Jeff Williams - evidence-based chiropractor

Outdoor Play, Screentime, And The Impact Of Exercise

March 15, 2023 chiropracticforward 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

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

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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!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots.

When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few.

It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient.

And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point:

At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints….

That’s Chiropractic!

Contact

Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes.

Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.

We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect

We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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About the Author & Host

Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger

Spinal Manipulative Therapy Adverse Events & SMT With Lumbar Herniation

March 9, 2023 chiropracticforward 00:18:04 1 Comment

CF 270: Spinal Manipulative Therapy Adverse Events & SMT With Lumbar Herniation

Today we’re going to talk about Spinal Manipulative Therapy Adverse Events & SMT With Lumbar Herniation

But first, here’s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at 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 270 Now if you missed last week’s episode , we talked about Children, Activity, and Depression and Axially Loaded MRIs. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Isn’t it weird? You have one group of staff for an amount of time, they all leave, then you are forced to replace them all at once basically…..then you get so busy that your cup runneth over? For the last 6 months I’ve been running on maybe 30-35 appointments on a Friday and 130 for the whole week. Which is abysmal for me. I have a large machine to keep running and those numbers are just barely enough. Now, we have 52 on my schedule today, which is a Monday as I type. I’ve got 153 for the week but I’m typing at 10am on Monday morning so none of Monday’s patients have been set up for Wednesday or Friday appointments. We ended up last week at 175 appointments.

The point is not to brag but to demonstrate. You can do everything you can think of up to and including banging your head against the wall…and get nowhere if you have a staff that is not fully supporting the mission of not only getting patients better but ALSO growing your clinic. You can meet with them, you can encourage them, you can show them the way to bonuses and extra pay, you can treat them like family, and all of the other stuff we do for our teams. But if they’re not growth minded hustlers, they work against you. And I use hustlers in a complimentary context. A go-getter. Someone with drive. Someone that gets it and has some hustle.

That’s a hustler to me.

Don’t get me wrong here. Except for one of them, I absolutely love those girls. I would still do anything for them. No sweeter and no more caring people ever existed. You can have the most loving and caring people on the planet in place and still not be growth minded. The best people on the planet can still fall into ruts and get stuck in the daily grind. My old team fell into bad habits that did not support growth. They were all besties. They all quit at the same time and we were forced to start completely over almost from scratch. And what seemed like a complete and utter disaster has become one of the greatest comeback stories of my career.

We’ve done some other things as well. We started with a social media company. I’ve never done that before. We hired Darcy Sullivan with Propel for our website SEO to get that back up to snuff. We know Google is the biggest driver of new patients so it makes sense to spend the money to make sure it’s on par.

But the biggest game changer has been our new staff. Hands down. I tell you this for one reason only. If you’re down, here’s what you do and probably the order you should do it in:

Take a long, hard, and very honest look at yourself and your habits. Are you doing the things you need to be doing to grow and to be successful? Are you paying attention to customer service and putting that #1? Are you properly training your staff and properly motivating them? It starts at the top so make sure you have a tight ship before you go looking anywhere else.
Look at your marketing. Have you slacked on your internal and external marketing? If so, get those gaps filled.
Website SEO – make sure it’s where it should be
Pay very close attention to your staff. Their habits between patients. Their interactions with patients. The conversations they have with your patients on the way to therapy or rehab. Start phasing out the ones that do not fully support your mission and your clinic’s growth.

That’s the advice you’re getting this week from your Ol’ Uncle Jeffro. Hopefully I dropped some good solid knowledge nuggets on some of you. Take it or leave it but that’s the way I see it at the moment and it’s based on the school of hard knocks over the last 6 months. And, by the way and as a side note, isn’t it interesting that at 50 years old and in practice 25 years, we still learn lessons like this? Damnit. Alright, here we go with this week’s research.

Item #1

The first one today 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. Dayum. That’s hot. 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 spinal manipulative therapy sessions results in a severe AE.

How They Did It

This study adhered to the Open Science Framework. The Ethics Committee of the Chiropractic Doctors Association of Hong Kong approved the study which included a waiver of patient consent.

All methods were performed in accordance with the relevant guidelines and regulations.

The current study was a retrospective database analysis of a complaints log including adverse events from January 1, 2017, through August 31, 2022.

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.

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, “Effects of Lumbar Manipulation Spinal in Patients with Pain Caused by a Lumbar Disc Herniation: A Systematic Review” by Guillermo Cano-Escalera and published in Indian Journal of Physiotherapy and Occupational Therapy on 2023-01-16. Hot potato! Why They Did It Herniated discs usually present with pain accompanied with paresthesia and loss of muscle strength, causing limitations in the activities of daily life. Among the therapeutic strategies aimed at obtaining an improvement in the symptomatology, highlights the Osteopathic manipulation.

How They Did It

11 computerized databases were consulted.
Only randomized controlled clinical trials were included.
The tool for assessing the risk of bias was the one proposed by Cochrane.

What They Found

A total of 3 randomized controlled clinical trials were selected and considered low risk of bias.
The results showed an improvement in all the variables measured in the experimental group of osteopathic manipulation.
However, the improvement was greater in the study group that underwent surgery.

Wrap It Up

Lumbar manipulation spinal is an effective technique to improve the symptomatology of pain originating from a herniated lumbar disc.
None of the participants had adverse reactions and their outcome improved significantly in the short and long term.

Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point:

At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact

Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect

We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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

Cano-Escalera, G. “Effects of Lumbar Manipulation Spinal in Patients with Pain Caused by a Lumbar Disc Herniation: A Systematic Review.” Indian Journal of Physiotherapy & Occupational Therapy Print- (ISSN 0973-5666) and Electronic –(ISSN 0973-5674) 17(1).
Chu, E. C., Trager, R.J., Lee, L.YK (2023). “A retrospective analysis of the incidence of severe adverse events among recipients of chiropractic spinal manipulative therapy.” Sci Rep 13: 1254.

Pain Reprocessing Therapy & Meditation-Based Therapy For Chronic Pain

February 16, 2023 chiropracticforward 00:16:13 0 Comments

CF 267: Pain Reprocessing Therapy & Meditation-Based Therapy For Chronic Pain

Today we’re going to talk about Pain Reprocessing Therapy & Meditation-Based Therapy For Chronic 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!

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 #267 Now if you missed last week’s episode, we talked about Risk/Reward For Low Back Pain Treatments & Chiropractors In An Interprofessional Practice Setting. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Alright, my life is starting to stabilize a bit, me thinks. Which you’re all going to enjoy because I’ve spent a few months complaining about my numbers being down. I think that’s starting to take care of itself. I’ve told you my tiger of a wife jumped into attack mode when we lost 3 out of our 4 employees. Not only did she cover the front desk, she dove into all of the financials like she hasn’t done in a coupld of years and found all kinds of stuff that needed attention. That girl’s has been pulling 12-14 hour days for over two weeks now and…..thank goodness…..the new front desk staffer started today!! So the wifey has to get her trained up and, now that she knows what wasn’t getting attention, she’ll move to that part of the practice and it’s about to be amazing.

My point being, everything happens for a reason. Sometimes when the house gets cleaned, even when unintentional, it’s a good thing. Lots of things have come to light. Lots of things not known or realized have a spotlight on them. We have fresh energy, fresh eyes, and are able to re-establish our culture, intention, and vibe. I didn’t share fully with this audience how dire things really were for us but, in short, we lost 3 of our 4 full timers within a two week time span and the last one that quit didn’t give us a two-week notice so that was particularly tough. I found out she was quitting on a Friday and Monday morning, I had 50 patients set up. Wow. Not only that but the one remaining full timer we had had only been with us for about 3 months and was still getting her feet wet. Absolute insanity. I’ve never been stuck like that before.

