therapy.” J Man Manip Ther 15(3): 165-174. The post The History of Chiropractic (Do You Know What You Think You Know?) appeared first on Chiropractic Forward.

The History of Chiropractic (Do You Know What You Think You Know?)

David Graber

CF 077: w/ Dr. David Graber (Part Two) – Chiropractic Technique, Chiropractic Gurus, Teaching Today we’re going to be talking with Dr. David Graber from New Jersey. Parsippany, NJ to be specific.  But first, here’s that bumper music      OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   Introduction We’re here to advocate for chiropractic while we also make your life easier using research and some good solid common sense and smart talk.  Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  w/ Tim Bertelsman – Chiropractic Standards, Chiropractic Specialists, Importance of State Associations If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.  F4CP We will be launching an athletes and opioids eBook toward the end of this month. It’s called A case for chiropractic disrupting the cycle of pain, prescriptions, and addiciton. I’m linking it in the show notes so go get and check it out.  https://www.f4cp.org/package/home/viewfile/whiathletes-and-opioids-ebook DACO Let’s talk a bit about the DACO program Let’s get to our guest today. As I mentioned at the top of the show, we have Dr. DavidCF ep. 76 Graber with us today.  Dr. Graber graduated from New York Chiropractic College in 1985 and got his Sports Diplomate in 1996. He is a fromer NYCC assistant instructor of diagnosis and technique. He developed and taught over 20 different post-graduate courses in Chiropractic technique and theory, and rehabilitation. He was voted chiropractor of the year in 2012 by the Association of New Jersey ChiropractorsHe is the charman of the ANJC council on technique and clinical excellence. And he’s here with us today.  I can’t think of anyone better than you to ask this question of. I see so many polar opinions concerning this: with the rising popularity of the YouTube folks like Cipriano and Gregory Johnson, AKA – Ring Dinger – what is you opinion of the Y-axis adjustment? Is it as dangerous as some think?You were a speaker at Parker Vegas this year so some of our listeners may be already very aware of you. Tell me a little about your presentation and the whole experience. I saw a lot of very positive vibes on Facebook coming from evidence-based chiropractors. You have been teaching chiropractors for some time now. One of the power points I have is called Contextual healing in Chiropractic: The Roles of Placebo, Nocebo, and Intension. I’m not too proud to admit that there is information here that I’m not 100% up on. It looks fascinating. Can you give us a summary of what is in the course. The big ideas essentially. You are very visible in the evidence-based facebook groups like the Chiropractic Practice Research group and the Forward Thinking Chiropractic Alliance and others that are very similar in regard to being based on science and evidence-based practice. You are particularly prolific in posting research papers of all kinds. First, where do you typically get your research? Secondly, what avenue of research seems to be your area of the most interest? You say that Evidence-based Chiropractic doesn’t exist in actual practice. OK, what you talkin’ ‘bout, Willis?I have to give you some serious props. Going through your power point from Parker Vegas….let’s just say that I just finished 300 hours of education to sit for the DACO testing to get the Diplomate for Orthopedics. So much of what we learned in that course, you are already on top of. It’s already in this power point. Things like downregulation of central faciliatation, vestibular effects, neuroplasticity, mechanoreceptor stimulation, release of entrapped synovial folds of the facet joints – I know where I learned all of this stuff. Assuming you haven’t gone through the DACO yet, where did you pick it up? Was it the Sports Diplomate?When you discuss some of the unsupported and ‘Unfavorable’ testing like manual muscle testing, paraspinal skin temperature readings, surface EMG, or x-rays to localize a site of care…..how much push back do you typically encounter and how do you go about handling that? We both know there are people that will argue these things until their last breath.  Tell me…..how does one practice non-subluxation based Chiropractic that’s not considered the same thing as a PTI wrote an article for my blog at one time called “Back Alignment: Useful Terminology Or Outdated Idea?” I noticed one of your slides that made me want to jump and cheer because we are definitly on the same page. It said “Adjustments Improve Motion, Not Alignment.” I’d love for chiropractors to hear more on* that. Can I get you to elaborate briefly on that for us?  10.When it comes to what we do as chiropractors, in general, it can be a concept, a therapy we’re not utilizing….whatever you think…..but, what is the biggest thing we are missing as a profession? From our email exchanges, it may have to do with just getting better at what we do? 11.I’ve heard chiropractic in New York is not so good but do not know specifics on that. Being right next door to New York, can you tell me about chiropractic in New Jersey? What are your State Association’s battles? 12.After going through your Parker Vegas power point, you have a fan in me. Where will you be in the future? How do we keep up with you and hopefully catch you at a seminar and hear all of this awesome information?      The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. British Medical Journal Research, Surgeons Against Back Surgery, and Pediatric Chiropractic Under Attack When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  The post w/ Dr. David Graber (Part Two) – Chiropractic Technique, Chiropractic Gurus, Teaching appeared first on Chiropractic Forward.

CF 077: w/ Dr. David Graber (Part Two) – Chiropractic Technique, Chiropractic Gurus, Teaching Today we’re going to be talking with Dr. David Graber from New Jersey. Parsippany, NJ to be specific.  But first, here’s that bumper music <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   Introduction We’re here to advocate for chiropractic while we also make your life easier using research and some good solid common sense and smart talk.  Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a>. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at <a href="mailto:dr.williams@chiropracticforward.com">dr.williams@chiropracticforward.com</a> if something is out of sorts or isn’t working correctly.  <blockquote><a href="https://www.chiropracticforward.com/w-tim-bertelsman-chiropractic-standards-chiropractic-specialists-importance-of-state-associations/" rel="nofollow" target="_blank">w/ Tim Bertelsman – Chiropractic Standards, Chiropractic Specialists, Importance of State Associations</a></blockquote> If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.  F4CP We will be launching an athletes and opioids eBook toward the end of this month. It’s called A case for chiropractic disrupting the cycle of pain, prescriptions, and addiciton. I’m linking it in the show notes so go get and check it out.  <a href="https://www.f4cp.org/package/home/viewfile/whiathletes-and-opioids-ebook" rel="nofollow" target="_blank">https://www.f4cp.org/package/home/viewfile/whiathletes-and-opioids-ebook</a> DACO Let’s talk a bit about the DACO program Let’s get to our guest today. As I mentioned at the top of the show, we have Dr. DavidCF ep. 76 Graber with us today.  <ul><li>Dr. Graber graduated from New York Chiropractic College in 1985 and got his Sports Diplomate in 1996. </li><li>He is a fromer NYCC assistant instructor of diagnosis and technique. </li><li>He developed and taught over 20 different post-graduate courses in Chiropractic technique and theory, and rehabilitation. </li><li>He was voted chiropractor of the year in 2012 by the Association of New Jersey Chiropractors</li><li>He is the charman of the ANJC council on technique and clinical excellence. </li><li>And he’s here with us today. </li></ul> <ol><li>I can’t think of anyone better than you to ask this question of. I see so many polar opinions concerning this: with the rising popularity of the YouTube folks like Cipriano and Gregory Johnson, AKA – Ring Dinger – what is you opinion of the Y-axis adjustment? Is it as dangerous as some think?</li><li>You were a speaker at Parker Vegas this year so some of our listeners may be already very aware of you. Tell me a little about your presentation and the whole experience. I saw a lot of very positive vibes on Facebook coming from evidence-based chiropractors. </li><li>You have been teaching chiropractors for some time now. One of the power points I have is called Contextual healing in Chiropractic: The Roles of Placebo, Nocebo, and Intension. I’m not too proud to admit that there is information here that I’m not 100% up on. It looks fascinating. Can you give us a summary of what is in the course. The big ideas essentially. </li><li>You are very visible in the evidence-based facebook groups like the Chiropractic Practice Research group and the Forward Thinking Chiropractic Alliance and others that are very similar in regard to being based on science and evidence-based practice. You are particularly prolific in posting research papers of all kinds. First, where do you typically get your research? Secondly, what avenue of research seems to be your area of the most interest?</li><li> You say that Evidence-based Chiropractic doesn’t exist in actual practice. OK, what you talkin’ ‘bout, Willis?</li><li>I have to give you some serious props. Going through your power point from Parker Vegas….let’s just say that I just finished 300 hours of education to sit for the DACO testing to get the Diplomate for Orthopedics. So much of what we learned in that course, you are already on top of. It’s already in this power point. Things like downregulation of central faciliatation, vestibular effects, neuroplasticity, mechanoreceptor stimulation, release of entrapped synovial folds of the facet joints – I know where I learned all of this stuff. Assuming you haven’t gone through the DACO yet, where did you pick it up? Was it the Sports Diplomate?</li><li>When you discuss some of the unsupported and ‘Unfavorable’ testing like manual muscle testing, paraspinal skin temperature readings, surface EMG, or x-rays to localize a site of care…..how much push back do you typically encounter and how do you go about handling that? We both know there are people that will argue these things until their last breath. </li><li> Tell me…..how does one practice non-subluxation based Chiropractic that’s not considered the same thing as a PT</li><li>I wrote an article for my blog at one time called “Back Alignment: Useful Terminology Or Outdated Idea?” I noticed one of your slides that made me want to jump and cheer because we are definitly on the same page. It said “Adjustments Improve Motion, Not Alignment.” I’d love for chiropractors to hear more on* that. Can I get you to elaborate briefly on that for us? </li><li> 10.When it comes to what we do as chiropractors, in general, it can be a concept, a therapy we’re not utilizing….whatever you think…..but, what is the biggest thing we are missing as a profession? From our email exchanges, it may have to do with just getting better at what we do?</li><li> 11.I’ve heard chiropractic in New York is not so good but do not know specifics on that. Being right next door to New York, can you tell me about chiropractic in New Jersey? What are your State Association’s battles?</li><li> 12.After going through your Parker Vegas power point, you have a fan in me. Where will you be in the future? How do we keep up with you and hopefully catch you at a seminar and hear all of this awesome information?</li></ol> <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. <blockquote><a href="https://www.chiropracticforward.com/cf-068-british-medical-journal-research-surgeons-against-back-surgery-and-pediatric-chiropractic-under-attack/" rel="nofollow" target="_blank">British Medical Journal Research, Surgeons Against Back Surgery, and Pediatric Chiropractic Under Attack</a></blockquote> When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website <blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/w-dr-david-graber-part-two-chiropractic-technique-chiropractic-gurus-teaching/" rel="nofollow" target="_blank">w/ Dr. David Graber (Part Two) – Chiropractic Technique, Chiropractic Gurus, Teaching</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

