adjustments

Chiropractic For Medicare Patients & Avoiding Vertebral Artery Stress During Adjustments

CF 234: Chiropractic For Medicare Patients & Avoiding Vertebral Artery Stress During Adjustments Today we’re going to talk about Chiropractic saving Medicare patients money and adverse events and a better position for preventing strokes when adjusting the neck.  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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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 #234 Now, if you missed last week’s episode, we talked about SMT and Geriatrics & Lower Costs – Back To Work Faster With Chiropractic. Make sure you don’t miss that info. Keep up with the class. 

On the personal end of things…..

Well I just had a weekend of weekends folks. Yes indeedy. My wife got a bug in her butt. Not literally. That may just be a Southern phrase. Annyway, she knows I’ve been a Beatles fan my whole life. I don’t love everything the Beatles ever did. Some of it was way too far out for me to care about. But….some of what the Beatles did is among the best of the best all time. Legendary.  If you’re a Beatles fan, you probably have a favorite and mine was and remains Paul McCartney.

What a life. What a career.

That dude has seen and done everything he ever wanted to do and is worth around $1.2 billion dollars from the music he has given us.  Well, he’s 79 and my wife figured we better go see Paul while we can and he happens to be on a bit of a mini-American tour. So, behind my back, secretly, she set the whole thing up and hid it from me until the last minute. We flew to Syracuse, New York on a Friday morning. We got there at about 2:00 PM and hopped in a rental car and drove another 2 and a half hours to Buffalo, NY to see Niagara Falls. My wife had never seen it before and it was awesome as always.

Then had an amazing meal at the culinary institute there called Savor and it was one of the best meals I’ve ever had.  Then back to Syracuse to sleep.  That Saturday morning, we got up and drove down to Canandaigua, NY which is part of the Finger Lakes region if you’ve never been. It’s called the Bed And Breakfast Capital of America. It’s on the lake and it’s just a gorgeous little town and region. Lots of agriculture and rolling farmland and trees there in upstate New York.  Very Norman Rockwell picturesque overall. It was nice just soaking it all in.  We got back from Canandaigua and went to see Sir Paul McCartney at The Dome on the Syracuse campus. I was wondering why on Earth McCartney would play in Syracuse. Until I saw this place. Holy smokes! The Dome holds about 50,000 people!! It’s huge! And it was sold out. 

At 79, the dude still puts on a hell of a show. I think he played for about two and a half hours. He played bass, ukelele, piano, and guitar and sang maybe not quite as good as he used to but still very good and it was just an amazing show. A bucket list thing for me and y’all can all rest well in the knowledge that my wife is indeed cooler than yours.  Now, this weekend, it’s on to Dallas for the Texas Chiropractic Association’s ChiroTexpo state convention where I’ll be presenting a 2-hour course on Chronic Pain And The Upregulated Central Nervous System. I’m looking forward to seeing some old friends and making some new ones as well.  I’m still searching for an associate to come and work here in my clinic with me. We’ll start with a base salary around roughly $60,000 with the roof set as high as the associate wants it to be.

Meaning, I’d love to pay them $150k if they’re hitting the metrics that can get them there. I’m not greedy. Help us grow the cliniic and I’m happy to grow your finances. It’s a win/win.  So, while the base may not be what The Joint offers, there’s a ceiling with The Joint. Not here.

Plus mentoring, benefits, and all of that good stuff.  If you’re the right kind of associate, contact me at [email protected]. Let’s get to know each other.  Now, I’ve recently been telling you about a system that once obtained will help you get more  PI cases.  This system was created by an attorney who exclusively handles accident cases. He got tired of the typical approaches by doctors wanting his referrals, so he created this system to teach them and you how to get the attention and then the love from the PI attorneys.   You know these cases are the GOLD of our business.  Very few no-shows, full payment … no health insurance caps or Medicare or Medicaid. Go to: http://www.gettingpicases.com/cs Over 500 doctors nationwide are now using this system…. don’t be left out…  improve your practice, gain free time because of the added income you’ll realize, and appreciate that the attorney, Paul Samakow, is still offering a 100% Money Back Guarantee …   if you give his ideas a fair shake and it doesn’t work, he’ll refund your money…  you have nothing to lose here… Go to:  http://www.gettingpicases.com/cs

Item #1

This week’s first one is called, “Initial Choice of Spinal Manipulative Therapy for Treatment of Chronic Low Back Pain Leads to Reduced Long-term Risk of Adverse Drug Events Among Older Medicare Beneficiaries” by Whedon et. al. (Whedon JM 2021) in December of 2021 and it’s hot because I say it is!

