chiropractic

Vertebrogenic Pain & Fish Oil Benefit Claims

September 21, 2023 chiropracticforward Nutrition, Vertebrogenic Pain 0:19:14 0 Comments
CF 296: Vertebrogenic Pain & Fish Oil Benefit Claims Today we’re going to talk about Vertebrogenic Pain & Fish Oil 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, 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 creekstonecare@gmail.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 chiropracticforward.com
You have found yourself smack dab in the middle of Episode #296 Now if you missed last week’s episode , we talked about Two Surgeries, Two Outcomes & Cervical Artery Dissection and Spinal Manipulative Therapy. Make sure you don’t miss that info. Keep up with the class.  On the personal end of things….. Ugh, the dreaded September slowdown is upon me and the Tri-State Fair. We have a big fair here mid-to end of September every year and people literally take out small loans to take their families to this thing. Who does thtat? I don’t know. Not this family. Even if we were broke.  But, I digress. The point being that September is always a challenging month for us and this year is no exception whatsoever. But, we know it’s going to be this way and we expect it so it’s not a surprise or terribley upsetting. It just is so we do the things we gotta do to deal with it.  We take that extra time to market. I know that’s called reactive marketing but we have a constant online presence. Constant and consistent. We have email marketing and we have constant internal marketing strategies. It’s not like we only market when we’re slow.  We just have MORE time to market when it’s slow. So, we will continue to broaden our footprint this month and see the fruits of our efforts in the next couple of weeks. Time is the same for us all but are you going to waste time? OR are you going to invest time? We choose to invest it. I invest my time in all aspects of my life. You’ll rarely find me sitting idle or just laying around the house with no purpose, goals or achievement happening. Is that healthy? Who knows? But I get a lot done annd I consistently have people asking me how I seem to get so much more done than everyone else?? How do I seem to have more hours in the day compared to others? Well, because I invest time instead of waste it.  Item #1 This one is called, “Vertebrogenic Pain: A Paradigm Shift in Diagnosis and Treatment of Axial Low Back Pain” by Conger et al published in Pain Medicine in August of 2022. https://doi.org/10.1093/pm/pnac081 Why They Did It The reasons we’re looking at this one is not to promote ablasions but to get us thinking a bit about vertobrogenic low back pain, endplates, sensitization, and all kinds of other stuff.  Vertebrogenic low back pain (LBP) is a type of chronic LBP that is thought to originate from the vertebral endplates. The vertebral endplates are richly innervated by nociceptors, which are nerve endings that sense pain. When the vertebral endplates are damaged, the nociceptors can be activated, sending pain signals to the brain. The researchers say in t his paper that where we used to think that nerves would develop ingrowth into the cracks of a previously injured disc, this may not be an adequate explanation of disc pain. Specifically, they say, “Previously, it was thought that pathological neurovascular ingrowth penetrated into annular fissures, leading to increased sensitivity and nociception via the sinuvertebral nerve. However, more recent evidence appears to refute the occurrence of such neurovascular ingrowth in many cases.” I found that interesting and notable. The paper continues – Vertebral endplate damage can occur due to a variety of factors, including aging, disc degeneration, osteoarthritis, spinal injuries, and repetitive stress.  The type of pain caused by vertebral endplate damage is often described as a dull, aching pain that is localized to the lower back. It may be aggravated by sitting or standing for long periods of time, and it may also radiate into the buttocks and legs. Once vertebrogenic pain has been diagnosed, there are a number of treatment options available. These options include physical therapy, medication, injections, and surgery. The current standard of care for vertebrogenic low back pain is intraosseous basivertebral nerve ablation (BVN RFA). This procedure has been shown to be effective in reducing pain and improving function in patients with Modic changes (MC1 or MC2) on MRI.  The results of basivertebral nerve ablation appear to be durable, with improvements lasting for at least 2 to 5 years. Other treatments for vertebrogenic pain have been proposed, but there is less evidence to support their use. These treatments include extraosseous epiduroscopic basivertebral nerve ablation or bipolar RFA, intraosseous plasma rich growth factor, intraosseous injection of bioresorbable cement, and full endoscopic disc debridement surgery. Oral therapies for presumed low grade infection affecting the discovertebral complex are also controversial, but research is ongoing to determine which subpopulations of patients might benefit from this treatment. Finally, there is some evidence that paraspinal muscle quality may be associated with vertebrogenic pain, but it is not yet clear how treatments to address paraspinal muscle deficits might impact patients with this condition. Wrap It Up
  • Accumulated damage to the discovertebral complex may result in chemical and mechanical sensitization of endplate nocioceptors resulting in chronic vertebrogenic LBP.
  • Midline LBP, pain exacerbation by physical activity, sitting, and forward flexion are factors associated with treatment success after basivertebral nerve ablation 
  • In appropriately selected patients, basivertebral nerve ablation results in substantial reduction in pain and disability in the majority of those treated at 12 months, with similar long term outcomes at 5 years.
  • The presence of MC1 or MC2 is currently the best radiographic indicator of vertebrogenic pain. Outcomes after basivertebral nerve ablation are not impacted by the volume of MC, location of MC, degree of disc degeneration, or presence/size of endplate defects. Patients with MC1 vs MC2 experience similar rates of success after basivertebral nerve ablation
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. Item #2 The last one today is called, “Health Claims and Doses of Fish Oil Supplements in the US” by Assadourian, et. Al. and published in JAMA Cardiology on August 23, 2023 and dayum it’s got sizzle for shizzle.  Why They Did It One in 5 US adults older than 60 years takes fish oil supplements often for heart health despite multiple randomized clinical trials showing no data for cardiovascular benefit for supplement-range doses. Statements on the supplement labels may influence consumer beliefs about health benefits. The authors wanted to answer the questions, “What health claims are made on the labels of fish oil supplements, and what is the total daily dose of eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) in commonly available fish oil supplements? How They Did It his cross-sectional study used data from labels of on-market fish oil (and nonfish ω-3 fatty acid) supplements obtained from the National Institutes of Health Dietary Supplement Label Database. The study was conducted and data analyzed from February to June 2022. The frequency and types of health claims made on fish oil labels and the organ system referenced were evaluated.  The total daily doses of combined EPA and DHA were assessed for supplements from 16 leading manufacturers and retailers. What They Found
  • Across 2,819 unique fish oil supplements, 2082 (73.9%) made at least 1 health claim. 
  • Of these, only 399 (19.2%) used an FDA-approved qualified health claim; the rest (1683 [80.8%]) made only structure/function claims (eg, “promotes heart health”). 
  • Cardiovascular health claims were the most common (1747 [62.0%]). 
  • Across 16 leading brands/manufacturers, 255 fish oil supplements were identified. Among these, substantial variability was found in the daily dose of EPA, DHA, and total EPA+DHA. 
  • Only 24 of 255 supplements (9.4%) evaluated contained a daily dose of 2 g or more EPA+DHA.
Wrap It Up Results of this cross-sectional study suggest that the majority of fish oil supplement labels make health claims, usually in the form of structure/function claims, that imply a health benefit across a variety of organ systems despite a lack of trial data showing efficacy.  Significant heterogeneity exists in the daily dose of EPA+DHA in available supplements, leading to potential variability in safety and efficacy between supplements.  Increasing regulation of dietary supplement labeling may be needed to prevent consumer misinformation. 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
Home
Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter 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
  1. Aaron Conger, Matthew Smuck, Eeric Truumees, Jeffrey C Lotz, Michael J DePalma, Zachary L McCormick, Vertebrogenic Pain: A Paradigm Shift in Diagnosis and Treatment of Axial Low Back Pain, Pain Medicine, Volume 23, Issue Supplement_2, August 2022, Pages S63–S71, https://doi.org/10.1093/pm/pnac081
  2. Assadourian JN, Peterson ED, McDonald SA, Gupta A, Navar AM. Health Claims and Doses of Fish Oil Supplements in the US. JAMA Cardiol. Published online August 23, 2023. doi:10.1001/jamacardio.2023.2424
       
Jeff Williams - evidence-based chiropractor

Kids’ Screen Time & Physical Activity In Older Adults

September 7, 2023 chiropracticforward Elderly, Physical Activity, Screen Time 0:13:12 0 Comments

CF 294: Kids’ Screen Time & Physical Activity In Older Adults

Today we’re going to talk about Kids’ Screen Time & Physical Activity In Older Adults

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, 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 creekstonecare@gmail.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 #294

Now if you missed last week’s episode, we talked about Nerve Pain Treated Naturally & The First Provider Seen Makes A Difference. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

I just got back from a pretty incredible weekend with my wife. Our anniversary was a couple of weeks ago and her birthday was this last weekend so we kind of combined it all into a reason to have a trip. We went to Savannah, Georgia and Charleston South Carolina.

