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!
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 email@example.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.
- Then go Like our Chiropractic Forward Facebook page,
- Join our private Chiropractic Forward 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 com
You have found yourself smack dab in the middle of Episode #283.
Now if you missed last week’s episode, we talked about The Rate of Chronic Pain in the US & Adolescents And Cannabis Use. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things…..
Welcome to this week, happy to have you and happy to be here. Numbers in the clinic are still coming back up a bit and I’m digging it.
Let’s talk about the difference in the providers in the medical world vs. our world for a sec. We are integrated here in my clinic. It’s me, a nurse practitioner, an acupuncturist, and 2-3 massage therapists depending on what day you’re asking.
Here’s what I have discovered. Those in the medical world are not entrepreneurial by general rule. They are used to going into a clinic and patients are there waiting on them. They treat and then they go home. So nurse pracs, PAs, and PTs are not out beating the streets.
So if you think you’re going to hire one of these providers and they’re going to be out and about helping your clinic grow, as a general rule, that is not going to happen. They’re show up and they’re going to learn fast and do a wonderful job. But they’re not going to build your practice by actively marketing. So don’t expect it.
I’ve seen acupuncturists build their clientele but not mine. Until the VA came on board, that was a barren wasteland for us and I couldn’t tell that there was any effort on that end of things.
Massage therapists…..if it’s theirs, they’ll build it. Some will push it a bit in their circles but it’s rare for them to be out beating the streets.
But chiropractors…..look guys and gals…..we are one of a freaking kind my friends. We, for the most part, are owners and marketers and builders and entrepreneurs. Not to mention driven and ambitious.
Some are too ambitious to be honest with you. Some want to make money and grow so badly to the detriment of their patients. So keep an eye on that. Don’t sell multilevel marketing to your patients. Don’t look like a street corner huckster. That’s not a good look folks.
So kudos on your entrepreneur game. Keep crushing it in an evidence-informed, patient centered way.
Crack Addicts: have you seen the new TV series on TLC yet? I believe it comes on on Wednesday nights. It’s Dr. Alessandra Colon somewhere in Florida. For me, there are some cringy things like in one episode she said, “The power is on!” after an adjustment. Well, that’s the vitalist saying and I’m just not a fan but that’s my baggage. The rest of the world probably knows nothing about that stuff.
She talks about alignment here and there and we evidence-informed chiros know that alignment isn’t really a thing but, for the most part, I’ll say that she’s doing a good job.
If her job is to walk the line between vitalists and the evidence-informed camps, then she’s doing a pretty good job. I think that the overall score is a net gain for chiropractic in general and we haven’t had a positive light shined on us like this in a long time. If ever. There is so much opportunity with this show for the profession. I hope she knows that and I hope continues to keep it between the lines. So far, I think I’m a fan.
Dr. Kevin Christie and the Mastermind. You’ve been hearing me talk about our Florida Mastermind for a couple of years now. Well, Dr. Kevin Christie has started a West Coast Mastermind. Their meetings will be in San Diego, Denver, Arizona, and Jackson Hole, Wyoming. Great locations and great learning, bonding, and networking. I cannot tell you how valuable the group has been for me and our Florida group.
I suggest you visit the link I’m putting in my show notes right here at this point in the text. Visit that link and get signed up. He only allows approximately 25 providers into each group so don’t sit around on your butt. Get it going.
Alright, that’s it, let’s get into the research.
The first one today is called “Acupuncture for the Treatment of Diarrhea-Predominant Irritable Bowel Syndrome” by Ling-Yu Qi, MM; Jing-Wen Yang, PhD; Shi-Yan Yan, PhD and published in JAMA Network Open on December 29, 2022. Dayum. That’s hot.
Why They Did It
To preliminarily test the feasibility of using US Food and Drug Administration (FDA)–recommended end points to evaluate the efficacy of acupuncture in the treatment of IBS.
How They Did It
- This pilot, multicenter randomized clinical trial was conducted in 4 tertiary hospitals in China from July 1, 2020, to March 31, 2021, and 14-week data collection was completed in March 2021.
- Individuals with a diagnosis of IBS with diarrhea (IBS-D) were randomized to 1 of 3 groups, including 2 acupuncture groups
What They Found
- Ninety patients were enrolled, with 30 patients in each group.
- There were substantial improvements in the primary outcomes for all groups although the difference between them was not statistically significant
- The response rates of adequate relief at week 4 were 64.3% in the specific acupoints group, 62.1% in the nonspecific acupoints group, and 55.2% in the nonspecific acupoints group
- Adverse events were reported in 2 patients (6.7%) in the specific acupoints group and 3 patients (10%) in nonspecific acupoints or nonspecific acupoints group.
Wrap It Up
In this pilot randomized clinical trial, acupuncture in both the specific acupoints and nonspecific acupoints groups showed clinically meaningful improvement in IBS with diarrhea symptoms, although there were no significant differences among the 3 groups. These findings suggest that acupuncture is feasible and safe; a larger, sufficiently powered trial is needed to accurately assess efficacy.
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.
Our last one this week is called, “Mechanisms behind the Development of Chronic Low Back Pain and Its Neurodegenerative Features” by Abdullah Mosabbir published in Molecular and Cellular Mechanisms in Neurodegenerative Diseases on 28 December 2022. Hot potato!
Why They Did It
To understand and update the current state of knowledge of the pathophysiology of back pain in educating patients as well as guiding the development of novel therapeutics.
How They Did It
Many clinicians, caregivers and researchers aim to help educate patients about their pain and try to help them live a better quality of life despite their condition. This may include using strategies such as pain neuroscience education (PNE) and cognitive behavior therapy
What They Found
A systematic review and meta-analysis demonstrated that PNE can have a significant effect in reducing pain catastrophizing as well as kinesiophobia. This is highly beneficial in pain management, as reduced catastrophic thinking can help orient a person away from their pain and towards living their life, and reduced fear helps patients to be more open to active interventions like physical therapy and exercise.
Wrap It Up
- cLBP is complex and there is no guarantee that treating its potential causes will cause the pain to go away. Therefore, rather than attempting to “cure” chronic pain, many clinicians, caretakers and researchers aim to help educate patients about their pain and try to help patients live a better quality of life, despite their condition. Understanding and updating our current state of knowledge of the pathophysiology of cLBP is important in educating patients as well as guiding the development of novel therapeutics.
- The current understanding of the source of cLBP stems from damage to the ligamentous structures of the body due to prolonged poor posture, sub-failure injury, or major trauma. These contribute to abnormal forces acting on the spine, which leads to the degeneration of intervertebral discs and joints that directly or indirectly stimulate a painful sensation.
- If these sensations persist, acute pain transitions to a chronic state that sustains the pain independent of the source of the initial damage. Once this occurs, further degeneration occurs in the spinal cord and brain, leading to peripheral sensitization, central sensitization, apoptosis of neurons and the reduction of grey matter in the brain. This ultimately can lead to cognitive impairment among cLBP patients.
Let’s get to the message. Same as it is every week.
Remember the evidence-informed brochures and posters at chiropracticforward.com.
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!
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….
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.
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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.
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