CF 233: SMT and Geriatrics & Lower Costs – Back To Work Faster With Chiropractic Today we’re going to talk about SMT and Geriatrics & Lower Costs – Back To Work Faster With Chiropractic 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. 

  • 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, 
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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 #233 Now if you missed last week’s episode , we were joined by Dr. Chris Chippendale and talked about communication and helping chiropractors become more effective in their interactions with patients. Make sure you don’t miss that info. Keep up with the class. 

 

On the personal end of things…..

Alright folks, it’s a short week for me because I’m headed out of town so I’m making this one lightening fast!  I am still currently hiring an associate for my practice in Amarillo, TX. If you’re smart, good with patients, looking for a medically integrated clinic, and are capable of building your patient base with or without my help, I want to get to know you better.  Send me an email at [email protected] and let’s talk bidness. 

I’ve got a couple of interesting research papers to go through with you in a moment but first. 

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Item #1

This first one today is called “Chiropractic Care For Workers With Low Back Pain” by Mueller et. al. (Dongchun Wang 2022)  and published in WCRI: Workers Compensation Research Institute on May 17, 2022. One word, two syllables… Day-um….that’s hot. 

They say, “This study describes the prevalence of chiropractic care and provider patterns of physical medicine treatment for workers with low back pain. It provides some evidence as to how different provider patterns of physical medicine treatment are associated with variations in overall medical and indemnity costs, and the duration of temporary disability.

The study also looks at the utilization of medical services, including magnetic imaging studies, opioid prescriptions, and pain management injections.” “The data used for this study are from the WCRI Detailed Benchmark/Evaluation database, which includes more than 2 million open and closed claims from 28 states, with injuries from October 1, 2015, through September 30, 2017, and detailed medical transactions up through March 31, 2019.” The article that led me to that page is called “Study links chiropractic care to lower costs, faster return to work.” By the writers with Claims Journal and published online on May 18, 2022. 

In the article they say, “A study by the Workers’ Compensation Research Institute found that medical care costs less and claimants return to work more quickly when low back pain treatment is provided solely by chiropractors.” Pow! Slap! Knee to the nads!!! They also say, “This study will be helpful for policymakers and stakeholders who are interested in re-evaluating the role of chiropractors, especially those who have been adopting evidence-based practices and contributing to cost-effective care,” stated WCRI President and Chief Executive Officer John Ruser in a press release. If you aren’t clear on what they’re saying there; vitalists need not apply. Evidence-based, patient-centered only.

Because that’s what makes sense anywhere on the face of the planet. 

Get this stat they threw out after studying 2 million cases, “The average medical cost per claim for low back pain patients who were treated exclusively by a chiropractor for both physical medicine and evaluation and management was $1,366, 61 percent less than the $3,522 treatment cost for low back pain cases that received no chiropractic treatment.” WOW! $3500 for medical treatment $1300 for chiropractic That’s approximately a $2,200 difference, folks. Holy smokes. If you multiply that $2,200 saving by the 2 million cases they studied, that’s a savings of up to $4.4 billion!!

Shazamm

But the reason we have a healthcare cost issue is that the information is there but it still won’t change. Just watch. Which make my pee hot but it is what it is.  “Indemnity costs were also lower for workers whose low back pain was treated exclusively by a chiropractor: $492 compared to $3,604 for workers who received no chiropractic treatment.” “Injured workers treated exclusively by chiropractors also used fewer drugs and diagnostic imaging scans, the report says.

Comparing a subset of claims with similar characteristics, the researchers found only 1% of claimants treated by chiropractors were prescribed opioids, compared to 10.3% of claimants who were not treated by chiropractors. In the chiropractic group, 4.3% of claimants received a magnetic-resonance imaging scan, compared to 18.9% for the non-chiropractic claimants.”

Come on folks, you know this information is amazing. It was done by practitioners on both sides of the aisle of healthcare and published in a respectable journal.  Share, yell this stuff out. It’s one of the coolest papers to emerge in the last few years so make sure all of your patients know about it!

Before getting to the next one, I have to tell you, that 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 called “Spinal manipulative therapy in older adults with chronic low back pain: an individual participant data meta-analysis” by Jenks, et. al. and published in European Spine Journal on May 28, 2022. Schiza! (Jenks A. 2022) Es muy caliente!

Why They Did It

Many systematic reviews have reported on the effectiveness of spinal manipulative therapy (SMT) for low back pain (LBP) in adults. Much less is known about the older population regarding the effects of SMT. The authors wanted To assess the effects of SMT on pain and function in older adults with chronic LBP in an individual participant data (IPD) meta-analysis.

How They Did It

  • They used Electronic databases from 2000 until June 2020, 
  • They also referenced lists of eligible trials and related reviews.
  • They used Randomized controlled trials (RCTs) which examined the effects of SMT in adults with chronic LBP compared to interventions recommended in international LBP guidelines.
  • Pain and functional status were examined at 4, 13, 26, and 52 weeks.
  • 10 studies were retrieved, including 786 individuals, of which 261 were between 65 and 91 years of age. 

What They Found

  • There is moderate-quality evidence that SMT results in similar outcomes at 4 weeks
  • Second-stage and sensitivity analysis confirmed these findings.

Wrap It Up

SMT provides similar outcomes to recommended interventions for pain and functional status in the older adult with chronic LBP. SMT should be considered a treatment for this patient population. Alright ladies and gents, if I didn’t get your juices flowing on some excellent quotes and material for you social media purposes so you can share all of the good news…..well then….you just can’t be helped. Lol.  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

Dongchun Wang, K. L. M., Donald R. Murphy, and Randall D. Lea, (2022). “Chiropractic Care for Workers with Low Back Pain.” WCRI WC-22-17.  

Jenks A., d. Z. A., van Tulder M, (2022). “Spinal manipulative therapy in older adults with chronic low back pain: an individual participant data meta-analysis.” Euro Spine J.      

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