We flew out on Thursday to Savannah first. We went and saw the Savannah bananas play ball on Friday night and I just have to tell you if you don’t know anything about them just go to Facebook or TikTok. I think on TikTok they have 7.5 million followers which is more than any major league baseball team has. and they have that many followers for a reason. They are absolutely hilarious. It’s kind of like the Harlem Globetrotters of baseball.

And it wasn’t a three ring circus. It was a ten ring circus. And just a total blast from start to finish. If you get the chance, I highly recommend going to see the Savannah bananas. We did that and then kicked around Savannah for a day or so and then make the 2 1/2 hour drive over to Charleston on Saturday. Train is one of my wife’s favorite bands. Train happen to be playing in Charleston Saturday night. We were able to score some front row tickets and had a blast. They put on a really great show. And we spent the next day just kicking around Charleston on King Street. It was a great time.

Great weekend. I came back tired rather than recharged, but ready to get back into the swing of things today.

Today is a particularly exciting day because we. an intern from Parker college starting with us today. She’ll be with us through December 15. It’s always interesting to get a new intern. Are we gonna get along? Are they going to be dependable? Are they going to be fun to be around. Or are they just going to take up all your extra time?

In my experience, They are well worth it. And, anytime you get to be a positive influence on a young person, it’s time well spent. If you are not in any preceptor programs, or you don’t host any interns, I would encourage you to consider it. All right lots of stuff to do today so let’s go ahead and get into the research.

Item #1

 

The first on today is called “Screen Time at Age 1 Year and Communication and Problem-Solving Developmental Delay at 2 and 4 Years” by Takahashi,  et al and published in Jama Network and on August 21, 2023. Dayum. That’s hot.

Why They Did It

To examine the association between screen time exposure among children aged 1 year and 5 domains of developmental delay (communication, gross motor, fine motor, problem-solving, and personal and social skills) at age 2 and 4 years.

How They Did It

 

This cohort study was conducted under the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. Pregnant women at 50 obstetric clinics and hospitals in the Miyagi and Iwate prefectures in Japan were recruited into the study between July 2013 and March 2017. The information was collected prospectively, and 7097 mother-child pairs were included in the analysis. Data analysis was performed on March 20, 2023.

What They Found

  • Of the 7097 children in this study, 3674 were boys (51.8%) and 3423 were girls (48.2%).
  • With regard to screen time exposure per day, 3440 children (48.5%) had l ess than 1 hour, 2095 (29.5%) had 1 to less than 2 hours, 1272 (17.9%) had 2 to less than 4 hours, and 290 (4.1%) had 4 or more hours.

  • Children’s screen time was associated with a higher risk of developmental delay at age 2 years in the communication, fine motor, problem-solving, and personal and social skills

  • Regarding risk of developmental delay at age 4 years, associations were identified in communication and problem-solving

Wrap It Up

 

In this study, greater screen time for children aged 1 year was associated with developmental delays in communication and problem-solving at ages 2 and 4 years.

 

These findings suggest that domains of developmental delay should be considered separately in future discussions on screen time and child development.

 

 

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.

Item #2

Our last one this week is called, “Preventive Effect of an Intervention Program with Increased Physical Activity on the Development of Musculoskeletal Pain in Community-Dwelling Older Adults: A Randomized Controlled Trial” by Hirase, et. al. and published in Pain Medicine on November 2, 2022. warm potato!

Why They Did It

To examine whether compared with a program without increased physical activity, an intervention program with increased physical activity can prevent the development of musculoskeletal pain in community-dwelling older adults.

How They Did It

The exercise class consisted of weekly 60-min sessions over 24 weeks. The program to increase physical activity required the participants to record their daily step counts using pedometers.

The primary outcome was the development of musculoskeletal pain, and secondary outcomes were physical function, psychological status, cognitive function, and physical activity levels.

 

 

What They Found

Twenty-four weeks after the intervention, the intervention group had a significantly lower prevalence of musculoskeletal pain (12.8%) than the control group

A time-by-group interaction emerged for cognitive function and physical activity levels, both of which favored the intervention group.

The intervention group also showed greater improvement in psychological status 24  weeks after the intervention than the control group

Wrap It Up

The intervention program with increased physical activity prevented the development of musculoskeletal pain and improved cognitive function, physical activity levels, and psychological status more effectively than the program without increased physical activity. Our intervention program may be an effective pain prevention approach for older adults.

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

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https://player.fm/series/2291021

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https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through

TuneIn

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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

 
Jeff Williams - evidence-based chiropractor

Racial and Ethnic Disparities In Chronic Low Back Pain & Pregnancy And Cannabis Use

August 17, 2023 chiropracticforward Uncategorized 0:13:48 0 Comments

CF 291: Racial and Ethnic Disparities In Chronic Low Back Pain & Pregnancy And Cannabis Use

Today we’re going to talk about Racial and Ethnic Disparities In Chronic Low Back Pain & Pregnancy And Cannabis Use

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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This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.33-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.09-AM-150x55.jpg

 

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 creekstonecare@gmail.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 291

 

Now if you missed last week’s episode, we talked about headaches in kids, multiple myelomas, and unprovoked direct personal attacks. Make sure you don’t miss that info. Keep up with the class.

 

On the personal end of things…..

Well today is my birthday so we gonna keep it short. I remember my daughter asking me when she was about 14 or so….Hey, Dad….what do you do on your birthday? Do you actually still go to work? Yes, dear. Yes I do.

 

It’s just another day that I’m thankful for. Thankful for being alive and for my kids, my wife, my family, patients, staff and for my friends. Thanks for everyone that’s doing life with me.

 

That’s the sentimental stuff there. Outside of that, we are just living life. We got back from an Alaskan cruise the weekend before last. Please put that on your bucket list if you haven’t yet. It was amazing. We went to Anchorage, caught a 4-hour train ride down to Seward. The train ride is NOT to be missed. Our good Lord blessed us all with some amazing scenery on that train ride. Then we caught a ship and started sailing. We went to Juneau, Skagway, Sitka, Haines, Wrangell, and then finally Vancouver.

 

What an experience. A sea plane, a canoe on a glacier fed lake, and a whale watching tour rounded it all out. Just do it. Make the time.

 

The week I got back, we saw 196 patients. Holy cow that was some catching up. This week is a more laid back week so far. We shall see how it turns out but school starts back this week and things typically get fairly slow comparatively during back to school. So it’s time to ramp up marketing then, right?

 

So I’m going to get on with this so we I can take off my podcast host hat and put on my marketing hat here in the clinic.

 

Let’s do it.

 

 

 

Item #1

 

The first on today is called “Racial and Ethnic Disparities in the Incidence of High-Impact Chronic Pain Among Primary Care Patients with Acute Low Back Pain: A Cohort Study” by Eric J Roseen, DC, MSc and published in Pain Medicine on 19 December 2022. Dayum. That’s smoky.

 

 

 

Why They Did It

 

  • We assessed whether race or ethnicity was associated with the incidence of high-impact chronic low back pain (cLBP) among adults consulting a primary care provider for acute low back pain (aLBP).

 

 

How They Did It

 

  • In this secondary analysis of a prospective cohort study, patients with aLBP were identified through screening at seventy-seven primary care practices from four geographic regions.
  • Incidence of high-impact chronic low back pain was defined as the subset of patients with chronic low back pain and at least moderate disability on Oswestry Disability Index at 6 months.
  • General linear mixed models provided adjusted estimates of association between race/ethnicity and high-impact chronic low back pain.

