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Chiropractic And Benzodiazepine & Curcumin And Carpal Tunnel
CF 330: Chiropractic And Benzodiazepine & Curcumin And Carpal Tunnel Today we’re going to talk about Chiropractic And Benzodiazepine & Curcumin And Carpal Tunnel 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 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.
You have found yourself smack dab in the middle of Episode #330 Now if you missed last week’s episode, we talked about The WHO’s Sources For Opinion On Spinal Manipulative Therapy (Part 13). Make sure you don’t miss that info. Keep up with the class.
On the personal end of things….. What a week so far…..it’s always something isn’t it? While we are still working on the staffer in a bad relationship that I discussed last week, we had what we call a turdfloater here in the Texas panhandle. That rain and hail storm caused an already problematic roof to become even more problematic. Now we have three massage/acupuncture rooms that have wet carpets and smell moldy. This smell has permeated and percolated throughout the entire office now. Also, SONOS decided to do another update and now my music won’t play through the office. The IT guy is working on it. So, if you’ve heard me say that owning a clinic is like a big game of whack-a-mole…..it is. Something new daily. If not daily, definitely weekly.
But, all in all, I have to say, this has been one of the best months business-wise that I’ve had since before COVID. It’s a Tuesday and I have 153 lined up for the week. We know that will increase because Wednesday appointments will reschedule for Friday so it’s looking like a solid week.
Our acupuncturist has 31 on the schedule this week and our nurse practitioner has only 26 which is down from last week but, again, I’m typing this out on a Tuesday.
We use BlueIQ and we are FAR ahead of expectations for the month of May at the moment and it’s showing no signs of lightening up. I’m back to using my 7 account system and putting money away…..I have some staffing issues but overall, things are looking pretty positive. You get to hear me gripe when the tide is against me. You might as well hear me be positive when I’m going with the tide.
Item #1 The first one today is called “Association between chiropractic spinal manipulative therapy and benzodiazepine prescription in patients with radicular low back pain: a retrospective cohort study using real-world data from the USA” by Trager et. Al. and published in BMJ Open in June of 2022 Remember, the citations can be found at chiropracticforward.com under this episode. Trager RJ, Cupler ZA, DeLano KJ, Perez JA, Dusek JA. Association between chiropractic spinal manipulative therapy and benzodiazepine prescription in patients with radicular low back pain: a retrospective cohort study using real-world data from the USA. BMJ Open. 2022 Jun 13;12(6):e058769. doi: 10.1136/bmjopen-2021-058769. PMID: 35697464; PMCID: PMC9196200.
Why They Did It Although chiropractic spinal manipulative therapy (CSMT) and prescription benzodiazepines are common treatments for radicular low back pain (rLBP), no research has examined the relationship between these interventions. We hypothesize that utilization of SMT for newly diagnosed rLBP is associated with reduced odds of benzodiazepine prescription through 12 months follow-up.
How They Did It Retrospective cohort study. Setting: National, multicentre 73-million-patient electronic health records-based network (TriNetX) in the USA, queried on 30 July 2021, yielding data from 2003 to the date of query.
Participants: Adults aged 18-49 with an index diagnosis of rLBP were included. Serious etiologies of low back pain, structural deformities, alternative neurological lesions and absolute benzodiazepine
Outcome measures: The number, percentage and OR of patients receiving a benzodiazepine prescription over 3, 6 and 12 months’ follow-up prematching and postmatching.
What They Found 9206 patients per cohort. Odds of receiving a benzodiazepine prescription were significantly lower in the CSMT cohort over all follow-up windows prematching and postmatching Sensitivity analysis suggested a patient preference to avoid prescription medications did not explain the study findings.
Wrap It Up These findings suggest that receiving CSMT for newly diagnosed rLBP is associated with reduced odds of receiving a benzodiazepine prescription during follow-up. These results provide real-world evidence of practice guideline-concordance among patients entering this care pathway.
Item #2 Our second paper today is called, “Efficacy of topical curcumin on mild to moderate carpal tunnel syndrome: a randomized double-blind, placebo-controlled clinical trial” by Razavi et al and published in Pain Medicine in May of 2024 and it’s a hot one, folks!! Athena Sharifi Razavi, Fatemeh Mohajerani, Fatemeh Niksolat, Narges Karimi, Efficacy of topical curcumin on mild to moderate carpal tunnel syndrome: a randomized double-blind, placebo-controlled clinical trial, Pain Medicine, Volume 25, Issue 5, May 2024, Pages 327–333, https://doi.org/10.1093/pm/pnae001
Why They Did It Recently, there has been a renewed interest in traditional medicine for carpal tunnel syndrome (CTS). Curcumin has been reported as an agent with antioxidant, anti-inflammatory, analgesic, and neuroprotective attributes. This study is one of the first investigations to assess the effect of curcumin gel on CTS.
How They Did It
What They Found
Wrap It Up
It seems that curcumin gel could be effective in the improvement of the symptom severity and daily activity of patients with CTS. 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 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
The post Chiropractic And Benzodiazepine & Curcumin And Carpal Tunnel appeared first on Chiropractic Forward.
