Show Notes for April 19, 2019

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Stress and Inflammation – the Transition between Acute and Chronic Stress Effects
  • And Finally, a Story about the Effectiveness of Primary Care Interventions Using a Biopsychosocial Approach in Chronic LBP

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #670 recorded April 19, 2019

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

Direct – http://www.chiropracticradio.com/healthbeat/healthbeat0670.mp3

COT’s HealthBeat has updated its Community and Show Notes. The new Web Site is located at – https://cothealthbeat.wordpress.com/

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community. If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community. This podcast is made available thru the generous donations we receive and greatly appreciate. If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news ….

 

 

COT’s HealthBeat Chiropractic Community

Google+ has announced that they will be closing their Social Network community in the upcoming weeks.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

 

 

Stress and Inflammation – the Transition between Acute and Chronic Stress Effects

Stress responses help us navigate our environment and respond appropriately to threats. Stress systems communicate threats to the entire organism, and as such, also stimulate inflammatory mechanisms.

This modulation might serve protective functions in the short term, but sustained low-grade inflammation has severe long-term health consequences.

While we have reached a reasonable level of understanding of acute, as well as chronic stress effects on inflammatory mechanisms, there is a significant gap in our understanding of the transitional phase between acute and chronic stress.

The purpose of this review, published in the journal Psychoneuroendocrinology, is to first summarize current knowledge of our understanding of acute stress effects on inflammation, as well as of chronic stress effects on inflammation, and to then analyze the state of knowledge about the transitional phase between acute and chronic stress.

Research discussed here shows that we are beginning to understand the early phase of repeated acute stress, but lack information on longer term exposure to repeated acute stress experiences. More research is needed to bridge this important gap and our conceptualization and understanding of the stress and health relationship.

Surf to our Show Notes for Links – https://www.sciencedirect.com/science/article/pii/S0306453018306954

 

 

Effectiveness of Primary Care Interventions Using a Biopsychosocial Approach in Chronic LBP

Recent systematic reviews show promising effects for multidisciplinary biopsychosocial (BPS) interventions in patients with chronic low back pain (CLBP). Nowadays, biopsychosocial interventions have also been developed for primary care physiotherapy settings.

The aim of a recent study published in the journal Pain Practice, was to systematically review the evidence on the effectiveness of primary care biopsychosocial interventions in improving functional disability, pain, and work status for patients with CLBP.

Secondly, the authors aimed to provide an elaborated overview of BPS intervention designs, physiotherapist training programs, and process-related factors (practical implementation).

The study concluded that biopsychosocial interventions seem more effective than education/advice and were found to be as effective as physical activity interventions in patients with CLBP.

BPS interventions with a clear focus on psychosocial factors (understanding pain, unhelpful thoughts, coping styles, and goal setting) seem most promising.

Sufficient delivery of biopsychosocial elements is expected when physiotherapists participate in training programs with extensive support prior and during delivery (manual, supervision, and informative resources).

Surf to our Show Notes for Links – https://onlinelibrary.wiley.com/doi/epdf/10.1111/papr.12735

 

 

 

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote: 

My day begins and ends with gratitude.”
― Louise Hay

For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.

 

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Show Notes for April 12, 2019

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Lumbar Manipulation and Athletes Symmetry
  • And Finally, a story about Sleep Problems and LBP

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #669 recorded April 12, 2019

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

Direct – http://www.chiropracticradio.com/healthbeat/healthbeat0669.mp3

COT’s HealthBeat has updated its Community and Show Notes. The new Web Site is located at – https://cothealthbeat.wordpress.com/

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community. If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community. This podcast is made available thru the generous donations we receive and greatly appreciate. If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news ….

 

 

Lumbar Manipulation and Athletes Symmetry

The purpose of a recent prospective study among healthy athletes was to verify the possible effects of lumbar manipulation on symmetry, analysing the measured outcomes from physical tests.

Young athletes of both genders were selected according to the eligibility criteria, randomly allocated into experimental and control groups.

Data were collected with two force platforms integrated with motion capture system, to retrieve the bilateral ground reaction forces, to apply the symmetry index.

All participants performed three commonly used physical performance tests, including static posture, squat, and vertical jump, before and after the lumbar manipulation and control intervention.

The study concluded that the athletes from group 1, the pre- to post-lumbar manipulation group, benefited regarding to the static symmetry after lumbar intervention.

These findings suggest that one single lumbar spinal manipulation, actually took place, producing effects on symmetry.

Surf to our Show Notes for Links – http://www.rcumariacristina.net:8080/ojs/index.php/AJEE/article/view/414

 

 

Sleep Problems and LBP

Sleep problems are common in people with low back pain (LBP); however, the mechanisms of how sleep influences pain are complex.

To date there is a lack of prospective research on the timing and development of sleep problems in those who have LBP; such information would be useful to identify individuals at risk for poor outcomes.