 

 

What They Found

 

  • We identified 9,088 patients with aLBP
  • Black/Hispanic patients compared to White patients, were younger and more likely to be female, obese, have Medicaid insurance, worse disability on ODI, and were at higher risk of persistent disability on STarT Back Tool

 

  • At 6 months, more Black and Hispanic patients reported high-impact chronic low back pain compared to White patients
  • After adjusting for measured differences in socioeconomic and back-related risk factors, compared to White patients, the increased odds of high-impact chronic low back pain remained statistically significant for Black but not Hispanic patients

 

Wrap It Up

 

We observed an increased incidence of high-impact chronic low back pain among Black and Hispanic patients compared to White patients.

 

This disparity was partly explained by racial/ethnic differences in socioeconomic and back-related risk factors. Interventions that target these factors to reduce pain-related disparities should be evaluated.

 

 

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! 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.

 

 

Item #2

 

Our last one this week is called, “Prenatal cannabis exposure associated with mental disorders in children that persist into early adolescence” by Nora D. Volkow, et al, and published in National Institutes of Health Post on September 12, 2022.

 

 

Why They Did It

 

The researchers conducted this study to investigate the long-term effects of prenatal cannabis exposure on children’s attention, social behavior, and overall behavioral development as they progress into early adolescence.

 

With the increasing prevalence of cannabis use among pregnant women and the potential risks associated with it, the study aimed to provide evidence-based information that could help raise awareness and inform public health policies concerning cannabis use during pregnancy.

 

How They Did It

 

  • The study analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study, which is the largest long-term study of brain development and health in children and teenagers in the United States.
  • The ABCD Study involves tracking nearly 12,000 youth from childhood to young adulthood, regularly assessing brain structure and activity using MRI, collecting psychological, environmental, and cognitive information, as well as biological samples.

 

 

What They Found

 

  • The research findings revealed that prenatal cannabis exposure, occurring after five to six weeks of fetal development (middle of the first trimester), was associated with attention, social, and behavioral problems in children as they progressed into early adolescence (11 and 12 years of age).
  • These problems persisted beyond the initial stages of development and could potentially put the affected children at a higher risk of mental health disorders and substance use during late adolescence, a critical period of vulnerability.

 

 

Wrap It Up

 

The study supported an expanding body of research on the effects of cannabis use during pregnancy. The researchers found a clear association between prenatal cannabis exposure and adverse developmental outcomes in children.

 

As the main psychoactive substance in cannabis, delta-9-tetrahydrocannabinol (THC) was shown to cross the placenta and

potentially affect brain development.

 

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

 

Social Media Links

https://www.facebook.com/chiropracticforward/

 

Chiropractic Forward Podcast Facebook GROUP

https://www.facebook.com/groups/1938461399501889/

 

Twitter

 

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

 

 

Jeff Williams - evidence-based chiropractor

Headaches In Kids & Multiple Myeloma Research

August 10, 2023 chiropracticforward Children, Chiropractic, Headache, Multiple Myeloma 00:23:33 0 Comments

CF 290: Headaches In Kids & Multiple Myeloma Research

 

Today we’re going to talk about Headaches In Kids & Multiple Myeloma Research

 

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, 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 creekstonecare@gmail.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 #290

 

Now if you missed last week’s episode, we talked about motor control stiffening and spinal manipulation and the vertebral artery. Make sure you don’t miss that info. Keep up with the class.

 

On the personal end of things…..

Hey, hey, everyone! Welcome – we’ve got a rather interesting topic to dive into, and it’s a bit personal, I must admit.

 

You see, in the world of chiropractic, we have our colleagues we love and then we have the ones we love to gripe about. But what happens when a fellow chiropractor goes completely off the rails and starts attacking others not only professionally, but personally as well? Strap in, folks, because today we’re talking about hate and about handling professional turbulence and keeping your cool in the face of what I perceive to be a sheer craziness.

 

So, picture this – there I am one night at home, minding my own business after a long hard day at work, scrolling on Facebook when I get tagged in a post. It’s brought to my attention out of nowhere that another chiropractor that will go unnamed here, got some hurt feelings by something I said somewhere in almost 300 podcast episodes and posted a hit piece on me that was full of absolute vitriol and hate. It was disgusting. Especially from someone that wants desperately to be a leader for the profession.

 

Certainly considering that I’ve never met the dude in my life. Never shared an email exchange, text, wave, no contact in my 25 years of being in the profession. These really seemed to be some hurt feelings here. This guy decided to unleash a barrage of attacks directly on me that came out of left field because I have never, nor will I ever, attack him, or one of his sycophants, directly by name, place, or person.

 

When I have ever discussed anti-vitalism, it’s in broad terms with no names or identifying factors. That’s intentional. I think it’s important to talk about ideas and why I support them or do not support them or why the evidence supports them or does not support them. But I have never found value in the idea of going after someone by name directly. That’s rude, hateful, it doesn’t demonstrate leadership, and it’s not the way I want to handle things personally.

 

This particular person doesn’t like when someone doesn’t support his brand of chiropractic. If someone says something against it, that person, so it seems, must be destroyed. There are lots of examples in his tabloid. It’s like he woke up and thought, “You know what would be a great idea? I’d like to try ruining someone’s reputation and potentially their license because they don’t agree with me!”

 

Regardless of the work people have put into their careers. Trust me, I’m not the first nor will I be the last to suffer these attacks from this tabloid. This person is on a mission that he thinks is vital at all costs. Regardless.

Now, I’m all for spirited debates and discussions within our profession. It’s healthy, it keeps us sharp, and ultimately benefits our patients and the profession. But attacking someone personally and professionally? Come on, man! We’re supposed to be helping people live better lives and making better doctors of chiropractic, not creating chaos! I mean honestly, it’s astonishing the depths that he went on this deal.

 

I’ve had my moments of frustration, just like anyone else. But I firmly believe that the best way to handle situations like these is with grace and professionalism. Let’s face it, we’re human – emotions can run high. But when someone goes “off the rails” as I like to put it, well, that’s a whole other level of… shall we say, “interesting.”

 

So, what did I do in the face of this unprovoked direct attack? Well, I took a step back, breathed deeply, and reminded myself why I got into this field in the first place. It’s all about helping people lead healthier, happier lives. And if I let someone else’s negativity derail me, then I’m not doing justice to my calling. Then, I called my lawyer who, after reading it, simply couldn’t believe someone would have the gall to write that hit piece but then recommended I let it go for now unless I suffer a personal or professional loss.

 

Because, without one single doubt, several points made at my cost in the hit piece were taken out of context and sensationalized for shock value and to, in my opinion, do nothing more than make me look like a fool and try to discredit me at every turn and on every level. And trust me, there are plenty of our colleagues that are sycophants of this guy that will think just that and believe every word. For example, it was claimed that I advertised I was the best chiropractor in Amarillo when you cannot advertise superiority. Even included a screenshot of a video I posted. But failed to mention that the video was announcing that I was voted Best Chiropractor in Amarillo. Two years in a row as a matter of fact. An accomplishment I’m very proud of.

 

Which I am more than able to post about winning. As many times as I damn well want to post about it. That context was absent from the hit job. When things are deliberately taken out of context and sensationalized in such a manner to attack and result in a personal or professional loss…..well then…legally…..the game changes, doesn’t it?

 

Getting back to it….It’s not always easy to maintain composure when you’re faced with such attacks. But I realized that responding in kind would only perpetuate the negativity. So, I’m choosing a different path – I’ve continued to focus on my patients, on my podcast, on my leadership duties, and on improving myself and my message. I do not plan on having a tick for tat running discussion going on this. He done his damage and I suspect it’ll end right there. I certainly recommend that it does.

 

As they say, ultimately, the best revenge is success. While this unnamed individual may be busy spewing negativity and trying to destroy anyone that disagrees with his brand of chiropractic, I’m busy promoting my brand of chiropractic without the personal and direct attacks on my colleagues. It seems like the ones that want to convince others that they aren’t somehow crazy and maniacal, are always the ones out there doing the crazy things. The crazy things that just go to prove everyone’s point.