Why They Did It

Opioid Analgesic Therapy (OAT) and Spinal Manipulative Therapy (SMT) are evidence-based strategies for treatment of chronic low back pain (cLBP), but the long-term safety of these therapies is uncertain.  The objective of this study was to compare opioids versus SMT with regard to risk of adverse drug events (ADEs) among older adults with chronic LBP.

How They Did It

The authors examined Medicare claims spanning a 5-year period on fee-for-service beneficiaries aged 65 to 84 years, continuously enrolled under Medicare for a 60-month study period, and with an episode of cLBP in 2013.  They excluded patients with a diagnosis of cancer or use of hospice care. All included patients received long-term management of cLBP with SMT or opioids. 

What They Found

With controlling for patient characteristics, health status, and propensity score, the adjusted rate of adverse events was more than 42 times higher for initial choice of opioids versus initial choice of SMT

Wrap It Up

Among older Medicare beneficiaries who received long-term care for chronic LBP the adjusted rate of adverse events for patients who initially chose opioids was substantially higher than those who initially chose SMT. 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 second one is one of the most important ones in recent evidence-based chiropractic podcast history. It’s called “Kinematics of the head and associated vertebral artery length changes during high-velocity, low-amplitude cervical spine manipulation” by Gorrell et. al. (Gorrell 2022) and published in Chiropractic & Manual Therapies in June of 2022 holy Mackrell, that sauce can’t get any hotter!

Why They Did It

Despite cervical adjustment’s demonstrated efficacy, concerns regarding the potential of stretch damage to vertebral arteries (VA) during cervical adjustmets remain.  The purpose of this study was to quantify the angular displacements of the head relative to the sternum and the associated vertebral artery length changes during the thrust phase of the move.

How They Did It

  • Rotation and lateral flexion procedures were delivered bilaterally from C1 to C7 to three male cadaveric donors 
  • For each move the force–time profile was recorded using a thin, flexible pressure pad to determine the timing of the thrust. 
  • Three dimensional displacements of the head relative to the sternum were recorded using an eight-camera motion analysis system and angular displacements of the head relative to the sternum were computed in Matlab. 
  • Length changes of the VA were recorded using eight piezoelectric ultrasound crystals inserted along the entire vessel.

What They Found

  • Irrespective of the type of CSM, the side or level of CSM application, angular displacements of the head and associated VA length changes during the thrust phase of CSM were small. 
  • VA length changes during the thrust phase were largest with ipsilateral rotation CSM

Wrap It Up

  • Mean head angular displacements and VA length changes were small during thrusts. 
  • Of the four different positions measured, mean VA length changes were largest during rotation procedures. 
  • This suggests that if clinicians wish to limit VA length changes during the thrust phase, consideration should be given to the type of position used.

I said this is one of the most important papers because, if we can figure out how to reduce our risk, why on Earth wouldn’t we?

We are beat up the most by medical professionals about this idea that we go around stroking people out. Of course, as a rule, we do not but it does happen that we see patients and they later have strokes. Cassidy et. al. proved this but also showed it wasn’t due to cervical adjustments.

It was due to the patient having neck pain due to a vad already in progress.  So, two things;  1. We need to get better at recognizing risky patients and risky situations. Symptoms that could signal that the patient could be having a VAD in progress when they present to our clinic.  2. If we know that rotation is riskier that a regular cervical break/extension lateral flexion position, why wouldn’t we use a cervical break as our preferred method rather than rotation?

First, do no harm. Second – make the patient better.  Always.  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

Bibliography

Gorrell, L. M., Kuntze, G., Ronsky, J.L, (2022). “Kinematics of the head and associated vertebral artery length changes during high-velocity, low-amplitude cervical spine manipulation.” Chiropr Man Therap 30(28).  

Whedon JM, K. A., Toler AW, Bezdjian S, Rossi D, Uptmor S, MacKenzie TA, Lurie JD, Hurwitz EL, Coulter I, Haldeman S, (2021). “Initial Choice of Spinal Manipulation Reduces Escalation of Care for Chronic Low Back Pain among Older Medicare Beneficiaries.” Spine (Phila Pa 1976).  

