Children

Thoracic Adjustments For Neck, Not Headache & Physical Activity In Children

CF 229: Thoracic Adjustments For Neck, Not Headache & Physical Activity In Children Today we’re going to talk about T-sp Adjustments For Neck, Not Headache & Physical Activity In Children But first, here’s that sweet sweet bumper music  

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Integrating Chiropractors

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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. 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. 

  • Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s a great resource for patient education and for YOU. It saves you time in putting talks together or just staying current on research. It’s categorized into sections and written in a way that is easy to understand for you and patients. Just search for it on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. 
  • Then go Like our Facebook page, 
  • Join our private 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 #229 Now if you missed last week’s episode , we talked about Exercise For Depression & Manipulation For Tendinopathy. Make sure you don’t miss that info. Keep up with the class. 

 

On the personal end of things…..

I’ll be honest with you all…..I always am anyway…..I feel like I’m as busy as I’ve ever been but when I look at the numbers, they’re down a bit still. I’m not fully recovered to the numbers that we saw prior to the pandemic setting in in 2020. I know many of you are. I’m not yet. I’m not far off. But I’m not there dependably month after month yet.  As a result of my involvement in Dr. Kevin Christie’s Florida Mastermind that you’ve heard me mention, and at Kevin’s suggestion, I read a book called Who Not How by Dan Sullivan and Ben Hardy. I highly suggest it. This book is telling us to quit looking for how you do things and start looking for WHO can help you accomplish your goal.  This isn’t really a new concept but really sheds some light on the topic.

We need a team. We need helpers. We cannot ever hope to do it all ourselves and do it a high level. To start looking at bringing on team members as investments rather than costs.  It’s eye-opening for sure. Give it a try and see what you think. As a result, I’m looking for Whos. I have some Whos already. I make good use of virtual assisstants. I have one in Pakistan, one in Nigeria, and one in India.

They help me with marketing voice over, with my Chiropractic Forward website, with a website I’m trying to build for another business, and with stat keeping and monthly balancing and close outs in my chiro business.  But I’m still doing a lot of tasks weekly that can be farmed out to a Who. What daily and weekly worker bee tasks are you doing yourself that can be farmed out while investing in a new Who? My biggest one is an associate. I’m on the hunt. If you or someone you know is interested in interviewing with me for a potential position here in my clinic, I’d love to speak with you.

The Texas Panhandle has pros and cons like everywhere else but I will say that one of our biggest draws is our incredible people. We are kind, friendly, and helpful. That, and hey, we have the second largest canyon in the nation called Palo Duro Canyon. It’ll knock your socks and your shoes off.  Anyway, send me an email at [email protected] if you’re intersted and we’ll connect. 

Before we get to the research, I recently connected with a personal injury attorney and as a result, I have a gift for you!  I’m going to turn you on to a system that will result in your getting tons of PI cases from attorneys.   Yes, getting these referrals can be done. Paul Samakow, a veteran PI attorney, put this system together.  He knows what attorneys want to hear – inviting them to lunch doesn’t work, folks.   His system, delivered to you in both written and video form, is insightful and hits the mark. 

Over 25 concepts on how you can not only get attorneys to refer to you, but endear yourself to them. Samakow’s system costs $997 and he guarantees satisfaction or your money back. You have to check this out.  Even if you only get one case, you’ve made at least 4 or 5 times the investment. Go to gettingpicases.com/cs That’s gettingpicases.com/cs One more time so you get it right:   gettingpicases.com/cs

Item #1

The first one today is called, Thoracic spine thrust manipulation for individuals with cervicogenic headache: a crossover randomized clinical trial by McDevitt et. al. (Amy W. McDevitt 2022) and published in the Journal of Manual and Manipulative Therapy July of 2021. Shazam….it’s steamy. 

Why They Did It

To determine if thoracic spine manipulation (TSM) improves pain and disability in individuals with cervicogenic headache (CeH). Now, let’s take a step back just a bit and I’ll share some knowledge from the Neuromusculoskeletal Diplomate program about where Cervicogenic headaches lie in terms of prevalence.  Tension-type headaches are the overwhelming winners.