 

So, what’s the takeaway from all of this? Well, first and foremost, keep your cool when faced with attacks, whether they’re personal or professional. Do what you can to get effective counsel and rise above the chaos and stay true to yourself and your purpose. I know who I am and I know damn well what I stand for – as do any of you who listen regularly or know me personally. And, Hey….I’m a big boy. Literally and figuratively. I can take it and I suppose if you’re going to take a stance and fight for the things you believe in, you have to be ready for the punches from the trolls. I wasn’t expecting it. But I am now.

 

And secondly, let’s all remember that in the grand scheme of things, we’re here to make a positive impact on the world, not engage in hate or destroying someone personally just because we happen to not agree with them. It’s shameful, desperate, and embarrassing. Hate is going to hate and we can’t change that so we might as well get busy living and doing what we can to be a positive change and a positive force for those around us that love us and have faith in our ideas and in our leadership.

 

 

Item #1

 

The first on today is called “Potential effect modifiers for treatment with chiropractic manipulation versus sham manipulation for recurrent headaches in children aged 7–14 years: development of and results from a secondary analysis of a randomised clinical trial” by Susanne Lynge, Werner Vach, Kristina Boe Dissing & Lise Hestbaek and published in Chiropractic & Manual Therapies and on 11 July 2023. Dayum. That’s hot.

 

Why They Did It

 

A recent randomized controlled trial (RCT) investigating the effect of chiropractic manipulation in 199 children aged 7–14 years with recurrent headaches demonstrated a significant reduction of number of days with headache and a better global perceived effect (GPE) in the chiropractic manipulation group compared to a sham manipulation group. However, potential modifiers for the effectiveness of chiropractic manipulation of children with recurrent headaches have never been identified.

 

The present study is a secondary analysis of data from that RCT and will investigate potential effect modifiers for the benefit of chiropractic manipulation for children with headache.

 

How They Did It

 

Sixteen potential effect modifiers were identified from the literature and a summary index was prespecified based on clinical experience. Relevant variables were extracted from baseline questionnaires, and outcomes were obtained by means of short text messages. The modifying effect of the candidate variables was assessed by fitting interaction models to the data of the RCT. In addition, an attempt to define a new summary index was made.

 

 

What They Found

 

The prespecified index showed no modifying effect. Four single variables demonstrated a treatment effect difference of more than 1 day with headache per week between the lower and the upper end of the spectrum: intensity of headache (p = 0.122), Frequency of headache (p = 0.031), sleep duration (p = 0.243), and Socioeconomic status (p = 0.082).

 

Five variables had a treatment effect difference of more than 0.7 points on the GPE scale between the lower and the upper end of the spectrum: Frequency of headache (p = 0.056),

Sport activity (p = 0.110),

Sleep duration (p = 0.080),

History of neck pain (p = 0.011), and

 Headache in the family (0.050).

 

A new summary index could be constructed giving highest weight to History of neck pain and Headache in the family and Frequency of headache. The index suggests a difference of about 1 point in GPE between low and high values of the index.

 

 

Wrap It Up

 

Chiropractic manipulation offers a moderate benefit for a broad spectrum of children. However, it cannot be excluded that specific headache characteristics, family factors, or a history of neck pain may modify the effect. This question must be addressed in future studies.

 

 

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.

 

 

Item #2

 

Our last one this week is called, “An experimental treatment developed at Israel’s Hadassah-University Medical Center has a 90% success rate at bringing patients with multiple myeloma into remission.” by Judy Siegel-Itzkovich and published in The Jerusalem Post on MAY 29, 2023. Hot potato!

 

Why They Did It

 

The researchers and medical professionals at Hadassah-University Medical Center in Jerusalem’s Ein Kerem developed the innovative treatment for multiple myeloma cancer because it is a significant medical challenge. Multiple myeloma is the second-most common hematological disease and has long been considered incurable, with a poor life expectancy for patients. The motivation behind this research was to find a groundbreaking solution that could improve the prognosis and quality of life for patients suffering from this type of cancer.

 

How They Did It

 

The treatment is based on genetic engineering technology known as CAR-T (Chimeric Antigen Receptor T-Cell Therapy). The process involves the following steps:

 

Apheresis: Blood components are collected from the patient, and the T cells (active cells in the immune system that can fight tumors) are isolated.

 

Genetic Engineering: A genetic segment that encodes a receptor against cancer cells is added to the T cells using a virus.

 

Injection: The engineered T cells are then injected back into the patient’s body.

 

Targeting and Destruction: The engineered T cells target the tumors and destroy the cancer.

 

 

What They Found

 

According to the article, more than 90% of the 74 patients treated at Hadassah with the CAR-T therapy went into complete remission. This represents a highly successful response rate and a significant improvement in the prognosis for patients with multiple myeloma. The treatment also showed minimal side effects, making it even more promising for patients’ well-being.

 

 

Wrap It Up

 

The researchers and medical professionals at Hadassah-University Medical Center have achieved an unprecedented breakthrough in the treatment of multiple myeloma cancer using CAR-T therapy. This innovative approach, based on genetic engineering technology, has shown remarkable success in achieving complete remission for the majority of patients treated.

 

The treatment offers hope to those suffering from a disease that was once considered incurable, greatly improving their life expectancy and quality of life. Moreover, by significantly reducing the cost of the treatment, Hadassah has made it more affordable and accessible to a larger number of patients in Israel and around the world.

 

The success of this treatment could pave the way for the development of future treatments using CAR T cells for other types of cancer as well. The researchers’ efforts represent a major achievement in the field of oncology and immunotherapy, with the potential to revolutionize cancer treatment worldwide.

 

 

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

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.22-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.33-AM-150x55.jpg

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

Home

 

Social Media Links

https://www.facebook.com/chiropracticforward/

 

Chiropractic Forward Podcast Facebook GROUP

https://www.facebook.com/groups/1938461399501889/

 

Twitter

 

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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

w/ Dr. Lindsay Mumma – Excellence in Practice & Pelvic Floors. Oh How They Suck

May 25, 2023 chiropracticforward Pelvic Floor 00:57:24 0 Comments

CF 281: w/ Dr. Lindsay Mumma – Excellence in Practice & Pelvic Floors. Oh How They Suck Today we’re going to be joined by the amazing breath of fresh air called Dr. Lindsey Mumma. A force to be reckoned with, and an interview you’re going to absolutely love. 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, 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 creekstonecare@gmail.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 chiropracticforward.com

You have found yourself smack dab in the middle of Episode #281 Now if you missed last week’s episode , we talked about Catastrophizing and Proprioception. Make sure you don’t miss that info. Keep up with the class.  On the personal end of things….. I don’t want to take up a lot of time on personal happenings. I want to save as much time as I can for our force-to-be-reckoned with cool super guest. So, let’s just hop in and let me tell you all about her.  Dr. Lindsay Mumma is the owner of Triangle Chiropractic and Rehabilitation Center in Raleigh, NC,  Triangle is a multidisciplinary practice she opened in 2012 after graduating from Palmer College of Chiropractic with the Clinical Excellence Award. And I’m sure you’ll agree soon that she is indeed excellent, my friends.  She teaches for the Motion Palpation Institute and moveMentors. Her private practice focuses on rehabilitative chiropractic care across the lifespan and with a specific focus on prenatal and postpartum health.  She is a wife, mother to two boys, she’s a speaker, a life enthusiast, and author of The Trimester Series, the best-selling book Your Pelvic Floor Sucks, and the Top 50 in Health Substack publication Dr. Lindsay Mumma’s Newsletter.  So, pretty good start, right? I think I spent my first 11-12 years playing music and being crazy. Lol.  Welcome Dr. Mumma who will remain, Lindsay the rest of this podcast if that’s OK with you  The first thing I want to know is…..why chiropractic? What got you interested in the more evidence-based side of our profession rather than the more vitalistic approach many of us were taught years ago? We are going to talk about your new book specificaly but first, tell me about the Trimester Series and about your newsletter.  I saw you hanging out with Brett Winchester recently on Facebook. I guess he and some others came to your clinic and did a workshop? Let’s talk about that insance genius and the visit. So, let’s get to your latest big huge achievement. You recently published your best seller called ‘Your Pelvic Floor Sucks’ which is a genius title for lots of reasons but tell me….why is a chiropractor the best person to be addressing pelvic floor dysfunction? How long did it take you to write the book? Did you use ChatGPT to help you get it done? Are female practitioners better suited for these types of conversations with patients? What’s the hardest part about improving pelvic floor function? Do you find that these patients are more motivated than your regular Joe off the street considering the symptoms? Or are they still difficult to get to exercise? If someone reads your book, will they actually be able to make themselves better, or do they need to work with someone in person? What is on the horizon for Dr. Super Mumma? What do you have cooking up? You are my favorite witch. Lol. In Tampa at our masterrmind meeting, you let drink beer and old fashioneds all night but when I was going upstairs to go to bed I was trying to buy myself a coke zero in the lobby and you were having none of it, sister. You made me get water and then put some vitamin powder witchy concoction in it. Which actually turned out to be rather yummy so all was good but that brings us to the question.  Why are you so witchy? 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. 

