Chiropractic Adjustments To Avoid Other Procedures & Male Vets With Chronic Pain

CF 243: Chiropractic Adjustments To Avoid Other Procedures & Male Vets With Chronic Pain Today we’re going to talk about Chiropractic Adjustments To Avoid Other Procedures & Male Vets With Chronic Pain But first, here’s that sweet sweet bumper music  

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Chiropractic evidence-based products

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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. 
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  • 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 #243 Now if you missed last week’s episode, we talked about effectiveness Of the Neck Exercise For Disc Herniation and Supine vs. Prone MRIs. Make sure you don’t miss that info. Keep up with the class. 

On the personal end of things…..

We have been flying all over the place this year. Honestly, I’m making up for lost time during the pandemic. 3 trips already to Florida this year for Kevin Christie’s MCM Mastermind group and another in November to meet the crew in Key Largo. Pumped about that one! As a part of the Forensics diplomate, I go to Chicago every October so we’ll be up there in a couple of months.  Not to mention trips to Texas Chiropractic Association functions. There are at least two a year for that. One in June and one in February or March.  Now, with my VoiceOver career going little bananas, I have a vo conference that I just go back from in Dallas and one in Atlanta in March.  And then anything we want to do that is not work-related. Like, go to Vegas on September 8th to see Motley Crue, Def Leppard, Poison, and Joan Jett. Can I get a hell yes from my fellow 80’s kids? Plus, I want to start visiting some of the practices of the docs in the MCM Mastermind. I’m interested in seeing what they do to make them so efficient and so successful. I can always learn from others. 

This brings up a point; have any of you considered identifying you colleagues that are highly productive and very successful and asked them if you can go and hang out and visit for a day or two just to see what they do that you could possibly implement in your own clinic? We can sit in a mastermind and exchange ideas and processes but at the end of the day, it’s when you see it all in action that it sticks and effects change in how you practice and how you manage your patients. 

So, I want to start fitting in some trips when I can find some space. Right now, I’m not sure where the heck I can make it fit to be honest. But, it is an investment in my company and in my clinic so I’m going to see if I can make it happen, regardless.  I’ll keep you updated. Getting a mentor is key folks. Even if the mentor come in the shape and form of several of your colleagues. 

Item #1 This first one is called “Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data” by Davis, et. al. (Davis BA 2022) and published in Journal of Chiropractic Medicine in June of 2022, Kapow!! That’s got some heat on it. 

Why They Did It The purpose of this study was to determine whether a sample of older adult male U.S. veterans demonstrated clinically and statistically significant improvement in chronic lower back pain on validated outcome measures after a short course of chiropractic care.

How They Did It

  • There were 217 individuals who met the inclusion criteria. 
  • We performed a retrospective review of a quality-assurance data set of outcome metrics for male veterans, aged 65 to 89 years, who had chronic low back pain, defined as pain in the lower back region present for at least 3 months before evaluation. 
  • We included those who received chiropractic management from January 1, 2010, to December 31, 2018. 
  • Paired t tests were used to compare outcomes after 4 treatments on both a numeric rating scale (NRS) and the Back Bournemouth Questionnaire (BBQ). 
  • The minimum clinically important difference (MCID) was set at 30% change from baseline.

What They Found

  • The mean NRS score change from baseline was 2.2 points, representing a 34.1% reduction.
  • The mean score change for Back Bournemouth Questionnaire was 14.7 points, representing a 35.9% reduction. 
  • The percentage of participants reaching the minimum clinically important difference for the NRS was 57% and for the Back Bournemouth Questionnaire was 59%, with 41% of the sample reaching the minimum clinically important difference for both the NRS and Back Bournemouth Questionnaire.

Wrap It Up

This retrospective review revealed clinically and statistically significant improvement in NRS and Back Bournemouth Questionnaire scores for this sample of older male U.S. veterans treated with chiropractic management for chronic low back 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 last one is great and is called, “Three Patterns of Spinal Manipulative Therapy for Back Pain and Their Association With Imaging Studies, Injection Procedures, and Surgery: A Cohort Study of Insurance Claims” by Anderson, et. al. (Anderson BR 2021) and published in Journal Of Manipulative And Physicological Therapeutics on November 1, 2021, and it’s just hot enough!

Why They Did It The purpose of this study was to evaluate the relationship between procedures and care patterns in back pain episodes by analyzing health insurance claims.

How They Did It

  • They performed a retrospective cohort study of insurance claims data from a single Fortune 500 company. 
  • The 3 care patterns analyzed were initial spinal manipulative therapy, delayed spinal manipulative therapy, and no spinal manipulative therapy. 
  • The 3 procedures analyzed were imaging studies, injection procedures, and back surgery. 
  • They considered “escalated care” to be any claims with diagnostic imaging, injection procedures, or back surgery. 
  • Modified-Poisson regression modeling was used to determine relative risk of escalated care.
  • There were 83 025 claims that were categorized into 10 372 unique patient first episodes. 

Wrap It Up

  • For claims associated with initial episodes of back pain, initial spinal manipulative therapy was associated with an approximately 30% decrease in the risk of imaging studies, injection procedures, or back surgery compared with no spinal manipulative therapy. 
  • The risk of imaging studies, injection procedures, or back surgery in episodes in the delayed spinal manipulative therapy group was higher than those without spinal manipulative therapy.

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.

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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  

Bibliography

Anderson BR, M. S. (2021). “Three Patterns of Spinal Manipulative Therapy for Back Pain and Their Association With Imaging Studies, Injection Procedures, and Surgery: A Cohort Study of Insurance Claims.” J Man Manip Ther 44(9): P683-689.  

Davis BA, D. A., Golley DJ, Chicoine DR (2022). “Chiropractic Clinical Outcomes Among Older Adult Male Veterans With Chronic Lower Back Pain: A Retrospective Review of Quality-Assurance Data.” J Chiropr Med 21(2): 77-82.    

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