evidence-informed chiropractic podcast

You Are What You Eat & Screen Time For Kids

CF 236: You Are What You Eat & Screen Time For Kids Today we’re going to talk about what you eat and mental health and we’ll talk about screen time for kids.  But first, here’s that sweet sweet bumper music

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

Chiropractic evidence-based products

Integrating Chiropractors

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OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.  We’re the fun kind of research. Not the stuffy, high-brow kind of research. We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.   If you haven’t yet I have a few things you should do. 
  • Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s a great resource for patient education and for YOU. It saves you time in putting talks together or just staying current on research. It’s categorized into sections and written in a way that is easy to understand for you and patients. Just search for it on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. 
  • Then go Like our Facebook page, 
  • Join our private Facebook group, and then 
  • Review our podcast on whatever platform you’re listening to 
  • Last thing real quick, we also have an evidence-based brochure and poster store at chiropracticforward.com
You have found yourself smack dab in the middle of Episode #236 Now if you missed last week’s episode , we talked about about the inflammatory response’s protection from chronic pain, which is fascinating.. and we talked about where patients should be starting their journey for low back pain.  Make sure you don’t miss that info. Keep up with the class.  On the personal end of things….. Struggles and challenges in my personal space. See if you recognize any of my struggles in your life and clinic.  Some are so busy they can’t see straight. I have to say that the last few weeks have been a bit slow for me compared to where I normally am, numberswise. I typically will see 180+ appointments per week, 23 or so NP per week included in that number, and around 650 or so total appointments per month by myself.  Lately, it’s more like 145 or so per week.  In my mind, it’s the economy. It’s gas prices. It’s uncertainty. I keep good stats and this is just not normal for me. I didn’t make anyone in town mad. I didn’t go out and kick the mayor’s dog or anything. My name and reputation hasn’t changed. We’re good.  So why the slow down? COVID isn’t really around to take the blame this time. And, in the past, any time there’s been a slow down, it’s either back to school in August or it’s the holidays. So, outside of those factors what else is working people’s brains these days? Uncertainty. The inability to afford extras because of the price of food and gas and real estate and vehicles and everything else y ou can think of.  I cannot wait until the post-COVID wreck finally settles and life starts to click normally once again. No more excuses about inflation, gas, supply chains, price gouging, or anything else. Just normal life. I can’t wait.  In the meantime, I’m still looking for an associate. I’m a go getter. I’m a do-er. If you are too and you need a great place to work, be mentored, and maybe even buy out one of these days, email me at [email protected], I want to start a conversation with you.  Before we get ot the research,  I’ve been telling you about a system that once obtained will help you get more  PI cases.  This system was created by an attorney who exclusively handles accident cases. He got tired of lame approaches by doctors wanting his referrals, so he created this system to teach you how to get the attention and then the love of PI attorneys.  You know these cases are the GOLD of our business.  Very few no-shows, full payment … not health insurance caps or Medicare or Medicaid. Go to: http://www.gettingpicases.com/cs Over 500 doctors nationwide are now using this system…. don’t be left out…  improve your practice, gain free time because of the added income you’ll realize, and appreciate that the attorney, Paul Samakow, is still offering a 100% Money Back Guarantee …  if you give his ideas a fair shake and it doesn’t work, he’ll refund your money…  you have nothing to lose here… Go to: http://www.gettingpicases.com/cs Item #1 This first one is an article that covers a paper. The article is called “Your mental health may depend on what’s in your diet” by the staff (Staff 2021) at Study Finds. It was published in September of 2021 and that’s just steamy enough! It’s an article so here is the summary of the info within:
  • “There is increasing evidence that diet plays a major role in improving mental health, but everyone is talking about a healthy diet,” says Lina Begdache, an assistant professor of health and wellness studies and co-author of the study
  • There is not one healthy diet that will work for everyone. There is not one fix
  • Results indicated that eating breakfast daily, getting moderate exercise frequently, and keeping fast food and caffeine consumption down improved the mental health of young women. In mature women, the same applied with the addition of high consumption of fruits daily.
  • In young men, daily exercise coupled with dairy and meat consumption increased mental health, along with a low intake of fast food and caffeine. The same applied to mature men with an additional intake of nuts daily.
  • “I have found it in my multiple studies so far, that men are less likely to be affected by diet than women are. As long as they eat a slightly healthy diet they will have good mental well-being. It’s only when they consume mostly fast food that we start seeing mental distress,”
  • “Women, on the other hand, really need to be consuming a whole spectrum of healthy food and doing exercise in order to have positive mental well-being. These two things are important for mental well-being in women across age groups.”
Interesting stuff there. Food for thought…..pun intended.  See what I did there? And….you’re welcome Before getting to the next one, I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! It’s live again. Use the code HOTSTUFF upon purchase at droprelease.com to get $50 off your purchase. Y’all, it makes a world of difference. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. My patients love it and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it. Hear me now and believe me later. Item #2 The last one today is called “Association Between Screen Time Trajectory and Early Childhood Development in Children in China” by Zhao et. al. (Zhao J 2022) and published in JAMA Pediatrics on June 6, 2022. Aye yaye….muy caliente! Why They Did It Screen time has become an integral part of children’s daily lives. Nevertheless, the developmental consequences of screen exposure in young children remain unclear. The authors wanted to investigate the screen time trajectory from 6 months to 72 months of age and its association with children’s development at age 72 months in a prospective birth cohort. That’s 6 years old for those that don’t like brain math. Basically – Is early screen exposure associated with children’s cognitive, language, and social-emotional development? How They Did It
  • Women in Shanghai were recruited for this cohort study. 
  • Their children were followed up at 6, 9, 12, 18, 24, 36, 48, and 72 months of age. 
  • Children’s screen time was classified into 3 groups at age 6 months: 
  • continued low (ie, stable amount of screen time), 
  • late increasing (ie, sharp increase in screen time at age 36 months), and 
  • early increasing (ie, large amount of screen time in early stages that remained stable after age 36 months). 
  • Cognitive development was assessed by specially trained research staff in a research clinic. 
  • Of 262 eligible mother-offspring pairs, 152 dyads had complete data regarding all variables of interest and were included in the analyses. 
  • Data were analyzed from September 2019 to November 2021.
Wrap It Up The findings of this study suggest that both the duration and the onset of screen exposure matters in terms of children’s cognitive and social-emotional development. It found that excessive screen time in early years was associated with poor cognitive and social-emotional development. This finding may be helpful in encouraging awareness among parents of the importance of onset and duration of children’s screen time. Parents…..listen up. I wished I had this information when I was a young parent. I think some of the stuff we did would be 180 degrees different.    No doubt in my mind. And for those of you that don’t understand on Facebook how research like this is chiropractic, you don’t get it and probalby never will. We are a profession. Not a spinal manipulative therapy modality. We are a profession and kids mental health and development is as much a part of the health and well being of our patients as is low back pain.  Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.  Store Remember the evidence-informed brochures and posters at chiropracticforward.com.   

