SMT And Fibromyalgia & SMT And Adverse Events
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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, 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.
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You have found yourself smack dab in the middle of Episode #273 Now if you missed last week’s episode, we talked about Postpartum VAD and Pregnancy CAD. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things….. If you listened in on the pod last week, I mentioned I’d be heading to VOAtlanta, the nation’s largest voice over conference. I done did it and it was fun. It’s so much like chiro conferences it’s amazing. Except on a larger scale. Not that many tend to go to DC conferences. There were over 1,000 voice actors at this thing. Tons. Lots of classes, lots of teachers, lots of people. Every freaking where. It dawned on me; every profession has its big dogs and it’s peasants. In the vo world, I’m not royalty. I’m a peasant trying to figure out how to be royalty. Lol. In the chiro world, I’m probably middle management I suppose. Definitely not a peasant but not considered royalty either. I think it comes down to notoriety and nationally, the big dogs are just better known.
This means they made the moves, made the connections, built the network, put themselves out there, and then began reaping the rewards. I imagine even the tiddlywinks circuit has its big dogs and its peasants. I don’t know. I just find it so interesting on some level. I think if you want authority or notoriety, I think the base it’s built on is notoriety. Which means you have to do things that make you remarkable and…..notorious. In a positive way, of course. That means being active in your state and national association.
That means doing something other people would be interested in. I wrote a book. I host a podcast and Facebook group. I speak and present when the opportunities arise, and I network through my Mastermind and throughout the profession. That’s got me to upper to middle management I suppose. I’m also considering putting some courses together as well to continue helping colleagues and this profession. What are you doing every day and every year to consistently be 10% better? Are you networking? Or are you an introvert? Believe it or not, I’m a bit of an introvert. I’m great once I’m engaged in conversation but starting the conversation isn’t something I excel at, to be honest. But, I learned a fun little tactic from a fellow VO in Atlanta this weekend.
He said, “If you see a casting director or agent you’re really wanting to talk to but don’t know how, just compliment them. People love compliments.” Nice jacket, those shoes are amazing, man…..what I’d give for a watch like that…..blah blah blah. You get what I’m saying. I watched him do it to a casting director. She walked by and he said “Can I just say real quick that you are just a ray of sunshine and I really enjoyed the info you shared in your session.” She ate it up! Lol. Anyway, I don’t know where I’m going with this other than to say, if you want to be a big dog in whatever industry you are in, get to work marketing yourself and don’t wait for someone else to do it for you. Notoriety doesn’t happen on its own. You have to manifest it. So get out there an start manifesting it everywhere.
Item #1 The first on today is called, “Effectiveness of spinal manipulation in addition to pharmacological treatment in fibromyalgia: A blinded randomized trial” by Bugra Ince and published in National Library of Medicine on Jan 25, 2023. Dayum. That’s hot. Why They Did It To investigate the effectiveness of spinal manipulation in addition to pharmacological treatment in patients with fibromyalgia. How They Did It
- A single-center, randomized, and placebo-controlled trial with three parallel arms SETTING: Outpatient clinics at a tertiary health care facility. Female patients aged 18-55 years receiving pharmacological treatment.
- Spinal manipulation, sham manipulation, and control groups. Patients in the spinal manipulation group received high-velocity low-amplitude manipulation treatment twice a week for 3 weeks.
- Patients in the sham group received an application that was very similar to the active treatment but was not expected to have any real therapeutic effect. Patients in the control group continued to receive pharmacological therapy.
What They Found
- Sixty patients with a mean age of 41.7 years (SD = 8.0) were enrolled in the study. A mixed-design repeated analysis of covariance was used to test the data.
- At 1 month after randomization, pain scores did not differ between groups. At 3 months after randomization, the spinal manipulation group had a significantly lower pain score (adjusted mean = 4.3 cm, SE: 0.4) than the control group (adjusted mean = 6.8 cm, SE: 0.4) and the sham manipulation group (adjusted mean = 5.7 cm, SE: 0.4).
- PPT did not differ between groups at any time point. FIQR, WPI, and FSS showed some improvement 1 or 3 months after randomization in favor of the spinal manipulation group.
Wrap It Up Spinal manipulation used in addition to pharmacological treatment in young/middle-aged female patients with fibromyalgia could be an effective treatment for pain, disease severity, and functionality. 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 & 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 retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy” by Eric Chun-Pu Chu and published in Scientific Reports on 23 January 2023. Hot potato! Why They Did It
- This study examined the incidence and severity of adverse events (AEs) of patients receiving chiropractic spinal manipulative therapy (SMT), with the hypothesis that < 1 per 100,000 SMT sessions results in a grade ≥ 3 (severe) AE.
- A secondary objective was to examine independent predictors of grade ≥ 3 AEs.
How They Did It Data originated from 30 affiliated chiropractic clinics with 38 chiropractors (New York Chiropractic & Physiotherapy Center, EC Healthcare, Hong Kong). These clinics are integrated into a larger healthcare organization, including several medical specialties and imaging and laboratory testing centers that utilize a shared medical records system.
What They Found The authors had 85% agreement of independent AE grades, with six of 39 cases having discrepant scores. All discrepant scores were either graded “1” or “2” and ultimately were resolved via mutual discussion.
Wrap It Up
- This current study, which retrospectively studied a large dataset from integrated chiropractic clinics in Hong Kong, found that severe AEs potentially occurring in relation to SMT were rare, yielding an incidence of 0.21 per 100,000 SMT sessions. No AEs were identified that were life-threatening or resulted in death.
- The sample size of 39 AEs across 960,140 SMT sessions in 54,846 patients was insufficient to identify independent predictors of severe AEs. Further research on this topic is needed, possibly via a practice-based research network which could increase the sample size and allow for such analysis.
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!
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!
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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