Chiropractic Forward Podcast

CF Episode 389: PNF Stretching For Knee OA & A 50-Year Review Of Chiropractic Research   Today we're going to talk about PNF Stretching For Knee OA And A 50-Year Review Of Chiropractic Research. First here's that sweet sweet bumper music.

Today we're going to talk about Shockwave Therapy for Hamstring Injuries and Vitamin D for Respiratory Infections.

Today we're going to talk about Water Instead of Diet Drinks & Neuromobilization In The Chronic Neck But first, here's that sweet sweet bumper music

Today we're going to talk about PRP For Knee OA & Diagnosing Cervical Arterial Dissection

CF 385: Tears In The Shoulder Are Waaayyy Normal & Adolescent Cannabis Use Is Dangerous Long Term Mentally   Today we're going to talk about Tears In The Shoulder Are Waaayyy Normal & Adolescent Cannabis Use Is Dangerous Long Term Mentally

CF 384: Motor Weakness In Cervical Radiculopathy & Exercise And Dementia   Today we're going to talk about Motor Weakness In Cervical Radiculopathy & Exercise And Dementia

CF 383: Platelet-Rich Plasma In Knee Osteoarthritis & Telehealth Mindfulness-Based Interventions Today we're going to talk about Platelet-Rich Plasma In Knee Osteoarthritis & Telehealth Mindfulness-Based Interventions

CF 382: SMT And Disc Regression & Biopsychosocial Factors For Hip Osteoarthritis Today we're going to talk about SMT And Disc Regression & Biopsychosocial Factors For Hip Osteoarthritis But first, here's that sweet sweet bumper music

CF 381: SMT And Reoperation Rates & The Most Expensive Condition   Today we're going to talk about SMT And Reoperation Rates & The Most Expensive Condition

CF 380: Low Back Chronic Pain & Osteoporosis Medications and the Decrease in Societal Fracture Risk   Today we're going to talk about Low Back Chronic Pain & Osteoporosis Medications and the Decrease in Societal Fracture Risk   But first, here's that sweet sweet bumper music

CF 379: Opioids And Low Back Pain & Transforaminal Epidural Steroid Injection   Today we're going to talk about Opioids And Low Back Pain & Transforaminal Epidural Steroid Injection   But first, here's that sweet sweet bumper music

CF 378: Differences In Whiplash And Normal Neck Pain & SMT And Scoliosis   Today we're going to talk about Differences In Whiplash And Normal Neck Pain & SMT And Scoliosis   But first, here's that sweet sweet bumper music

CF 377: Neuroplastic Responses to Chiropractic Care & Screen Time And Depression   Today we're going to talk about Neuroplastic Responses to Chiropractic Care & Screen Time And Depression   But first, here's that sweet sweet bumper music

CF 376: Acupuncture For Chronic Low Back & Spinal Manipulative Therapy For Acute Neck Pain   Today we're going to talk about Acupuncture For Chronic Low Back & Spinal Manipulative Therapy For Acute Neck Pain   But first, here's that sweet sweet bumper music

CF 375: Neural Mobilization & Cannabis And Heart Attacks And Strokes   Today we're going to talk about Neural Mobilization & Cannabis And Heart Attacks And Strokes

CF 374: Non-surgical Disc Treatment & Cognitive Functional Therapy   Today we're going to talk about Non-surgical Disc Treatment & Cognitive Functional Therapy

CF 373: Vertebral Artery Dissection Recognized And Referred By Chiropractor   Today we're going to talk about Vertebral Artery Dissection Recognized And Referred By Chiropractor   But first, here's that sweet sweet bumper music

CF 372: Spinal Manipulativer Therapy and Lumbar Re-operation & SMT And Fall Risk Today we're going to talk about Spinal Manipulativer Therapy and Lumbar Re-operation & SMT And Fall Risk But first, here's that sweet sweet bumper music

CF 371: Pain Reprocessing Therapy & Chiropractic And Tramadol Today we're going to talk about Pain Reprocessing Therapy & Chiropractic And Tramadol But first, here's that sweet sweet bumper music

CF 370: Unnecessary Surgery & Gabapentin Linked To Dementia   Today we're going to talk about Unnecessary Surgery & Gabapentin Linked To Dementia   But first, here's that sweet sweet bumper music