w/ Dr. David Graber (Part Two) – Chiropractic Technique, Chiropractic Gurus, Teaching

CF 093: Big Discs Can Disappear, Chronic Pain &amp; Chiropractic Success, The First Week Says A Lot About The Fourth Today we’re going to talk about the resorption of lumbar disc herniations (Hint: lots of the big ones don’t need surgery at all!), we’ll talk about chronic low back pain and the success of chiropractic, and we’ll talk about how, after the first visit, you might can tell how well your patient is going to do in the long-term.  But first, here’s that sweet sweet bumper music      OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun and accessible while we make you and your patients better all the way around. Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have tippy-toed quietly into Episode #93 and I do appreciate your keeping it down for me. I’ve been a little tired here lately.  Now if you missed last week’s episode on the history of chiropractic, you need to  make sure you don’t miss that. It was really fun episode to put together. Especially for a history junkie/nerd like myself. I believe here recently September 18 to be exact, it was the anniversary of DD Palmer inventing chiropractic. We talked a little about whether he invented it or borrowed it or whatever. We talked about that in that episode. Pretty interesting.  The History of Chiropractic (Do You Know What You Think You Know?)  Other more recent episodes you need to be aware of would be the Closing Patients episode. Go learn more about that garbage please. It’s important.  Also waaaayyyy back (old man river) episode 13 was on Debunking the Myth that chiropractors cause strokes. Enough of that trash. It’s not true and you need to know why, how, when, and how to tell others that it’s bunk info.  CF 013: DEBUNKED: The Odd Myth That Chiropractors Cause Strokes (Part 1 of 3) For you older chiros, bunk means bad info.  One other I think new listeners should go back and find would be about 6-8 weeks ago, episode 90 I believe. It was our mini-class basically on Decoding Chronic Pain. What priceless info. It’s like you went to a seminar and got all of the information for free straight from Dr. Anthony Nicholson. He’s crazy smart.  Or the way they say it in Boston….he’s wicked smaht.  I’m currently getting ready to head to St. Louis for the Forward ’19 seminar. It’s all a part of the FTCA Facebook Group and website group. By the time this episode airs, it will already have come and gone but you know I’ll tell you all about it next week.  I’m looking forward to meeting a lot of the folks from the group that I see interacting with each other all of the time. I’m looking forward to networking and bouncing ideas off each other as well.  There may be some cocktails in the mix as well so, you know, there’s that too.  I’m still going through the DACO studying. I have part II coming up on November 9th. Wouldn’t it be nice if you could just get a Diplomate because you took all 300 hours and passed all of the tests and quizzes along the way?  If you ask the older guys that did the DABCO several years ago, they’ll tell you I’m whining and I need to just shut up because they had it way worse. And you know what? They’d be right. They DID have it way worse. Still, I have a very busy practice, I have a 47 year old brain that doesn’t retain the amount it once did, and I’ve been studying for the part I and the Part II during my free time since probably May. And you know what? I’m tired of studying. Lol.  I’m ready for it to be over and done with. Geez. Stress, studying, sustained over a long period of time….there’s absolutely a reason that we don’t have a large number of doctors getting the specialization diplomates. It’s carried out over too long of a period. But that’s just fussing. The hours of actual class have been amazing learning. I have stood under the niagara falls of knowledge nuggets people. I swear.  I’m all in. I’m ten times better than I ever thought I was and for some things, I thought I was pretty put together. I spent a lot of years putting together and taking apart different aspects of a low back exam. I was already coming into it very much up on lumbar differential diagnosis. I’m still better than I was.  I knew jack squat in regard to the shoulder compared to what I now know. Same goes for the hip, knee, and on down the line.  w/ Dr. Anthony Nicholson – (Part One) Decoding Chronic Pain If you need some help getting some info and starting down the track of that Ortho Diplomate, let me know. Send me and email at dr.williams@chiropracticforward.com and I’ll be glad to do what I can to get you going.  We’ll get to the paper on whether discs can resorb in just a sec but first, It’s good to support the people that support you don’t you think? Well, ChiroUp certainly supports evidence-based practices.  If you’re a regular listener of our podcast, you know I used it since about June of 2018. Let me tell you about it.  ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to Chiroup.com today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s ChiroUp.com and super double secret code Williams99.  Item #1 https://www.ncbi.nlm.nih.gov/pubmed/28072796/ Let’s start the research part of the show with one called “Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis” by M Zhong, JT Liu, H Jiang, et. al(Zhong M 2017). and published in Pain Physician in 2017. Not new enough to play the Hot stuff sound byte and not old enough to sing old man river to you. Just somewhere in between so we’ll just play some random sound byte for you here. Lol.  You know me…..heavy on the entertainment part here.  Anyway, here’s Why They Did It the wanted to analyze the incidence of spontaneous resorption after conservative treatment of low back discs using CT and MRI imaging.  How They Did It This paper was a meta-analysis, meaning they took information from a whole bunch of previously done papers and compiled the best information that could be extracted from them to come up with their findings.  They used a search of the literature from 1990 all the way through 2015. That’s 15 years for those of you that didn’t take mathematics in school. They used very common databases called PubMed, Embase, and the Cochrane Library to find these papers for inclusion.  What They Found The overall incidence of spontaneous resorption was 66.66%. Oddly enough they say that the incidence in the UK was a whopping 82% while in Japan it was only 62%. What the hell gives there? I’m not worldly enough to know the significant differences in lifestyles of those two countries to figure out why that would be. Maybe one of you world travelers can offer us some suggestions. Email me. I’d love to hear it.  Wrap It Up Wrapping up this paper the authors conclude, “The phenomenon of LDH reabsorption is well recognized. Because its overall incidence is now 66.66% according to our results, conservative treatment may become the first choice of treatment for LDH.” Now what do I personally know about this? I know that was your next question that was just on the tip of your tongue so I’m going to answer it for you.  