To say that this was an ass-puckering experience is to understate the freak out. But again, having a wife as a secret weapon was the gamechanger. Get your spouse or partner trained and up to speed in case of emergency. Please. It saved us. But, let’s say you don’t have that luxury. OK, it’ll be tougher if it ever happens to you. However, it’ll still be for the best. My clinic is getting back to being busy because those three were besties and they had subconsciously checked out. I’d never ever think that at least two of them would ever hurt us intentionally. But, when you start turning your attention to another job opportunity, your current obligations are going to suffer. It’s just a fact. Anyway, upward and onward. This has been difficult here and there but, overall, not as bad as expected and now that we are on the other side of the tunnel, it was worth it. If something similar happens to you, be grateful for the message and the experience and get to work. The sun will shine again.

Item #1

The first on today is called, “Effect of Pain Reprocessing Therapy vs Placebo and Usual Care for Patients With Chronic Back Pain” by Yoni K. Ashar, PhD and published in JAMA Psychiatry on September 29, 2021. Dayum. That’s hot. Why They Did It To test whether a psychological treatment (pain reprocessing therapy [PRT]) aiming to shift patients’ beliefs about the causes and threat value of pain provides substantial and durable pain relief from primary CBP and to investigate treatment mechanisms.

How They Did It

Participants randomized to PRT participated in 1 telehealth session with a physician and 8 psychological treatment sessions over 4 weeks.
Treatment aimed to help patients reconceptualize their pain as due to non-dangerous brain activity rather than peripheral tissue injury, using a combination of cognitive, somatic, and exposure-based techniques.
Participants randomized to placebo received an open-label subcutaneous saline injection in the back; participants randomized to usual care continued their routine, ongoing care.

What They Found

In this randomized clinical trial, 33 of 50 participants (66%) randomized to 4 weeks of pain reprocessing therapy were pain-free or nearly pain-free at posttreatment, compared with 10 of 51 participants (20%) randomized to placebo and 5 of 50 participants (10%) randomized to usual care, with gains largely maintained through 1-year follow-up.
Treatment effects on pain were mediated by reduced beliefs that pain indicates tissue damage, and longitudinal functional magnetic resonance imaging showed reduced prefrontal responses to evoked back pain and increased resting prefrontal-somatosensory connectivity in patients randomized to treatment relative to patients randomized to placebo or usual care.

Wrap It Up

Psychological treatment centered on changing patients’ beliefs about the causes and threat value of pain may provide substantial and durable pain relief for people with CBP.

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, “Meditation-Based Therapy for Chronic Low Back Pain Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials” by Ting-Han Lin, MD and published in Pain Medicine on 10, October 2022. Hot potato!

Why They Did It

They wanted to know the applicability of meditation-based therapies for CLBP management. Meditation-based therapies constitute an alternative treatment with high potential for widespread availability.

How They Did It

They performed a systematic review and meta-analysis of randomized controlled trials to evaluate the efficacy of meditation-based therapies for CLBP management.
The primary outcomes were pain intensity, quality of life, and pain-related disability; the secondary outcomes were the experienced distress or anxiety and pain bothersomeness in the patients.
The PubMed, Embase, and Cochrane databases were searched for studies published from the databases’ inception dates until July 2021, without language restrictions.

What They Found

We reviewed 12 randomized controlled trials with 1,153 patients. In 10 trials, meditation-based therapies significantly reduced the CLBP pain intensity compared with nonmeditation therapies (standardized mean difference [SMD] −0.27, 95% confidence interval [CI] = −0.43 to −0.12, P = 0.0006).
In seven trials, meditation-based therapies also significantly reduced CLBP bothersomeness compared with nonmeditation therapies (SMD −0.21, 95% CI = −0.34 to −0.08, P = 0.002). In three trials, meditation-based therapies significantly improved patient quality of life compared with nonmeditation therapies (SMD 0.27, 95% CI = 0.17 to 0.37, P < 0.00001).

Wrap It Up

In conclusion, meditation-based therapies constitute a safe and effective alternative approach to CLBP management. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point:

At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact

Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect

We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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

Ashar YK, G. A., Schubiner H, (2022). “Effect of Pain Reprocessing Therapy vs Placebo and Usual Care for Patients With Chronic Back Pain: A Randomized Clinical Trial.” JAMA Psychiatry 79(1): 13-23.
Ting-Han Lin, M., Ka-Wai Tam, PhD,, Yu-Ling Yang, PT, Tsan-Hon Liou, PhD, Tzu-Herng Hsu, MD, Chi-Lun Rau, PhD, (2022). “Meditation-Based Therapy for Chronic Low Back Pain Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Pain Medicine 23(10): 1800-1811.

Early Diagnosis Of Spondylolysis and Clinical Guides For Low Back Pain

January 30, 2023 chiropracticforward 00:19:16 0 Comments

CF 264: Early Diagnosis Of Spondylolysis and Clinical Guides For Low Back Pain

Today we’re going to talk about potential early diagnosis of spondylolysis as well as clinical guides on low back pain treatment. But first, here’s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at 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 #264 Now if you missed last week’s episode, we talked about spinal surgery for low back pain & white rice and your heart. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Man, life is crazy. I think we’re just given what we’re supposed to have at the time we need it. I don’t really know what that means but let’s put it this way; in my personal clinic, I was overwhelmed to a point I had no idea how to keep up. September came and boom, I’ve been down 150-200 visits per month for the entire Fall.

I’m a Christian so, is it a God thing that when I’m about to pull my hair out, the bottom feels like it drops out and we take a step back?? Who knows? Not me. But Voice over has picked up. So income is steady. Not up or down. Just different sources. It’s weird. I spent this last weekend playing a singer-songwriter showcase on Saturday night here in Amarillo and then flying to Dallas and back to Amarillo on Sunday to emcee a cheer and dance competition. I got paid very well for both of them. It was outstanding.

Getting paid well for doing things you love doing is pretty refreshing. Don’t get me wrong; I love working with patients. But when it’s just you and you’ve got 190-200 appointments per week, staffing issues, billing issues, decreased reimbursements, blah blah blah….well that can take away from you job and life enjoyment. I realize I’m preaching to the choir here but you see what I mean. Still, with the clinic, it looks like it’s coming back around a little in the last 2 weeks or so. We’ll see.

I’m still working with Darcy Sullivan at Propel but still very new to the journey with her so no real wow results yet. It’s a process and I’ll keep you updated. Also this week, I’m headed to Ft. Lauderdale as part of my MCM Florida Mastermind group. It’s always a great time connecting with this group and with it being a new year, we’ve grown by about 6 or 7 members so more people to solve our problems and more people we can all learn from and, in turn, teach. I’ll let you know how Ft. Lauderdale goes and if we get into any shenanigans!

Item #1

Our first one is called “Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021”, and is a clinical practice guidelines published in the Journal of Orthopaedic and Sports Physical Therapy in October of 2021.

This one is a full blown huge article on PT recommendations for 2021. It’s always a year behind and all. So we’re going to just hit some of the interesting points that work for chiropractors too. They say that providers may use exercise training interventions, including trunk muscle strengthening and endurance and specific trunk muscle activation, to reduce pain and disability in patients with acute LBP with leg pain. For chronic pain, they say providers should use exercise training interventions, including trunk muscle strengthening and endurance, multimodal exercise interventions, specific trunk muscle activation exercise, aerobic exercise, aquatic exercise, and general exercise.

