Today we’re going to talk about Interesting Thoughts On Low Back & Degenerative Cervical Myelopathy

But first, here’s that sweet sweet bumper music

 

 

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 [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 #304

Now if you missed last week’s episode , we talked about Hip Pain And Corticosteroids & Chronic Pain After Spinal Surgery. Make sure you don’t miss that info. Keep up with the class. 

We’re going to go quickly today. I have only a three day week this week because the fam and I are headed to Orlando this week for my Mastermind meeting

If you do not recall, I’m in Dr Kevin Christie’s group and there are about 25 of us. We meet once per quarter and this will be our last one of the year.

It’s always good to get around people that are doing big things. I’d say I’m probably somewhere in the middle of the group. Some are doing bigger things that I am and some are not. Some are right where Imm at but in a different way. 

The point is I can learn from each of them and they can learn from me. That’s the essence of a mastermind group I suppose.

Dr Christie has started a second Mastermind group now and this one is more for those in the western parts of the USA. I highly recommend listening to him on his Modern Chiropractic Mastery podcast and connecting with him either through email or through his Facebook group if the same name

Masterminds are valuable. I don’t take trips once per quarter taking time out if my clinic for small silly stuff. This is big and you should be a part of it if you can be. 

Next, poaching employees from other chiropractors in your area. General business tip:

I’ve had a local chiropractor go after and poach two of my providers (acupuncture & massage) in less than two months.

The tip is, don’t be a douchebag. Hire and train your own damn people, folks. I had invested years into each of these two people and helped them build their clientele and they were VERY well treated and paid. 

Which I feel is mostly on them. That doesn’t mean I don’t need to look into our own setup to try to understand how they could do what they did.

However, not just one, but two in less than two months……that’s dirty and has me hoppin’ mad.

We came out on top big time on the acupuncturist. Without a doubt. The same will happen with the LMT. He just doesn’t know it yet. I’m happy he got the acupuncturist. It solved a big problem for me. Our new one is better and easier to do business with. I’m actually OK with him getting that particular LMT. I still have two others. 

All parties involved over there are going to learn some lessons from each other.

It’s not really about the individuals. It’s about the principle. I’ve never gone after my colleagues’ staff and never would. In fact, I’ve had MULTIPLE opportunities to poach others’ staff and told them I could not hire them because of my relationship with their boss.

So, if you like making enemies out of your colleagues, going after their staff is a perfect way to do it.

OK, this first one this week is called “The mediating effect of social functioning on the relationship between catastrophizing and pain among patients with chronic low back pain” by Papianou et. Al. and published in Pain Medicine in November 2023. Schiza!! It’s muy caliente, my friends. Three languages in six words. Pow. 

Citation is in the show notes, folks

Lauren N Papianou, Jenna M Wilson, Robert R Edwards, Christine B Sieberg, Samantha M Meints, The mediating effect of social functioning on the relationship between catastrophizing and pain among patients with chronic low back pain, Pain Medicine, Volume 24, Issue 11, November 2023, Pages 1244–1250, https://doi.org/10.1093/pm/pnad093

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.

Our last one this week is called, “The value of Clinical signs in the diagnosis of Degenerative Cervical Myelopathy – A Systematic review and Meta-analysis” by Jiang et. Al. and published in Global Spine Journal in 2023 and that’s hot enough to be some hot stuff. 

Jiang Z, Davies B, Zipser C, et al. The value of Clinical signs in the diagnosis of Degenerative Cervical Myelopathy – A Systematic review and Meta-analysis. Global Spine Journal. 2023;0(0). doi:10.1177/21925682231209869

The presence of clinical signs suggesting spinal cord compression should encourage health care professionals to pursue further investigation, such as neuroimaging to either confirm or refute a diagnosis of DCM.

I’ll put some links to the tests at this point in the show notes at chiropracticforward.com Remember, it’s episode 304

Tromner Sign

Inverted Supinator Sign

 

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. 

Remember the evidence-informed brochures and posters at chiropracticforward.com. 

 

 

 

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!

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!

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. 

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.

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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

 

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