We know, and this comes through the DACO teaching, that a couple of things can give you  clue to whether or not a herniation will eat itself. That sounds like will ferrell doing harry carry on saturday night live. If you were a hot dog….would you eat yourself? I know I would. Lol.  Anyway….Lord help me. Anyway, a couple of things: The make up of the herniation The extent of migration If there has been endplate damage / modic changes, with that, you might see some trash or garbage inside the herniation on MRI. It may look speckled. When it looks speckled, it is more stubborn and less likely to go away on its own. On the other hand, if it’s made up of more nuclear material, it’s smoother in appearance and more likely to be able to be reabsorbed.  On top of that, when a herniation has more than a 4mm migration, it’s further out there and the body is more likely to recognize it as an issue and more likely to do something about it by breaking it down and getting rid of it.  This is EXCELLENT news for people with these big discs that you may have at one time thought were most certainly surgical. I used to think they were. I think a lot of surgeons probably still think they are. But not all of them are. That’s a researched fact at this point.  Item #2 https://www.ncbi.nlm.nih.gov/pubmed/12214186/ This one is called “Can patient reactions to the first chiropractic treatment predict early favorable treatment outcome in persistent low back pain?” by I Axen, A Rosenbaum, and T Wren, et. al. and was published in Journal of Manipulative Physiological Therapeutics in 2002(Axen I 2002). Old Man River…. Why They Did It To investigate whether 3 distinct patterns of reactions to chiropractic care predict early favorable treatment outcomes in patients suffering persistent low back pain.  What They Found OF the 115 patients int eh most favorable prognostic group, 84% reported to be definitely improved but the 4th visit vs. 63% of the 384 in the intermediate group, and 30% of the 116 in the least favorable prognostic group.  Wrap It Up “Among chiropractic patients with persistent low back pain, it is possible to predict which patients will report definite improvement early in the course of treatment.” Basically, if you’re getting good response in the first week or so, game on. That patient is likely to have an excellent outcome.  On to the paper on chronic low back pain patients being referred form a spine surgeon it just a second. Let’s try our best to pay the bills first.  Let’s talk about GoChiroTV. GoChiroTV is a patient education system for your office that actually saves you money. Instead of spending money on cable TV or looping a DVD over and over in your lobby, the bite-sized videos are specifically made to inform your patients about the importance of chiropractic, healthy living, and to encourage referrals while, at the same time, presenting the benefits of all of the different products and services that you offer. Specific to your office. That’s right. It works by using a tailor-fit video playlist that only promotes the products and services offered in your specific practice. Not only that but the videos are updated automatically on a weekly basis so there’s no need to manually update your playlist AND you don’t have to learn any complicated software. You get to just set it and forget it. And don’t we busy doctors need just that? Listeners of the Chiropractic Forward Podcast can use the promo code CFP19 at checkout to get 15% off all subscriptions. That’s CFP19, which also comes with a 45-day free trial to see if it’s right for your practice. Your discounted rate will be locked in for as long as you have a subscription. Go visit GoChiroMedia.com to check out the demo reels and get started on your free trial. Item #3 https://chiromt.biomedcentral.com/articles/10.1186/s12998-018-0225-8 This last item is called “An observational study on trajectories and outcomes of chronic low back pain patients referred from a spine surgery division for chiropractic treatment” by Brigitte Wirth et. al. and it was published in Chiropractic &amp; Manual Therapies in 2019(Wirth B 2019). There it is fresh outta the oven and slapped on your plate for gobblin’ purposes.  Why They Did IT The aim of this study was to describe the trajectories and outcomes of patients with chronic LBP referred from the spine surgery division to the chiropractic teaching clinic. How They Did It The patients filled in an 11-point numeric rating scale (NRS) for pain intensity and the Bournemouth Questionnaire (BQ) (bio-psycho-social measure) at baseline and after 1 week, 1, 3, 6 and 12 months.The Patient’s Global Impression of Change (PGIC) scale was recorded at all time points apart from baselineThe data was analyzed using linear mixed model analysis and repeated measures ANOVA What They Found Between June 2014 and October 2016, 67 participants (31 male, mean age = 46.8 ± 17.6 years) were recruited, of whom 46 had suffered from LBP for &gt; 1 year, the rest for &gt; 3 monthsAt baseline, mean NRS was 5.43 and mean BQ was 39.80 pointsNRS significantly decreased to 4.05 after 12 months but a significant reduction was not observed BEFORE 6 months after treatment start. So….it took time to see the difference. But don’t a lot of our evidence-informed crowd give you the poo face stink eye if you see patients more than just a couple of weeks? Food for thought judgy judgers!!Now, the Bourneouth Questionnaire – it significantly diminished to 29 points after 12 months and showed a significant reduction in just the first month after treatment started. Also, the proportion of those showing overall improvement significantly increased from 23% after 1 week of treatment up to 47% after 1 month of treatment.  Wrap It Up “Chiropractic treatment is a valuable conservative treatment modality associated with clinically relevant improvement in approximately half of patients with chronic LBP. These findings provide an example of the importance of interdisciplinary collaboration in the treatment of chronic back pain patients.” That’s some great info right there folks. Ingest it. Roll it around. Not everyone on Facebook has all of the answers. Not even your mentors have ALL of the right answers. We all have to find our own way don’t we? I know I did.  And we all have to keep learning. Neuroplasticity is real. We keep learning. We keep growing and hopefully we keep altering our perception of what is and what can be. Research helps us do that don’t you agree? This week, I want you to go forward with….. Key Takeaways Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.       The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger Bibliography Axen I, R. A., Robech R, Wren T, Leboeuf-Yde C, (2002). “Can patient reactions to the first chiropractic treatment predict early favorable treatment outcome in persistent low back pain?” J Man Physiol Ther 25(7): 450-454.Wirth B (2019). “An observational study on trajectories and outcomes of chronic low back pain patients referred from a spine surgery division for chiropractic treatment.” BMC Chiro Man Ther 6.Zhong M, L. J., Jiang H, (2017). “Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis.” Pain Physician 20(1): E45-E52. The post Big Discs Can Disappear, Chronic Pain &amp; Chiropractic Success, The First Week Says A Lot About The Fourth appeared first on Chiropractic Forward.