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

Chiropractic evidence-based products

Integrating Chiropractors

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The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health! Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic! Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes.  Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms.  We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.  Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward. Website
Home
Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger   Bibliography Staff (2021). “Your mental health may depend on what’s in your diet.” StudyFinds.   Zhao J, Y. Z., Sun X, (2022). “Association Between Screen Time Trajectory and Early Childhood Development in Children in China.” JAMA Pediatr.    

w/ Dr. Brett Winchester: Chiropractic Excellence, Inspiration, & Being The Best Evidence-informed Chiropractor You Can Be

CF 189: w/ Dr. Brett Winchester: Chiropractic Excellence, Inspiration, & Being The Best Evidence-informed Chiropractor You Can Be

Today we’re going to be joined by the illustrious potentate himself, Dr. Brett Winchester. You all are in for a real treat today folks. They say that the US Marines are the tip of the spear, well, when it comes to our profession, he’s just that. If you don’t get something out of this interview, you’re just not paying attention, my friends. Get ready for the waterfall of knowledge nuggets heading your way. But first, here’s that sweet sweet bumper music

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

Chiropractic evidence-based products

Integrating Chiropractors

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

If you haven’t yet I have a few things you should do. 

  • Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s an invaluable resource for your patient education and for you. It can save you time in putting talks together or just staying current on research. It’s categorized into sections so that the information is easy to find and it’s written in a way that is easy to understand for practitioner as well as patient. You have to check it out. Just search for it on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams. 
  • Then go Like our Facebook page, 
  • Join our private Facebook group and interact, and then 
  • go review our podcast on iTunes and other podcast platforms. 
  • We also have an evidence-based brochure and poster store at chiropracticforward.com
  • While you’re there, join our weekly email newsletter. 