The aim of a recent study published in the journal Pain Practice, was to investigate the predictive role of sleep problems on self‐report recovery and pain intensity using logistic regression reporting odds ratios (ORs).

Further analysis on the experience of sleep problems through time showed that those with developing sleep problems (ie, no sleep problems at baseline but reported sleep problems at follow‐up) were at increased odds for reporting non-recovery and pain intensity, as were those who reported sleep problems at both baseline and follow‐up, for recovery and pain intensity.

Those with resolving sleep problems (ie, sleep problems present at baseline but not at follow‐up) were at decreased odds for
non-recovery and pain intensity. Presenting, persistent, and developing sleep problems have a significant impact on recovery for those with LBP.

Clinicians may wish to consider treatment options that can address sleep problems.

Surf to our Show Notes for Links – https://onlinelibrary.wiley.com/doi/abs/10.1111/papr.12584

 

 

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional. 

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

The struggle ends when gratitude begins.”
― Neale Donald Walsch

For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.

 


Show Notes for April 5, 2019

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Conservative Spine Care and Health Costs
  • And Finally, a Story about Chronic localized back pain due to entrapment of cutaneous branches of posterior rami of the thoracic nerves

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #668 recorded April 5, 2019

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

Direct – http://www.chiropracticradio.com/healthbeat/healthbeat0668.mp3

COT’s HealthBeat has updated its Community and Show Notes. The new Web Site is located at – https://cothealthbeat.wordpress.com/

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community. If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community. This podcast is made available thru the generous donations we receive and greatly appreciate. If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news ….

 

COT’s HealthBeat Chiropractic Community

Google+ has closed their Social Network community as of April 2, 2019.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

 

Conservative Spine Care and Health Costs

In the US, spine pain treatment is expensive and has uncertain outcomes.

To reduce waste and improve patient outcomes, organizations like the American College of Physicians and Choosing Wisely (in concert with Consumer Reports) have published conservative spine care treatment recommendations.

As part of an effort to improve the clinical effectiveness and value of spine care, on March 1, 2015, Excellus BlueCross BlueShield (Excellus), headquartered in Rochester, NY, introduced a spine care pathway that incorporated conservative spine care recommendations in 1 primary care practice (with 11 primary care physicians (PCPs)) within an Excellus Accountable Cost and Quality Arrangement (a reimbursement model similar to an Accountable Care Organization) but not in another (with 74 PCPs).

The authors of a recent study published in the Journal of General Internal Medicine, sought to analyze the impact of the pathway’s implementation by comparing expenditures for spine pain care in those practices.

Surf to our Show Notes for Links – https://link.springer.com/article/10.1007/s11606-019-04942-7

http://www.choosingwisely.org/patient-resources/low-back-pain/

http://www.choosingwisely.org/clinician-lists/#keyword=low_back_pain

 

 

 

Chronic localized back pain due to entrapment of cutaneous branches of posterior rami of the thoracic nerves

Chronic back pain (CBP) may be caused by a variety of conditions including dysfunctional muscles, ligaments or intervertebral discs, improper movement of vertebral column joints, or nerve root compression.

Recently, Chronic back pain was treated successfully in a patient having an entrapment of cutaneous branches of the posterior rami of the thoracic nerves, termed posterior cutaneous nerve entrapment syndrome (POCNES).

The aim of a recent study published in the Journal of Pain Research, was to describe clinical presentation, differential diagnosis, and management of patients with such a neuropathic pain syndrome.

The study concluded that posterior cutaneous nerve entrapment syndrome should be considered in the differential diagnosis of chronic localized back pain. A treatment regimen including injections and neurectomy of the specific cutaneous branch results in long-term pain relief in more than half of these patients.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388752/

 

 

 

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote: 

It is stupidity rather than courage to refuse to recognize danger when it is close upon you.”
— Sir Arthur Conan Doyle

For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.


Sleep Problems and LBP

https://onlinelibrary.wiley.com/doi/abs/10.1111/papr.12584

Sleep problems are common in people with low back pain (LBP); however, the mechanisms of how sleep influences pain are complex. To date there is a lack of prospective research on the timing and development of sleep problems in those who have LBP; such information would be useful to identify individuals at risk for poor outcomes. Our aims are to investigate the predictive role of sleep problems on self‐report recovery and pain intensity using logistic regression reporting odds ratios (ORs). An observational cohort of 761 chronic LBP patients recruited from a pain management clinic participated, and they completed data at baseline and at 6‐month follow‐up (n = 682). Results show increased odds for reported nonrecovery (OR 1.52) and pain intensity (OR 2.69) among those who reported sleep problems at baseline. Further analysis on the experience of sleep problems through time showed that those with developing sleep problems (ie, no sleep problems at baseline but reported sleep problems at follow‐up) were at increased odds for reporting nonrecovery (OR 2.17) and pain intensity (OR 2.95), as were those who reported sleep problems at both baseline and follow‐up, for recovery (OR 2.88) and pain intensity (OR 3.45). Those with resolving sleep problems (ie, sleep problems present at baseline but not at follow‐up) were at decreased odds for nonrecovery (OR 0.50) and pain intensity (0.49). Presenting, persistent, and developing sleep problems have a significant impact on recovery for those with LBP. Clinicians may wish to consider treatment options that can address sleep problems.