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  

Jeff Williams - evidence-based chiropractor

Catastrophizing and Proprioception

May 18, 2023 chiropracticforward Catastrophizing, Proprioception 00:17:07 0 Comments

CF 280: Catastrophizing and Proprioception

Today we’re going to talk about catastrophizing and we’ll talk about proprioception in chronic low back pain patients as well.

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, 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 y  our 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 creekstonecare@gmail.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 #280   Now if you missed last week’s episode, we talked about Newer Information On Nonsurgical Spinal Decompression Make sure you don’t miss that info. Keep up with the class.  

On the personal end of things…..

Things seem to be humming along nicely around my clinic, other than still needing a good, solid, driven associate. But, it is what it is and that’s OK. The right on will come along when they’re supposed to come along. And we’ll take good care of them when they do.  

In other news, I’m still digging on BlueIQ.

I buy a lot of goofy crap and have bought goofy things and services over the years. Always trying to get that competitive advantage.   Some of the more solid investments I’ve made over the years have been ChiroUp, ReviewWave, being in Dr. Kevin Christie’s Mastermind group, and then I think BlueIQ. I think.

I’m still evaluating and using it but I think I really really like it.  

Stats right from my phone if I want them and they’re updated every hour from my EHR, well hell yes. Please and thank you. Thank you, may I have another.  

Also big in the clinic now is that we’ve been using a software called SignPresenter. Now think about it; I have an integrated clinic and that means I have a crap ton of services when you combine all providers.

Well, I got to thinking, why the hell don’t I have a TV in our lobby with all of our services being splashed across the screen and across the brains of all of the people that come through our doors?

Why am I being a dummy?   So I started a little research and came across SignPresenter and signed up muy pronto. There’s a small learning curve on the thing but I think I bout got it handled.   I’ve started making my own graphics, videos, etc, and can now showcase things on it for our lobby-dwelling folks.

Including QR codes for landing pages and more information and things like that.   I think it matters. Our front desk pro, Elexis, tells me that people will just stand in front of the TV watching it. Lol. So that’s a good thing. Can’t be bad!! I’ll let you know how that goes but early signs say that it’s a big, big win.  

OK, enough of the ramblings, let’s get ot the research.    

Item #1  

The first one today is called “Widespread Proprioceptive Acuity Impairment in Chronic Back Pain: A Cross-sectional Study” by Matthias Poesl MSc, Gabriela F. Carvalho Ph.D., Waclaw M. Adamczyk Ph.D., Beate Schüßler MSc, Michael Richter Ph.D., Kerstin Luedtke Ph.D., Tibor M. Szikszay Ph.D. and published in Science Direct on 17 March 2023. Dayum. That’s hot.  

Why They Did It  

To investigate whether proprioceptive accuracy measured with the Joint Position Sense (JPS) in patients with chronic neck and low back pain is impaired exclusively in affected areas or also in distant areas, not affected by pain.  

How They Did It  

  • Patients with chronic neck pain, patients with chronic low back pain, and age- and sex-matched asymptomatic control subjects.
  • One hundred and thirty-three patients with chronic neck and back pain were recruited.
  • Among them, 33 did not meet the inclusion and exclusion criteria or decided not to participate in the study.
  • In total, 30 patients with CLBP, 30 patients with CNP, and 30 pain-free control participants were included.
  • No significant differences were found between all 3 groups regarding sociodemographic and between both patient groups regarding disease-related characteristics.

  What They Found  

  • Both patients with chronic neck pain and patients with chronic low back pain differed significantly from asymptomatic controls in the Joint Position Sense of the cervical spine, lumbar spine and ankle joint, regardless of the painful area.
  • No difference was shown between patient groups.
  • An association of the Joint Position Sense with clinical characteristics, however, could not be shown.

 

Wrap It Up  

These results suggest widespread impairment of proprioceptive accuracy in patients with chronic and low back pain and a role for central sensorimotor processes in musculoskeletal pain conditions.    

 

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.  

 

Item #2   Our last one this week is called, “Level of pain catastrophizing determines if patients with long-standing subacromial impingement benefit from more resistance exercise: predefined secondary analyses from a pragmatic randomized controlled trial (the SExSI Trial)” by Mikkel Bek Clausen, Michael Skovdal, Thomas Graven-Nielsen, Thomas Bandholm, Karl Bang Christensen, Kristian Thorborg and published in British Journal Of Sports Medicine on March 10, 2023. Steamy stack of simmering sausage!  

Why They Did It

The primary aim was to investigate the effectiveness of adding more resistance exercise to usual care on pain mechanisms (including temporal summation, conditioned pain modulation and local pain sensitivity) and pain catastrophizing in people with subacromial impingement at 16 weeks follow-up. Second, to investigate the modifying effect of pain mechanisms and pain catastrophizing on the interventions’ effectiveness in improving shoulder strength and disability  

How They Did It

  • 200 consecutive patients were randomly allocated to usual exercise-based care or the same plus additional elastic band exercise to increase total exercise dose.

 

  • Completed add-on exercise dose was captured using an elastic band sensor. Outcome measures recorded at baseline, 5 weeks, 10 weeks and 16 (primary end point) weeks included temporal summation of pain (TSP) and conditioned pain modulation assessed at the lower leg, pressure pain threshold at the deltoid muscle (PPT-deltoid), pain catastrophizing and the Shoulder Pain and Disability Index.

  What They Found  

  • Additional elastic band exercise was not superior to usual exercise-based care in improving pain mechanisms or pain catastrophizing after 16 weeks.

 

  • Interaction analyses showed that pain catastrophizing (median split) modified the effectiveness of additional exerciseswith superior results in the additional exercise group compared with the usual care group in patients with less pain catastrophizing.

 

Wrap It Up  

Additional resistance exercise added to usual care was not superior to usual care alone in improving pain mechanisms or pain catastrophizing. Additional exercise was, however, superior in improving self-reported disability in patients with lower levels of pain catastrophizing at baseline. 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

 

Social Media Links

https://www.facebook.com/chiropracticforward/

 

Chiropractic Forward Podcast Facebook GROUP

https://www.facebook.com/groups/1938461399501889/

 

Twitter

 

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

 

 

Jeff Williams - evidence-based chiropractor

SMT and The Low Back & How Much Exercise Is Actually Needed

May 4, 2023 chiropracticforward Exercise, Low Back Pain, Spinal Manipulative Therapy 00:14:10 0 Comments

CF 278: SMT and The Low Back & How Much Exercise Is Actually Needed

 

Today we’re going to talk about SMT and The Low Back & How Much Exercise Is Actually Needed

 

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, 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 creekstonecare@gmail.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 278   Now if you missed last week’s episode, we talked about the safety of SMT in the cervical spine and we talked about Chiropractors’ beliefs around the need for x-rays. That one was surprising given the fact that it’s now 2023. Make sure you don’t miss that info. Keep up with the class.  

 

On the personal end of things…..

