CF 214: Sitting On Your Butt And The Future Of American Pain Today we’re going to talk about Sitting On Your Butt And The Future Of American Pain”
But first, here’s that sweet sweet bumper music
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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.
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You have found yourself smack dab in the middle of Episode #214
Now if you missed last week’s episode , we talked about the Easy, Cheap Way To Fix Cervical Curvature & SMT For Chronic Neck Pain. Make sure you don’t miss that info. Keep up with the class.On the personal end of things….. Short ans sweet today folks becauuse I have just 3 days to fit in 5 days of work.
Come Thursday, I’m off to Delray Beach, FL. Now that sounds amazing and all vacation-y right?/ Well it’s bidniz. I’m taking my wife and duaghter so it’s vacation-y for them but for me, I was invited to be part of a nationwide chiropractic mastermind. To help each other solve their problems, to network, and to conquer. And that’s the stuff I love being a part of. I can’t wait to put the things I learn into effect here in my cliniic and I can’t wait to help someone else that can maybe learn something from me. Who knows what they can learn from me? Guitar maybe. Lol
So, the front desk girl I bragged on. She got a better job I guess. Working only 3 days a week and making the same money. Can’t blame her. I jsut got the back office staff filled and now to fill the front desk. Time’s are tough folks. But that’s OK. I’ve been at it 24 years. No keeping this old dog down. I was here far before any staff and I don’t plan on going anywhere any time soon. So, off to Indeed I go to find a new employee. Let’s get on with the show so I can go hire someone.Item #1 The first one this week is called ‘Association between sedentary behavior and low back pain; a systematic review and meta-analysis” by Mahdavi, et. al. (Mahdavi SB 2021) and published in Health Promotion Perspective in 2021 so that means it’s steamy hot.Why They Did It Sedentariness is a substantial risk for many chronic diseases. We aimed to investigate the correlation of sedentary behavior and its indicators with low back pain (LBP) among adults and children
How They Did It
Original articles published up to April 28, 2020, using PubMed, Embase, Web of Science and Scopus were evaluated
We reviewed 49 English articles with analytical observational study design, of which, 27 studies with cross sectional/survey design were retained in the meta-analysis
What They Found
Among adults, sedentary lifestyle was a considerable risk factor for LBP; prolonged sitting time and driving time were the significant risk factors.
Sedentary behavior was associated with LBP in office workers.
Moreover, excess weight and smoking were associated with LBP.
Among children, sedentary lifestyle was a remarkable risk factor for LBP; prolonged TV watching and computer/mobile using and console playing time were significant risk factors for LBP.
Wrap It Up Sedentary behavior, whether in work or leisure time, associates with a moderate increase in the risk of LBP in adults, children and adolescents.
Item #2 The last one this week is called, “Decoding the mystery of American pain reveals a warning for the future” by Case et. al. (Case A 2020) and published in Proceedings of the National Academy of Sciences of the United States of America in September of 2020.Why They Did It There is an expectation that, on average, pain will increase with age, through accumulated injury, physical wear and tear, and an increasing burden of disease. Consistent with that expectation, pain rises with age into old age in other wealthy countries. However, in America today, the elderly report less pain than those in midlife. This is the mystery of American pain.
How They Did It Using multiple datasets and definitions of pain, we show today’s midlife Americans have had more pain throughout adulthood than did today’s elderly.
What They Found Disaggregating the cross-section of ages by year of birth and completion of a bachelor’s degree, we find, for those with less education, that each successive birth cohort has a higher prevalence of pain at each age-a result not found for those with a bachelor’s degree. Thus, the gap in pain between the more and less educated has widened in each successive birth cohort. The increase seen across birth cohorts cannot be explained by changes in occupation or levels of obesity for the less educated, but fits a more general pattern seen in the ongoing erosion of working-class life for those born after 1950. If these patterns continue, pain prevalence will continue to increase for all adults; importantly, tomorrow’s elderly will be sicker than today’s elderly, with potentially serious implications for healthcare.
Dayum…..I know I need to get an associate in here because my back hurts all the damn time and I don’t have time to be running around town looking for a chiropractor that can fit me in. 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!
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 Case A, D. A., Stone AA., (2020). “ecoding the mystery of American pain reveals a warning for the future.” Proc Natl Acad Sci U S A 117: 24785-24789.
Mahdavi SB, R. R., Vahadatpour B, Kelishadi R, (2021). “Association between sedentary behavior and low back pain; A systematic review and meta-analysis.” Health Promot Perspect 11(4): 393-410.
