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The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy
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PNF Stretching For Knee OA & A 50-Year Review Of Chiropractic Research
3w ago00:17:00Tap to summarizeCF Episode 389: PNF Stretching For Knee OA & A 50-Year Review Of Chiropractic Research Today we’re going to talk about PNF Stretching For Knee OA And A 50-Year Review Of Chiropractic Research. 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. 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.com Episode 389 You have found yourself smack dab in the middle of Episode #389. Now if you missed our last episode, we talked about Shockwave Therapy for Hamstring Injuries and Vitamin D for Respiratory Infections. Make sure you don’t miss that info. Keep up with the class. On the Personal End of Things… Sorry, it’s been a week or two since the last podcast episode. I have been traveling a little bit. I just got back from Tampa, Florida, and my mastermind meeting with Dr. Kevin Christie. We had a great time out there. I just can’t explain to you how proud I am of that group that I’m a part of. It really does have some of the best minds and most talented individuals in the entire profession. I count myself as very fortunate for being asked to be a part of it. One of my colleagues is Vanessa Wilczak from Jacksonville, Florida. She and I have really buried ourselves in AI, and we have made a pretty effective team with regard to coming up with some pretty cool stuff that AI can do to help us in business. Vanessa recently took that a step further and has really created something very, very interesting. She figured out a way to make Claude work with a permanent storage or brain, if you will, so that when you are talking to Claude, it can reference and remember exactly what you’ve trained on it at all times. So, if you consider that you can train it on all of your office stats, all of your provider contracts and pay scales. All your fee schedules. Every statter, every report that you can think of that you can run through your EHR. And everything else that you have on your computer that’s relevant, then you sort of have a chief operating officer or chief financial officer or a CEO or whatever you want to call it. that has all of the financials and all of the information it could ever possibly need to help you make decisions going forward. That includes KPIs, or seeing gaps and opportunities that you wouldn’t normally see. For example, I was able to have a conversation with our new provider today that included very precise facts and figures that I wouldn’t have had… access to… Just two days ago. I was also able to give her very realistic and conservative. Ideas about patient numbers and potential income in the next year, and in the next two years. Then I was able to have… an effective conversation with our front desk about… some of our stats and how we can easily improve them. The potential is absolutely and 100% limitless when AI remembers what you have trained it on and can reference it at any point in any conversation you’re having. I’m training it on the medical side of things, too, for peptides, and IV therapy, and PRP on the research, and all of that good stuff. So it’s basically going to be one big, huge brain. for my clinic. And I could not be more excited. Vanessa really knocked it out of the park on this. So that’s why I’ve been busy, but I felt like it had been long enough since I had put out an episode. So we’re gonna throw this one together fairly quickly. I hope you don’t mind, but there’s a really great paper in this episode that you’ve just got to hear about. So don’t go anywhere. Let’s hop into the research. Item #1 Alright, let’s jump into our first paper this week and it’s a good one for those of you treating knee pain — which I’m guessing is about 100% of you listening. This one is titled… “Effect of Proprioceptive Neuromuscular Facilitation on Pain and Joint Mobility in Knee Osteoarthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials” Remember, the citations can be found at chiropracticforward.com under this episode. Hu Z, Dong J, Zeng Y, He Z, Wang Q, Luo Q. Effect of proprioceptive neuromuscular facilitation on pain and joint mobility in knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. PeerJ. 2026 Jan 16;20581. DOI: 10.7717/peerj.20581. PMID: 41561818. <p style=...