CF 369: Cervicogenic Headache Treatment & Seeing A Chiropractor First Means Less Expense Overall Today we're going to talk about Cervicogenic Headache Treatment & Seeing A Chiropractor First Means Less Expense Overall

CF 368: Spinal Manipulative Treatment And Biochemical Markers & SMT For Lumbar Disc Herniation   Today we're going to talk about Spinal Manipulative Treatment And Biochemical Markers & SMT For Lumbar Disc Herniation.    But first, here's that sweet sweet bumper music

CF 367: Transcranial Direct Current for Fibromyalgia & Methotrexate For Knee Osteoarthritis     Today we're going to talk about Transcranial Direct Current for Fibromyalgia & Methotrexate For Knee Osteoarthritis   But first, here's that sweet sweet bumper music

CF 366: Europe, SMT Review, & Informed Consent   Today we're going to talk about Europe, SMT Review, & Informed Consent    

CF 365: Dosing Lumbar SMT & Short Term Effects of Different Forms of SMT Today we're going to talk about Dosing Lumbar SMT & Short Term Effects of Different Forms of SMT

CF 364: SMT And Stroke & Metformin For Knee Osteoarthritis   Today we're going to talk about SMT And Stroke & Metformin For Knee Osteoarthritis   But first, here's that sweet sweet bumper music

CF 363: Lateral Lumbar Stenosis & Manual Therapy Combined With PT   Today we're going to talk about Lateral Lumbar Stenosis & Manual Therapy Combines With PT   But first, here's that sweet sweet bumper music

CF 362: Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis   Today we're going to talk about Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis   But first, here's that sweet sweet bumper music

CF 361: Healthcare Expenditures & Sleep And Pain   Today we're going to talk about Healthcare Expenditures & Sleep And Pain     But first, here's that sweet sweet bumper music

CF 360: Selling Part Of The Clinic, Females Controlling High Blood Pressure, & Muscle Strength and Cardiorespiratory Fitness   Today we're going to talk about Selling Part Of The Clinic, Females Controlling High Blood Pressure, & Muscle Strength and Cardiorespiratory Fitness

CF 359:  Do Physicians Follow Guidelines & Updated Chiropractic Trends   Today we're going to talk about Do Physicians Follow Guidelines & Updated Chiropractic Trends

CF 358: First Provider Matters & Neural Mobilization Today we're going to talk about First Provider Matters & Neural Mobilization But first, here's that sweet sweet bumper music

CF 357: Utilization and Expenditure of Chiropractic & Hormone Therapy In Females     Today we're going to talk about Utilization and Expenditure of Chiropractic & Hormone Therapy In Females   But first, here's that sweet sweet bumper music

CF 356: Opioid Use, PT, and Chiro & Neural Mobilization And Pain     Today we're going to talk about Opioid Use, PT, and Chiro & Neural Mobilization And Pain

CF 355: Daily Water Intake & Curcumin   Today we're going to talk about Daily Water Intake & Curcumin

CF 354: Chiropractic Treatment Of Mild Traumatic Brain Injury & New Cancer Treatment Approach   Today we're going to talk about Chiropractic Treatment Of Mild Traumatic Brain Injury & New Cancer Treatment Approach

CF 353: Head And Neck Cancer & Degenerative Cervical Myelopathy   Today we're going to talk about Head And Neck Cancer & Degenerative Cervical Myelopathy   But first, here's that sweet sweet bumper music

CF 352: PT In The ER & Back Pain And Mortality   Today we're going to talk about PT In The ER & Back Pain And Mortality   But first, here's that sweet sweet bumper music

CF 351: Guides Treating Non-specific Low Back Pain & Pain-Catastrophizing With Chronic Pain   Today we're going to talk about Guides Treating Non-specific Low Back Pain & Pain-Catastrophizing With Chronic Pain  

CF 350: Acupuncture For Sciatica & Adolescent Cannabis Use And Academic Achievement   Today we're going to talk about Acupuncture For Sciatica & Adolescent Cannabis Use And Academic Achievement   But first, here's that sweet sweet bumper music

CF 349: Proprioceptive Neuromuscular Facilitation & SMT Adverse Events   Today we're going to talk about Proprioceptive Neuromuscular Facilitation & SMT Adverse Events   But first, here's that sweet sweet bumper music

CF 348:  SMT Research Review & Mobile Phones And Cancer   Today we're going to talk about SMT Research Review & Mobile Phones And Cancer

