Neuroplasticity and Chronic Pain & Surgeons Showing Excised Disc Fragments To Postsurgical Patients

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

CF 285: Neuroplasticity and Chronic Pain & Surgeons Showing Excised Disc Fragments To Postsurgical Patients

Today we’re going to talk about Neuroplasticity and Chronic Pain & Surgeons Showing Excised Disc Fragments To Postsurgical Patients

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 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 [e-mail]

If you haven’t yet I have a few things you should do.

• Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
• Then go Like our Chiropractic Forward Facebook page,
• Join our private Chiropractic Forward Facebook group, and then
• Review our podcast on whatever platform you’re listening to
• Last thing real quick, we also have an evidence-based brochure and poster store at com

You have found yourself smack dab in the middle of Episode #285

Now if you missed last week’s episode, we talked about acupuncture for IBS and how chronic pain develops. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

I love conferences. I don’t always love the classes and continuing education but you gotta do it, right? So might as well get after it and maybe even learn something.

I remember when I was first out of school and had to go to conferences. I hated it. Every bit of it. It was something being forced on me and I don’t like to be told what to do. It’s chaps my behind and gives me a rash. I’ve gotten better through the years though. I’ll admit.

I remember growing up, my step-dad always told us, “You might as well get used to the idea right now, you’ll always have someone else to answer to.” Regardless – it may be your spouse, you rparents, your teachers, your practice owners, you own your practice? – OK, maybe it’s you state regulating board for your license, maybe it’s your city, your patients, your local, state, or federal government….whatever it is, you answer to someone.

If you don’t think you answer to anyone, you may just be a problem and I don’t mean that as a compliment. Being humble, a team player, and cooperative within reason all has value.

Anyway, I somehow began to enjoy and see the value of conferences and the connections that could be made there. I also started enjoying some of the education you can get there.

At this point now, I’ve even taught at a few of them.

It started by getting involved in thee Texas Chiropractic Association. Once you meet the whole crew and become embedded in the group, the conferences mean more all of the sudden. It’s all for one, one for all. You’re all driving the same direction with the same or similar goals. It’s rather unique actually. It becomes a brotherhood.

Sooner or later, people from around the state begin to know you and, dare I say, maybe even respect you on some level. Especially the more you are willing to demonstrate your unique talents and value to the profession.

Then, I began loving conferences. Which is why I hate that I’ve had to miss both big TCA conferences here in Texas this year. One is called the MidWinter conference in Lubbock, TX. I had to be in Atlanta at a voiceover conference. Y’all….I like conferences, OK

Then this week, TCA is having the big ChiroTexpo event in the Dallas area. It’s the yearly state convention and I’m missing it for the first time in about 10 years because I have to be at a conference in Boston. Are you seeing the theme here? Lol. Except Boston is a conference my 16 year old mega mind daughter is going to. She was invited to the future medical professionals thingy majig. She gets to hear TED talks from nobel laureates for a few days and see a live surgery. She’s like 5^th out of 290 kids in her class. Super proud of this little one but yeah, I have to miss my TCA conference.

That means I have to figure out other ways to get the hours to maintain my license. So, I found a great way and I want to share it with you.

If you’ve been listening to this podcast since 2019 or so, you know I got my Diplomate in Neuromusculoskeletal Medicine. Formerly the DACO or orthopedic Diplomate.

A huge portion of the learning is online through the CDI which is an Australian group and this program is beyond any learning you’ll get anywhere else in the chiropractic realm. Maybe the Donald Murphy, Spine Practitioner learning but you get what I’m saying.

It’s special. And now, the credits are good for lots of states and their CEUs. So you can dabble in some of their online learning and use them for your continuing ed. Let’s say you love the classes, well….just keep taking them and end up with a Diplomate.

If you don’t love them, you got your continuing ed knocked out and learned a ton.

I love this group, I love the lectures and the lecturers, I’ve learned more through them in 6 months than I learned in three years of chiropractic school, and I know you’re going to love them too.

No affiliate code. No kick backs. Just mad respect for this group.

Go to cdi.edu.au

Go poke around there and see what you find. Then thank me later.

Item #1

The first on today is called “ The effect of manual therapy and neuroplasticity education on chronic low back pain: a randomized clinical trial” by Adriaan Louw, Kevin Farrell, Merrill Landers, Martin Barclay, Elise Goodman, Jordan Gillund, Sara McCaffrey, Laura Timmerman and published in PubMed on December 25, 2017.

Why They Did It

To determine if a neuroplasticity educational explanation for a manual therapy technique will produce a different outcome compared to a traditional mechanical explanation.

How They Did It

• Sixty-two patients with chronic low back pain (CLBP) were recruited for the study.
• Pain ratings obtained for low back pain and leg pain, Numeric Pain Rating Scale, Oswestry Disability Index, Fear-Avoidance-Beliefs Questionnaire, forward flexion (fingertips-to-floor), and straight leg raise (SLR)

• Patients were then randomly allocated to receive one of two explanations – either neuroplasticity or mechanical, a manual therapy technique to their lumbar spine, followed by post-intervention measurements of LBP, leg pain, forward flexion, and SLR.

What They Found

• There were no statistically significant interactions for LBP, leg pain, and trunk flexion between the groups, but SLR showed a significant difference in favor of the neuroplasticity explanation.

• Additionally, the neuroplasticity group were 7.2 times more likely to improve beyond the MDC on the SLR than participants in the mechanical group.

Wrap It Up

The results of this study show that a neuroplasticity explanation, compared to a traditional biomechanical explanation, resulted in a measurable difference in SLR in patients with CLBP when receiving manual therapy.

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.

Item #2

Our last one this week is called, “ Improved outcome after lumbar microdiscectomy in patients shown their excised disc fragments: a prospective, double blind, randomised, controlled trial” by M J Tait, J Levy, M Nowell, C Pocock, V Petrik, B A Bell, M C Papadopoulos published in PubMed on 9 September 2009. !

Why They Did It

Lumbar microdiscectomy (LMD) is a commonly performed neurosurgical procedure. We set up a prospective, double blind, randomised, controlled trial to test the hypothesis that presenting the removed disc material to patients after LMD improves patient outcome.

How They Did It

• Adult patients undergoing LMD for radiculopathy caused by a prolapsed intervertebral disc were randomised into one of two groups, termed experimental and control.

• Patients in the experimental group were given their removed disc fragments whereas patients in the control group were not. Patients were unaware of the trial hypothesis and investigators were blinded to patient group allocation.

• Outcome was assessed between 3 and 6 months after LMD. Primary outcome measures were the degree of improvement in sciatica and back pain reported by the patients. Secondary outcome measures were the degree of improvement in leg weakness, paraesthesia, numbness, walking distance and use of analgesia reported by the patients.

What They Found

• Data from 38 patients in the experimental group and 36 patients in the control group were analysed. The two groups were matched for age, sex and preoperative symptoms.

• More patients in the experimental compared with the control group reported improvements in leg pain (91.5 vs 80.4%; p<0.05), back pain (86.1 vs 75.0%; p<0.05), limb weakness (90.5 vs 56.3%; p<0.02), paraesthesia (88 vs 61.9%; p<0.05) and reduced analgesic use (92.1 vs 69.4%; p<0.02) than preoperatively.

Wrap It Up

Presentation of excised disc fragments is a cheap and effective way to improve outcome after LMD.

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.

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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

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