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Do Physicians Follow Guidelines & Updated Chiropractic Trends
CF 359: Do Physicians Follow Guidelines & Updated Chiropractic Trends Today we’re going to talk about Do Physicians Follow Guidelines & Updated Chiropractic Trends 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 #359 Now if you missed last week’s episode, we talked about how the first provider chosen matters and then we talked about neural mobilization. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things….. We are in the quadremic around the Texas Panhandle and, from what I hear, around the USA. What’s the quadremic, you might ask. Well, it’s RSV, the Flu, COVID, and the regular norovirus. Evidently it’s hitting from all directions this month. I’ve had COVID. Just two weeks ago. But now it’s like I have something else on top of that. My head is all stopped up, trouble catching my breath, and just sort of messy all over. But I’m here, damnit! I’m Gen X-ing it, pushing through, and making things happen regardless. If you’re a regular around here, then you know last week I spoke about all of the random ays I’ve had off in the last month or so and how, for a practice that doesn’t scare people into a million visits, days off can be pretty detrimental. A true schedule killer. So, we’re not letting this little lingering illness keep me down and at the house. I mentioned some time back that I am entertaining the idea of selling 60% of the clinic to a private equity group out of Houston, TX. As I go through the process, I’ll share more and more about what’s going on, why it makes sense, and if you want to have a valuation done on your own clinic, you can just get hold of me and I’ll get you with the right people. But, I will walk you through it and talk about it as I go. We have a transition team Zoom call this afternoon so will know a bit more for next week’s podcast. But for now, let’s hop into the research.
Item #1
Our first one this week is called, “Diagnostics and treatment of acute non-specific low back pain: do physicians follow the guidelines?” By Trachsel et al and published in Swiss Medical Weekly on January 24, 2025. Holy smokes it’s a hot one!! Remember, the citations can be found at chiropracticforward.com under this episode.
Trachsel M, Trippolini MA, Jermini-Gianinazzi I, Tochtermann N, Rimensberger C, Hubacher VN, Blum MR, Wertli MM. Diagnostics and treatment of acute non-specific low back pain: do physicians follow the guidelines?. Swiss Med Wkly [Internet]. 2025 Jan. 24 [cited 2025 Feb. 17];155(1):3697. Available from: https://smw.ch/index.php/smw/article/view/3697
Why They Did It
Clinical guidelines for acute non-specific low back pain recommend avoiding imaging studies, refraining from strong opioids and invasive treatments, and providing information to patients to stay active. Despite these recommendations, many patients undergo diagnostic and therapeutic assessments that are not in line with the current evidence. AIM: To assess the management of acute non-specific low back pain by Swiss general practitioners (GPs) and their adherence to guideline recommendations.
How They Did It
We performed a survey using two clinical case vignettes of patients with acute non-specific low back pain without red flags or neurological deficits. The main differences between the vignettes were sex, age, profession, pain duration and medical history. GPs were asked about their management of those patients.
What They Found
Wrap It Up
Although GPs reported being aware of current guideline recommendations, management of acute non-specific low back pain was not in line with these recommendations. A substantial proportion of GPs considered imaging, treatments (e.g. muscle relaxants, long-acting strong opioids), and activity and work restrictions with potentially harmful consequences. How surprising is that? Not very is you ask me. I hear it every day just about. Bed rest for a bad back but they’ll have post-surgical patients walking around the hospital with their IV poles in hand.
Item #2
Our second one today is called “National Trends in the Utilization and Expenditure of Chiropractic Care in U.S. Adults: Analysis of the 2007-2016 Medical Expenditure Panel Survey” by Chen et al and published in the Journal Of Manipulative and Physiological Therapeutics on September 27th, 2024 and es muy caliente mi amigo! Muy!