You have found yourself smack dab in the middle of Episode #189 Now if you missed last week’s episode , we talked with Dr. Rob Pape of the Quadrant Analysis procedure as well as Practice Mechanics. Excellent discussion and plenty of nuggets dished out on that episode. Make sure you don’t miss that info. Keep up with the class. 

On the personal end of things…..

Trucking along with the medical integration. Nothing worth doing is easy. If it were easy, we’d all be in the middle of it. But I do think that once it’s up and running, we’re going to be doing great and getting patients well. And….maybe even free up a little of my time as well.  It’s a big time for me. Setting up relationships with medical supplies companies, with pharmacies, figuring out how our NP orders scripts through the EHR, and figuring out stuff that just has never been a part of my life. It’s interesting. All the while getting contracts signed and getting new accounts set up that I share with the medical director and getting cabinets put in the room to store the things I never needed stored.

I bought a damn autoclave and then bought a damn centrifuge, y’all. Seriously, it’s all new to me but I’m getting there.  My biggest concern is that everything is ready to roll on day one perfectly. Which means I’ve set myself up for failure. That’s because we’re definitely going to forget something. It’s just going to happen. No doubt about it. There are so many moving parts and different supplies to get that there is literally zero chance of having it all on Day One. 

But it’ll all unfold.

How’s practice going for you folks? Send me an email. I want to know how you’re all doing. I’m still hovering around about 160 or so appointments per week. That’s not much for the straights but for an evidence-based dude with therapies, exercises, and things like that, it’s quite a bit.

The joke of a chiropractor up in Oklahoma that sees like 100 patients in three hours including 9 new patients….160 wouldn’t mean much for that doctor….and I use the term loosely when I say doctor…. It takes longer than that when done properly and responsibly though, doesn’t it. Listeners of this show know that. You’re smart. You get it.  We’re not where we were pre-COVID and I’m afraid the Delta-Vid has some folks scared again and staying at the casa. I don’t blame them.

Who knows if we ever totally get the VID under control but either way, it’ll become a way of life, we’ll adapt, and things will stabilize eventually. One way or another.  That’s enough about me, Delta VID,  and the personal happenings. Our guest is too good to waste time. Let’s get to our amazing sponsor first. 

CHIROUP ADVERTISEMENT

Dr. Brett Winchester lectures throughout the world, teaching his functional approach to patient care.  Combining manual therapy, including joint manipulation and neuromuscular stabilization, with therapeutic exercise, Dr. Winchester effectively treats functional pathologies and acts as a catalyst for patients working to enhance their performance. Dr. Winchester is the founder of Winchester Spine & Sport located outside  St. Louis, Missouri.  His current appointments include:

  • Advanced biomechanics course instructor at Logan College of Chiropractic
  • Technique instructor at Logan College of Chiropractic
  • Biomechanics instructor at Maryville University
  • Instructor and board member for the Motion Palpation Institute
  • Chiropractic Rehabilitation Diplomate instructor 
  • Dynamic Neuromuscular Stabilization instructor trained by Pavel Kolar
  • Mechanical Diagnosis and Therapy (MDT) certified
  • Gestalt Performance (owner)

Dr. Winchester’s published research includes topics such as offering a multidisciplinary approach for treatment of the pregnant population and foot dysfunction. 

Various chiropractic journals have also featured Dr. Winchester for his patient-driven treatment model.  He also has authored two chapters for textbooks.   Dr. Winchester enjoys treating professional and collegiate athletes and has gained a reputation for his sports medicine background.  His expertise has placed him at the forefront of the ulnar collateral ligament rupture epidemic in professional baseball pitchers, providing insights into causation and effective treatment protocols.  + Dr. Winchester served as the chiropractor for the St. Louis Cardinals from 2014-2018 and still consults with various Major League Baseball teams.  

Still, his passion remains with diagnosing and treating the ailments of a diverse patient population with conservative-based protocols.   

Welcome to the show Dr. Winchester! It’s great to have you with us on the podcast. Thank you for joining us. 

Just briefly before we get into the meat and taters here, tell me a little about your family Everyone has the chiropractic story. Of all of the professions in the world, why are you a chiropractor?