Here’s one I found particularly interesting, “Physical therapists should use thrust or nonthrust joint mobilization to reduce pain and disability in patients with acute LBP.” The hell you say! All these years PTs have been making fun of chiros. Now they’re recommending SMTs. Let’s be fair to the medical world though. They’re not making fun of movement, smt, and strengthening chiros.

They’re making fun of vitalists. And who can blame them?

They also said, “Physical therapists may use massage or soft tissue mobilization for short-term pain relief in patients with acute LBP.” Again, we’ve been doing this stuff for-ev-er. Welcome to the party PTs! You’ll never believe the recommendations for chronic low back pain, that right….” Physical therapists should use thrust or nonthrust joint mobilization to reduce pain and disability in patients with chronic LBP and with chronic pain with associated leg pain.”

They go on to add massage and soft tissue manipulation as well as dry needling and nerve flossing as well as even mechanical traction So, two things here:

If you for some reason didn’t feel validated today, feel validated. If you are evidence-informed, you are doing the right stuff and you have been forever and ever regardless of what people from the medical side have said about you over the years. Buncha freaking Chads and Karens showing their asses.
PTs are going to put you out of business because they’re doing everything we’re doing including our one thing, spinal manipulative therapy. Not only are they doing what we do, but they have more cultural authority in the medical community, they are the MDs’ first referral, and they get paid more for it all. Unless we ban together, run the garbage out of our profession, police our own, and move this profession in the direction of evidence-informed, patient-centered care models. Otherwise, bend over and kiss your ass goodbye.

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

#2 today is called, “Lateral bending differentiates early-stage spondylolysis from nonspecific low back pain in adolescents“ by Sugiura et. Al and published in Musculoskeletal Science and Practice in April of 2022 and it’s still a steamy pile of hot stuff.

Why They Did It Early-stage spondylolysis (ESS) is one of the common causes of acute low back pain (LBP) in adolescents. Although accurate diagnosis of Early-stage spondylolysisis important for providing appropriate treatment, differentiating Early-stage spondylolysis from other low back disorders is difficult by physical signs alone. They wanted to elucidate the most common characteristic, namely, motion-provoking LBP, in patients with Early-stage spondylolysis.

How They Did It

We included and categorized adolescents with acute LBP (<1 month) into the Early-stage spondylolysis and nonspecific LBP groups based on magnetic resonance imaging (MRI) findings.
Patients were evaluated using a visual analog scale (VAS), Oswestry Disability Index (ODI), and degree of pain using a numerical rating scale (NRS) provoked by hyperextension, hyperflexion, right and left rotations, and lateral bending in standing position

What They Found

The mean scores for VAS and ODI and NRS of each test were compared between groups
The Early-stage spondylolysis group had a significantly greater number of LBP cases provoked by lateral bending than the NS-LBP group.

Wrap It Up

Our results indicate that lateral bending is the greatest motion-provoking characteristic of LBP in patients with Early-stage spondylolysis.

Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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

George S, F. J., Silfies S, Schneider M, (2021). “Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021.” J Ortho Sports Phys Ther 51(11): CPG1-CPG60.
Sugiura S, A. Y., Toyooka T, Shiga T, Takato O, Ishizaki T, Omori Y, Takata A, Kiguchi Y, Tsukioka A, Okamoto Y, Matsushita Y, Inage K, Ohtori S, Nishikawa S (2022). “Lateral bending differentiates early-stage spondylolysis from nonspecific low back pain in adolescents.” Musculoskelet Sci Pract 58.

Physical and Psychological Pain & Disc Herniations And Pain

January 5, 2023 chiropracticforward 00:18:16 0 Comments

CF 262: Physical Pain and Psychological Pain & Disc Herniations And Pain

Today we’re going to talk about physical and psychological aspects of pain and we’ll talk about low back pain after disc herniations

But first, here’s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at 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 262 Now if you missed last week’s episode, we talked about The Stroke Issue – New Information. This is one of the biggest issues we as chiropractors face so I hope you’ll give it a listen. I think it’s vital. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Alright, New Year is upon us folks. Time to re-focus. Re-energize. Tap into a fresh energy. Energy that may have waned a bit. We got this! I have to say though, I’m not a resolutions guy. I don’t wait until the beginning of a New Year to decide on what I want to make better for the next year. Hell with that. I consider that stuff pretty much every week.

Diet – I work on my diet almost every single meal of every single day. I believe I’m just genetically going to always be a bit bigger. But at least I can eat as healthy as possible. It’s not all what’s on the outside but the inside as well. We know this. Just confirming it for you. Business – if you’re a frequent listener, you know I’m not goal setting once per year. It’s every week. I’m figuring, tweaking, testing, and trying to identify new business acquisition opportunities.

So that’s a good spot to talk about the Fall. Listeners know I’ve had like a COVID numbers type of Fall for some reason. Who the hell knows why I’ve been slower but it’s a fact. If my normal is 185-200 appointments per week, this Fall averaged probably about 135-140 per week. That’s around 200 visits less per month. Day-um. One word – two syllables.

I have a big machine to keep running here people. So that stings and while nobody is broke or starving, I’m not taking home what I’m accumstomed to taking home and it makes your Ol’ Uncle Jeffro more than fussy faced. Since September, I’ve had this perpetual scowl on my face. Makes me want to punt bunnies. But, what I like about a New Year is some re-freshed vigor and determination. Part of that is my work with Darcy Sullivan with Propel. I know well that Google SEO is one of the biggest drivers of new patients.

My search results have continually dropped despite writing new and original content for my blog each and every single week. That’s where Darcy rides in on her big huge powerful white horse and hopefully serves as my secret weapon to save the day!! We’re still early in the process but as I mentioned a week or so ago, we did two phone sessions to get very clear on the direction and wants and needs. That was really helpful.

After that, her team wrote articles and pages for my current site and sent it over to approve. Holy schnikies, folks. This was like 40 pages of content. I read through it all and made my edits in the Google doc so it updates on their end as well. It was a lot but very important for the messaging part of what we do and what we put out there. It helps with what we want to be known for, basically. Then last week I assigned access to my Google Business Page, my website, and some other Google platform that the name escapes me at the moment. So Darcy and team will start uploading all of the changes and tweaking all of that stuff this week. Still a process. A 6-month process. But we’re on the path and I’ll keep you updated. Alright, good talk, folks. Let’s get on with the research shall we??

Item #1 The first on today is called, “Data-driven pathway analysis of physical and psychological factors in low back pain” by Bernard X.W.Liew and published in Journal of Science Direct on 15 November 2022.Dayum. That’s hot. Why They Did It To understand the physical, activity, pain and psychological pathways contributing to low back pain (LBP) -related disability, and if these differ between subgroups. How They Did It

Data came from the baseline observations (n = 3849) of the “GLA:D Back” intervention program for long-lasting non-specific LBP. 15 variables comprising demographic, pain, psychological, physical, activity, and disability characteristics were measured.
Clustering was used for subgrouping, Bayesian networks (BN) was used for structural learning, and structural equation model (SEM) was used for statistical inference.

What They Found

Two clinical subgroups were identified with those in subgroup 1 having worse symptoms than those in subgroup 2.

Psychological factor was directly associated with disability in both subgroups.

For subgroup 1, psychological factor was most strongly associated with disability (β=0.363). Physical factors were directly associated with disability (β=-0.077), and indirectly via psychology.