Big Discs Can Disappear, Chronic Pain & Chiropractic Success, The First Week Says A Lot About The Fourth

CF 074: Manipulation For Special Forces, Manipulation For Cervical Disc Herniation, Lazy Americans Today we’re going to talk about how adjustments affect our special forces – pretty interesting stuff! We’ll talk about manipulation for cervical disc herniations, and we will talk about lazy Americans. It’s a fascinating one today so don’t go anywhere.  But first, here’s that silky smooth bumper music      OK, we are back. Welcome to the podcast today, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have collapsed into Episode #74. Bing bang boom, knocking ‘em down, one after another. We are doing more and more guest spots lately and have several guests set up to come on the show. You’re going to love them.  Some are known names, some are not but all are interesting and bring something unique to the table that we are able to learn and grow from. Keep coming back time and time again. You’ll see what I mean.  Introduction We’re here to advocate for chiropractic while we also make your life easier using research and some good solid common sense and smart talk.  F4CP Just to let you all know – the F4CP will be launching an athletes and opioids eBook toward the end of this month. It’s called A case for chiropractic disrupting the cycle of pain, prescriptions, and addiciton. I’m linking it in the show notes so go get and check it out.  https://www.f4cp.org/package/home/viewfile/whiathletes-and-opioids-ebook DACO We have been in the habit of discussing the DACO program weekly because I’ve been going through it. Well, I’m done with all of the hours so what do I tell you now? Am I supposed to tell you all about how I’m studying? That doesn’t sound very fascinating to me at all. In fact, that may be a cause for blood to leak from your ear holes.  Today, I’ll just talk very briefly about one of the courses I reviewed yesterday in going back over the material. It’s one I didn’t pick up on very strongly the first time. It had to do with disc herniations that were more up in the T11/12 or L1/2 area and how they can mimic other issues further down the line. It’s really interesting stuff but went into how a hyperreflex on a patellar reflex and numbness in the anterior part of the thigh or calf without associated pain should move our thinking to an upper motor neuron lesion which would mean it’s higher up.  Remember, the spinal cord ends at L1/2 right? You need to know this stuff because that sort of issue may mean immediate surgical consult.  Interesting stuff. I got it a little better the second time around. I’m better today than I was yesterday. Also, in the Chiropractic Forward Group, I posted a graphic from Yokuhashi et al demonstrating common signs and symptoms of Thoracolumbar junction disc herniations. I also added a great Epley maneuver that is easy to perform as well as an easy classification flow chart for reviewing MRIs and classifying herniations.  It’s a private group so just go over there and request me to add you and, assuming you’re not crazy and curing cancer through your adjustments…..I’m happy to add you to the group.  Personal Happenings If you hear something here that you really like and would like it in written form rather than spoken, just hop onto  chiropracticforward.com, find the episode, and just scroll down to copy and paste it. If you’re using it for content or on your website for some reason, just be cool and give us some credit please. I’d sure appreciate it and I’m sure the researchers we discuss would too.  Item #1 Let’s get it rockin and rolling with a paper that one of my favorites is a co-author on. Lead author on this one is James DeVocht, then Robert Vining, Dean Smith, Cynthia Long, Thomas Jones and a previous guest with us here, yes – one of our favorites, Dr. Christine Goertz[1]. The superwoman of chiropractic research right there and will be a presenter at ChiroTexpo in downtown Dallas, TX June 1-9. I’ll be there, front row, with a smile. And maybe a drink. It depends on how early her talk is.  Anyway, this one is called “Effect of chiropractic manipulative therapy on reaction time in special operations forces military personnel: a randomized controlled trial”  This one was in BMC and published this year.  Why They Did It Considering that chiropractic manipulative therapy has been reported to improve reaction time in some studies, and considering that reaction time can be vital for special forces military men and women, these authors were interested in if chiropractic treatment could be effective in improving reaction time for this type of patient.  How They Did It 120 special ops personnel were accepted into the study.This study was a prospective, randomized controlled trial so 60 in one group and 60 in the other.It was conducted at Blanchfield Army Community Hospital, Fort Campbell, KYOne group received 4 treatments while the other received none over a two-week trial period. Assessments used were hand/foot reaction time, choice reaction time, Fitt’s Law, whole-body respponse time,  What They Found No between-group statistically significant differences were found for any of the five biomechanical tests, except immediate pre- and post-changes in favor of the CMT group in whole-body response time at both assessment visits. Wrap Up The authors’ conclusion was as follows, “A single session of CMT was shown to have an immediate effect of reducing the time required for asymptomatic SOF qualified personnel to complete a complex whole-body motor response task. However, sustained reduction in reaction or response time from five tests compared with a wait-list control group was not observed following three sessions of CMT.” OK, what’s the take-away and where does that lead research in the future. Here is a question, “We know chiropractic has immediate but somewhat unsustained effectiveness. So, what if they are regularly adjusted? As in 3-5 times a week for 4 weeks when compared to the other non-treatment group? Is it sustained longer then?” If we know they’re going on a mission, and they are treated once a day, or even twice a day. What about athletes and their reaction times? Good stuff here folks.   I think there are a lot of interesting questions just waiting for an answer.  Item #2 Alright, moving on to manipulation for cervical disc herniations. There are two papers here so we will shorten it up and hit the highlights. Just the meat and taters please waiter, thank you.  The first is called …well, the title is so damn long we’re going to call it manipulation for cervical disc herniations and a comparison between adjustments and nerve root injections. If they want to people to repeat the whole title, they need to make them a touch shorter.  You can look the full title up in the show notes for this episode. It was published in the Journal of Manipulative and Physiological Therapeutics in 2016 and authored by Cynthia Peterson, et. al.[2]  Why They Did It They wanted to assess the outcomes for improvement, pain, and costs between nerve root injections and manipulation for cervical disc herniations.  How They Did It 104 patients w/ MRI-confirmed symptomatic cervical disc herniations.  52 had nerve root injections and 52 had spinal manipulative therapy. Conclusion Get this, the Improvement for manipulation vs. injection….manipulation in the subacute/chronic population showed 86.5% improvement while injections had 49%.  Next paper on this topic is from the same author, Cynthia Peterson, et. al, and is called “Outcomes From Magnetic Resonance Imaging–Confirmed Symptomatic Cervical Disk Herniation Patients Treated With High-Velocity, Low-Amplitude Spinal Manipulative Therapy: A Prospective Cohort Study With 3-Month Follow-Up”[3] It was published in October 2013 in Journal of Manipulative and Physiologics Therapeutics and it goes a sumpin like a this. Why They Did It The purpose of this study was to investigate outcomes of patients with cervical radiculopathy from cervical disk herniation who are treated with spinal manipulative therapy. What They Found Most patients in this study, including subacute/chronic patients, with symptomatic magnetic resonance imaging–confirmed CDH treated with spinal manipulative therapy, reported significant improvement with no adverse events. Item #3 Lazy Americans – I’ll admit from the get go here. I’m lazier than I want to be and weigh more than I want to weigh. No doubt. I’m 46, I get to work at 8am and besides a two hour lunch, I leave at about 8pm. Working out doesn’t typically get the attention it deserves. But I can tell you this, it’s not because I’m sitting around idle playing video games so…..I feel better in making that clear. Lol.  This was an article from AP called “Americans getting more inactive, computers partly to blame[4].” It was written by April 23, 2019 so hot stuff here.  The highlights of the article are as follows: Americans spend almost 1/3 of their waking hours sittingSitting time increased over the last 10 years by about an hour per day to the point teens are sitting for 8 hours a day and adults are sitting for 6 1/2 hours per day. By 2016, 50% of kids and adults spent an hour or more of leisure time on computersTV use was unchanged.U.S. activity guidelines released last fall say adults need at least 150 minutes to 300 minutes of moderate-to-vigorous activity each week, things like brisk walking, jogging, biking or tennis.Muscle strengthening two days weekly is also advised.Kids aged 6 through 17 need 60 minutes of moderate-to-vigorous physical activity daily. OK, they have convinced me. It’s time to force myself to get busy walking, biking, and lifting some weights. I have everything already. It’s just the time and the energy that I need to figure out. But I’m working on it.  Do you ever feel like your practice owns you rather than you owning your own practice? Of course you do. It’s all about balance and I feel like I have none. I feel like its all work right now and, while that is a good problem to have, a good problem is still a problem. April brought us a lot of blessings. It brought us about 80 new patients which is a lot for me. I’m used to about 50-55 new patients but 2019 has been a whole different thing. From December on, it hasn’t been a roller coaster. It’s been straight up and I can’t thank the Lord enough for the blessings but managing to treat them at a high level when it’s just me is most certainly a balancing act.  Luckily, the DACO course has provided me with some quick ways of evaluating things that I didn’t have before so I can move through new patients with efficiency. Spinal manipulation is a fairly quick and straight forward process. I have staff that walk them through the exercise/rehab portion. It’s not so much the treating.  I think the time suck is the communicating / connecting part of the deal. The questions, the idle talk that is meaningless but is vital to relationships. That is what takes up so much of the day. For some, coming to our office is the trip of the day or the outing of the week for them. It’s an event. And they want to experience it and chit chat and connect. And we better be on board for it with a smile and kindness.  Still, it’s time for me to start moving in a direction that lightens my load. That may look like raising prices or it may look like hiring an associate. I’m not sure. But I’ll know when I know. I don’t do anything by accident usually. I do a lot of homework. I ask around. Through my involvement with my state association, my network of advisers is vast and valuable.  So, I’ll keep you up to date on any happenings as far as all of that goes.  For now, let’s get to the message.       The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger  Bibliography 1.	DeVocht J, V.R., Smith D,, Effect of chiropractic manipulative therapy on reaction time in special operations forces military personnel: a randomized controlled trial. BMC Chiro Man Ther, 2019. 20(5). 2.	Peterson C, P.C., Hodler J,, Symptomatic, Magnetic Resonance Imaging–Confirmed Cervical Disk Herniation Patients: A Comparative-Effectiveness Prospective Observational Study of 2 Age- and Sex-Matched Cohorts Treated With Either Imaging-Guided Indirect Cervical Nerve Root Injections or Spinal Manipulative Therapy. J Man Manip Ther, 2016. 39(3): p. 210-217. 3.	Peterson C, e.a., Outcomes from magnetic resonance imaging — confirmed symptomatic cervical disk protrusion patients treated with high-velocity, low-amplitude spinal manipulative therapy: a prospective cohort study with 3-month follow-up. J Manipulative Physiol Ther, 2013. 36(8): p. 461-7. 4.	Press, A. Americans getting more inactive, computers partly to blame. WTOP, 2019. The post Manipulation For Special Forces, Manipulation For Cervical Disc Herniation, Lazy Americans appeared first on Chiropractic Forward.