Adjustments For Scoliosis & Importance Of Pain Perceptions

CF 231: Adjustments For Scoliosis & Importance Of Pain Perceptions Today we’re going to talk about Adjustments For Scoliosis & Importance Of Pain Perceptions 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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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 #231 Now if you missed last week’s episode , we talked about lumbar stenosis. Make sure you don’t miss that info. Keep up with the class. 

On the personal end of things…..

Weelllll, what a weekend I just wrapped up. You never know when life is going to throw darts with your nose as the bullseye but my pickup truck died a couple of weeks ago. Died died. I had to replace the entire engine. What a sheer joy.  I guess COVID has made engines hard to find as well. So, over $3,000 to do that. Now, while it’s in the shop getting a new engine, I bought a 2021 Chevy Silverado down in the Houston, TX area.

I worked from 8-12 last Friday then hopped on an airplane for a 2-hour ride down to Houston, then an Uber from the airport to the dealership in Tomball, TX. About a 45-minute Uber.  Then to the dealership, sign some papers, hop in this beautiful black beast of a truck, and headed back on the 10-hour drive to Amarillo, TX. Texas is a big place folk. It just is. 

I made it all of the ways to Wichita Falls at about 11:00 that night, slept in a hotel, got up at 7:00 am, and made it the rest of the way. I was back in Amarillo by noon on Saturday. With a new vehicle that I’m in love with.  I think side gigs are vital. We can kill it in our personal practices.

But, due to insurance reimbursements or the challenges of a cash practice, or whatever the reasons may be, it always seems the margins are a bit thin. When you have a catastrophe like a vehicle dying and you have to hop out and get a newer vehicle, especially one that runs North of $50 or $55k, it’s nice to have that extra side income.  My side gigs are voice-over…..holy cow voice-over. It’s changed my life. For real.

The term ‘game-changer’ is so overused, but voice-over has been a literal game-changer.  Real Estate – I’ve been doing some real estate work lately. We bought a short-term rental in Lubbock, TX, the home of Texas Tech. They are a D1 school and have all of the events that come with a D1 school. Without getting too deeply into numbers, my total overhead per month on the house is $1100.

Just last weekend it was graduation weekend. Just last weekend on a 3-night stay we made $1600. So you can see where you can go with short-term rentals.  There is a method will encounter if you listen to the Bigger Pockets podcast and that method is called the BRRRR method. It stands for Buy – Renovate – Rent – Refinance – and Repeat.

So you buy it below value and you renovate it and raise the value. Then you rent it to start making some money. After a seasoning period of 4-6 months, you refinance the property and get your down payment mostly back out of the property. Then you put that money down on another fixer-upper and repeat the process.  So, we refinanced our long-term rental home here locally and got a good chunk out of it. Now, with that chunk, we are buying another hosue in Lubbock for our kids to live in while they go through college saving us thousands and thousands over the years they’re down there. Then we’ll either convert it to a short-term rental or we’ll sell it all together and put the money on a beach house in Florida.  We also are looking at the Texas A&M market for a short-term rental.

Who knows? But for the rest of this year, I think we settle down and watch what the market does. It’s due for a slow down. Just want to see where and how before getting in too deep.  So, these two side gigs have been mostly non-time consuming and mostly hands-off. It only takes about 15 minutes per week to self-manage a short-term rental.  And…..this truck payment isn’t going to put me in the poor house as it may have in the past. 

So, what side gigs are you working on? What’s been successful for you? I’d love to hear about it and maybe share it with the rest of the think tank here at Chiropractic Forward. Shoot me an email at [email protected] Right before we get to it today…… are you tired of getting paid peanuts for your good work?  Insurance pays maybe half.  Medicare and Medicaid even less.  So how about full payment?  This comes with PI cases. How do you get these cases you ask? Learn the system.

Created by Paul Samakow, a 41-year veteran attorney – he explains in detail what to do, how to do it, and how to have attorneys not only send you their clients but how to assure they continue to do so. This system is delivered to you in both written and video form – Samakow is actually pretty funny when you watch – but his content and information are both spot on and serious, and will result in multiple referrals from attorneys if you follow his system. His 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 here is called, “Clinical observation of chiropractic manipulation in the treatment of degenerative scoliosis” by Lu-Guang et. al. (Li LG 2022) and published in Zhongguao Gu Shang in May of 2022 smooookin’! I want to thank my New Jersey friend, Dr. David Graber, for posting this on on Facebook. 