They make up about 40% or more of the headaches that present to just about any clinic.  Second place goes to migraines. True migraines make up only about 10%. Not nearly as much as you might expect. Since Tension type and migraine live on the same continuum of headaches, they can share some characteristics of each other so, many times, a tension type can behave like a migraine and vice versa.  True migraines, however, are only about 10% of cases.  Then comes cervicgenic headaches at only about 4% of the cases of headaches you see in clinic.  The good news is that tension type and cervicogenic are the ones we really have a lot of success with since they typically come from the suboccipital and/or neck region and that’s our bread and cinnamon butter, baby. That’s hero territory right there because we can turn someone’s life around muy pronto, mi amigo. 

How They Did It

  • It was a randomized controlled crossover trial 
  • It was conducted on 48 participants with cervicogenic symptoms. 
  • Participants were randomized to 6 sessions of thoracic spine manipulation or no treatment and after 4-weeks, groups crossed over. 
  • Outcomes were collected at 4, 8 and 12 weeks and included: headache disability inventory (HDI), neck disability index (NDI), and the global rating of change (GRC). 

What They Found

  • Comparing no-treatment group to the active treatment group, the Headache Disability Index outcomes were not significantly different between groups at any timepoint; 
  • The Neck Disability Index outcome, however, was significant at 4 weeks.

Wrap It Up

Thoracic spine manipulation had no effect on headache-related disability but resulted in significant improvements in neck-related disability and participant reported perceived improvement. Muy bueno, muy bueno. Don’t forget to adjust the T-spine for the neck pain.  Before getting to the next one, I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! It’s live again.

Use the code HOTSTUFF upon purchase at droprelease.com to get $50 off your purchase. Y’all, it makes a world of difference. 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. My patients love it and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it. Hear me now and believe me later.

Item #2

This one is called, “Physical Activity In Children” by Michel et. al. (Michel J 2022) published on April 25, 2022….brand spankin new in the skillet. It’s burns! This is an article really rather than a research project so lets summarize this bad boy. 

They start by saying “The US received an overall grade of D− for physical activity in children, with only about 1 in 4 children meeting the daily recommendation of 60 minutes or more per day.

With the recent COVID-19 pandemic, this has worsened because children are even less active, missing out on daily activities and group sports, and increasing screen time.” “Being inactive has numerous harmful effects on health and well-being. It is linked to many chronic diseases and conditions, such as obesity, diabetes, high blood pressure, heart disease, cancers, and early death. In contrast, there are numerous benefits to physical activity for children, including decreased risk for developing all of these diseases and conditions.

Physical activity can also help to decrease stress and improve school performance, sleep, and mental health.” “US physical activity guidelines recommend that children aged 3 to 5 years be physically active throughout most of the day and that children aged 6 to 17 years have at least 60 minutes of moderate to vigorous physical activity daily. Moderate to vigorous activity means the heart rate is raised higher than the normal resting range and is associated with sweating and deeper breathing.” “How can you help your child meet these goals? First, be an example.

Children copy you, so if you make exercise a part of your routine, they are more likely to follow in your footsteps. You can also help by making physical activity a part of your whole family’s daily routine by setting a time every day, especially when your children are young. In addition, try to make activity fun. If your child enjoys physical activity from an early age, this will likely continue as they grow older.

It can also be helpful to make a list of physical activity options, both for outside and indoors for when the weather is not appropriate. “ These are recommendations for us as parents but also as providers that can guide and encourage out younger patients toward more activity.

Do you do anything outside of your office to encourage your patients to get active? What if one of your staff members wanted to host a walk in the park? A hike in nature? Or something similar?  Good for your patients and good for practice building.  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. 

Store

Remember 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!

Chiropractic evidence-based products

Integrating Chiropractors

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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 & 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 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 & 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 & Vlogger  

Kids’ Mental Status & Zero Calorie Drinks

CF 223: Kids’ Mental Status & Zero Calorie Drinks Today we’re going to talk about the children, how are they doing lately? And then we’ll talk about whether low or no calorie beverages have any real use for us.  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!

Chiropractic evidence-based products

Integrating Chiropractors

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This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.09-AM-150x55.jpg

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. 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. 

  • Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s a great resource for patient education and for YOU. It saves you time in putting talks together or just staying current on research. It’s categorized into sections and written in a way that is easy to understand for you and patients. Just search for it on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. 
  • Then go Like our Facebook page, 
  • Join our private 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 #223 Now if you missed last week’s episode, we talked about Forward Head Posture And Spinal Manipulative Therapy Effectiveness. Make sure you don’t miss that info. Keep up with the class. 

On the personal end of things…..

Let’s talk about marketing. I always share what I’m doing and how it’s working with you folks and while business is coming back, that’s just the natural flow. We expect to start getting busy again in March. I’m looking for marketing that moves the needle.  I’ve tried social media marketing campaigns that cost me in excess of $4500. For basically nothing. I might as well stuffed that money into my ears and lit it on fire and did a rain dance. It was useless.  Here’s something to know about me……I can be talked into just about anything.

I believe people and always look for the best in them. Or at least try to. So, yeah….I can either be talked into anything or, as is often the case, talk MYSELF into anything.  Here’s my life; I create all of our social media posts. I write my own blog every week. I record my own video and edit it every week for YouTube and Facebook. That’s in between 40+ patients a day and 20+ new patients per week and writing and recording a podcast, real estate, voice-over, and anything else in there including being a husband and a dad.  It’s time for some help and hopefully some effective help. 

I told you how I started with a new idea of lead magnets a few weeks ago. Not a lot happening there. As expected. I hoped…..but feared not much would come of it outside of an absence of my money. So far, it’s an absence of my money but I’m stubborn and not giving up just yet.  This lead magnet is for our testosterone hormone pellets. My thinking is that if it works for the pellets, then we will expand the concept and keep trucking with different products and services for the lead magnets. Still testing there and will update as needed.  I’m also starting with a new crew from England on social media marketing. I got the welcome packet today. My thinking is that my consultation payments for this medical integration are finished this month.

So that frees up some funds to put toward something else and there are not many things more important than marketing. So, I’m getting going with another group today to test them out and see how we can grow my stuff.  If it’s awesome, maybe I can make them a sponsor of the show and share them with you too. We’ll see.  A little tip from you Ol Uncle Jeffro, if you didn’t do it in January, do it now. Sit down with your key employee and go from month to month to plan out what you’re going to do for marketing.

What key events do you need to have a presence at, etc. Do you want to do a Mother’s Day promotion? What about a July 4th cookout at the office? That type of deal. When it’s planned, you don’t forget about it and it doesn’t sneak up on you.  Since I’m trying to delegate marketing more and more to my staff, I have the global marketing sheet but I also have started a weekly focus sheet.

So my marketing focus this week is to stress ‘no wait times for our NP, social media posts for the whole week, 2x/day, 1-2 videos for the week.  We’ll see, I think I have swimmers and not sinkers so we’ll see.  Continuing in the debacle of trying to find a front desk staffer, we have run into yet another snafu. This time we found a good one. Or so we thought. She worked with us for almost 2 full weeks. Then came St. Patty’s day. She ended up in a ditch running from the police and driving drunk at 2:00 am. She missed work the next day. Not because of a hangover but because she was in jail.  A little more research told us that she didn’t have custody of her kiddo because of 2 previous DWIs and this was her 3rd. So…..while you don’t want to be the one to compound someone’s suffering and misery, we had to cut ties. 

  1. If she lost custody of her kid because of drinking and still didn’t get the message, it’s going to be a long road
  2. If we’re missing work in the first 10 days because of jail, that’s just a bad omen of things to come
  3. If this is her 3rd DWI, she’s going to do jail time and we need an employee that is here and dependable. 
  4. If she miraculously doesn’t do jail time, she’ll be doing rehab, counseling, community services, court dates, and all that good stuff. And all of that equals time out of work. 

There are more reasons but that’s enough. We had to move on. I’ve always shied away from hiring friends because I just see that always going bad and it causing an awkward problem down the road. However, we started having one of our buddies come up to the office on a part-time basis to help us out on some overflow work and Holy guacamole….she’s insane good at the front desk stuff.  So….maybe we have a new front desk person after all. The saga continues and I’ll keep you updated. Stay tuned.  Alright to the research we go!