 


ChiroCode – Clarifying Medicare Participation

https://www.chirocode.com/blog/315

Even though we may think we truly understand what it means to be a participating provider, Medicare doesn’t quite work the way that other insurance plans do. Far too many providers do not understand the difference and get into hot water. To further complicate matters, the rules are different for Part A/B versus Part C/D. Also, do not confuse ‘out of network’ with participation status. Perhaps the time has come for us to start using different words to describe a provider’s status with a third-party payer. Using “in network” instead of “participating” to refer to situations where you have gone through a credentialing type process with the payer and using “Out of network” instead of “non-participating”.

Click above link for full story …


Show Notes for March 22, 2019

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

In this week’s news: We’ll Be Looking At –

  • Benefits and harms of spinal manipulative therapy for Chronic LBP
  • And Finally, a Story about MRI Findings in the Cervical Spine

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #667 recorded March 22, 2019

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

You can download this week’s Podcast here –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

Direct – http://www.chiropracticradio.com/healthbeat/healthbeat0667.mp3

COT’s HealthBeat has updated its Community and Show Notes. The new Web Site is located at – https://cothealthbeat.wordpress.com/

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books. Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues. Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community. If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community. This podcast is made available thru the generous donations we receive and greatly appreciate. If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy. However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing. We thank everyone for their continued support.

And Now for some news …. 

 

COT’s HealthBeat Chiropractic Community

Google+ has announced that they will be closing their Social Network community in the upcoming weeks.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

 

Benefits and harms of spinal manipulative therapy for the treatment of chronic LBP

A recent study was published in the journal The BMJ, to assess the benefits and harms of spinal manipulative therapy (SMT) for the treatment of chronic low back pain.

This was a randomised controlled trials examining the effect of spinal manipulation or mobilisation in adults (≥18 years) with chronic low back pain with or without referred pain.

Studies that exclusively examined sciatica were excluded, as was grey literature. No restrictions were applied to language or setting.

The study concluded that SMT produces similar effects to recommended therapies for chronic low back pain, whereas SMT seems to be better than non-recommended interventions for improvement in function in the short term.

Clinicians should inform their patients of the potential risks of adverse events associated with SMT.

Surf to our Show Notes for Links – https://www.bmj.com/content/364/bmj.l689

 

MRI Findings in the Cervical Spine

Previous studies of patients with neck pain have reported a high variability in prevalence of MRI findings of disc degeneration, disc herniation etc.

This is most likely due to small and heterogenous study populations. Reasons for only including small study samples could be the high cost and time-consuming procedures of having radiologists coding the MRIs. Other methods for extracting reliable imaging data should therefore be explored.

The objectives of a recent study published in the journal Chiropractic & Manual Therapies, were

  1. to examine inter-rater reliability among a group of chiropractic master students in extracting information about cervical MRI-findings from radiologists´ narrative reports, and
  2. to describe the prevalence of MRI findings in the cervical spine among different age groups in patients above age 18 with neck pain

The most prevalent MRI findings were foraminal stenosis (77%), uncovertebral arthrosis (74%) and disc degeneration (67%) while the least prevalent findings were nerve root compromise (2%) and Modic changes type 2 (6%). Modic type 1 was mentioned in 25% of the radiologists’ reports. The prevalence of all findings increased with age, except disc herniation which was most prevalent for patients in their forties.

The study concluded that MRI-findings from radiologists’ narrative reports can reliably be extracted by chiropractic master students with a minimum of training. Degenerative findings in the cervical spine were most commonly found at levels C5/C6 and C6/C7 and increased with age.

Surf to our Show Notes for Links – https://chiromt.biomedcentral.com/articles/10.1186/s12998-019-0233-3

 

 

This podcast is made available through the generous donations from our great Listeners, such as You! If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional. 

Thank you for listening…. As always, We Want to hear from you. Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is: healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com. If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site. For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing. Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

When we focus on our gratitude, the tide of disappointment goes out and the tide of love rushes in.”
― Kristin Armstrong

For Chiropractic OnLine Today’s HealthBeat, This has been
Dr. Todd Eglow.


Concussion: prevention, detection and management 

Concussion: prevention, detection and management

Take a free, non-credit course on concussion with UCalgary and the Université Laval. The 7-week course is open to those who are interested in preventing, detecting and managing concussions.

The next course is in Englishand begins April 8.

Do the course at your own pace, but you must complete it by May 27. See the Training Modules below to see what you will learn – once you press the REGISTER HERE button, you will be directed to the Université Laval website. Read the UToday article about this new course.

https://www.ucalgary.ca/knes/online-concussion-course