For subgroup 2, pain was most strongly associated with disability (β=0.408). Psychological factor was a common predictor of physical factors (β=0.078), pain (β=0.518), activity (=−0.101), and disability (β=0.382).

Wrap It Up

The importance of psychological factor in both subgroups suggests their importance for treatment. Physical, pain, and psychological factors interact, albeit differently in different clinical subgroups, to contribute to disability, confirming the need for biopsychosocial management of LBP. 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, “Prevalence of Long-term Low Back Pain After Symptomatic Lumbar Disc Herniation” by Taylor Wong and published in the National Library of Medicine on November 10, 2022. Hot potato!

Why They Did It

They did it to determine the prevalence of chronic LBP after LDH, understand the relationship between LDH and chronic LBP, and investigate the relationship between radiological findings and postoperative pain outcomes.

How They Did It

They performed a literature review on the PubMed database via a combination medical subject heading and keyword-based approach for long-term LBP outcomes in LDH patients.

What They Found

15 studies (2019 patients) evaluated surgical and/or nonoperative outcomes of LDH patients. Regardless of surgical or nonoperative management, 46.2% of LDH patients experienced some degree of LBP long-term (range 2-27 years) as compared to a point prevalence of LBP in the general population of only 11.9%.

Wrap It Up

LDH patients are more likely to experience long-term LBP compared to the general population (46.2% vs. 11.9%). Additionally, understanding the relationship between radiological findings and pain outcomes remains a major challenge as the presence of radiological changes and the degree of LBP do not always correlate. Therefore, higher quality studies are needed to better understand the relationship between radiological findings and pain outcomes.

Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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

Bernard X.W. Liew, J. H., Marco Scutari, Alice Kongsted, (2023). “Data-driven network analysis identified subgroup-specific low back pain pathways: a cross-sectional GLA:D Back study.” J Clinical Epidemiology 153(66-77).

Wong T, P. A., Golub D, Kirnaz S, Goldberg JL, Sommer F, Schmidt FA, Nangunoori R, Hussain I, Härtl R, (2022). “Prevalence of Long-Term Low Back Pain After Symptomatic Lumbar Disc Herniation.” World Neurosurg 22: 01571-01576.

5 Year Chiropractic Forward Roundup and All Time Top Ten Episodes

December 22, 2022 chiropracticforward 00:20:15 0 Comments

CF 260: 5 Year Chiropractic Forward Roundup and All Time Top Ten Episodes

Today we’re going to talk about our 5 Year Roundup and we highlight the All Time Top Ten Episodes But first, here’s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at 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 #260 Now if you missed last week’s episode , we talked about Cervical Curvature & Lumbar MRI Findings In Asymptomatics – New Stuff. Make sure you don’t miss that info. Keep up with the class. 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.

On the personal end of things….. We’re not going to do a lot of personal stuff on this show. I want to first just thank those of you that have been listeners of this show. I probably over share sometimes about what’s going on with me or with my clinic. Because of that, those of you that are long-time listeners know a lot about me. Thanks for putting up with me and coming along on this ride with me. You’ve been with me through key staff changes and huge practice changes. You’ve been with me through adding a nurse practitioner and integrating my entire practice medically. You’ve been with me through the ‘I’m so busy I can’t keep up’ stages to the ‘I can’t figure out why I’m so slow’ stages. That’s one I’m climbing out of right now as we speak. The reason I share so much about what I’m doing or going through is

It’s cathartic. It makes me feel better to talk about it. It’s like a weekly journal and if you’re familiar with journaling, it’s helpful mentally and effective.
I know that if I’m going through it and I figure it out, then somebody else is going through it and my experience will help guide them. If you are not going through it currently, there’s a damn good chance you eventually will go through it and my experience will set you up to be able to handle it better.

So, thank you. I continue to be blessed by all of you. I’m glad you find value in what I share. I hope somewhere along the way, I have helped you to be better than you were before. That’s the daily goal for me as well as for you. We’re in it together.

Now, onto the All Time Top Ten most listened to episodes of the Chiropractic Forward podcast.

There were some surprises for me on this one. As I cover these, I’ll also leave the links to them in the show notes so you can easily go listen should you have interest.

10. Our tenth place episode is episode #114 which was titled

Ten Keys to Practice Success –

This one has been piling up the listens since February 11, 2020. Yep, right before the RONA came to town to wreak havoc. https://www.chiropracticforward.com/ten-keys-to-chiropractic-success/ I covered a wide range of the ten keys to my success and broke them down for you. Evidently, you and your buddies found value in it. And that makes me feel warm and fuzzy inside my belly.

9. Our ninth place goes to episode #189 where we were joined by the one and only Dr. Brett Winchester. One of the smartest and funniest human beings I think I’ve ever met in my life. Humble and amazing, Brett makes you proud to be a chiropractor and through Dr. Kevin Christie’s Florida Mastermind group, has become a friend of mine. One I greatly value. On the episode, Brett talked about Chiropractic Excellence, Inspiration, & Being The Best Evidence-informed Chiropractor You Can Be. It is definitely worth your time.

https://www.chiropracticforward.com/w-dr-brett-winchester-chiropractic-excellence-inspiration-being-the-best-evidence-informed-chiropractor-you-can-be/

8. Our 8th most popular episode goes to episode #139 and was called Chiropractors Affected By COVID, 2019 Opioid Overdoses, Insurance Compensation For Chiropractic. It went live on August 20, 2020 so, still in the pandemic but after a Spring and Summer of the COVID mess and we talked about some research on how it affected us as a profession, we went over fresh at the time opioid overdose info, and then we talked about how insurance companies reimburse us. You probably already know that part. You’re living it! Lol. https://www.chiropracticforward.com/chiropractors-affected-by-covid-2019-opioid-overdoses-insurance-compensation-for-chiropractic/ 7.

Coming in at #7 is episode #113 where we were joined by the current Texas Chiropractic Association President himself, the head hombre, The Illustrious Potentate from Austin, TX, Dr. William Lawson where we covered a paper he played a part in that covered new and updated guidelines on treating cervical pain. https://www.chiropracticforward.com/w-dr-william-larson-brand-new-guidelines-on-neck-pain-treatment/

6. At #6 we have episode #142. In this one, we covered treatment for nonoperative discs, we talked about supplementing Vitamin D3 for depression and what the research says, and we covered the bio psychosocial part of chronic pain. This one is my kind of episode. The bioqsychosocial aspect is something I just find to be fascinating and intriguing. I’m glad you all seemed to find it interesting as well. https://www.chiropracticforward.com/nonoperative-disc-treatment-d3-for-depression-the-biopsychosocial-part-of-chronic-pain/

5. Number 5 this year is episode #136 and it was called ‘Chiropractic’s Effect On Strength and More, Status Of Muscle Relaxers, And The Best Recovery Posture.’ This episode is a pretty standard run of the mill episode. It doesn’t have any of my real estate golden nuggets hidden within….nothing special but everyone likes it so hell yeah. I’ll take it. This one showed how to best recover your breath after exercise, how opioids are still bad, and how active-duty military personnel receiving chiropractic care exhibited improved strength and endurance, as well as reduced LBP intensity and disability, compared with a wait-list control. https://www.chiropracticforward.com/cf-136-chiropractics-effect-on-strength-and-more-status-of-muscle-relaxers-and-the-best-recovery-posture/