Manipulation For Special Forces, Manipulation For Cervical Disc Herniation, Lazy Americans

Chiropractic Scoundrels, Chiropractic Safety In Kids & What Is Chiropractic?

Today we’re going to be talking with Dr. James Lehman. Yes, THE Dr. James Lehman and we are fortunate to have him with us. The experience and the common sense Dr. Lehman brings to the table is immense and I can’t wait to dive into it today. We’re going to talk about national scope But first, here’s that sweet sweet bumper music      OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun and accessible while we make you and your patients better all the way around. Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have collapsed into Episode #96 Now if you missed last week’s episode on chiropractic and opioids, on anti-inflammatory diets, and on screen time for kiddos…. make sure you don’t miss that info. Go back and listen. I think there were some good information there within so make sure you’re up to date and not falling behind the rest.  Advertisement We can’t get started without mentioning the sponsor of the show,  It’s good to support the people that support you don’t you think? Well, ChiroUp certainly supports evidence-based practices.  If you’re a regular listener of our podcast, you know I used it since about June of 2018. Let me tell you about it.  ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to Chiroup.com today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s ChiroUp.com and super double secret code Williams99.  Introduction of Dr. James Lehman Now, let’s go ahead and get on with the reason we’re all here. Before we speak with Dr. James Lehman, I want to go through a little background information on him for you so you are well aware of who he is and where he is coming from.  Dr. James Lehman is an Associate Professor of Clinical Sciences at the University of Bridgeport/College of Chiropractic and Director of Health Sciences Postgraduate Education (HSPED).  Dr. James Lehman completed his MBA at the University of New Mexico and a doctorate in chiropractic medicine at the Logan College of Chiropractic in St. Louis, Missouri. CF 055: w/ Dr. James Lehman – The Future Of Chiropractic, Chiropractic Specialization, &amp; Chiropractic Integration Dr. James Lehman is a board-certified, chiropractic orthopedist. He teaches orthopedic and neurological examination and differential diagnosis of neuromusculoskeletal conditions. In addition, he provides clinical rotations for fourth-year chiropractic students and chiropractic residents in the community health center and a sports medicine rotation in the training facility of the local professional baseball team.  As Director, Dr. James Lehman developed the three-year, full-time resident training program in chiropractic orthopedics and neuromusculoskeletal medicine. The program offers training within primary care facilities of a Federally Qualified Health Center and Patient-Centered Medical Home. While practicing in New Mexico, he mentored fourth-year, UNM medical students. We could go on and on.  Welcome to the show Dr. James Lehman, it’s an honor to have you on the Chiropractic Forward Podcast this week.  Let’s start with the topic that immediately impacts me. I have been telling our listeners for a year or more that I’m going through the DACO program. DACO stands for the Diplomate of the Academy of Chiropractic Orthopedists. Very recently, as in just a few weeks ago, I received notice that the designation has changed to DIANM which stands for the Diplomate of the International Academy of Neuromusculoskeletal Medicine.  What was the impetus for the change and what all went in to making the decision, deciding on the name, and then moving forward with the decision? You wrote an article recently that Dynamic Chiropractic published in their September 2019 issue. The title of it was “What Is Chiropractic? We Need A National Practice Act.” We are in a profession that seems to me to bristle at the idea of standardization. How has this article been recieved or is it still a bit too early to tell? w/ Tim Bertelsman – Chiropractic Standards, Chiropractic Specialists, Importance of State Associations In the article, you say, “Limited Medicare and Medicaid scopes of reimbursement and individual state scope-of-practice restrictions reduce access to chiropractic wervices for patients in pain.” Can you explain how you think limited scopes reduce access and how a broader scope can help us? And how broad of a scope do you advocate for? I would assume a national scope would be something the ACA would be in the driver’s seat for, which is something you mention in the article as well. Is this something the ACA is looking at? Other than resistance within our own profession, what hurdles would you see in the way of a national scope? You say it’s not impossible to accomplish and offer 6 essential charactieristics which include: Chiropractic Physician designation. The scope being determined by Doctoral and Post-Doctoral education, trainng and experience Full management, referral and prescription authority commensurate with contemporary chiropractic education for patient examination, differential diagnosis, working diagnosis, and health assessmentFull evaulation and management, referral and prescription authority commensurate with contemporary chiropractic education for the care and treatment of neuromusculskeletal and other health conditions or issues. Full authority for the delivery of information, advice, recommendations and counseling regarding general health matters, wellness, and health optimization. Full authority and adaptable requirements fo the management and training of health care teams and the participation in collaborative or integrative health care groups.   When I read through that list, does anything jump out at you as being particularly radical or provocative to some chiropractors? In your article, you include a section titled “Modernization of Medicare and Medicaid Coverage” which will lead us nicely into one of the main topics of our episode today. In this section you mention how Article 2706 of the Affordable Care Act is supposed to prevent discrimination against chiropractors but, for whatever reason, it hasn’t. I’ve been hollering about this through my position with the Texas Chiropractic Association for years. You talk about this a little in the article but…..why do you think nobody is forcing 2706 down people’s throats and what would it take to take a stand against insurance companies with 2706 as the basis? OK, coordinated care and Medicaid: a topic you are very knowledgeable. In fact, we have discussed the integration of chiropractors into the FQHC’s around the nation. FQHC, for those that don’t know means Federally Qualified Health Centers. One of our former podcast guests is Dr. Kris Anderson from North Dakota who just happens to be the first in his state to work in an FQHC.  Can you tell us more about coordinated care and Medicaid and the initiative to get chiropractic care integrated more into that setting? Alright, last on our list of things we must talk about is the topic you have done a ton of work on. I remember one of the DACO classes I had with you as the instructor. In the class, I recall you mentioning that we as a profession do not diagnose chronic pain syndrome nearly enough. It’s a big problem, and one I’ve become more and more engaged in through the DACO program, so let’s dive into the topic of Chronic Pain Syndrome vs. High Impact Chronic Pain.  I’m just going to turn it over to you on this. The way I want to start is for you to just tell us what you think we as a profession need to know and we can take it from there.  Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.       The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post w/ Dr. James Lehman (Pt. 1) – National Scope, Chronic vs. High Impact Chronic, Coordinated Care/Medicaid, DACO to DIANM appeared first on Chiropractic Forward.