First thing’s first, yours truly voiced the Elvis character in a video game that just came out on Xbox and Playstation. It’s called God of Rock and the company that released it is called Modus.   If you’re a gamer and you like fighting games, go google up god of rock by Modus and see what you think. The Elvis character is named King and yep, that’s my voice. Even the grunts and groans, the punches and the taking damage. All of it. Crazy. Life. I lead, folks. Just insane but blessed too.   It’s warming up outside for most of us. At least here in the South it is. You Yankees feel free to correct me if you like. I can handle your ridicule.   It got me to thinking, with it getting warmer outside now, how does that affect your marketing efforts? Here’s what I’m thinking; what do we do more of when it warms up/

  • We do more yard work
  • Runners run more
  • Bikers bike more
  • Hikers hike
  • You’ve got Summer baseball, basketball, and whatnot.
  • Some of you will have rowing, waterskiing, and watersports. Note – that wouldn’t be Amarillo, TX just in case you’re wondering.

  The point being that your marketing might shift a bit to make sure you’re talking to the people that are out there putting their bodies under more stress than they have in the last 6 or so months.   So, go do all of the stuff. Build it this Summer  

Item #1   The first on today is called “Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis of randomized controlled trials” by Sidney M Rubinstein, Annemarie de Zoete, Marienke van Middelkoop, Willem J J Assendelft, Michiel R de Boer, Maurits W van Tulder and published in PubMed on March 13 2019.    

Why They Did It  

To assess the benefits and harms of spinal manipulative therapy (SMT) for the treatment of chronic low back pain.    

 

How They Did It  

  • Two reviewers independently selected studies, extracted data, and assessed risk of bias and quality of the evidence.
  • The effect of SMT was compared with recommended therapies, non-recommended therapies, sham (placebo) SMT, and SMT as an adjuvant therapy.
  • Main outcomes were pain and back specific functional status, examined as mean differences and standardized mean differences (SMD), respectively. Outcomes were examined at 1, 6, and 12 months. Quality of evidence was assessed using GRADE. A random effects model was used and statistical heterogeneity explored.

  What They Found  

  • 47 randomised controlled trials including a total of 9211 participants were identified, who were on average middle aged (35-60 years).

 

  • Most trials compared SMT with recommended therapies. Moderate quality evidence suggested that SMT has similar effects to other recommended therapies for short term pain relief (mean difference -3.17, 95% confidence interval -7.85 to 1.51) and a small, clinically better improvement in function (SMD -0.25, 95% confidence interval -0.41 to -0.09).

 

  • High quality evidence suggested that compared with non-recommended therapies SMT results in small, not clinically better effects for short term pain relief (mean difference -7.48, -11.50 to -3.47) and small to moderate clinically better improvement in function (SMD -0.41, -0.67 to -0.15). In general, these results were similar for the intermediate and long term outcomes as were the effects of SMT as an adjuvant therapy.

 

  • Evidence for sham SMT was low to very low quality; therefore these effects should be considered uncertain. Statistical heterogeneity could not be explained.

 

  • About half of the studies examined adverse and serious adverse events, but in most of these it was unclear how and whether these events were registered systematically. Most of the observed adverse events were musculoskeletal related, transient in nature, and of mild to moderate severity.

 

  • One study with a low risk of selection bias and powered to examine risk (n=183) found no increased risk of an adverse event (relative risk 1.24, 95% confidence interval 0.85 to 1.81) or duration of the event (1.13, 0.59 to 2.18) compared with sham SMT. In one study, the Data Safety Monitoring Board judged one serious adverse event to be possibly related to SMT.

 

Wrap It Up  

SMT produces similar effects to recommended therapies for chronic low back pain, whereas SMT seems to be better than non-recommended interventions for improvement in function in the short term. Clinicians should inform their patients of the potential risks of adverse events associated with SMT.    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.  

Item #2   Our last one this week is called, “How much exercise is needed to live longer” by Sara Berg, MS and published in American Medical Association on March 16, 2018.  

Why They Did It   To know many minutes of moderate or vigorous physical activity are needed to lower the risk of premature mortality.  

How They Did It   From two large prospective U.S. cohorts, 116,221 adults self-reported leisure-time physical activity—defined as exercise that is not done at work—through a validated questionnaire. The questionnaire was repeated up to 15 times over the course of 30 years.    

What They Found  

  • The study found that those who worked out two to four times beyond the minimum physical activity recommendations had a lower risk of death from cardiovascular disease.

 

  • Those who worked out two to four times above the moderate physical activity recommendations—about 300 to 599 minutes each week—saw the most benefit.

 

  • Participants had a 26% to 31% lower all-cause mortality while 28% to 38% had lower cardiovascular mortality. On top of that, 25% to 27% experienced lower non-cardiovascular mortality.

 

Wrap It Up   Adults who worked out two to four times more than the vigorous physical activity recommendations—about 150 to 299 minutes per week—were found to have 21% to 23% lower all-cause mortality, according to the study. They were also reported to have 27% to 33% lower cardiovascular mortality and 19% lower non-cardiovascular mortality.     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

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.22-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.33-AM-150x55.jpg

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

 

Social Media Links

https://www.facebook.com/chiropracticforward/

 

Chiropractic Forward Podcast Facebook GROUP

https://www.facebook.com/groups/1938461399501889/

 

Twitter

 

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

 

Jeff Williams - evidence-based chiropractor

Spinal Stabilization For Chronic Pain & Dry Needling

April 6, 2023 chiropracticforward Chronic Pain, Dry Needling, Spinal Instability 00:15:18 0 Comments

CF 274: Spinal Stabilization For Chronic Pain & Dry Needling

 

Today we’re going to talk about a dry needling and we talk about spinal stabilization for chronic back pain.

 

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, 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 creekstonecare@gmail.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 #274   Now if you missed last week’s episode, we talked about SMT and Fibromyalgia as well as SMT and adverse events. Make sure you don’t miss that info. Keep up with the class.  

On the personal end of things….. Today has been a little bit of a whirlwind. In fact the last month or so has been a bit of a whirlwind. I started with a new company called BlueIQ that some of you will be familiar with.   What an incredibly powerful tool! Full of functions I’ll never use but full of functions that I will use as well. I have no affiliation with them. Just sharing my experience. My colleague uses them and loves them so I thought I’d give it a try. I’m a bit of a stats nerd after all. Anyway, this thing is like $150/month.  

I don’t like my overhead getting any higher than it already is so I went and found things I could cut to make the room. That, honestly, wasn’t very hard to do. I should do more of that, by the way.   I’ve had two onboarding calls with them so far and I’m just blown away at all of the cool things it can do as far as tracking my business through implementing with my EHR so it’s up to date. Every hour it updates actually so it’s current to the hour.   I always know my stats. Right where I’m at. It sets goals for me and even has a page for team meetings where we can go over our KPIs easily and quickly.   I’m kind of blown away by them honestly.

So, super excited about BlueIQ right now.   Other than that, just trying to maintain some momentum with clinic numbers. We blew back up and have now kind of slowed again. We were back up to my comfortable 180 or so visits per week. Now, back down to about 150 or so last week.  

Just keeping an eye on that and keeping an eye on the newer front desk staff to make sure we’re booking correctly and all that good stuff. Just watching. That’s something that’s on my radar basically.   Just got back from the voice over conference in Atlanta last week and headed off to Florida at the end of this month for my quarterly Mastermind meeting with Dr. Kevin Christie and crew.   Lots of stuff happening all at once. Such is life and, since it’s a little crazy at the moment, I’mma jump right into the research so let’s do it!  

 

Item #1   The first on today is called, “Immediate Effects of Dry Needing or Manual Pressure Release of Upper Trapezius Trigger Points on Muscle Activity During the Craniocervical Flexion Test in People with Chronic Neck Pain: A Randomized Clinical Trial” by Jorge Rodríguez-Jiménez, PT, MSc and published in Pain Medicine on 18 February 2022. Dayum. That’s hot.    

Why They Did It   To compare the effects of dry needling or manual pressure release on an active trigger point in the upper trapezius on craniocervical flexion test performance, pressure pain thresholds, and cervical range of motion in chronic neck pain.    