4. Still in the top Five since August of 2020, it’s episode #141 called “Lancet Low Back Update & movement Disorders Mean Pain” This one has been one of the top episodes since it was first released and has stayed there. This one covers an update The Lancet released. An update on the huge low back series they came out with originally around 2016/2017 if I recall correctly. We covered the original series here on the podcast toward the very beginning of Chiropractic Forward existence. https://www.chiropracticforward.com/lancet-low-back-update-movement-disorders-mean-pain/

3. Our 3rd most listened to episode is #143 called ‘New Paper: Spinal Manipulation Has No Effect On Chronic Pain – Our Experts Rebuttal’. Basically, some no so flattering research came out trying to prove that spinal manipulative therapy was basically useless. For this episode, I contacted several of our profession’s experts and we gave our own rebuttal to this paper right here on the podcast. The exact conclusion of the paper we talked about said, ““In this randomized clinical trial, neither spinal manipulation nor spinal mobilization appeared to be effective treatments for mild to moderate chronic LBP.” Well, who the hell can say that? Seriously. After all of the papers in support of SMT for chronic low back, someone’s going to pop out with that? Nope. So we talked about it and met it head on. https://www.chiropracticforward.com/new-paper-spinal-manipulation-has-no-effect-on-chronic-pain-our-experts-rebuttal/

2. Hitting number two all time is episode #140 with my buddy, Dr. Chris Howson of the Great State of North Dakota. We talked about Chiropractors In Hospitals & Drop Release. He should know because he is in a hospital-run outpatient clinic and is well-integrated in the medical community. He also invented the Drop Release so of course we talked about that and how he uses it. I use the hell out of mine now too! https://www.chiropracticforward.com/cf-140-w-dr-chris-howson-chiropractors-in-hospitals-drop-release/

Coming in this year at the Number One spot for the most listened to podcast episode in the history of this show is episode #137. In this episode I was joined by Dr. Aric Frisina-Deyo and we talked about Chiropractors In An FQHC Setting & Setting The Bar High Early On. This episode, of course, was excellent and Aric is one of the more impressive individuals you’ll ever meet in our profession. Congratulations to Dr. Frisina-Deyo on being #1.

Alright. That was fun. It’s always cool to go back and re-visit some of these episodes once a year and see what is resonating with our listeners. It’s interesting. Out of the top ten, only four of them included a guest. Also, you’d think the one with did where we were joined by Dr. Stu McGill would be in the top ten somewhere…..but not at all. Dr. McGill came in around #14 all time. We have been fortunate enough to be joined by not only Stu but Dr. William Morgan, Dr. Katie Pohlman, Dr. Christine Goertz, Dr. Tyce Hergert, Dr. Kris Anderson, Dr. Jay Greenstein, Dr. Kevin Christie and the list goes on and on and on. If you are still new to the podcast, I hope you’ll spend some time going back through some of the episodes that peak your interest.

We’ve had a good run so far and, for now, I plan to continue it as long as it’s fun and as long as you listen. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen.

Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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

w/ Dr. Anthony Houssain – Choosing the Right Location, Clinic/Gym Hybrids, & The Value Of Masterminds

December 8, 2022 chiropracticforward 0:45:30 0 Comments

CF 258 w/ Dr. Anthony Houssain – Choosing the Right Location, Clinic/Gym Hybrids, & The Value Of Masterminds Today we’re going to be joined by my good friend, Dr. Anthony Houssain and we’re going to be talking about several relevant topics that can make a difference for any chiropractor. We’re covering Choosing the Right Location, Clinic/Gym Hybrids, & The Value Of Masterminds But first, here’s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at 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 #257 Now if you missed last week’s episode , we talked about Tensile Force On Vertebral Artery During Adjustments & Exercising For Pain. Make sure you don’t miss that info. Keep up with the class. On the personal end of things….. Just got through the Thanksgiving holidays and I learned something. For the first time in 24 years, I took off the day after Thanksgiving. What I learned is that I probably want to do that every year. Wow, it was nice to have those 4 days. Here’s the thing, most people don’t really expect you to be open on that Friday anyway so it’s pretty much OK to take it off. I loved being able to just hang out and enjoy myself and my family. Not only that but I caught up on some projects that ahve been sitting for a while. I also started some new projects as well. I am diving headfirst into Gray Cook’s FMS program and we’ll see what happens. I saw Gray talk at Forward ’19 right before COVID came along and ruined the world for a little while. He’s a great speaker and lots of evidence-based folks rave about FMS and SFMA so, I’m going a step beyond my Orthopedics fellowship and adding FMS to it to see where I wind up. It can’t do anything but fill some holes in my knowledge and skills. More tools for the toolbox. Always learning, always getting better. Moving forward or falling behind. We’ll get started soon but I need to tell you about tecnobody.com if it’s in Italian, just click on the English button. Look these products are above and beyond anything else you’ll find out there and will separate your clinic from all of the rest. I own the ISO Free so I’m not talking about something I don’t know anything about. I train balance and proprioception as well as concussion evaluation and even shoulder rehab. Once you check it out and you decide you can’t do without one, email me at creekstonecare@gmail.com and I’ll get you with the dude that can hook you up one on one. Tecnobody.com I’m done talking, I want to get to it with my buddy, Dr. Anthony Houssain. If you aren’t already familiar with Dr. Houssain, I want to tell you a bit about him first. Dr. Anthony Houssain is a lifetime learner. Which is probably why we get along so well. He got is DC degree from National University of Health Sciences, achieved Diplomate status from the American Academy of Pain Management, has done over 100 hours in Chiropractic Rehabilitation from Souther California University, and is trained in McKenzie as well. Dr. Houssain is also certified in post-surgical management of the cervical and lumbar spine, ART, FMS, SFMA, Racket Fit, and Dry Needling. He’s also a former President of the North Alabama Chiropractic Society and has been a guest lecturer at UAB School of Medicine and at the UAB College of Nursing. Now that you know why he’s here, let’s get to it with Dr. Anthony Houssain.

Tell me, Anthony, how’s Huntsville, Alabama today?
Since chiropractic isn’t the typical first answer when someone is deciding what they want to be when they grow up, tell us why you chose chiropractic as your profession.
Now, you’re not originally from Alabama. Now leaving out metrics and specifics (that’s next) give us all a brief history of where you went to school, where you started out, and how you migrated down South.
Now, for providers that may be a bit younger and might can use a little advice on where to set up shop, besides your in-laws being in Huntsville, can you share a little about why you and your wife knew Huntsville was going to work out?
Share with us a bit about what your practices look like? What all do you have your fingers in right now and how did you get there?
As you just mentioned, you have entered the clinic/gym hybrid model and now that’s up and running. Tell us what gave you the idea to make that transition, what the buildout process looked like, and how it’s going so far since it got up and running.
If you could go back and start the clinic/gym process over again from the start, what would tell yourself and what would you change about how you did things the first time?
Tell us how you lead someone from simple pain relief and then transition them into functional and interested in being a part of the gym and the strengthening process. Does that take a lot of sales? Or do you have specific tools that show the patient how it all fits together and why they can benefit.
We’re in Dr. Kevin Christie’s MCM Mastermind and we’ve gotten to know each other fairly well over the last year. Have you been part of a mastermind group before this one?
Other than the weekend we just spent in Key Largo, what value have you gotten out of our current mastermind?
All masterminds are different, of course, but, in general, what do you see as being the best arguments for finding and joining a mastermind or accountability group?
Next year, our mastermind is sold out and has no open spots available but we will be visiting Ft Lauderdale, Naples, Tampa, and maybe Orlando…..maybe back to the Keys. I figure there will be some smoked Negronis on our menu along the way but other than camaraderie, what are you hoping to get out of year 2?

Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week. Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website

Home

Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by 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

Aspirin And Fall Risk & Caffeine And Child Growth

November 23, 2022 chiropracticforward 00:15:22 0 Comments

CF 256: Aspirin And Fall Risk & Caffeine And Child Growth Today we’re going to talk about Aspirin And Fall Risk & Caffeine And Child Growth But first, here’s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.

I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at 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 #256 Now if you missed last week’s episode , we talked about Nonpharmacologic Treatment In The ER & Spinal Manipulative Therapy For Non-musculoskeletal Conditions. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

As I’m typing this out, I am in a hammock on the beach at the Playa Largo resort in Key Largo. Which is in the Florida Keys. I wanted to go ahead and get this part of the episode done because I wanted the weekend and the mastermind meeting here fresh in my mind. First, if you don’t know about Dr Kevin Christie’s MCM Mastermind group, it’s 15 or so of the nation’s top chiropractors. We meet four times per year to network, learn, and problem solve. The cost, if I remember correctly, was $8k for the year not including travel and hotels. As the first year wraps up, the group has made me roughly $150,000 or more. That’s no lie. You could say that monetarily it was worth every penny.

Then professionally, I was given the opportunity to build lifelong relationships with colleague as in the profession that are too producers and earners. This weekend we learned about delegating tasks to free up our time and our energy to creat a more free and enjoyable work week. We also learned about 10x-Ing our practices and what that needs to look like to make it happens We exchanged lots of ideas on automating things. Even down to having no front desk staff if we do choose. Lots to consider and think over. This mastermind is closed for the 2023. Because it’s limited to only 25 people and 25 people are members for next year.

However, my point is, if you find a mastermind group, join. If you don’t, think about creating one yourself. The learning is incredible inside and outside of the clinics. The community you find is incredible. And let’s be honest, sometimes, it’s nice to just have someone that knows your life and has been through similar stuff listen To you and bounce back some ideas and suggestions. Alright. On to the research.

Item #1 Our first one this week is called “Daily Low-Dose Aspirin and Risk of Serious Falls and Fractures in Healthy Older People: A Substudy of the ASPREE Randomized Clinical Trial” by Barker et. al. (Barker AL 2022) and published in JAMA Internal Medicine on November 7, 2022 and it sizzles where it sits.

Why They Did It To determine if daily low-dose aspirin (100 mg) reduces the risk of fractures or serious falls (fall-related hospital presentations) in healthy older men and women.

How They Did It

It was a double-blind, randomized, placebo-controlled trial
studied older adult men and women in 16 major sites across Southeastern Australia.
The ASPREE-FRACTURE substudy was conducted as part of the Australian component of the ASPREE trial.
Between 2010 and 2014
Aged 70 years or older
Participants in the intervention group received a daily dose of oral 100 mg enteric-coated (low-dose) aspirin.
The control group received a daily identical enteric-coated placebo tablet.

What They Found

In total, 16,703 people with a median age of 74 years were recruited
9,179 (55.0%) were women.
There were 8,322 intervention participants and 8,381 control participants included in the primary and secondary outcome analysis of 2,865 fractures and 1,688 serious falls over the median follow-up of 4.6 years.
While there was no difference in the risk of first fracture between the intervention and control participants, aspirin was associated with a higher risk of serious falls.
Results remained unchanged in analyses that adjusted for covariates known to influence fracture and fall risk.

Wrap It Up

In this substudy of a randomized clinical trial, the failure of low-dose aspirin to reduce the risk of fractures while increasing the risk of serious falls adds to evidence that this agent provides little favorable benefit in a healthy, White older adult population.

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 second one is called, “Association of Maternal Caffeine Consumption During Pregnancy With Child Growth” by Gleason et. al. (Gleason JL 2022)and published in JAMA Network Open on October4 31, 2022. Bam a lama that’s some hot mama jama.

Why They Did It Question Is maternal caffeine consumption associated with child growth, and are such associations present in low-consumption groups?

How They Did It

I’m not going to bore you with the deets here because your eyes will gloss and you’ll be thinking about why you drive in parkways and park in driveways.
Let’s just say that Child z scores for body mass index, weight, and height were evaluated, as well as fat mass index and percentage and obesity risk measured at 1 time between age 4 and 8 years
In a secondary analysis of one of the cohorts, child z scores and obesity risk longitudinally through age 8 years were evaluated.

Wrap It Up

Intrauterine exposure to increasing levels of caffeine and paraxanthine, even in low amounts, was associated with shorter stature in early childhood. The clinical implication of reductions in height and weight is unclear; however, the reductions were apparent even with levels of caffeine consumption below clinically recommended guidelines of less than 200 mg per day. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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

Barker AL, M. R., Thao LTP, (2022). “Daily Low-Dose Aspirin and Risk of Serious Falls and Fractures in Healthy Older People: A Substudy of the ASPREE Randomized Clinical Trial.” JAMA Intern Med.

Gleason JL, S. R., Mitro SD, (2022). “Association of Maternal Caffeine Consumption During Pregnancy With Child Growth.” JAMA Netw Open 5(10).

Gluteal Tendinopathy – You Don’t Know What You Don’t Know

November 9, 2022 chiropracticforward 00:18:14 0 Comments

CF 254: Gluteal Tendinopathy – You Don’t Know What You Don’t Know Today we’re going to talk about Gluteal Tendinopathy – You Don’t Know What You Don’t Know But first, here’s that sweet sweet bumper music

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research.

We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at 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 #254. Now if you missed last week’s episode, we talked about Spinal Cord Stimulators vs. Placebo & we talked about Low Back pain, Chiropractic, And Opioids. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

You may have heard me talk about it a time or two but I’m really impreessed with a contraption that we have in our office. When I bought mine it was only the third purchased in Texas. Texas is a big place, folks! One had been sold to a research lab, one had been sold to a Physical Therapy outfit, and then mine. Definitely we’ve been ahead of the curve. When I have a car crash patient or a chronic pain patient, we can run the BESS test and the mCTSIB tests to test for concussion and proprioception. Not just test proprioception but train it as well. Balance training, rehab training, movement evaluation, and excellent shoulder rehab as well. It’s called the ISO Free by Tecnobody and it’s cool and it makes me different from the rest of my colleagues by giving us capabilities nobody else has. Check out these products and see what you think.

Go to https://www.tecnobody.com/en/products. Once you decide you have to have more information, email me at creekstonecare@gmail.com and I’ll hook you up with the people that can get you a deal on it. This week I’m really starting to look forward to a little trip we’ve been planning for a while. Remember, you should take a solid trip about once per quarter. It’s the only way to preserve your sanity. You have to get out of your office and spend time on your loves or risk losing your mind completely. Our trip this go around is part of Dr. Kevin Christie’s Florida Mastermind. We are all meeting in the Florida Keys. Key Largo to be specific. Which is the first Key south of the mainland.

Kevin picked this resort because my wife and I went there in February 2020. Just one month before the pandemic set in on the world. People were just starting to think seriously about masks and all of that stuff back then. It was a blast and this resort called Playa Largo was the bees knees. Massages every day, drinks poured in cored pineapples on the beach at sunset, ,dining on the beach and being served funny umbrella drinks as you lounge in the hammock reading Stu McGill’s Back Mechanic book was amazing. Check it out.