People say they don’t know how I get all of the things done in the day that I do, reading through your bio, I can say the same about you. What does a regular day or week look like for you?

Where did you make the break from traditional philosophy-based chiropractic teaching and move firmly and confidently into the evidence, the research side of our profession?

What’s the future of chiro look like?

Why is being good at manipulation so important?

We both exist on the evidence-based spectrum of this profession.

What is your response if the more philosophy, vitalistic-based side of the profession says we are medi-practors and that practitioners like us don’t value the adjustment? 

Why do people suck at joint play?

What makes for great adjusting?

What does a multi-modal approach mean?

What is it truly like to work with a professional sports team like St. Louis Cardinals? Is it worth it? Or is it just too much?

With your involvement in Motion Palpation Institute, MDT, the rehab diplomate and all of the rest, for the docs out there looking to take the next step toward being the best, what do you think made the largest leap forward for you in terms of knowledge that led to significant positive results in your patients?

What would the colleagues that are close to you say is your best attribute?

And the worst?  

Tell everyone about the Gestalt Podcast, where does the name come from, and why they need to tune in? 

I think that about wraps up for this episode. Tell me you’ll come back sometime. 

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 so get active, get involved, and make it happen. Let’s get to the message. Same as it is every week. 

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

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

Chiropractic evidence-based products

Integrating Chiropractors

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The Message

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

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

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

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

Website https://www.chiropracticforward.com

Social Media Links https://www.facebook.com/chiropracticforward/

Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/

Twitter https://twitter.com/Chiro_Forward

YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q

iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2

Player FM Link https://player.fm/series/2291021

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

TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/

About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger      

High Impact Chronic Pain & Cannabinoids – What’s The Latest?

CF 185: High Impact Chronic Pain & Cannabinoids – What’s The Latest? Today we’re going to talk about…. But first, here’s that sweet sweet bumper music

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

https://www.amazon.com/dp/B096RST3WW

 

 

Chiropractic evidence-based products

Integrating Chiropractors

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

  • Like our Facebook page, 
  • Join our private Facebook group and interact, and then 
  • go review our podcast on iTunes and other podcast platforms. 
  • We also have an evidence-based brochure and poster store at chiropracticforward.com
  • While you’re there, join our weekly email newsletter. 

You have found yourself smack dab in the middle of Episode #185 Now if you missed last week’s episode , we talked about predicting frailty and we talked about a 30-year study on disc degeneration. Fascinating stuff as always. Make sure you don’t miss that info.  Keep up with the class. 

On the personal end of things…..

This is the season of big. Big stuff happening these days.  I have some cool stuff on the horizon in 2022 I’m looking forward to. It looks like I’ll be joining a high-level group of doctors that’ll be meeting virtually throughout the year and in-person 4 times a year to get the best, most current evidence-based guidelines and to solve each others’ biggest practice issues. More information to follow but I can’t emphasize how pumped I am to get that rolling. The worst part is that I have to wait until 2022.

But honestly, that’ll be here before we know it. If you’ve been following along lately, we are going through this Nurse Practitioner medical integration and our NP starts here in our clinic on August second.

That’s more than HUGE!

I released my first book on June 8th called ‘The Remarkable Truth About Chiropractic: A Unique Journey Into The Research’ which is live and for sale on Amazon and from my website at www.chiropracticforward.com as we speak  It’s a hell of a good reference for practitioners and content creators. It has mostly current research divided into sections for quick reference and it’s some of the most impactful and significant research you’ll find for our profession. Go get a copy. Then we have an intern coming from Parker University to hang out with us through the Fall semester. That’s a first for me. We’ll see how it goes. He seems like a great dude with a cool little family. It should be a good deal.

We also have a trip coming up to Washington DC at the end of August, the TCA. Reds me to put together an hour-long presentation on research for their Leadership Conference, and some friends just asked me to officiate their wedding vow renewal.  So, how’s your Summer going? In terms of numbers, I’m frustrated. I hear Chiros telling me how they’re right back where they were and all that good stuff. Not me. I’m still at about 140 a week right now. I averaged 185 a week before the Rona jacked everything up.  If you had any big breakthroughs as far as getting people to return, email us at [email protected]  and I’ll share in the next podcast. Maybe we can help all of our listeners get back to where they were. 