CF 347: Plant vs. Animal Fat & Screen Time At Bedtime   Today we're going to talk about Plant vs. Animal Fat & Screen Time At Bedtime   But first, here's that sweet sweet bumper music

CF 346: REM And TMD & Psychological Factors In Knee Osteoarthritis   Today we're going to talk about REM And TMD & Psychological Factors In Knee Osteoarthritis   But first, here's that sweet sweet bumper music   Subscribe button   OK, we are back and you have found the Chiropractic Forward Podcast where we are giving evidence-based chiropractic a little personality and making it profitable.   We're not the stuffy, elitist, pretentious kind of research. We're research talk over a couple of beers. So grab you a bushel.    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, smarts, personality, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at [email protected]   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 resource for you and is 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.  Like our Chiropractic Forward Facebook page,  Join our private Chiropractic Forward Facebook group, and then  Review our podcast on wherever you listen to it  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 #346   Now if you missed last week's episode, we talked about SMT Comparison Of Short-Term Effects & GLP-1 And Obesity-Associated Cancers Make sure you don't miss that info. Keep up with the class.    On the personal end of things….. Alright let's talk about business. What are you all seeing? I spent a lot of time over the last several months wondering if I made someone mad, pissed on the mayor's dog, or something like that.    Now, business seems to be picking back up a smidge. Before I went to NYC I had almsot 200 in one week by myself. I don't have an associate so that was a challenge. Now this week, and we're early in the week, I have 165 lined up. I think NYC knocked me back down but that's OK. 200 in a week is honestly more than I want. I think about 180 is probably my sweet spot and I'm only 15 off of that so far this week.    Anyway, I'm seeing a return of business and new patients. Being evidence-based, we depend on a consistent flow of new patients. So that's what we got going here. A few things have played a part. We really buckled down and spent the money on website SEO. We started getting out and about in the community more. Shaking babies and kissing hands. And we made some key changes in our personnel. Once we were out with the bad seed, it just seemed like a cloud lifted. We have one more dark cloud on their way out in a couple of weeks and have a ray of sunshine replacing it and we can't wait.    It's all good in the hood so we're on the right path. Business is good.    Another thing, yes the economy matters to our businesses and how much tax we pay each year but, don't get tied up in politics if you can keep from it. They don't care as much about you as they say they do. And for the love of all that's holy, keep it off of Facebook and social media. If you're posting political crap on your socials every day all day, you limit your patient base to half of your community because a republican will never treat with a mouthy democrat provider and a democrat will never treat with a mouthy republican provider. That's a freaking guarantee. Both sides of the aisle need care and you can't do that if you're mouthy. Be smart, wise, trustworthy, and have good character. Treat people right and carry yourself correctly and the money will take care of itself.    Just a tip from your Ol Uncle Jeffro.      Item #1 Our first one this week is called, "Elevated pain sensitivity is associated with reduced rapid eye movement (REM) sleep in females with comorbid temporomandibular disorder and insomnia" by Reid, et al and published in Pain Medicine on March 28 2024 and it's hotter than cat piss.    Remember, the citations can be found at chiropracticforward.com under this episode.    Matthew J Reid, Katrina R Hamilton, Sophie J Nilsson, Michael Alec Owens, Jane L Phillips, Patrick H Finan, Claudia M Campbell, Alexandros Giagtzis, Dave Abhishek, Jennifer A Haythornthwaite, Michael T Smith, Elevated pain sensitivity is associated with reduced rapid eye movement (REM) sleep in females with comorbid temporomandibular disorder and insomnia, Pain Medicine, Volume 25, Issue 7, July 2024, Pages 434–443, https://doi.org/10.1093/pm/pnae022     Why They Did It Patients with chronic pain disorders, including Temporomandibular Disorders (TMDs) endorse high levels of sleep disturbances, frequently reporting reduced sleep quality.    Despite this, little is known about the effect that daytime pain has on the microstructure and macro-architecture of sleep. Therefore, we aimed to examine the extent to which daytime pain sensitivity, measured using quantitative sensory testing (QST), is associated with objective sleep parameters the following night, including sleep architecture and power spectral density, in women with TMD.     How They Did It 144 females with myalgia and arthralgia by examination using the Diagnostic criteria for TMD completed a comprehensive quantitative sensory testing battery consisting of General Pain Sensitivity, Central Sensitization Index, and Masseter Pressure Pain Threshold assessments.    Polysomnography was collected the same night to measure sleep architecture and calculate relative power in delta, theta, alpha, sigma, and beta power bands.   What They Found Central Sensitization, General Pain Sensitivity Indices, and Masseter Pain Pressure Threshold were significantly associated with lower REM% both before and after controlling for covariates.    Pain sensitivity measures were not significantly associated with relative power in any of the spectral bands nor with any other sleep architectural stages.     Wrap It Up Our findings demonstrate that higher generalized pain sensitivity, masseter pain pressure threshold, as well as central sensitization were associated with a lower percentage of REM in participants with myofascial pain and arthralgia of the masticatory system.    These findings provide an important step toward understanding the mechanistic underpinnings of how chronic pain interacts with sleep physiology.         Item #2 Our last one this week is called, "Quantitative sensory testing, psychological factors, and quality of life as predictors of current and future pain in patients with knee osteoarthritis" by Hertel et al and published in PAIN in August of 2024 and it's a steamy pile of saucy spice.    Hertel, Emmaa; Arendt-Nielsen, Larsa,b,c,d; Olesen, Anne Estrupe,f; Andersen, Michael Skippera; Petersen, Kristian Kjær-Staala,b,*. Quantitative sensory testing, psychological factors, and quality of life as predictors of current and future pain in patients with knee osteoarthritis. PAIN 165(8):p 1719-1726, August 2024. | DOI: 10.1097/j.pain.0000000000003194     Why They Did It This exploratory study aimed to explain baseline OA pain intensity and predict OA pain after administration of a nonsteroidal anti-inflammatory drug in combination with paracetamol for 3 weeks.      How They Did It The Knee Injury and Osteoarthritis Outcome Score (KOOS) pain score was used to estimate OA pain presentation. One hundred one patients were assessed at baseline and follow-up using QST (pressure pain thresholds and temporal summation of pain [TSP]), symptoms of depression and anxiety, pain catastrophizing scales (PCSs), and health-related quality of life.  Linear regression with backward selection identified that PCS significantly explained 34.2% of the variability in baseline KOOS pain, with nonsignificant contributions from TSP.    Pain catastrophizing score and TSP predicted 29.3% of follow-up KOOS pain, with nonsignificant contributions from symptoms of anxiety.      What They Found When assessed separately, PCS was the strongest predictor (32.2% of baseline and 24.1% of follow-up pain), but QST, symptoms of anxiety and depression, PCS, and quality of life also explained some variability in baseline and follow-up knee OA pain. Further analyses revealed that only TSP and PCS were not mediated by any other included variables, highlighting their role as unique contributors to OA pain presentation.        Wrap It Up This study emphasizes the importance of embracing a multimodal approach to OA pain and highlights PCS and TSP as major contributors to the baseline OA pain experience and the OA pain experience after OA treatment.     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.      Subscribe Button   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 http://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      