Just Google up Playa Largo and see what you find. It’ll make you consider Key Largo instead of Key West. So that’s coming up November 11-13 or somewhere around there. We’re taking my daughter with us and I believe all other Mastermind members are bringing wife and kiddos so it should be a really special time of bonding, swapping ideas, and growth. Speaking of growth, you’ve been hearing me fuss about being slow. We’re still slower than I want but it looks to be picking up a bit. Just in time to go to Key largo, right?

I have anxiety about it but I’m going and I’m not letting business worry me or stress me out. I have to compartmentalize that stuff and step away from it. Which I am.

What do you have coming up that you’re looking forward to? I talked about the Tecnobody products earlier. Are you using anything new and cool? I’d love to hear about it and check it out. I love new gadgets that get patients better! Email me at dr.williams@chiropracticforward.com and tell me all about it. Let’s hop into the research

Item #1

Let’s talk about Gluteal Tendinopathy, shall we. My friends at ChiroUp recently put out an awesome rundown of GT through their email list. Check the show notes for the link to their rundown on it at this poin in the show notes. https://chiroup.com/blog/what-is-the-most-common-cause-of-hip-pain After going through the Ortho Diplomate, GT has been on my radar and it’s amazing. Once you know to look for it, you’re going to find it EVERYWHERE!

Literally everywhere.

You just don’t know what you don’t know and I didn’t know before the Ortho Diplomate. First, Why do people get it? They say it’s from excessive tension or compression of the area. Secondly, what does it look like? GT is lateral hip pain and is tendinopathy of the glute medius or minimus. It hurts to walk but very tellingly, it hurts to lay on that side because of the compression but it also hurts to lay on the other side because we always stretch the leg over the other one so there is tension on the area. Pain on going up and down stairs for sure. One of our patients could barely get into and out of their RV and she was unhappy.

Also, there is usually significant pain on palpation of the area. You can get their attention very quickly by poking around on it. Current thinking is away from bursitis and more toward GT. If bursitis is present, it’s probably more a symptom of GT. This thinking is fresh enough that I found myself in a pissing match with an ortho surgeon about whether it’s bursitis or it’s GT.

We’re always going to have less authority than the ortho in this case so, I told the patient what the research shows and said that ultimately, the terminology doesn’t matter because it will be treated the same. That worked out fine. Try to avoid pissing matches on GT because it’s just not widely known about right now. Orthos are injecting corticosteroids into the hip joints of these GT patients and they’re stunned that it has no effectiveness. That’s because the problem isn’t in the joint. It’s in the connection on the posterior aspect of the greater trochanter. How do we test for it and treat it?

Hip Lag Sign
FaberEx
Palpation

What I do in my office is I use the Drop Release, which was invented by my friend, Dr. Chris Howson of the Great State of North Dakota, to beat it up just a little bit. I use regular SMT to make sure things are moving well. Then I recommend they do some cold laser on the insertion to work down some inflammation. We combine that with targeted rehab exercises from ChiroUp. We have also combined my side with trigger point injections from our Nurse Practitioner.

It has been an awesome combination for us here at my clinic and we are helping these people get past GT a lot faster. Recent research is showing, that PRP injections at the site show promise in helping chronic GT recover quickly as well. That’s exciting because we do PRP here at my clinic! I have the luxury of those not responding to the trigger points and my help to also try PRP now. So, let’s cover that paper briefly before wrapping up for this week’s episode. It’s called “The Effectiveness of Platelet-Rich Plasma Injections in Gluteal Tendinopathy: A Randomized, Double-Blind Controlled Trial Comparing a Single Platelet-Rich Plasma Injection With a Single Corticosteroid Injection” by Fitzpatrick et. al. (Fitzpatrick J 2018) and published in the American Journal of Sports Medicine and was published on January 2, 2018.

Why They Did It

There would be no difference in the modified Harris Hip Score (mHHS) between a single platelet-rich plasma (PRP) injection compared with a corticosteroid injection in the treatment of gluteal tendinopathy.

How They Did It

Randomized controlled trial;
There were 228 consecutive patients referred with gluteal tendinopathy who were screened to enroll 80 participants;
Participants were randomized (1:1) to receive either a blinded glucocorticoid or PRP injection intratendinously under ultrasound guidance.
A pain and functional assessment was performed using the mHHS questionnaire at 0, 2, 6, and 12 weeks and the patient acceptable symptom state (PASS) and minimal clinically important difference (MCID) at 12 weeks.
Participants had a mean age of 60 years, a ratio of female to male of 9:1, and mean duration of symptoms of >14 months.

What They Found

Pain and function showed no difference at 2 weeks or 6 weeks
The mean mHHS was significantly improved at 12 weeks in the PRP group compared with the corticosteroid group

Wrap It Up

Patients with chronic gluteal tendinopathy for greater than 4 months, diagnosed with both clinical and radiological examinations, achieved greater clinical improvement at 12 weeks when treated with a single PRP injection than those treated with a single corticosteroid injection Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference. Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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 https://traffic.libsyn.com/chiropracticforward/CF_-_Ep._254.mp3

Bibliography Fitzpatrick J, B. M., O’Donnell J, McCrory PR, Zheng MH, (2018). “The Effectiveness of Platelet-Rich Plasma Injections in Gluteal Tendinopathy: A Randomized, Double-Blind Controlled Trial Comparing a Single Platelet-Rich Plasma Injection With a Single Corticosteroid Injection.” Am J Sports Med 46(4): 9336-9939.

Night Owls Diabetes And Heart Disease & Medical Marijuana And Pain

October 13, 2022 chiropracticforward 00:20:28 0 Comments

CF 250: Night Owls Diabetes And Heart Disease & Medical Marijuana And Pain Today we’re going to talk about Night Owls Diabetes And Heart Disease & Medical Marijuana And Pain

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. 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 #250 Now if you missed last week’s episode , we talked about Vertebrogenic Pain. Time for A Thought Shift & Leisure time Physical Activity Effects On Mortality. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

As part of my post as an intern clinic for Parker, I get a new email fairly often requesting I update my profile. I will be honest, it’s a little much for a solo guy that’s busting his hump to stay above water and lives out in Amarillo. Which is an area of Texas that doesn’t have a plethora of interns and associates scrambling to get to, by the way. So, in the year and a half or two years since we got onboarded, we have only hosted one intern and he moved back home near Tulsa, OK after his graduation. I wanted to keep him here but this isn’t his home. I got an email recently that my CPR cert had to be updated to stay in the program. I feel like I just got it renewed last year but, what do I know? I’m busy.

So I decided the whole clinic could use it too. We took Tuesday off and went off-site. We met up at the CPR training place and spend an hour or two getting that re-newed. The staff actually enjoyed it; it was a bit of a teambuilding experience. We got out earlier than we expected so I took the girls to breakfast and it was another opportunity to spend time together outside of work. That was last Tuesday. Then on Saturday, we all met up in downtown Amarillo for the Walk To End Alzheimer’s so had another opportunity for a little team building outside of the job site. Good stuff and a great week. Still slower from the back-to-school slowdown but that’s the way it be. Just trying to get the marketing dialed in and make things happen to spur business back to where it needs to be. I have to mention something kind of cool in my personal life; many of you know I’m a voice-over talent on the side. It’s not just fun. It’s turned into quite an amazing thing. I’m not going to go into financial aspects but let’s say it’s been far beyond anything I ever expected.

I landed my very first video game recently! Google it up. It’s called God Of Rock by Modus and it’s coming out on Xbox and Playstation this Winter. And I cannot wait! It’s so exciting! I played an Elvis-esque character called King. He’s actually one of the main characters of the game. I connected with a group from San Francisco on Zoom and spent a little time recording phrases like Elvis would say them pretty much. It was fun and now, I’m going to have to buy 20 copies of this xbox fighting game! Lol. Anyway, something fun in my life.