Today we’re going to be talking with Dr. James Lehman. Yes, THE Dr. James Lehman and we are fortunate to have him with us. The experience and the common sense Dr. Lehman brings to the table is immense and I can’t wait to dive into it today. We’re going to talk about national scope But first, here’s that sweet sweet bumper music <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun and accessible while we make you and your patients better all the way around. Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   You have collapsed into Episode #96 Now if you missed last week’s episode on chiropractic and opioids, on anti-inflammatory diets, and on screen time for kiddos…. make sure you don’t miss that info. Go back and listen. I think there were some good information there within so make sure you’re up to date and not falling behind the rest.  Advertisement We can’t get started without mentioning the sponsor of the show,  It’s good to support the people that support you don’t you think? Well, ChiroUp certainly supports evidence-based practices.  If you’re a regular listener of our podcast, you know I used it since about June of 2018. Let me tell you about it.  ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to <a href="http://Chiroup.com" rel="nofollow" target="_blank">Chiroup.com</a> today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s <a href="http://ChiroUp.com" rel="nofollow" target="_blank">ChiroUp.com</a> and super double secret code Williams99.  Introduction of Dr. James Lehman Now, let’s go ahead and get on with the reason we’re all here. Before we speak with Dr. James Lehman, I want to go through a little background information on him for you so you are well aware of who he is and where he is coming from.  Dr. James Lehman is an Associate Professor of Clinical Sciences at the University of Bridgeport/College of Chiropractic and Director of Health Sciences Postgraduate Education (HSPED).  Dr. James Lehman completed his MBA at the University of New Mexico and a doctorate in chiropractic medicine at the Logan College of Chiropractic in St. Louis, Missouri. <blockquote><a href="https://www.chiropracticforward.com/cf-055-w-dr-james-lehman-the-future-of-chiropractic-chiropractic-specialization-chiropractic-integration/" rel="nofollow" target="_blank">CF 055: w/ Dr. James Lehman – The Future Of Chiropractic, Chiropractic Specialization, &amp; Chiropractic Integration</a></blockquote> Dr. James Lehman is a board-certified, chiropractic orthopedist. He teaches orthopedic and neurological examination and differential diagnosis of neuromusculoskeletal conditions. In addition, he provides clinical rotations for fourth-year chiropractic students and chiropractic residents in the community health center and a sports medicine rotation in the training facility of the local professional baseball team.  As Director, Dr. James Lehman developed the three-year, full-time resident training program in chiropractic orthopedics and neuromusculoskeletal medicine. The program offers training within primary care facilities of a Federally Qualified Health Center and Patient-Centered Medical Home. While practicing in New Mexico, he mentored fourth-year, UNM medical students. We could go on and on.  Welcome to the show Dr. James Lehman, it’s an honor to have you on the Chiropractic Forward Podcast this week.  Let’s start with the topic that immediately impacts me. I have been telling our listeners for a year or more that I’m going through the DACO program. DACO stands for the Diplomate of the Academy of Chiropractic Orthopedists. Very recently, as in just a few weeks ago, I received notice that the designation has changed to DIANM which stands for the Diplomate of the International Academy of Neuromusculoskeletal Medicine.  What was the impetus for the change and what all went in to making the decision, deciding on the name, and then moving forward with the decision? You wrote an article recently that Dynamic Chiropractic published in their September 2019 issue. The title of it was “What Is Chiropractic? We Need A National Practice Act.” We are in a profession that seems to me to bristle at the idea of standardization. How has this article been recieved or is it still a bit too early to tell? <blockquote><a href="https://www.chiropracticforward.com/w-tim-bertelsman-chiropractic-standards-chiropractic-specialists-importance-of-state-associations/" rel="nofollow" target="_blank">w/ Tim Bertelsman – Chiropractic Standards, Chiropractic Specialists, Importance of State Associations</a></blockquote> In the article, you say, “Limited Medicare and Medicaid scopes of reimbursement and individual state scope-of-practice restrictions reduce access to chiropractic wervices for patients in pain.” Can you explain how you think limited scopes reduce access and how a broader scope can help us? And how broad of a scope do you advocate for? I would assume a national scope would be something the ACA would be in the driver’s seat for, which is something you mention in the article as well. Is this something the ACA is looking at? Other than resistance within our own profession, what hurdles would you see in the way of a national scope? You say it’s not impossible to accomplish and offer 6 essential charactieristics which include: <ol><li>Chiropractic Physician designation. </li><li>The scope being determined by Doctoral and Post-Doctoral education, trainng and experience </li><li>Full management, referral and prescription authority commensurate with contemporary chiropractic education for patient examination, differential diagnosis, working diagnosis, and health assessment</li><li>Full evaulation and management, referral and prescription authority commensurate with contemporary chiropractic education for the care and treatment of neuromusculskeletal and other health conditions or issues. </li><li>Full authority for the delivery of information, advice, recommendations and counseling regarding general health matters, wellness, and health optimization. </li><li>Full authority and adaptable requirements fo the management and training of health care teams and the participation in collaborative or integrative health care groups. </li></ol> When I read through that list, does anything jump out at you as being particularly radical or provocative to some chiropractors? In your article, you include a section titled “Modernization of Medicare and Medicaid Coverage” which will lead us nicely into one of the main topics of our episode today. In this section you mention how Article 2706 of the Affordable Care Act is supposed to prevent discrimination against chiropractors but, for whatever reason, it hasn’t. I’ve been hollering about this through my position with the Texas Chiropractic Association for years. You talk about this a little in the article but…..why do you think nobody is forcing 2706 down people’s throats and what would it take to take a stand against insurance companies with 2706 as the basis? OK, coordinated care and Medicaid: a topic you are very knowledgeable. In fact, we have discussed the integration of chiropractors into the FQHC’s around the nation. FQHC, for those that don’t know means Federally Qualified Health Centers. One of our former podcast guests is Dr. Kris Anderson from North Dakota who just happens to be the first in his state to work in an FQHC.  Can you tell us more about coordinated care and Medicaid and the initiative to get chiropractic care integrated more into that setting? Alright, last on our list of things we must talk about is the topic you have done a ton of work on. I remember one of the DACO classes I had with you as the instructor. In the class, I recall you mentioning that we as a profession do not diagnose chronic pain syndrome nearly enough. It’s a big problem, and one I’ve become more and more engaged in through the DACO program, so let’s dive into the topic of Chronic Pain Syndrome vs. High Impact Chronic Pain. I’m just going to turn it over to you on this. The way I want to start is for you to just tell us what you think we as a profession need to know and we can take it from there.  Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a>. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at <a href="mailto:dr.williams@chiropracticforward.com">dr.williams@chiropracticforward.com</a> if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.  <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website <blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/w-dr-jame-lehman-pt-1-national-scope-chronic-vs-high-impact-chronic-coordinated-care-medicaid-daco-to-dianm/" rel="nofollow" target="_blank">w/ Dr. James Lehman (Pt. 1) – National Scope, Chronic vs. High Impact Chronic, Coordinated Care/Medicaid, DACO to DIANM</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

w/ Dr. James Lehman (Pt. 1) – National Scope, Chronic vs. High Impact Chronic, Coordinated Care/Medicaid, DACO to DIANM