Baojiang Chen, Henry S. Brown, David Douphrate, Jud Janak, Kelley Pettee Gabriel, Trent Peng, National Trends in the Utilization and Expenditure of Chiropractic Care in U.S. Adults: Analysis of the 2007-2016 Medical Expenditure Panel Survey, Journal of Manipulative and Physiological Therapeutics, 2024, ISSN 0161-4754, https://doi.org/10.1016/j.jmpt.2024.08.005. (https://www.sciencedirect.com/science/article/pii/S0161475424000447)
Why They Did It
This study aimed to examine the trends in the utilization and expenditure of chiropractic care in a representative sample of US adults, aged ≥18 years.
How They Did It Serial cross-sectional data (2007-2016) from the Medical Expenditure Panel Survey (MEPS) were examined. Weighted descriptive statistics were analyzed to obtain national estimates of chiropractic utilization and expenditure, and time-series linear regression was used to assess trends over time. Socio-demographic characteristics and musculoskeletal diagnoses associated with chiropractic use were also reported.
What They Found A statistically significantly increasing trend was observed for the number of adults receiving chiropractic care, number of visits and utilization rate from 2007 to 2016. A similar trend was not found for chiropractic expenditure during this period. The mean number of visits was 8.3 visits per year, with a mean expenditure of $86.94 USD per visit and $721.43 USD per person per year.
Mean age of adult chiropractic users each year ranged between 48.6 and 51.2 years old, and users were primarily female (56.3%-60.4%), White persons (90.1%-93.5%), and privately insured (77.3%-82.8%). The most prevalent musculoskeletal diagnoses associated with chiropractic use were low back conditions (45.4%-58.1%), inflammatory/degenerative disc or joint conditions (21.2%-26.8%) and head and neck complaints (9.8%-13.7%).
Wrap It Up
The findings showed statistically significant increasing trends for the number of adult chiropractic users, the number of visits, and percent utilization of chiropractic care from 2007 to 2016. Conversely, we found a statistically null trend for the total annual expenditure on chiropractic care during the same time period.
Findings from this analysis imply that, while chiropractic care appears to be growing, it may still be under-utilized, and more efforts should be devoted to ensuring sustained growth and a larger role in the management of musculoskeletal health.
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 Do Physicians Follow Guidelines & Updated Chiropractic Trends appeared first on Chiropractic Forward.
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CF 359: Do Physicians Follow Guidelines & Updated Chiropractic Trends Today we’re going to talk about Do Physicians Follow Guidelines & Updated Chiropractic Trends 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 #359 Now if you missed last week’s episode, we talked about how the first provider chosen matters and then we talked about neural mobilization. Make sure you don’t miss that info. Keep up with the class.
On the personal end of things….. We are in the quadremic around the Texas Panhandle and, from what I hear, around the USA. What’s the quadremic, you might ask. Well, it’s RSV, the Flu, COVID, and the regular norovirus. Evidently it’s hitting from all directions this month. I’ve had COVID. Just two weeks ago. But now it’s like I have something else on top of that. My head is all stopped up, trouble catching my breath, and just sort of messy all over. But I’m here, damnit! I’m Gen X-ing it, pushing through, and making things happen regardless. If you’re a regular around here, then you know last week I spoke about all of the random ays I’ve had off in the last month or so and how, for a practice that doesn’t scare people into a million visits, days off can be pretty detrimental. A true schedule killer. So, we’re not letting this little lingering illness keep me down and at the house. I mentioned some time back that I am entertaining the idea of selling 60% of the clinic to a private equity group out of Houston, TX. As I go through the process, I’ll share more and more about what’s going on, why it makes sense, and if you want to have a valuation done on your own clinic, you can just get hold of me and I’ll get you with the right people. But, I will walk you through it and talk about it as I go. We have a transition team Zoom call this afternoon so will know a bit more for next week’s podcast. But for now, let’s hop into the research.
Item #1
Our first one this week is called, “Diagnostics and treatment of acute non-specific low back pain: do physicians follow the guidelines?” By Trachsel et al and published in Swiss Medical Weekly on January 24, 2025. Holy smokes it’s a hot one!! Remember, the citations can be found at chiropracticforward.com under this episode.