Why They Did It

To observe clinical efficacy of chiropractic manipulation in the treatment of degenerative scoliosis 

How They Did It

  • 120 patients with degenerative scoliosis were randomly divided into treatment group and control group
  • From 2017 to 2019 
  • The patients in the treatment group were treated with chiropractic manipulation once every other day for 4 weeks. 
  • The patients in control group were treated with eperisone hydrochloride tablets combined with a thoracolumbar orthopedic (TSLO) brace, oral eperisone hydrochloride tablets 50 mg three times a day, wearing TSLO brace for not less than 8 hours a day.
  • The course of treatment was 4 weeks. 
  • After the patients were selected into the group, visual analogue scale (VAS) and Oswestry Disability Index (ODI) were recorded before treatment, 1, 2, 3, 4 weeks after treatment and 1 month after treatment. 
  • The full length X-ray of the spine was taken before and 4 weeks after treatment, and the scoliosis Cobb angle, sagittal vertical axis (SVA) and lumbar lordosis (LL) were measured and compared. 

What They Found

  • There were significant differences in VAS and Oswestry Disability Index between the two groups at each time point after treatment There was significant difference in Cobb angle between treatment group and control group after treatment, but there was no significant difference in lumbar lordosis and sagittal vertical axis between treatment group and control group. 
  • There was no significant difference in Cobb angle, lumbar lordosis and sagittal vertical axis between two groups before and after treatment. 
  • During the treatment, there were 4 mild adverse reactions in the control group and no adverse reactions in the treatment group.

Wrap It Up

Chiropractic manipulation can effectively relieve pain and improve lumbar function in patients with degenerative scoliosis. The onset of action is faster than that oral eperisone hydrochloride tablets combined with TSLO brace, and it has better safety and can improve Cobb angle of patients with degenerative scoliosis.

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 today is called, “Pain cognitions and impact of low back pain after participation in a self-management program: a qualitative study”” by Joem et. al. (Joern 2022) and published in Chiropractic and Manual Therapies on the 21st of February 2022.  Schizahhhh….that one’s bringing the heat!

Why They Did It

Benefits from low back pain (LBP) treatments seem to be related to patients changing their pain cognitions and developing an increased sense of control. Still, little is known about how these changes occur. The objective of this study was to gain insights into possible shifts in the understanding of LBP and the sense of being able to manage pain among patients participating in a LBP self-management intervention.

What They Found

  • Four main themes, corresponding to the characterization of four patient groups, were identified: 
    • ‘Feeling miscast, 
    • ‘Maintaining reservations’, 
    • ‘Struggling with habits’ and 
    • ‘Handling it’. 
  • The participants within each group differed in how they understood, managed, and communicated about their LBP. 
  • Some retained the perception of LBP as a threatening disease, some expressed a changed understanding that did not translate into new behaviors, while others had changed their understanding of pain and their reaction to pain.

Wrap It Up

The same intervention was experienced very differently by different people depending on how messages and communication resonated with the individual patient’s experiences and prior understanding of LBP. Awareness of the ways that individuals’ understanding of LBP interacts with behavior and physical activities appears central to providing adaptive professional support and meeting the needs of individual patients. I have repeated this time and time again on this podcast and to my patients. How people think about their pain goes a long way in determining how they will do in the long run. 

Communicate through the optimistic and hopeful filter. Make sure you’re pulling your patients back from the cliff with your words instead of pushing them into the chronic pain pit.  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-10.23.09-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 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

 Bibliography

Joern, L., Kongsted, A., Thomassen, L, (2022). “Pain cognitions and impact of low back pain after participation in a self-management program: a qualitative study.” Chiropr Man Therap 30(8).  

Li LG, G. J., Gao CY, Sun W, Luo J, Yang KX, Yu J, Li JG, Wang BJ, Yang W, Zhuang MH (2022). “Clinical observation of chiropractic manipulation in the treatment of degenerative scoliosis.” Zhongguo Gu Shang 35(5): 442-447.