What Makes A Good Chiropractor – 9 Characteristics

CF 097: w/ Dr. James Lehman (Pt. 2) – National Scope, Chronic Pain vs. High Impact Chronic Pain , Coordinated Care/Medicaid, DACO to DIANM Today we’re going to be talking with Dr. James Lehman. This is Part Two of the interview. If you are just now joining us and did not get to hear Part One, make sure you do so. When Dr. Lehman speaks, you don’t want to miss a word. We’re going to cover topics like implementing a national scope of practice, chronic pain vs. high impact chronic pain, and topics like should a chiropractor own rural healthcare clinics and chiropractors working in coordinated care and medicaid integrated settings.       OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun and accessible while we make you and your patients better all the way around.  We’re the fun kind of research. We’re not the stuffy, high-brow kind of research. It’s like we’re talking about research over beers. Which is NOT like talking about research in a classroom or an institution of some sort. Accessible research if you will. I could be more professional but I’m not.  Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  If you haven’t yet I have a few things you should do, like our facebook page, join our private facebook group and interact, and then go review our podcast on iTunes. We have a youtube channel and twitter too but those are the main things.  You have collapsed into Episode #97 I always do a little update on my personal practice and life in the trenches. In the real world if you will. Instead of that, I want to say that last week, I was scrolling through my Facebook page and Dr. Lehman and I are friends on Facebook.  I noticed a picture he posted laying in a hospital bed watching his beloved St. Louis Cardinals play on TV.  It turns out that just last week, Dr. Lehman suffered a myocardial infarction. I normally wouldn’t mention this but, I figure if it’s posted on Facebook by the man himself, he’s OK with it.  Anyway, the main reason I mention it is to ask you all to say a prayer for Dr. Lehman if you are the praying kind, which I most certainly am. If you are not, then please send some positive vibes, energy, or thoughts his way through the ether. Whatever it is, let’s give it to him because Dr. Lehman certainly has given us chiropractors a lot.  Dr. Lehman, from what I can tell through Facebook and text, Dr. Lehman is doing well and on the mend. From me to Dr. Lehman, you have my prayers and thoughts and please get well my friend.  Now, before we dive into this interview that we did a couple of weeks ago with Dr. Lehman, we have to pay the bills.  If you don’t take advantage of this deal, I just think you might be crazy. If you’re a regular listener of our podcast, you know I’ve used ChiroUp since about June of 2018. Let me tell you about it because I’m about to give you a way to do a FREE TRIAL and, if you sign up, only pay $99/month for the first six months which is pennies compared to what it’s worth. So listen up! ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to Chiroup.com today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s ChiroUp.com and super double secret code Williams99.  Introduction of Dr. James Lehman Now, let’s go ahead and get on with the reason we’re all here. Before we speak with Dr. James Lehman, I want to go through a little background information on him for you so you are well aware of who he is and where he is coming from.  Dr. James Lehman is an Associate Professor of Clinical Sciences at the University of Bridgeport/College of Chiropractic and Director of Health Sciences Postgraduate Education (HSPED).  Dr. James Lehman completed his MBA at the University of New Mexico and a doctorate in chiropractic medicine at the Logan College of Chiropractic in St. Louis, Missouri. Dr. James Lehman is a board-certified, chiropractic orthopedist. He teaches orthopedic and neurological examination and differential diagnosis of neuromusculoskeletal conditions. In addition, he provides clinical rotations for fourth-year chiropractic students and chiropractic residents in the community health center and a sports medicine rotation in the training facility of the local professional baseball team.  As Director, Dr. James Lehman developed the three-year, full-time resident training program in chiropractic orthopedics and neuromusculoskeletal medicine. The program offers training within primary care facilities of a Federally Qualified Health Center and Patient-Centered Medical Home. While practicing in New Mexico, he mentored fourth-year, UNM medical students. We could go on and on.  w/ Dr. David Graber (Part One) – Chiropractic Technique, Chiropractic Gurus, Teaching In your article, you include a section titled “Modernization of Medicare and Medicaid Coverage” which will lead us nicely into one of the main topics of our episode today. In this section you mention how Article 2706 of the Affordable Care Act is supposed to prevent discrimination against chiropractors but, for whatever reason, it hasn’t. I’ve been hollering about this through my position with the Texas Chiropractic Association for years. You talk about this a little in the article but…..why do you think nobody is forcing 2706 down people’s throats and what would it take to take a stand against insurance companies with 2706 as the basis? OK, coordinated care and Medicaid: a topic you are very knowledgeable. In fact, we have discussed the integration of chiropractors into the FQHC’s around the nation. FQHC, for those that don’t know means Federally Qualified Health Centers. One of our former podcast guests is Dr. Kris Anderson from North Dakota who just happens to be the first in his state to work in an FQHC.  CF 034: Chiropractic Information To Help You Form Your Practice Can you tell us more about coordinated care and Medicaid and the initiative to get chiropractic care integrated more into that setting? Alright, last on our list of things we must talk about is the topic you have done a ton of work on. I remember one of the DACO classes I had with you as the instructor. In the class, I recall you mentioning that we as a profession do not diagnose chronic pain syndrome nearly enough. It’s a big problem, and one I’ve become more and more engaged in through the DACO program, so let’s dive into the topic of Chronic Pain Syndrome vs. High Impact Chronic Pain.  I’m just going to turn it over to you on this. The way I want to start is for you to just tell us what you think we as a profession need to know and we can take it from there.  Chronic pain is a huge topic that really can be it’s own year long topic of chiropractic forward podcasts. Chronic pain affects a huge number of patients.  Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at dr.williams@chiropracticforward.com if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.       The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website Home Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post w/ Dr. James Lehman (Pt. 2) – National Scope, Chronic vs. High Impact Chronic Pain, Coordinated Care/Medicaid, DACO to DIANM appeared first on Chiropractic Forward.

