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
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, judgmental, elitist, puffing on a pipe, pretentious kind of research. We’re research talk over a couple of beers. So grab you a 6-er.
I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re lending me your ear, spending your time with me and we’re learning this stuff 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]
Things you should do.
Go to Amazon and BUY my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. Easy to understand and easy to support everything you do. It’s on Amazon.
Like our Chiropractic Forward Facebook page,
Join our private Chiropractic Forward Facebook group, and then
Review our podcast
Check our website at chiropracticforward.comYou have found yourself smack dab in the middle of Episode #382
Now if you missed last week’s episode, we talked about SMT And Re-operation Rates & The Most Expensive Condition.
Make sure you don’t miss that info. Keep up with the class.
On the personal end of things…..
Well, if you’re a dedicated listener, then you know the last podcast episode was roughly three weeks ago. That’s a little crazy.
But there are a couple of factors at play on that.
It’s hard to keep pouring energy and time into something that doesn’t seem to grow. I mean, I’ve been doing this podcast every single week until recently. That’s 381 episodes, every single week, for almost 8 years. And our listenership is still just about the same it’s ever been. There is little to zero engagement in the Facebook private group and, after a while, the piss and vinegar starts to empty out. It really would help if those of you that know and love Chiropractic Forward posted about it now and then and shared relevant episodes with your groups and network. Whether that’s on Facebook or just a text with the link. It’s all helpful and growing the listenership really would make the effort mean more and more for me personally. Now, understand, I feel a commitment to those of you that are true blue fans and we’re going to still keep pumping the episodes out as I’m able. It just can’t be my priority right now. Here’s why:
I am entering into the serious back half of my chiropractic career and am making plans ahead of time. That includes me going through my CA licensure and entering into some designated doctor work out on the West Coast.
In addition to that new venture, I have made two significant and huge hires. I finally found an associate chiropractor to come in and help blow the lid off of this practice. I also just hired a nurse practitioner with a decade of experience under her belt and a belly full of excitement. These folks are going to demand a good portion of my time and attention and trust me, the ROI on them will be much more significant than the ROI on this podcast. Lol. So, as you can see, lots of moving parts here, the sale of the clinic is off for now due to the passing of the owner of the purchasing group, and it’s time to buckle up, hunker down, and make things happen.
That’s where it’s at. Let’s hop into the research.
Item #1
Our first one today is called, “Is regression in lumbar disk herniation possible by spinal mobilization? A single-blind randomized controlled clinical study” by Taskaya et al and published in International Journal of Osteopathic Medicine in June 2025 and that’s hotter than a chili pepper.
Remember, the citations can be found at chiropracticforward.com under this episode.
Is regression in lumbar disk herniation possible by spinal mobilization? A single-blind randomized controlled clinical study
Taşkaya, Burhan et al.
International Journal of Osteopathic Medicine, Volume 56, 1007
I want to thank Dr. Mark King, President of Motion Palpation Institute for sending this one to me. Mark is an incredible person and such a valuable friend and colleague. He is one who makes you proud to be a chiropractor.
Why They Did It
This study aimed to examine the impacts of spinal mobilization practices on herniation distance, disc height, and facet joint distance, as well as functional status, pain, range of motion (ROM), and flexibility in lumbar disc herniation (LDH) patients.
How They Did It
Thirty-two participants participated in the study, divided into an Intervention and Control Group.
Radiological findings were evaluated by MRI before and after the study.
The Back Performance Scale, Visual Analogue Scale, The S, and The Sit and Reach Test were assessed before, after, and at three months.
The control group received ten sessions of stabilization exercises for five weeks, two sessions per week.
In the intervention group, spinal mobilization applications were applied in addition to stabilization exercises
What They Found
Intra-group analysis revealed significant reductions in herniation distance, increases in facet joint distance, pain alleviation, functional improvement, enhanced flexibility, and extended ROM in both groups
Notably, a significant increase in disc height was observed exclusively in the Intervention Group.
Inter-group analysis revealed no significant differences between the groups post-intervention
Wrap It Up
Mobilization applications applied in LDH patients may have a positive effect on radiological findings, functional status, pain, ROM, and flexibility.
May…..MAY, they say…….lol. OK Boomers…..ugh. I can’t wait until they are finally forced to recognize the effectiveness and cost saving of our industry for non-complicated musculoskeletal conditions.
Item #2
The second one this week is called, “Psychosocial factors are associated with altered pain processing in individuals with hip osteoarthritis: a cross-sectional study” by Sergooris et al and published in Pain Medicine March 24th, 2025 and it’s still a steaming supper special!
Abner Sergooris, Jonas Verbrugghe, Bruno Bonnechère, Timo Meus, Maaike Van Den Houte, Kristoff Corten, Katleen Bogaerts, Annick Timmermans, Psychosocial factors are associated with altered pain processing in individuals with hip osteoarthritis: a cross-sectional study, Pain Medicine, Volume 26, Issue 8, August 2025, Pages 468–476, https://doi.org/10.1093/pm/pnaf030
Why They Did It
Alterations in central pain processing are hypothesized to underlie the discordance between pain and radiographic osteoarthritis severity, as well as the association between psychological trauma and pain sensitivity. This cross-sectional study explored whether psychosocial factors and traumatic experiences are associated with central pain processing in individuals with hip osteoarthritis.
How They Did It
Independent variables included sociodemographic information, traumatic experiences, psychiatric disorders, symptoms of anxiety and depression, fear-avoidance, perceived injustice, general self-efficacy, perceived stress, social support, and pain-related variables.
Thermal quantitative sensory testing was used to assess central pain processing through heat pain thresholds, temporal adaptation and summation, and conditioned pain modulation.
Least absolute shrinkage and selection operator (LASSO) regression analyses were performed.What They Found
One hundred thirty-three individuals with hip osteoarthritis were included.
Sex differences were identified in measures of central pain processing.
In combination with biological and pain-related factors, psychosocial factors explained between 11% and 21% of the variance in central pain processing.
The selection of biopsychosocial variables and the direction of their effect differed between male and female participants.
Inconsistent results were found with regard to the association between traumatic experiences and central pain processing.Wrap It Up
Psychosocial factors contributed to the variance in quantitative sensory testing outcomes beyond the influence of biomedical variables.
Different associations were found in male and female participants between psychosocial factors and central pain processing.
Inconsistent results were found with regard to the association between traumatic experiences and altered central pain processing.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
Home
Social Media Links
https://www.facebook.com/chiropracticforward/
Chiropractic Forward Podcast Facebook GROUP
https://www.facebook.com/groups/1938461399501889/
Twitter
Tweets by Chiro_Forward
YouTube
https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q
iTunes
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 SMT And Disc Regression & Biopsychosocial Factors For Hip Osteoarthritis appeared first on Chiropractic Forward.