Trachsel M, Trippolini MA, Jermini-Gianinazzi I, Tochtermann N, Rimensberger C, Hubacher VN, Blum MR, Wertli MM. Diagnostics and treatment of acute non-specific low back pain: do physicians follow the guidelines?. Swiss Med Wkly [Internet]. 2025 Jan. 24 [cited 2025 Feb. 17];155(1):3697. Available from: https://smw.ch/index.php/smw/article/view/3697
Why They Did It
Clinical guidelines for acute non-specific low back pain recommend avoiding imaging studies, refraining from strong opioids and invasive treatments, and providing information to patients to stay active. Despite these recommendations, many patients undergo diagnostic and therapeutic assessments that are not in line with the current evidence. AIM: To assess the management of acute non-specific low back pain by Swiss general practitioners (GPs) and their adherence to guideline recommendations.
How They Did It
We performed a survey using two clinical case vignettes of patients with acute non-specific low back pain without red flags or neurological deficits. The main differences between the vignettes were sex, age, profession, pain duration and medical history. GPs were asked about their management of those patients.
What They Found
Wrap It Up
Although GPs reported being aware of current guideline recommendations, management of acute non-specific low back pain was not in line with these recommendations. A substantial proportion of GPs considered imaging, treatments (e.g. muscle relaxants, long-acting strong opioids), and activity and work restrictions with potentially harmful consequences. How surprising is that? Not very is you ask me. I hear it every day just about. Bed rest for a bad back but they’ll have post-surgical patients walking around the hospital with their IV poles in hand.
Item #2
Our second one today is called “National Trends in the Utilization and Expenditure of Chiropractic Care in U.S. Adults: Analysis of the 2007-2016 Medical Expenditure Panel Survey” by Chen et al and published in the Journal Of Manipulative and Physiological Therapeutics on September 27th, 2024 and es muy caliente mi amigo! Muy!
Baojiang Chen, Henry S. Brown, David Douphrate, Jud Janak, Kelley Pettee Gabriel, Trent Peng, National Trends in the Utilization and Expenditure of Chiropractic Care in U.S. Adults: Analysis of the 2007-2016 Medical Expenditure Panel Survey, Journal of Manipulative and Physiological Therapeutics, 2024, ISSN 0161-4754, https://doi.org/10.1016/j.jmpt.2024.08.005. (https://www.sciencedirect.com/science/article/pii/S0161475424000447)
Why They Did It
This study aimed to examine the trends in the utilization and expenditure of chiropractic care in a representative sample of US adults, aged ≥18 years.
How They Did It Serial cross-sectional data (2007-2016) from the Medical Expenditure Panel Survey (MEPS) were examined. Weighted descriptive statistics were analyzed to obtain national estimates of chiropractic utilization and expenditure, and time-series linear regression was used to assess trends over time. Socio-demographic characteristics and musculoskeletal diagnoses associated with chiropractic use were also reported.
What They Found A statistically significantly increasing trend was observed for the number of adults receiving chiropractic care, number of visits and utilization rate from 2007 to 2016. A similar trend was not found for chiropractic expenditure during this period. The mean number of visits was 8.3 visits per year, with a mean expenditure of $86.94 USD per visit and $721.43 USD per person per year.
Mean age of adult chiropractic users each year ranged between 48.6 and 51.2 years old, and users were primarily female (56.3%-60.4%), White persons (90.1%-93.5%), and privately insured (77.3%-82.8%). The most prevalent musculoskeletal diagnoses associated with chiropractic use were low back conditions (45.4%-58.1%), inflammatory/degenerative disc or joint conditions (21.2%-26.8%) and head and neck complaints (9.8%-13.7%).
Wrap It Up
The findings showed statistically significant increasing trends for the number of adult chiropractic users, the number of visits, and percent utilization of chiropractic care from 2007 to 2016. Conversely, we found a statistically null trend for the total annual expenditure on chiropractic care during the same time period.
Findings from this analysis imply that, while chiropractic care appears to be growing, it may still be under-utilized, and more efforts should be devoted to ensuring sustained growth and a larger role in the management of musculoskeletal health.
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 Do Physicians Follow Guidelines & Updated Chiropractic Trends appeared first on Chiropractic Forward.
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