I was thinking the other day; I’ve lived so many lives in this one life of mine. I swear. I was a traveling musician for over 8 years a record promoter, a radio station owner, and a venue booking agent. I am a sculptor, sketch artist, and painter. I was a college athlete. My chiropractic career. Hubby and dad. Real estate, VoiceOver….my life is often beyond insane. So, let’s dispense with the chit-chat and get on with it.

Item #1

My first one today is called, “Night owls more likely to develop diabetes, heart disease than early birds” by Study Finds (Allingham 2022) and published on September 20, 2022 bing bang boom pop freakin pow. It’s hot. This is an article more than a research layout so let’s hit the high points and summarize this bad boy. We all like to stay up late. Some of us, like myself, for example, are better at it than others. You’re talking to an ex-traveling musician. A road warrior. A freaking troubadour people. Lots of poor sleep decisions made in my past and in my current, folks. Anyway, they make a statement at the top that says night owls are more like to develop Type 2 Diabetes or heart disease than people who go to bed and wake up early.

They say that researchers have found that night owls are less active than early birds and less sensitive to insulin. I can’t answer the insulin point but I’ll tell you that I’d like to see any early bird more active than me. I’m all over the place all damn day long. I could be the exception to the rule, however. I make myself and my family crazy so I probably am.

Here’s my problem, fatty coming through!

They say that staying up late means we are worse at using fat for energy and this fat can build up in the body and contribute to the risk of disease. Meanwhile, “early birds” appear to be more reliant on fat for energy, more active in the day, and more aerobically fit. Probably true but I feel attacked. Again, I’m not having trouble fitting through the door and I don’t have to buy two airplane seats but damnit, I’m 6’4” and 280. I need to drop some baggage.

The researchers regulated their diet to make sure that was not a factor. The team used advanced imaging, and assessed body mass, body composition, insulin sensitivity, and fat and carbohydrate metabolism using breath samples of each participant’s sleep trends. Over a week, the team monitored participants to figure out their daily activity patterns. Scientists discovered early birds use more fat for energy, both when resting and during exercise. They were also more insulin sensitive.

They end the article by saying, “We also found that early birds are more physically active and have higher fitness levels than night owls who are more sedentary throughout the day. Further research is needed to examine the link between chronotype, exercise and metabolic adaptation to identify whether exercising earlier in the day has greater health benefits,” Before getting to the next one, go to https://www.tecnobody.com/en/products

That’s Tecnobody as in T-E-C no H. Tecnobody.com. They literally have the most impressive clinical equipment I’ve ever seen and that’s saying a lot because I like toys and gadgets for the clinic. 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.

Item #2

Our second one this week is called, “Effect of Medical Marijuana Card Ownership on Pain, Insomnia, and Affective Disorder Symptoms in Adults: A Randomized Clinical Trial” by Gilman et. al. (Gilman JM 2022) and published in JAMA Network Open and published on March 18, 2022 and that’s a steamy stack of stuff.

Why They Did It

Despite the legalization and widespread use of cannabis products for a variety of medical concerns in the US, there is not yet strong clinical literature to support such use. The risks and benefits of obtaining a medical marijuana card for common clinical outcomes are largely unknown.
The authors wanted to answer the question, “What are the risks and benefits of obtaining a medical marijuana card for adults who seek medical marijuana for pain, insomnia, and anxiety or depressive symptoms?”

How They Did It

Pragmatic, single-site, single-blind randomized clinical trial
Greater Boston area from July 1, 2017, to July 31, 2020.
Participants were adults aged 18 to 65 years
Chief concern was pain, insomnia, or anxiety or depressive symptoms.
Participants were randomized 2:1 to either the immediate card acquisition group (n = 105) or the delayed card acquisition group (n = 81).
The immediate card acquisition group was allowed to obtain a medical marijuana card immediately after randomization.
The delayed card acquisition group was asked to wait 12 weeks before obtaining a medical marijuana card.
All participants could choose cannabis products from a dispensary, the dose, and the frequency of use.
Participants could continue their usual medical or psychiatric care.

What They Found

A total of 186 participants
Compared with the delayed card acquisition group, the immediate card acquisition group had more cannabis use disorder symptoms; fewer self-rated insomnia symptoms; and reported no significant changes in pain severity or anxiety or depressive symptoms.
Participants in the immediate card acquisition group also had a higher incidence of cannabis use disorder during the intervention

Wrap It Up

In this RCT, ownership of a medical marijuana card led to rapid onset and increased incidence and severity of cannabis use disorder in some participants, particularly those with a chief concern of anxiety or depressive symptoms. The self-reported improvement in sleep quality warrants further study into the benefits of medical marijuana card ownership for insomnia and the risk of cannabis use disorder. There were no observed benefits of obtaining a medical marijuana card for pain, anxiety, or depressive symptoms. I know it’s not cool these days. I’m fully aware. But you can continue to keep me in the camp that is in no hurry to completely legalize another drug. Make all of your comparisons to the alcohol you want. I get it and you’re not wrong.

They tried to put the genie back in the box in the 1930s and it didn’t work. So that makes it smart to let another genie out of the bottle? No, it doesn’t. While I most definitely enjoy a drink or 10 from time to time, if we’re looking at it from a health perspective, then alcohol is a bad idea. It was a mistake on day one. Why make another when you have more and more research showing the harms and the lack of benefits?

Call me a boomer. Even though I’m Gen X. I care not. My cares were all given out some time ago.

Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

Store Remember the evidence-informed brochures and posters at chiropracticforward.com.

Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message

I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger

Bibliography

Allingham, P. (2022). “Night owls more likely to develop diabetes, heart disease than early birds.” StudyFinds
Gilman JM, S. R., Potter KW, (2022). “Effect of Medical Marijuana Card Ownership on Pain, Insomnia, and Affective Disorder Symptoms in Adults: A Randomized Clinical Trial.” JAMA Netw Open 5(3).

evidence-based chiropractic podcast

Outdoor Play, Screentime, And The Impact Of Exercise

Spinal Manipulative Therapy Adverse Events & SMT With Lumbar Herniation

CF 270: Spinal Manipulative Therapy Adverse Events & SMT With Lumbar Herniation

Pain Reprocessing Therapy & Meditation-Based Therapy For Chronic Pain

Early Diagnosis Of Spondylolysis and Clinical Guides For Low Back Pain

CF 264: Early Diagnosis Of Spondylolysis and Clinical Guides For Low Back Pain

Our first one is called “Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021”, and is a clinical practice guidelines published in the Journal of Orthopaedic and Sports Physical Therapy in October of 2021.

#2 today is called, “Lateral bending differentiates early-stage spondylolysis from nonspecific low back pain in adolescents“ by Sugiura et. Al and published in Musculoskeletal Science and Practice in April of 2022 and it’s still a steamy pile of hot stuff.

Physical and Psychological Pain & Disc Herniations And Pain

CF 262: Physical Pain and Psychological Pain & Disc Herniations And Pain

5 Year Chiropractic Forward Roundup and All Time Top Ten Episodes

w/ Dr. Anthony Houssain – Choosing the Right Location, Clinic/Gym Hybrids, & The Value Of Masterminds

Aspirin And Fall Risk & Caffeine And Child Growth

Gluteal Tendinopathy – You Don’t Know What You Don’t Know

Night Owls Diabetes And Heart Disease & Medical Marijuana And Pain

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