Transcribe →Shockwave Therapy for Hamstring Injuries and Vitamin D for Respiratory Infections
Apr 900:18:42Tap to summarizeCF Ep. 388 – Shockwave Therapy for Hamstring Injuries and Vitamin D for Respiratory Infections Today we’re going to talk about Shockwave Therapy for Hamstring Injuries and Vitamin D for Respiratory Infections. 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! Welcome Back 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. 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. Review our podcast on whatever platform you’re listening on — it really does make a big difference. And then check our website at chiropracticforward.com ──────────────────────────────────────────────────────────── Episode Number + Previous Episode Recap You have found yourself smack dab in the middle of Episode #388. Now if you missed our last episode, we talked about Water Instead of Diet Drinks & Neuromobilization In The Chronic Neck Make sure you don’t miss that info. Keep up with the class. ──────────────────────────────────────────────────────────── Personal Happenings I would have to say that 2026 is really shaping up for us. I know that I’m still not back to pre-Covid numbers. However, it’s pretty standard for me to see 145 to 165 each week now. If you’ve been a long time listener, then you may recall the days when I was seeing 180 and even sometimes 200 in a week. So we are far from those numbers currently. And I’m kind ok with that. I did not like being that rushed and that busy. It made my life fairly miserable to be honest. However, with our new chiropractor, Dr. Easter, on board I bet we’ll see those sorts of numbers combined soon. I am impressed every single day with her and have zero doubt that her schedule will be busting at the seams before you know it. A friend of mine is Dr. Mark King, president of motion palpation Institute, and he happens to be in my mastermind group you always hear me talk about. I believe he has somewhere between five and seven associates so I guess he’s got it figured out. But what he said at the last mastermind meeting was that you need to be trying to give your associate somewhere around 15 new patients a month that you would personally have taken. You have to feed them to get them where they are really kicking butt and taking names and putting some money in their pockets right along with bringing patients and revenue to the clinic as well. With credentialing and all the things involved in that, I’m not able to shift that many her way just yet. However, that is definitely the plan when we were able and strictly on sending her cash new patients and her being able to start to cultivate her own patience here and there, we already have her up to about 25 a week or so sometimes more sometimes less. When you consider, she’s only had her license for a little over a month maybe two months, I think we’re in a good spot. Outside of that I have been studying for the California QME exam coming up next week and hopefully we knock that sucker straight out of the park into the windshields of the cars parked in the parking lot. And we can get well on our way performing QME‘s and building that revenue stream. QME is my path out of day today hands-on patient treatment. I’ll be 54 in August and if I can get down to just a day or 2 x 56. I’m gonna be a happy dude. OK, that’s it. Let’s get on with the research. Item #1 – Radial Shockwave Therapy + Rehab for Acute Hamstring Injuries Remember, the citations can be found at chiropracticforward.com under this episode. Citation: Crupnik J, Silveti S, Wajnstein N, Rolon A, Wuerfel T, Stiller P, Morral A, Furia JP, Maffulli N, Schmitz C. Radial ESWT combined with a specific rehabilitation program (rESWT+RP) is more effective than sham rESWT+RP for acute hamstring muscle complex injury type 3b: a randomized, controlled trial. British Medical Bulletin. 2025 Sep 2;155(1):ldaf009. DOI: 10.1093/bmb/ldaf009. ...
Transcribe →Water Instead of Diet Drinks & Neuromobilization In The Chronic Neck
Mar 2500:20:10Tap to summarizeWater Instead of Diet Drinks & Neuromobilization In The Chronic Neck ──────────────────────────────────────────────────────────── INTRO Today we’re going to talk about Water Instead of Diet Drinks & Neuromobilization In The Chronic Neck 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! WELCOME BACK Hello, everybody. Welcome back to the Chiropractic Forward Podcast. I’m Dr. Jeff Williams, and I’m glad you’re spending a few minutes of your day with me. This is the podcast where we don’t just talk about chiropractic — we build the case for it, one piece of research at a time. Evidence-based, patient-centered, and unapologetically. ────────────────────────────────────────────────────────────. ──────────────────────────────────────────────────────────── THINGS TO DO Real quick — just a few things I’d love for you to do: Number one — if you haven’t already, grab a copy of my book on Amazon. It’s a great resource and it helps support the show. Number two — come join us on Facebook. Find our page and our group and be part of the conversation. Number three — and this one I’ll come back to in a minute — please take a moment to leave us a review on whatever podcast platform you’re using. It genuinely helps. And number four — visit chiropracticforward.com for more content, resources, and information about what we do. ──────────────────────────────────────────────────────────── EPISODE RECAP This is Episode #387. Last week, in Episode #386, we talked about Exercise & Nutrition In Low Back Pain & Migraine In Chiropractic Patients. If you haven’t had a chance to listen to that one yet, go back and check it out. Good stuff. You gotta keep up with the class! ──────────────────────────────────────────────────────────── PERSONAL HAPPENINGS Alright, let’s talk a little bit about life around here before we get into the research. I’ve been listening to a new podcast lately that I’m really enjoying — it’s called Dan Snow’s History Hit. Currently I’m working through episodes about military commanders, and they’ve been covering Erwin Rommel. And I have to tell you — I’ve been fascinated by Rommel since I was a kid. I remember watching some documentary when I was young, and they called him the Desert Fox — and I mean, come on. That’s an incredible nickname. Obviously, as a kid you don’t fully grasp the horrors of what the Nazis represented, but you