How They Did It  

  • Subjects were randomized to receive dry needling (n = 25) or manual trigger point pressure release (n = 25) on upper trapezius active trigger points.
  • Surface electromyography from the upper trapezius, splenius capitis, sternocleidomastoid, and scalene muscles during performance of the craniocervical flexion test was assessed before and immediately after the intervention as the primary outcome. Neck pain intensity, range of motion, and pressure pain thresholds were the secondary outcomes.

    What They Found  

  • A decrease in sternocleidomastoid activity at all stages of the craniocervical flexion test (time effect, P < 0.001) was found in both groups after the interventions, with no significant between-group difference.
  • Pressure pain thresholds measured over the cervical spine and second metacarpal increased after dry needling when compared with manual trigger point pressure release (P < 0.05). Pain intensity decreased immediately after both treatments with moderate to large effect sizes, whereas cervical range of motion increased for both groups but with small effect sizes.

 

Wrap It Up  

A single session of dry needling or manual pressure release over upper trapezius active trigger points promotes limited effects on muscle performance during the craniocervical flexion test, pressure pain thresholds, and cervical range of motion in patients with chronic neck pain.   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.  

Item #2   Our last one this week is called, “Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain” by Khalid Alkhathami and published in PubMed on 1st Feburary 2023. Hot potato!  

Why They Did It   The purpose of this study was to determine the effects of spinal stabilization exercises (SSEs) on movement performance, pain intensity, and disability level in adults with chronic low back pain (CLBP).  

How They Did It  

  • Forty participants, 20 in each group, with CLBP were recruited and randomly allocated into one of two interventions: spinal stabilization exercises and general exercises (GEs).
  • All participants received their assigned intervention under supervision one to two times per week for the first four weeks and then were asked to continue their program at home for another four weeks.
  • Outcome measures were collected at baseline, two weeks, four weeks, and eight weeks, including the Functional Movement Screen (FMSTM), Numeric Pain Rating Scale (NPRS), and Modified Oswestry Low Back Pain Disability Questionnaire (OSW) scores.

  What They Found  

  • There was a significant interaction for the Functional Movement Screen  scores (p = 0.016), but not for the Numeric Pain Rating Scale and Modified Oswestry Low Back Pain Disability Questionnaire scores.
  • Post hoc analysis showed significant between-group differences between baseline and four weeks (p = 0.005) and between baseline and eight weeks (p = 0.026) favor spinal stabilization exercises over general exercises.
  • Further, the results demonstrated that all participants, regardless of group, had significant improvements in movement performance, pain intensity, and disability level over time.

 

Wrap It Up  

The results of the study favor spinal stabilization exercises over general exercises in improving movement performance for individuals with CLBP, specifically after four weeks of the supervised spinal stabilization exercises program.   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  

  • Rodríguez-Jiménez J. Immediate Effects of Dry Needing or Manual Pressure Release of Upper Trapezius Trigger Points on Muscle Activity During the Craniocervical Flexion Test in People with Chronic Neck Pain: A Randomized Clinical Trial. Pain Medicine. 2022 Feb 18:pabc018. doi: 10.1093/pm/pabc018. PMID: 34902236

 

  • Alkhathami K, Alshehre Y, Brizzolara K, Weber M, Wang-Price S. Effectiveness of Spinal Stabilization Exercises on Movement Performance in Adults with Chronic Low Back Pain. Int J Sports Phys Ther. 2023 Feb 1;18(1):169-172. doi: 10.26603/001c.68024. PMID: 36793568; PMCID: PMC9897033.

 

Jeff Williams - evidence-based chiropractor

SMT And Fibromyalgia & SMT And Adverse Events

March 30, 2023 chiropracticforward Adverse Effects, Fibromyalgia 0 Comments

CF 273: SMT And Fibromyalgia & SMT And Adverse Events

Today we’re going to talk about SMT And Fibromyalgia & SMT And Adverse Events

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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This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.09-AM-150x55.jpg

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 creekstonecare@gmail.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 #273   Now if you missed last week’s episode, we talked about Postpartum VAD and Pregnancy CAD. Make sure you don’t miss that info. Keep up with the class.  

On the personal end of things….. If you listened in on the pod last week, I mentioned I’d be heading to VOAtlanta, the nation’s largest voice over conference. I done did it and it was fun. It’s so much like chiro conferences it’s amazing. Except on a larger scale. Not that many tend to go to DC conferences. There were over 1,000 voice actors at this thing. Tons. Lots of classes, lots of teachers, lots of people. Every freaking where.   It dawned on me; every profession has its big dogs and it’s peasants. In the vo world, I’m not royalty. I’m a peasant trying to figure out how to be royalty. Lol. In the chiro world, I’m probably middle management I suppose. Definitely not a peasant but not considered royalty either.   I think it comes down to notoriety and nationally, the big dogs are just better known.

This means they made the moves, made the connections, built the network, put themselves out there, and then began reaping the rewards.   I imagine even the tiddlywinks circuit has its big dogs and its peasants. I don’t know. I just find it so interesting on some level.   I think if you want authority or notoriety, I think the base it’s built on is notoriety. Which means you have to do things that make you remarkable and…..notorious. In a positive way, of course.   That means being active in your state and national association.

That means doing something other people would be interested in. I wrote a book. I host a podcast and Facebook group. I speak and present when the opportunities arise, and I network through my Mastermind and throughout the profession.   That’s got me to upper to middle management I suppose. I’m also considering putting some courses together as well to continue helping colleagues and this profession.   What are you doing every day and every year to consistently be 10% better?   Are you networking? Or are you an introvert? Believe it or not, I’m a bit of an introvert. I’m great once I’m engaged in conversation but starting the conversation isn’t something I excel at, to be honest. But, I learned a fun little tactic from a fellow VO in Atlanta this weekend.

He said, “If you see a casting director or agent you’re really wanting to talk to but don’t know how, just compliment them. People love compliments.”   Nice jacket, those shoes are amazing, man…..what I’d give for a watch like that…..blah blah blah. You get what I’m saying. I watched him do it to a casting director. She walked by and he said “Can I just say real quick that you are just a ray of sunshine and I really enjoyed the info you shared in your session.” She ate it up! Lol.   Anyway, I don’t know where I’m going with this other than to say, if you want to be a big dog in whatever industry you are in, get to work marketing yourself and don’t wait for someone else to do it for you. Notoriety doesn’t happen on its own. You have to manifest it.   So get out there an start manifesting it everywhere.    

Item #1   The first on today is called, “Effectiveness of spinal manipulation in addition to pharmacological treatment in fibromyalgia: A blinded randomized trial” by Bugra Ince and published in National Library of Medicine on Jan 25, 2023. Dayum. That’s hot.       Why They Did It   To investigate the effectiveness of spinal manipulation in addition to pharmacological treatment in patients with fibromyalgia.     How They Did It  

  • A single-center, randomized, and placebo-controlled trial with three parallel arms SETTING: Outpatient clinics at a tertiary health care facility. Female patients aged 18-55 years receiving pharmacological treatment.
  • Spinal manipulation, sham manipulation, and control groups. Patients in the spinal manipulation group received high-velocity low-amplitude manipulation treatment twice a week for 3 weeks.
  • Patients in the sham group received an application that was very similar to the active treatment but was not expected to have any real therapeutic effect. Patients in the control group continued to receive pharmacological therapy.

            What They Found  

  • Sixty patients with a mean age of 41.7 years (SD = 8.0) were enrolled in the study. A mixed-design repeated analysis of covariance was used to test the data.
  • At 1 month after randomization, pain scores did not differ between groups. At 3 months after randomization, the spinal manipulation group had a significantly lower pain score (adjusted mean = 4.3 cm, SE: 0.4) than the control group (adjusted mean = 6.8 cm, SE: 0.4) and the sham manipulation group (adjusted mean = 5.7 cm, SE: 0.4).
  • PPT did not differ between groups at any time point. FIQR, WPI, and FSS showed some improvement 1 or 3 months after randomization in favor of the spinal manipulation group.

    Wrap It Up   Spinal manipulation used in addition to pharmacological treatment in young/middle-aged female patients with fibromyalgia could be an effective treatment for pain, disease severity, and functionality.       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.    

