CF 300: Disc Resorption & Pickleball Injuries
Today we’re going to talk about Disc Resorption & Pickleball Injuries.
But first, here’s that sweet sweet bumper music
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OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around.
We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research. We’re research talk over a couple of beers.
I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.
I’m so glad you’re spending your time with us learning together.
Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at firstname.lastname@example.org
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.
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You have found yourself smack dab in the middle of Episode #300
Now if you missed last week’s episode , we talked about Colorectal Cancer In The Young & AI-Powered Chronic Pain Management. Make sure you don’t miss that info. Keep up with the class. On the personal end of things…..
So let’s talk about unplanned time off. Because that’s when the he’ll happened to me last week. Holy cow my friends.
I got sick. And when I say sick, I mean really sick. I’m not talking about a man cold thing. I’m talking sick like maybe hospital kind of sick.
Last week, I went to work on Wednesday feeling pretty damn poor. It only got worse through the day. By the end of the day, I was done. I was full blown sick and getting messy.
I missed Thursday and Friday at work because I was out sick with a stomach bug. I do not cancel a day full of patients. Ever. So you know it’s serious when I cancel. Especially two days. You that are regulars here know that I commonly see 40 or so per day so I had to cancel 80 or so patients and I never take that lightly for personal as well as financial reasons.
But let’s back up. When I say ‘stomach bug’, that seems to minimize what I’m now referring to as ‘The Incident’.
What I really mean by ‘bug’ is a big alien Chuck Norris bug with a fu man chu and ninja stars that smells of Marlboros and diesel.
I haven’t been that sick in 7 or 8 years. I almost went to the ER twice and seriously questioned if I’d ever eat any food at all again. Ever.
I was thinking, “So….this is how it ends…I’ve had a good life….it’s been a pretty good run”
I’ve had COVID three or four times and would take that over the alien Chuck Norris stomach bug any day.
My stomach is still giving me little zingers and reminders of what we went through together every now and then but I’m mostly good to go at this point. Thank God.
I’ll share that an IV up at Creek Stone on Friday with heartburn and nausea meds added to it was very helpful.
On a slightly related note; I’ve never had Pedialyte before ‘The Incident’ and, after three
or four gallons, I have to say……it’s actually pretty tasty and low calorie! 😎
So, this my recommendation based on personal first hand experience, if you are approached by an alien Chuck Norris bug with a fu man chu and ninja stars that smells of Marlboros and diesel, my advice is to go to the other side of the street and keep walking with your head down.
Oh, and figure out a way to make the clinic run without your presence requires at all times. I’ve tried and I am trying. Trust me. I’m not a solo Chiro on purpose. You hear me advertise for an associate at the top of every show, right?
Right. So, still considering hiring. Just have to get the right one. When it’s time, it’ll happen naturally. Item #1
The first one this week is called “Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-analysis” by Zou et. Al. and published in Clinical Spine Surgery on July 31, 2023, and that’s a zinger! Why They Did It
This study aimed to analyze the incidence of spontaneous resorption of lumbar disk herniation (LDH) after conservative treatment. How They Did It
What They Found
- We strictly refer to the standard established in the PRISMA (Preferred Reporting Items for a Systematic Review and Meta-analysis) statement, comprehensively searched electronic databases using the terms related to the spontaneous resorption of LDH.
- Two reviewers independently evaluated the potential studies, extracted, and analyzed the enrolled data.
- Thirty-one studies with 2233 patients who received conservative treatment were included for this analysis.
Wrap It Up
- We found that the pooled overall incidence of disk resorption was 70.39%, 87.77% for disk sequestration, 66.91% for disk extrusion, 37.53% for disk protrusion, and 13.33% for disk bulge, respectively.
The existing evidence shows that the overall resorption incidence of LDH was 70.39%, the resorption incidence of ruptured
LDH is higher than that of contained
LDH. There are significant differences in the resorption incidence among countries. The resorption process mainly occurred within 6 months of conservative treatment.
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 “Pickleball injuries could cost Americans up to $500 million this year, analysis finds”
by Megan Cerullo and published in Money Watch and CBS News on June 27, 2023, hot tamale! It’s an article so the high spots we shall hit.
The explosive growth of Pickleball in recent years is contributing to higher injury rates and health care costs, particularly among seniors, according to analysts at UBS. They estimate in a report that injuries related to pickleball could cost Americans between $250 million and $500 million in medical costs this year, mostly related to wrist and leg sprains and fractures.
The investment bank was prompted to examine the issue after UnitedHealth Group, whose stocks the Wall Street firm covers, said that health care utilization rates have jumped in recent months among Medicare users.
Sounds like a damn insurance company now doesn’t it? Trust me, the know the numbers. Which is stil stunning that they’re not requiring referrals to chiros for non-complicated msk pain. I bet it’s because so many damn chiropractors are crazy and doing non-evidence-based, doctor-centered care still. Just a guess.
Anyway, Over roughly the last three years the number of recreational players around the U.S. has soared 159%, from 3.5 million in 2019 to 8.9 million in 2022, according to data
from the Sports and Fitness Industry Association.
And the sport is poised for even faster growth. UBS analysts forecast that more than 22 million “Picklers,” as players are known, will be thwacking balls back and forth this year.
Seniors make up a third of the most avid players, according to the firm’s estimate, which defines that as people who whip out their paddles at least eight times per year.
UBS analyzed this rapid growth, while also examining common pickleball-related injuries, to come up with its projection of medical costs directly attributable to sport.
Overall, UBS estimates that $377 million worth of medical costs in 2023 will stem from pickleball.
Roughly 80% — or $302 million — of the total relates to outpatient treatment in settings such as emergency rooms and doctor’s offices, the bank said.
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
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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….
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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
Zou T, Liu XY, Wang PC, Chen H, Wu PG, Feng XM, Sun HH. Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-analysis. Clin Spine Surg. 2023 Jul 31. doi: 10.1097/BSD.0000000000001490. Epub ahead of print. PMID: 37559207. https://www.cbsnews.com/news/pickleball-injuries-will-cost-americans-up-to-500-million-this-year/