It sure can’t hurt. I know that. Takers eat well but givers sleep well. Be a giver and I’ll help spread the word.

Item #1

The first one today was spurred because of a question that popped up in our private Facebook group last week. I posted an article I wrote that I give to all of my chronic pain patients in my clinic. It’s basically a dive into chronic pain and the current thinking.  In the article, there is a mention of how pain pathways that are laid down become permanent. One of the questions by a group member was that, if it’s true that the pathways are permanent, then doesn’t that go contrary to the idea of neuroplasticity.

If you don’t know what that is, that’s the ability of our central nervous system to adapt to new normals or adapt to training and to change and function in ways that overcome certain challenges.  So if we have neuroplasticity, how can pathways be permanent, basically. 

What a great question. I hadn’t considered this before. After thinking on it a bit, my response was, “Can’t we have neuroplasticity yet still permanent pathways that give us a tendency toward chronic pain? You can have all kinds of neuroplasticity (thank God) but won’t the CNS still store the information/memory/etc? I went on to add that, “I believe that’s the thinking behind the original teaching.

Dr. James Lehman also describes ‘high impact chronic pain’. These are essentially people who tend to have chronic pain forever and can only control it through periodic treatment/therapy. That would also imply that neuroplasticity is complicated and may have its limitations. Something that we can definite leverage in our favor, but not a cure all?” So, following my comments, Dr. Lehman shared this research article focusing in on High Impact Chronic Pain.

Thank you to Dr. Lehman for the research citation and thank you to Nathan for an excellent question.  If you’re not in our Chiropractic Forward Facebook group, go do that.  IT’s called, “Prevalence and Profile of High-Impact Chronic Pain in the United States” by Pitcher et. al. (Pitcher MH 2019) and published in the Journal of Pain in February of 2019…..it’s a little steamy but not quite hot enough for my beloved sound bite. Damnit. 

Why They Did It

They say, “The multidimensional nature of chronic pain is not reflected by definitions based solely on pain duration, resulting in high prevalence estimates limiting effective policy development.  The newly proposed concept of high-impact chronic pain incorporates both disability and pain duration to identify a more severely impacted portion of the chronic pain population yet remains uncharacterized at the population level.” So it’s basically chronic pain AND disability rather than just chronic pain. 

How They Did It

As such, we used the 2011 National Health Interview Survey (N = 15,670) to 

  1. assess the likelihood of disability in the overall chronic pain population, 
  2. estimate the prevalence of High-Impact Chronic Pain, and 
  3. characterize the disability, health status, and health care use profile of this population in the United States.

What They Found

  • Overall, chronic pain, defined as pain experienced on most days or every day in the previous 3 months, was strongly associated with an increased risk of disability after controlling for other chronic health conditions
  • disability was more likely in those with chronic pain than in those with stroke or kidney failure, among others.
  • High-Impact Chronic Pain affected 4.8% of the U.S. adult population, or approximately 10.6 million individuals, in 2011.
  • The High-Impact Chronic Pain population reported more severe pain and more mental health and cognitive impairments than persons with chronic pain without disability, and was also more likely to report worsening health, more difficulty with self-care, and greater health care use.

Wrap It Up

High-Impact Chronic Pain clearly represents a more severely impacted portion of the chronic pain population. Understanding this heterogeneity will contribute to developing more effective legislation promoting safe and cost-effective approaches to the prevention and treatment of chronic pain.  PERSPECTIVE: High-Impact Chronic Pain is a powerful new classification that differentiates those with debilitating chronic pain from those with less impactful chronic pain. By addressing the multidimensionality of chronic pain, this classification will improve clinical practice, research, and the development of effective health policy.

 

CHIROUP ADVERTISEMENT

 

Item #2

OK, I’m about to be uncool…..I get it. Unless you happen to be in pain and benefit from it, I’m about to take a recently unpopular stance here. Old buy coming through. But I’m Gen X so don’t pull that, ‘OK, Boomer,’ BS on me. It’s powerless against the forces of research so don’t even try it.  Look, admit that you can’t follow only the research you like that confirms your biases and ignore and discount only the ones you don’t like that fly in the face of your beliefs or preferences. 

Let’s be clear, if opioids are the only thing that can possibly help with pain, why wouldn’t we use that. It’s a tool, albeit a dangerous one, but a tool we have at our disposal. The same goes for cannabinoids. I support it being used for medical purposes 100%.