Item #1

This one is called “Five-Year Trends in US Children’s Health and Well-being, 2016-2020” by Lebrun-Harris et. al. (Lebrun-Harris LA 2022) and published in Jama Pediatrics on March 14, 2022. Holy fires of hell, it’s en Fuego!

Why They Did It

The authors say they aimed to examine recent trends in children’s health-related measures, including significant changes between 2019 and 2020 that might be attributed to the COVID-19 pandemic.

How They Did It

  • 174,551 children included in the study
  • Annual data were examined from the National Survey of Children’s Health (2016-2020), 
  • It was a population-based, nationally representative survey of randomly selected children. 

What They Found

  • Increased Anxiety
  • Increased depression
  • Decreases in daily physical activity
  • Decreases in parent or caregiver mental health
  • Decreases in coping with parenting demands

From 2019-2020 – the pandemic

  1. Increases in behavior or conduct problems
  2. Child care disruptions affecting parental employment
  3. Decreases in preventive healthcare visits
  4. increases in unmet health care needs, and 
  5. increases in the proportion of young children whose parents quit, declined, or changed jobs because of childcare problems.

Wrap It Up

Study findings point to several areas of concern that can inform future research, clinical care, policy decision-making, and programmatic investments to improve the health and well-being of children and their families. People have gone crazy. They were politically crazy and hating on each other prior to the pandemic. So let’s be honest here, shall we? But the pandemic deepened it and while technology is amazing and useful, social media has, in my opinion, destroyed the fabric of our society. Of love and understanding. Of mutual respect.  It’s allowed people to mouth off and insult each other from a distance saying things and in behaving in a manner that they would never behave like if the person they’re disrespecting were standing directly in front of them.  Anyway, kids are resilient but they’ve been affected too. Our world has gotten more stressful and it’s showing. 

Item #2

This second one is called, “Association of Low- and No-Calorie Sweetened Beverages as a Replacement for Sugar-Sweetened Beverages With Body Weight and Cardiometabolic Risk: A Systematic Review and Meta-analysis” by McGlynn et. al. and published in JAMA Network Open on March 14, 2022. Schiza – Steamy

Why They Did It

There are concerns that low- and no-calorie sweetened beverages do not have established benefits, with major dietary guidelines recommending the use of water and not low- and no-calorie sweetened beverages to replace sugar-sweetened beverages. Whether low- and no-calorie sweetened beverages as a substitute can yield similar improvements in cardiometabolic risk factors vs water in their intended substitution for sugar-sweetened drinks is unclear. To assess the association of low- and no-calorie sweetened beverages with body weight and cardiometabolic risk factors in adults with and without diabetes.

How They Did It

  • Data were extracted and risk of bias was assessed by 2 independent reviewers
  • The primary outcome was body weight. Secondary outcomes were other measures of adiposity, glycemic control, blood lipids, blood pressure, measures of nonalcoholic fatty liver disease, and uric acid.
  • A total of 17 RCTs with 24 trial comparisons were included, involving 1733 adults

What They Found

I’m not going to tell you. Because it gets very technical and in the weeds as they say. You’ll start wandering off into the ether and thinking about things like….is there another word for Thesaurus? And if you were to choke a Smurf…..what color would they turn?

Wrap It Up

This systematic review and meta-analysis found that using low- and no-calorie sweetened beverages as an intended substitute for sugar-sweetened beverages was associated with small improvements in body weight and cardiometabolic risk factors without evidence of harm and had a similar direction of benefit as water substitution.  The evidence supports the use of low- and no-calorie sweetened beverages as an alternative replacement strategy over the moderate term in adults with overweight or obesity who are at risk for or have diabetes.

This is amazing because I’ve been off of sodas for a decade but recently discovered a new love for Coke Zero. My wife has been all over me about drinking them and now I can show her research that says maybe they’re not as bad as she thinks.  And at the end of the day, I take some satisfaction in being right. : ) 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 the 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. 

Store Remember 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!

Chiropractic evidence-based products

Integrating Chiropractors

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This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.33-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.09-AM-150x55.jpg

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 & 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

Home

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 & 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 & Vlogger  Bibliography Lebrun-Harris LA, G. R., Kogan MD, Warren MD, (2022). “Five-Year Trends in US Children’s Health and Well-being, 2016-2020.” JAMA Pediatr.