CF 097: w/ Dr. James Lehman (Pt. 2) – National Scope, Chronic Pain vs. High Impact Chronic Pain , Coordinated Care/Medicaid, DACO to DIANM Today we’re going to be talking with Dr. James Lehman. This is Part Two of the interview. If you are just now joining us and did not get to hear Part One, make sure you do so. When Dr. Lehman speaks, you don’t want to miss a word. We’re going to cover topics like implementing a national scope of practice, chronic pain vs. high impact chronic pain, and topics like should a chiropractor own rural healthcare clinics and chiropractors working in coordinated care and medicaid integrated settings.  <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun and accessible while we make you and your patients better all the way around.  We’re the fun kind of research. We’re not the stuffy, high-brow kind of research. It’s like we’re talking about research over beers. Which is NOT like talking about research in a classroom or an institution of some sort. Accessible research if you will. I could be more professional but I’m not.  Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.  If you haven’t yet I have a few things you should do, like our facebook page, join our private facebook group and interact, and then go review our podcast on iTunes. We have a youtube channel and twitter too but those are the main things.  You have collapsed into Episode #97 I always do a little update on my personal practice and life in the trenches. In the real world if you will. Instead of that, I want to say that last week, I was scrolling through my Facebook page and Dr. Lehman and I are friends on Facebook.  I noticed a picture he posted laying in a hospital bed watching his beloved St. Louis Cardinals play on TV.  It turns out that just last week, Dr. Lehman suffered a myocardial infarction. I normally wouldn’t mention this but, I figure if it’s posted on Facebook by the man himself, he’s OK with it.  Anyway, the main reason I mention it is to ask you all to say a prayer for Dr. Lehman if you are the praying kind, which I most certainly am. If you are not, then please send some positive vibes, energy, or thoughts his way through the ether. Whatever it is, let’s give it to him because Dr. Lehman certainly has given us chiropractors a lot.  Dr. Lehman, from what I can tell through Facebook and text, Dr. Lehman is doing well and on the mend. From me to Dr. Lehman, you have my prayers and thoughts and please get well my friend.  Now, before we dive into this interview that we did a couple of weeks ago with Dr. Lehman, we have to pay the bills.  If you don’t take advantage of this deal, I just think you might be crazy. If you’re a regular listener of our podcast, you know I’ve used ChiroUp since about June of 2018. Let me tell you about it because I’m about to give you a way to do a FREE TRIAL and, if you sign up, only pay $99/month for the first six months which is pennies compared to what it’s worth. So listen up! ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:  In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, &amp; for their exercises.  You can see how this saves you time – no more explaining &amp; re-explaining your patient’s care, because they have access to it at their fingertips.  You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.  There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, &amp; practice – Including myself! **Short testimony** If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to <a href="http://Chiroup.com" rel="nofollow" target="_blank">Chiroup.com</a> today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months That’s <a href="http://ChiroUp.com" rel="nofollow" target="_blank">ChiroUp.com</a> and super double secret code Williams99.  Introduction of Dr. James Lehman Now, let’s go ahead and get on with the reason we’re all here. Before we speak with Dr. James Lehman, I want to go through a little background information on him for you so you are well aware of who he is and where he is coming from.  Dr. James Lehman is an Associate Professor of Clinical Sciences at the University of Bridgeport/College of Chiropractic and Director of Health Sciences Postgraduate Education (HSPED).  Dr. James Lehman completed his MBA at the University of New Mexico and a doctorate in chiropractic medicine at the Logan College of Chiropractic in St. Louis, Missouri. Dr. James Lehman is a board-certified, chiropractic orthopedist. He teaches orthopedic and neurological examination and differential diagnosis of neuromusculoskeletal conditions. In addition, he provides clinical rotations for fourth-year chiropractic students and chiropractic residents in the community health center and a sports medicine rotation in the training facility of the local professional baseball team.  As Director, Dr. James Lehman developed the three-year, full-time resident training program in chiropractic orthopedics and neuromusculoskeletal medicine. The program offers training within primary care facilities of a Federally Qualified Health Center and Patient-Centered Medical Home. While practicing in New Mexico, he mentored fourth-year, UNM medical students. We could go on and on.  <blockquote><a href="https://www.chiropracticforward.com/w-dr-david-graber-part-one-chiropractic-technique-chiropractic-gurus-teaching/" rel="nofollow" target="_blank">w/ Dr. David Graber (Part One) – Chiropractic Technique, Chiropractic Gurus, Teaching</a></blockquote> In your article, you include a section titled “Modernization of Medicare and Medicaid Coverage” which will lead us nicely into one of the main topics of our episode today. In this section you mention how Article 2706 of the Affordable Care Act is supposed to prevent discrimination against chiropractors but, for whatever reason, it hasn’t. I’ve been hollering about this through my position with the Texas Chiropractic Association for years. You talk about this a little in the article but…..why do you think nobody is forcing 2706 down people’s throats and what would it take to take a stand against insurance companies with 2706 as the basis? OK, coordinated care and Medicaid: a topic you are very knowledgeable. In fact, we have discussed the integration of chiropractors into the FQHC’s around the nation. FQHC, for those that don’t know means Federally Qualified Health Centers. One of our former podcast guests is Dr. Kris Anderson from North Dakota who just happens to be the first in his state to work in an FQHC.  <blockquote><a href="https://www.chiropracticforward.com/cf-034-chiropractic-information-to-help-you-form-your-practice/" rel="nofollow" target="_blank">CF 034: Chiropractic Information To Help You Form Your Practice</a></blockquote> Can you tell us more about coordinated care and Medicaid and the initiative to get chiropractic care integrated more into that setting? Alright, last on our list of things we must talk about is the topic you have done a ton of work on. I remember one of the DACO classes I had with you as the instructor. In the class, I recall you mentioning that we as a profession do not diagnose chronic pain syndrome nearly enough. It’s a big problem, and one I’ve become more and more engaged in through the DACO program, so let’s dive into the topic of Chronic Pain Syndrome vs. High Impact Chronic Pain. I’m just going to turn it over to you on this. The way I want to start is for you to just tell us what you think we as a profession need to know and we can take it from there.  Chronic pain is a huge topic that really can be it’s own year long topic of chiropractic forward podcasts. Chronic pain affects a huge number of patients. Store Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a>. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at <a href="mailto:dr.williams@chiropracticforward.com">dr.williams@chiropracticforward.com</a> if something is out of sorts or isn’t working correctly.  If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.  Go check them out at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.  <a href="https://www.chiropracticforward.com" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://player.fm/series/2291021" rel="noreferrer noopener nofollow" target="_blank"></a> <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="noreferrer noopener nofollow" target="_blank"></a> The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment instead of chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few. Chiropractic care is safe and cost-effective. It can decrease instances of surgery &amp; disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.  And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient! Key Point: Patients should have the guarantee of having the best treatment offering the least harm. That’s Chiropractic! Contact Send us an email at dr dot williams at <a href="http://chiropracticforward.com" rel="nofollow" target="_blank">chiropracticforward.com</a> and let us know what you think of our show or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so. Help us get to the top of podcasts in our industry. That’s how we get the message out.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.  Website <blockquote><a href="https://www.chiropracticforward.com/" rel="nofollow" target="_blank">Home</a></blockquote> Social Media Links <a href="https://www.facebook.com/chiropracticforward/" rel="nofollow" target="_blank">https://www.facebook.com/chiropracticforward/</a> Chiropractic Forward Podcast Facebook GROUP <a href="https://www.facebook.com/groups/1938461399501889/" rel="nofollow" target="_blank">https://www.facebook.com/groups/1938461399501889/</a> Twitter <a href="https://twitter.com/Chiro_Forward?ref_src=twsrc%5Etfw" rel="nofollow" target="_blank">Tweets by Chiro_Forward</a> YouTube <a href="https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q" rel="nofollow" target="_blank">https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q</a> iTunes <a href="https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2" rel="nofollow" target="_blank">https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2</a> Player FM Link <a href="https://player.fm/series/2291021" rel="nofollow" target="_blank">https://player.fm/series/2291021</a> Stitcher: <a href="https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through" rel="nofollow" target="_blank">https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through</a> TuneIn <a href="https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/" rel="nofollow" target="_blank">https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/</a> About the Author &amp; Host Dr. Jeff Williams – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger &amp; Vlogger The post <a href="https://www.chiropracticforward.com/w-dr-james-lehman-pt-2-national-scope-chronic-vs-high-impact-chronic-pain-coordinated-care-medicaid-daco-to-dianm/" rel="nofollow" target="_blank">w/ Dr. James Lehman (Pt. 2) – National Scope, Chronic vs. High Impact Chronic Pain, Coordinated Care/Medicaid, DACO to DIANM</a> appeared first on <a href="https://www.chiropracticforward.com" rel="nofollow" target="_blank">Chiropractic Forward</a>.

w/ Dr. James Lehman (Pt. 2) – National Scope, Chronic vs. High Impact Chronic Pain, Coordinated Care/Medicaid, DACO to DIANM

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