Item #2   Our last one this week is called, “A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy” by Eric Chun-Pu Chu and published in Scientific Reports on 23 January 2023. Hot potato!     Why They Did It  

  • This study examined the incidence and severity of adverse events (AEs) of patients receiving chiropractic spinal manipulative therapy (SMT), with the hypothesis that < 1 per 100,000 SMT sessions results in a grade ≥ 3 (severe) AE.
  • A secondary objective was to examine independent predictors of grade ≥ 3 AEs.

    How They Did It   Data originated from 30 affiliated chiropractic clinics with 38 chiropractors (New York Chiropractic & Physiotherapy Center, EC Healthcare, Hong Kong). These clinics are integrated into a larger healthcare organization, including several medical specialties and imaging and laboratory testing centers that utilize a shared medical records system.    

 

What They Found   The authors had 85% agreement of independent AE grades, with six of 39 cases having discrepant scores. All discrepant scores were either graded “1” or “2” and ultimately were resolved via mutual discussion.    

Wrap It Up  

  • This current study, which retrospectively studied a large dataset from integrated chiropractic clinics in Hong Kong, found that severe AEs potentially occurring in relation to SMT were rare, yielding an incidence of 0.21 per 100,000 SMT sessions. No AEs were identified that were life-threatening or resulted in death.
  • The sample size of 39 AEs across 960,140 SMT sessions in 54,846 patients was insufficient to identify independent predictors of severe AEs. Further research on this topic is needed, possibly via a practice-based research network which could increase the sample size and allow for such analysis.

      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

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.22-AM-150x55.jpg

This image has an empty alt attribute; its file name is Screen-Shot-2018-07-12-at-10.23.33-AM-150x55.jpg

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

 

Social Media Links

https://www.facebook.com/chiropracticforward/

 

Chiropractic Forward Podcast Facebook GROUP

https://www.facebook.com/groups/1938461399501889/

 

Twitter

 

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

 
Chu, E. C. P., Lin, L. W., Lee, Y. C., & Lin, J. C. (2023). A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy. Scientific Reports, 13(1), 2484. doi: 10.1038/s41598-022-10584-0
Jeff Williams - evidence-based chiropractor

Outdoor Play, Screentime, And The Impact Of Exercise

March 15, 2023 chiropracticforward Uncategorized 00:19:04 0 Comments

CF 271: Outdoor Play, Screentime, And The Impact Of Exercise

Today we’re going to talk about outdoor play, screen time, and the impact of exercise.

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, 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 creekstonecare@gmail.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 #271   Now if you missed last week’s episode, we talked about Spinal Manipulative Therapy Adverse Events & SMT With Lumbar Herniation. Make sure you don’t miss that info. Keep up with the class.  

On the personal end of things…..

Things are still back on the growth pattern here at my clinic, we are on the right path.   Part of what I’ve tried to do here at 50 years old, is to start trying to diversify in a way that I can begin to remove myself gradually from my practice.   I started removing my face from marketing years ago when I read a Dan Kennedy book where he said, how can you sell something that is tied up only in you, your image, and only your abilities to perform the function? Made a lot of sense to me.  

I wanted my clinic to be more of a brand that stands on its own rather than something that depends solely on my full time involvement. So that was step one. Now, to be clear, our social media marketers think I have to be involved so I am but, as soon as we get an associate in place, they will be the majority of the presence.   Step 2 has been to be able to replace my income if the bottom were to completely fall out of the deal. Belly up.

Kablam….here’s a nuclear COVID bomb coming to destroy my practice.

Would I survive financially??

Well, we know from COVID that I would survive. I’d be unhappy but I’d make it. But what if I gradually start turning more and more of my patients over to an associate and then a second associate? Well, through real estate investing, through voice over (which is going gang busters), through Board Certifications giving me other opportunities in the medicolegal and speaking realms, and…..if I’m honest, I can make a gob of cash playing the guitar and singing if I wanted to….then lets look at it. I could bail out completely today if I wanted and voice over by itself has almost replaced my salary and the rest is gravy on the top.  

Also on the horizon, I have an opportunity, under the right conditions, to sell 60% of my practice to an investment group and that would set us up for retirement and for success riding into the sunset.   So, steps 1 and 2 are firmly in place. Now step 3.   I need an associate, then I need another once DC 1 is up and running and full. With 2 in place, I begin to work on the clinic instead of in it and that’s exciting. But I have to find one that will come to Amarillo and love it like I love it. Love the people. Love our staff and love our clinic.   We’ll see. I’m on the hunt.   Just some thoughts about what’s going on in my corner of the world. It’s been interesting and I expect it will only get more and more interesting in the very near future.    

Item #1 The first on today is called, “Outdoor Play as a Mitigating Factor in the Association Between Screen Time for Young Children and Neurodevelopmental Outcomes” by Mika Sugiyama and published in Jamapediatrics on January 23, 2023. Dayum. That’s hot. Why They Did It To investigate whether higher screen time at age 2 years is associated with neurodevelopmental outcomes at age 4 years and whether this association is mediated by frequency of outdoor play at age 2 years 8 months.  

How They Did It Standardized scores for communication, daily living skills, and socialization domains of the Vineland Adaptive Behavior Scale, second edition, at age 4 years were used (mean [SD], 100 [15]). The mediating factor was frequency of outdoor play at age 2 years 8 months, with 6 or 7 days per week coded as frequent outdoor play.  

What They Found

  • Of 885 participants, 445 children (50%) were female; mean (SD) screen time per day was 2.6 (2.0) hours.
  • Causal mediation analyses revealed that higher screen time at age 2 years was associated with lower scores in communication at age 4 years (non-standardized coefficient b = −2.32; 95% CI, −4.03 to −0.60), but the association was not mediated by frequency of outdoor play.
  • Higher screen time was also associated with lower scores in daily living skills (b = −1.76; 95% CI, −3.21 to −0.31); 18% of this association was mediated by frequency of outdoor play. Frequency of outdoor play was associated with socialization (b = 2.73; 95% CI, 1.06 to 4.39), whereas higher screen time was not (b = −1.34; 95% CI, −3.05 to 0.36).

  Wrap It Up

  • Higher screen time at age 2 years was directly associated with poorer communication at age 4 years.
  • It was also associated with daily living skills, but frequency of outdoor play at age 2 years 8 months alleviated it, suggesting outdoor play mitigated the association between higher screen time and suboptimal neurodevelopment.
  • Future research should specify the nature of the associations and intervention measures, enabling targeted interventions that reduce the potential risk in screen time.

  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.  

Item #2

Our last one this week is called, “Massive study uncovers how much exercise is needed to live longer” by Sara Berg, MS and published in American Medical Association on October 26, 2022. Hot potato!  

Why They Did It

They author wanted to know how many minutes of moderate or vigorous physical activity are needed to lower the risk of premature mortality?  

How They Did It

From two large prospective U.S. cohorts, 116,221 adults self-reported leisure-time physical activity—defined as exercise that is not done at work—through a validated questionnaire. The questionnaire was repeated up to 15 times over the course of 30 years.  

What They Found

  • The study found that those who worked out two to four times beyond the minimum physical activity recommendations had a lower risk of death from cardiovascular disease.
  • Those who worked out two to four times above the moderate physical activity recommendations—about 300 to 599 minutes each week—saw the most benefit.
  • Participants had a 26% to 31% lower all-cause mortality while 28% to 38% had lower cardiovascular mortality. On top of that, 25% to 27% experienced lower non-cardiovascular mortality.
  • Additionally, adults who worked out two to four times more than the vigorous physical activity recommendations—about 150 to 299 minutes per week—were found to have 21% to 23% lower all-cause mortality, according to the study. They were also reported to have 27% to 33% lower cardiovascular mortality and 19% lower non-cardiovascular mortality.

 

Wrap It Up

This study suggests there is no harmful effect of high, long-term vigorous physical activity on cardiovascular health. More studies are needed to better understand the effects of high amounts of vigorous physical activity on cardiovascular outcomes and to identify the optimal amount and intensity of long-term exercise for health benefits.   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

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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