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CF 330: Chiropractic And Benzodiazepine & Curcumin And Carpal Tunnel Today we’re going to talk about Chiropractic And Benzodiazepine & Curcumin And Carpal Tunnel 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 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.
You have found yourself smack dab in the middle of Episode #330 Now if you missed last week’s episode, we talked about The WHO’s Sources For Opinion On Spinal Manipulative Therapy (Part 13). Make sure you don’t miss that info. Keep up with the class.
On the personal end of things….. What a week so far…..it’s always something isn’t it? While we are still working on the staffer in a bad relationship that I discussed last week, we had what we call a turdfloater here in the Texas panhandle. That rain and hail storm caused an already problematic roof to become even more problematic. Now we have three massage/acupuncture rooms that have wet carpets and smell moldy. This smell has permeated and percolated throughout the entire office now. Also, SONOS decided to do another update and now my music won’t play through the office. The IT guy is working on it. So, if you’ve heard me say that owning a clinic is like a big game of whack-a-mole…..it is. Something new daily. If not daily, definitely weekly.
But, all in all, I have to say, this has been one of the best months business-wise that I’ve had since before COVID. It’s a Tuesday and I have 153 lined up for the week. We know that will increase because Wednesday appointments will reschedule for Friday so it’s looking like a solid week.
Our acupuncturist has 31 on the schedule this week and our nurse practitioner has only 26 which is down from last week but, again, I’m typing this out on a Tuesday.
We use BlueIQ and we are FAR ahead of expectations for the month of May at the moment and it’s showing no signs of lightening up. I’m back to using my 7 account system and putting money away…..I have some staffing issues but overall, things are looking pretty positive. You get to hear me gripe when the tide is against me. You might as well hear me be positive when I’m going with the tide.
Item #1 The first one today is called “Association between chiropractic spinal manipulative therapy and benzodiazepine prescription in patients with radicular low back pain: a retrospective cohort study using real-world data from the USA” by Trager et. Al. and published in BMJ Open in June of 2022 Remember, the citations can be found at chiropracticforward.com under this episode. Trager RJ, Cupler ZA, DeLano KJ, Perez JA, Dusek JA. Association between chiropractic spinal manipulative therapy and benzodiazepine prescription in patients with radicular low back pain: a retrospective cohort study using real-world data from the USA. BMJ Open. 2022 Jun 13;12(6):e058769. doi: 10.1136/bmjopen-2021-058769. PMID: 35697464; PMCID: PMC9196200.
Why They Did It Although chiropractic spinal manipulative therapy (CSMT) and prescription benzodiazepines are common treatments for radicular low back pain (rLBP), no research has examined the relationship between these interventions. We hypothesize that utilization of SMT for newly diagnosed rLBP is associated with reduced odds of benzodiazepine prescription through 12 months follow-up.
How They Did It Retrospective cohort study. Setting: National, multicentre 73-million-patient electronic health records-based network (TriNetX) in the USA, queried on 30 July 2021, yielding data from 2003 to the date of query.
Participants: Adults aged 18-49 with an index diagnosis of rLBP were included. Serious etiologies of low back pain, structural deformities, alternative neurological lesions and absolute benzodiazepine
Outcome measures: The number, percentage and OR of patients receiving a benzodiazepine prescription over 3, 6 and 12 months’ follow-up prematching and postmatching.
What They Found 9206 patients per cohort. Odds of receiving a benzodiazepine prescription were significantly lower in the CSMT cohort over all follow-up windows prematching and postmatching Sensitivity analysis suggested a patient preference to avoid prescription medications did not explain the study findings.
Wrap It Up These findings suggest that receiving CSMT for newly diagnosed rLBP is associated with reduced odds of receiving a benzodiazepine prescription during follow-up. These results provide real-world evidence of practice guideline-concordance among patients entering this care pathway.
Item #2 Our second paper today is called, “Efficacy of topical curcumin on mild to moderate carpal tunnel syndrome: a randomized double-blind, placebo-controlled clinical trial” by Razavi et al and published in Pain Medicine in May of 2024 and it’s a hot one, folks!! Athena Sharifi Razavi, Fatemeh Mohajerani, Fatemeh Niksolat, Narges Karimi, Efficacy of topical curcumin on mild to moderate carpal tunnel syndrome: a randomized double-blind, placebo-controlled clinical trial, Pain Medicine, Volume 25, Issue 5, May 2024, Pages 327–333, https://doi.org/10.1093/pm/pnae001
Why They Did It Recently, there has been a renewed interest in traditional medicine for carpal tunnel syndrome (CTS). Curcumin has been reported as an agent with antioxidant, anti-inflammatory, analgesic, and neuroprotective attributes. This study is one of the first investigations to assess the effect of curcumin gel on CTS.
How They Did It
What They Found
Wrap It Up
It seems that curcumin gel could be effective in the improvement of the symptom severity and daily activity of patients with CTS. 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 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
The post Chiropractic And Benzodiazepine & Curcumin And Carpal Tunnel appeared first on Chiropractic Forward.
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