figure that out pretty quickly as you get older. Even so, Rommel as a military figure has always been a genuinely interesting study to me. If you’re into military history at all, check out Dan Snow’s History Hit. Good podcast. Speaking of podcasts, I would really appreciate it if you would take a minute to review and share this podcast with colleagues you think would benefit from it. Look, I’ll be honest with you — we spent some time on cruise control, just recording episodes and letting them ride. And that’s fine, but I really want to see growth and real traction here. I want to get to the point where, when somebody asks for a chiropractic podcast recommendation, there are fifteen people immediately pointing to this one. I’m biased, obviously — but I genuinely believe that evidence-based, patient-centered information is the best thing we can do for our profession and for our communities. Anything that reduces the noise and elevates the people doing it right is good for everyone. So I’d appreciate your help spreading the word. In other news — I am deep in study mode right now. I’m preparing to take the Qualified Medical Evaluator examination out in California. That test is in April, and I hear they run about a fifty-fifty pass-fail ratio — which is honestly pretty humbling. I do not plan on being on the fail side of that equation, so I am busting my hump to make sure I’m well prepared. I’ll tell you though — when you’re 53 and you’ve got everything going on in your life that I have going on, sitting down to study isn’t always the easiest thing in the world. But the tools available now versus when I was in school are just incredible. One thing that’s really helping me is an app called Brainscape. Essentially it’s a flashcard system, but the smart part is that it has you rate how well you know each card — and the cards you don’t know very well keep coming back more frequently until you rate them higher. That’s a genuinely smart design. There’s also a website called Stuvia that has practice tests and learning materials that have been helpful. Add in a prep class on top of all of that, and I feel like I’m going in well-prepared. But as I always say — we shall see. And one more piece of good news from the clinic. Our acupuncturist’s husband got a job offer in Missouri, so she and her family will be relocating in May. That’s bittersweet — we love her — but here’s the stroke of luck: our brand new associate, fresh out of chiropractic school, was already interested in learning acupuncture. She’s goi...
Transcribe →PRP For Knee OA & Diagnosing Cervical Arterial Dissection
Mar 1100:16:40Tap to summarizeCF Ep. 386: PRP For Knee OA & Diagnosing Cervical Arterial Dissection Today we’re going to talk about PRP For Knee OA & Diagnosing Cervical Arterial Dissection 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. Hiring Plug 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 creekstonecare@gmail.com 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.com You have found yourself smack dab in the middle of Episode #386 Now if you missed last week’s episode, we talked about Tears In The Shoulder Are Waaayyy Normal & Adolescent Cannabis Use Is Dangerous Long Term Mentally. Make sure you don’t miss that info. Keep up with the class. On the Personal End of Things… Here we are, mid March in 2026. And what do I have going on? Well, a lot of the same as last week so let’s just hop into some advice based on what I’m currently focusing on in my life and career at 53 years old. The biggest advice to younger chiropractors is get a plan in advance. Don’t wait until you’re 48 to go, Hey, you know, at some point, I might want to retire. I had a buddy who was older than me that ended up getting cancer and passing away before he enacted any kind of retirement plan. His wife was left with a business that wasn’t worth anything with him gone, and all she could do was sell it for parts. I don’t know their finances at all. But if he hadn’t laid down some plans for her, that probably didn’t work out very good. Make plans early. I have another buddy… who ended up… having a heart attack and dying right there in his practice. He was in his 70s. Some people want to work that long, period. They love it that much. I love what I do for a living, but I don’t want to do it my whole life. I have another buddy who was in his 60s, and just a year or two ago, had a stroke, and can’t speak. So all of his patients had to go somewhere else, and he had to close down his shop and sell it off for parts. This all goes to say, for most of you, when you’re building your practice, build it to sell. Don’t name it after yourself. It’s hard to sell Williams Chiropractic to Joseph Salazar. Don’t make all of the marketing all about you. When it’s person-driven, your clinic is associated so strongly with YOU that it’s hard to remove yourself and turn it over to someone else. My practice is called Creek Stone Integrated Medical. It was Creek Stone Integrated Care before we added our medical branch. You can sell that to anybody. I think you get my point there. Build it to sell, plan early. Roth IRAs, compound interest. Maybe you get some inheritance along the way. And a side gig or two that you enjoy isn’t always the worst idea either. If you want to work your whole damn life, that’s OK. That’s just not what I want for my one and only trip on this rock. Alright, that’s it. I don’t have a lot more to share personally than that this week. I’m just getting ready for the QME test. Which will be in mid April. Once I hopefully pass that dude, one of my side gigs will be engaged, so cheers to that. Let’s get into the research. Item #1 Our first one today is called, “Validation of a Diagnostic Support Tool for the Early Recognition of Cervical Arterial Dissection in Primary Care” by Thomas et al published in December 2024, and it’s a hot potato, Remember, the citations can be found at chiropracticforward.com under this episode. Citation: L. Thomas, M. Fowler, L. Marsh, K. Chu, Claire Muller, A. Wong, Validation of a diagnostic support tool for early recognition of cervical arterial dissection in primary care, Clinical Neurology and Neurosurgery, Volume 247, 2024, 108627, ISSN 0303-8467, https://doi.org/10.1016/j.clineuro.2024.108627. (https://www.sciencedirect.com/science/article/pii/S0303846724005146) Why They Did It Cervical arterial dissection is one of the leading causes...
