The Evidence Based Chiropractor Blog
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Chiropractic Featured in Prevention Magazine
PREVENTION magazine is a "sensation" in the health care world. It garners 2-3 million unique visitors each and every month and creates a lot of influence with its readers for healthcare decision making.
I was fortunate to be included in a fantastic piece titled, "6 Things Chiropractors Can Help with- and What They Can't".
This piece touches on back pain, headaches, pregnancy care, as well as blood pressure and digestive issues.
This article, in a leading publication, is a huge "win" for Chiropractic and shines an extremely favorable light on what we are doing each and every day in practice. Enjoy, share, and let me know what you think!
-The Evidence Based Chiropractor has assisted hundreds of chiropractors around the globe build interdisciplinary referral relationships.
Have you viewed our FREE Guides? Download The MD Meeting and the 5 Secrets to MD Referrals today
Coming Soon- The Evidence Based Chiropractor Podcast
The Evidence Based Chiropractor is a podcast created for Chiropractors. Weekly research and marketing updates for Chiropractors. Learn ideas and the essential tips which will inspire action, improve your communication, and lead to explosive practice growth.
-The Evidence Based Chiropractor has assisted hundreds of chiropractors around the globe build interdisciplinary referral relationships.
Have you viewed our FREE Guides? Download The MD Meeting and the 5 Secrets to MD Referrals today.
Risk of Traumatic Injury 76% Lower Visiting a Chiropractor than a Primary Care Physician- by The Evidence Based Chiropractor
Just today SPINE released an epub ahead of print which found, "Among Medicare beneficiaries aged 66-99 with an office visit risk for a neuromusculoskeletal problem, risk of injury to the head, neck or trunk within 7 days was 76% lower among subjects with a chiropractic office visit as compared to those who saw a primary care physician."
That is a startling difference in risk. While, in my opinion, the safety and efficacy of chiropractic care is well documented, it took me by surprise to see the dramatic results of this study.
Below I have included a direct link to the Pubmed page. What are your thoughts on this new research?
How Does a Chiropractic Adjustment Work? - by The Evidence Based Chiropractor
Chiropractic adjustments work in a variety of ways. The latest research investigates the multiple mechanisms of action.
Chiropractic adjustments are considered one of the most safe and effective health care treatment options available today. Research strongly supports the use of adjustments for low back pain, headaches, neck pain, and variety of other spinal conditions. Emerging research also has shown chiropractic adjustments may be helpful for non-musculoskeletal conditions. So, what are the underlying effects?
Since the first chiropractic adjustment was given over 100 years ago there has been speculation regarding the mechanism of effects. Simply put; what is happening when an adjustment is given? In 2011, SPINE journal released an article which began to explore this question. They found that, "a spinal manipulative therapy force has been shown to stimulate peripheral afferents, altering central nervous system input, and enhancing motoneuron excitability." Essentially, when we give a chiropractic adjustment, we stimulate the peripheral nervous system which then stimulates the central nervous system. Our nervous system is the conduit for control of our entire body and is also responsible for our perception of pain. Chiropractic adjustments have the ability to effect our central nervous system which can result decreased pain.
Decreased pain is great, but there must be more to an adjustment than simply decreasing pain, right? Let's take a look at another finding from their study. "We found a significant relationship between immediate post-SMT stiffness decrease and clinical outcome. This finding may suggest a relationship between stiffness change and outcome for thrust SMT that is not present if non-thrust mobilization techniques are employed." This finding is very interesting for a few different reasons. First, the researchers believe that adjustments decrease the stiffness of the spine (increasing free motion and range of motion). This has a very positive effect on our overall treatment outcome. They also found that mobilization (slow stretching motions) did not create this response; so it is exclusive to an adjustment with a thrust component.
This study found that at least part of the positive effects of the chiropractic adjustment is by stimulating the nervous system and decreasing spinal stiffness. Continued research will provide us with additional information regarding the multitude of other ways in which the chiropractic adjustment "works". As we learn more chiropractors will continually be able to refine their techniques and improve upon their already fantastic results!
Preliminary Investigation of the Mechanisms Underlying the Effects of Manipulation. SPINE. 2011
-The Evidence Based Chiropractor has assisted hundreds of chiropractors around the globe build interdisciplinary referral relationships.
Have you viewed our FREE Guides? Download The MD Meeting and the 5 Secrets to MD Referrals today.
Chiropractic Can Help Reduce Opioid Use - by The Evidence Based Chiropractor
See the research which shows how Chiropractic care reduces opioid use.
Research recently published in the Journal of Internal Medicine found that interdisciplinary care of patients in a pain management program reduced the necessity and prescription of opioid mediations. Opioid medication prescriptions have skyrocketed over the last decade. This has occurred in spite of the evidence, and best practice guidelines, which caution against the prescription of opioid medications (especially when prescribed for musculoskeletal conditions). Studies show that opioid medications result in the death of thousands of individuals per year.
The VA Hospital system outlined a program where interdisciplinary care was used in an attempt to divert patients from the use, and doctors from the prescription, of opioids. Over the course of four years this study found a decrease in the number of patients who were prescribed opioid medications when offered the option for interdisciplinary care. Physical therapy, and chiropractic care, and topical analgesics were the foundational components of the alternative, interdisciplinary model.
The inclusion of chiropractic care as an evidence-based choice in the pain management of our nations veterans is a large step forward for our profession. Additionally, studies like this continue to build the depth and breadth of the research which supports and encourages the use of chiropractic care.
See the study on PUBMED here.
-The Evidence Based Chiropractor has assisted hundreds of chiropractors around the globe build interdisciplinary referral relationships.
Have you viewed our FREE Guides? Download The MD Meeting and the 5 Secrets to MD Referrals today.