CF 345: SMT Comparison Of Short-Term Effects & GLP-1 And Obesity-Associated Cancers Today we're going to talk about SMT Comparison Of Short Term Effects & GLP-1 And Obesity-Associated Cancers But first, here's that sweet sweet bumper music

CF 344: Obesity In Adolescents & Combined Cognitive Behavioral Therapy and Physical Therapy Today we're going to talk about Obesity In Adolescents & Combined Cognitive Behavioral Therapy and Physical Therapy   But first, here's that sweet sweet bumper music

CF 343: Knee Osteoarthritis Recommendations & Ruptured Breast Implants   Today we're going to talk about Knee Osteoarthritis Recommendations & Ruptured Breast Implants   But first, here's that sweet sweet bumper music

CF 342: Cancer Vaccines & Cognitive Behavioral Therapy   Today we're going to talk about Cancer Vaccines & Cognitive Behavioral Therapy   But first, here's that sweet sweet bumper music

CF 341: Lumbar Disc Regression & Music's Effect On Dementia   Today we're going to talk about Lumbar Disc Regression & Music's Effect On Dementia   But first, here's that sweet sweet bumper music

CF 340: Semaglutide And Kidneys & Trying To Target Just One Vertebra   Today we're going to talk about Semaglutide And Kidneys & Trying To Target Just One Vertebra   But first, here's that sweet sweet bumper music