Transcribe →Tears In The Shoulder Are Waaayyy Normal & Adolescent Cannabis Use Is Dangerous Long Term Mentally
Mar 500:16:15Tap to summarizeCF 385: Tears In The Shoulder Are Waaayyy Normal & Adolescent Cannabis Use Is Dangerous Long Term Mentally Today we’re going to talk about Tears In The Shoulder Are Waaayyy Normal & Adolescent Cannabis Use Is Dangerous Long Term Mentally 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, judgemental, 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 creekstonecare@gmail.com 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.com You have found yourself smack dab in the middle of Episode #385 Now if you missed last week’s episode, we talked about Motor Weakness In Cervical Radiculopathy & Exercise And Dementia. Make sure you don’t miss that info. Keep up with the class. On the personal end of things….. Well, as you might guess, things have been crazy. I recently returned from about 6 days out in Los Angeles where I was taking a prep class for the QME exam that’s coming up this Spring. What is a QME you might ask. Well let me clear that up for you, friend. It stands for Qualified Medical Evaluator and once I’m a QME, I’ll fly out to California every 4-5 weeks or so and spend a couple of days doing impairment ratings exams on injured workers. Then fly home and do all the reports. For the QME exam, it’s about a 50/50 pass/fail rate on that deal and I plan on passing that dude the first time around. Ain’t nobody got time to do it again. Of course, I will if I need to but I don’t plan on it, man. Outside of that, we’ve been getting this new associate up and running and y’all, she’s just a gem. Plain and simple. I’m really proud of her. She’s smart, she’s good with patients, she’s a good adjuster, and she just gets it. You show her once and she’s got it. Lots of times better than I got it! We are working hard on our PVA. I see patients around 8-9 times lifetime. And that’s with having VA and PI patients that are compelled to come in. That’s terrible and we are underserving by strictly looking at pain. We are transitioning into pain relief followed by the functional movement screen, and then into maintenance. We believe this will better serve the patient but will also see our PVA go from around 8-9 up to about 15 or so. I can live with that. And our assoicate is all over it as well. I’m the one that is FMS certified but made intense notes and through the help of AI, have created a way of training her up on FMS and now, she does it better than I ever did. Plus, she has the time to do it whereas, I just don’t. So, we have all that. Through our new nurse prac, we are bringing in peptides and getting that all up and rolling so again…..lots and lots of action here with your ol uncle Jeffro. Trust that I’m not falling behind on the podcasts because I don’t care. I am just trying to balance this crazy life. Becomeing a QME is no joke. It Ain’t easy my friends. Wiith that, let’s jump in on that research. Item #1 Our first one today is called, “Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging” by Ibounig et al and published in Jama Internal Medicine in February of 2026 and check out the shizzle on that shucker!! Remember, the citations can be found at chiropracticforward.com under this episode. Ibounig T, Järvinen TLN, Raatikainen S, et al. Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging. JAMA Intern Med. Published online February 16, 2026. doi:10.1001/jamainternmed.2025.7903 Why They Did It Shoulder pain is a common musculoskeletal complaint often attributed to rotator cuff (RC) abnormalities. Diagnostic imaging is frequently used, but the association between RC abnormalities and shoulder symptoms remains uncertain. Objective To determine the prevalence of RC abnormalities in a general population sample and their association with shoulder symptoms. How They Did It Population-based cross-sectional study in a nationally representative random sample of adults aged 41 to 76 years who underwent standardized clinical assessment and MRIs of the shoulders conducted from February 2023 to April 2024 in Finland. Main Outcomes and Measures RC tendon status was classified on MRI as normal, tendinopathic, partial-thickness tear (PTT), or full-thickness tear (FTT). Shoulder symptoms were defined as pain or dysfunction in the preceding week. The prevalence of RC abnormalities was compared across age groups and between symptomatic and asymptomatic shoulders, adjusting for demographic factors, concurrent MRI findings, and clinical examination. What They Found Among 602 participants, RC abnormali...