So don’t misunderstand. What I cannot get behind is its recreational use. I never understood why folks need to have a completely altered reality by partaking in drug use, really of any kind, all day every day. Now, I get it….some folks have had awful experiences. It calms them. Helps them deal with it. Some have sleeping or anxiety disorders. I get it. And let’s be clear, I like to drink beer on the weekends here and there and I partake in some shots as well too. That’s definitely some altered reality but it’s few and far between. 

I’m talking about the wake and bakes that just have a normal life but they like it so they do it every day? I’m a no on this. You’ll never convince me that inhaling smoke of any kind daily is healthy, good for you, productive, or conducive to a better life long-term. You can’t do it. Because it’s not possible.  Not only that, but you are influencing your children when they go to copying your behavior.  So…..here I go being uncool.  This one is called “Association of Cannabis Use During Adolescence With Neurodevelopment” by Albaugh et. al. (Albaugh MD 2021) and published in JAMA Psychiatry on June 16, of 2021 a smoking steamy plate of Shazam. 

Why They Did It

The authors wanted to answer the question, “To what extent is cannabis use associated with magnetic resonance imaging–measured cerebral cortical thickness development during adolescence?”

What They Found

  • In this cohort study, linear mixed-effects model analysis using 1598 magnetic resonance images from 799 participants revealed that cannabis use was associated with accelerated age-related cortical thinning from 14 to 19 years of age in predominantly prefrontal regions.
  • The spatial pattern of cannabis-related cortical thinning was significantly associated with a positron emission tomography–assessed map of cannabinoid 1 receptor availability.

Wrap It Up

Results suggest that cannabis use during middle to late adolescence may be associated with altered cerebral cortical development, particularly in regions rich in cannabinoid 1 receptors.

 

Item #3

I’m just going to drive the depths of my uncool-ness to new depths here, folks. Don’t mind me.  This one is called, “Associations of Suicidality Trends With Cannabis Use as a Function of Sex and Depression Status” by Han et. al. (Han B 2021) and published in JAMA Psychiatry on June 22, 2021. Ouchy wa wa. 

Why They Did It

During the past decade, cannabis use among US adults has increased markedly, with a parallel increase in suicidality (ideation, plan, attempt, and death). However, associations between cannabis use and suicidality among young adults are poorly understood. The authors wanted to answer the question, “Are there associations between cannabis use and suicidality trends in young adults, and do they vary as a function of sex and depression?”

How They Did It

They examined 281 650 adult participants in the 2008-2019 National Surveys of Drug Use and Health data

What They Found

Past-year suicidal ideation and plan along with daily cannabis use increased among all examined sociodemographic subgroups (except daily cannabis use among current high-school students), and past-year suicide attempt increased among most subgroups. 

Wrap It Up

From 2008 to 2019, suicidal ideation, plan, and attempt increased 40% to 60% over increases ascribed to cannabis use and major depressive episode. Future research is needed to examine this increase in suicidality and to determine whether it is due to cannabis use or overlapping risk factors. Alright, that’s it. I’ll try to be cooler next week. In fact, I KNOW I’ll be cooler next week because we have the amazing Dr. Brett Winchester coming up as a guest so don’t miss him. He’s on the top of the mountain. Let’s find out how he got there, shall we? Y’all be safe. Keep changing our profession from your little corner of the world. Keep taking care of yourselves and everyone around you. Tough times are upon us but, the sun will shine again. Trust it, believe it, count on it. Let’s get to the message. Same as it is every week. 

Store

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

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Integrating Chiropractors

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The Message

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

Key Point:

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

Contact

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

Connect

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

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About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger  

Bibliography

  • Albaugh MD, O.-G. J., Sidwell A, (2021). “Association of Cannabis Use During Adolescence With Neurodevelopment.” JAMA Psychiatry.
  • Han B, C. W., Einstein EB, Volkow ND, (2021). “Associations of Suicidality Trends With Cannabis Use as a Function of Sex and Depression Status.” JAMA Netw Open 4(6): e2113025.
  • Pitcher MH, V. K. M., Bushnell MC, Porter L., (2019). “Prevalence and Profile of High-Impact Chronic Pain in the United States.” J Pain 20(2): 146-160.