Transcribe →Motor Weakness In Cervical Radiculopathy & Exercise And Dementia
Feb 500:21:37Tap to summarizeCF 384: Motor Weakness In Cervical Radiculopathy & Exercise And Dementia Today we’re going to talk about Motor Weakness In Cervical Radiculopathy & Exercise And Dementia 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 person ality 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 creekstonecare@gmail.com 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.com You have found yourself smack dab in the middle of Episode #384 Now if you missed last week’s episode, we talked about Platelet-Rich Plasma In Knee Osteoarthritis & Telehealth Mindfulness-Based Interventions. Make sure you don’t miss that info. Keep up with the class. On the personal end of things….. Well February is off to a big start. I think I personally saw 175 last week which is leaps and bounds beyond what I normally see each week. Especially since COVID came around and crashed the practice. Since 2020, my average week is anywhere from 135 or so, up to about 160 on a good week. So to run 175 last week, that’s a big deal for me and a very very welcome change. Now, if I can just get them to spread evenly in the mornings and afternoons instead of the vast majority of them only wanting to come in in the afternoons. We sit around a little in the mornings and lose our minds in the afternoons trying to keep up with everyone. It’s a problem to be honest. A good problem, of course. But a problem all the same. Also in today’s news, after a very welcome sabbatical from traveling since my New Orleans trip last October, the travel season is kicking back in and there will be non-stop coming and going from now until probably next November. That’s my life. In late January, I headed to Park City, Utah with my Mastermind group. I’ve only ever been to Utah when I had a layover in Salt Lake City but I’ve never seen any of the state so that was nice and I always love seeing my Mastermind family. If you’re not in one, I encourage you to get in one. My MCM East group is sold out. But the MCM West group has openings. If you’re interested, contact Dr. Kevin Christie at modernchiropracticmarketing.com/contact Go do it! But If you do, you better tell Kevin you’re there because of me, pal! In other news, I finally got my California chiropractic license. I had to fly to Dallas to take the jurisprudence/legal test….it’s actually called the CCLE exam. That was the last step I needed out of the way to get the CA license. I’ve also been studying up for the QME exam that will be in April. They have about a 50% pass/fail rate but the folks who attend the class I’m taking live out in Marina del Rey have more of a 80% pass/fail rate so I’m doing it. I’m ready to get this Qualified Medical Examiner licensing out of the way so I can start building that arm of my retirement income. So, if you’re keeping track, the arms of retirement for me now include: Whatever is made from the exit of practice (percentage, buyout, etc) Airbnbs Voice over work QME work in CA Art income Music if needed Stocks, IRA’s, inheritance, and investments I didn’t start this stuff until I was almost 50 folks. Please, start considering your exit when you’re younger. There is a building phase when you cannot invest in other arms. But when you build that practice, it’s time to start keeping an eye on your exit. The sooner you start, the sooner you can act when burnout hits and trust me, burnout WILL hit. Especially if you’re good, smart, and ambitious. Count on it. Alright, into the research people! Item #1 Our first one today is called, “Is motor weakness in cervical radiculopathy an indication for surgery? Analysis of risk factors for poor recovery” by Kwon et al and published in European Spine in December 2025. Remember, the citations can be found at chiropracticforward.com under this episode. Kwon K, Park S, Song MG, Park WS, Hwang CJ, Cho JH, Lee DH. Is motor weakness in cervical radiculopathy an indication for surgery? Analysis of risk factors for poor recovery. Eur Spine J. 2025 Dec 26. doi: 10.1007/s00586-025-09677-0. Epub ahead of print. PMID: 41452372. Why They Did It To investigate the natural course of motor weakness in cervical radiculopathy and analyze risk factors associated with poor recovery. How They Did It A cohort of prospectively enrolled patients presenting with motor weakness due to cervical radiculopathy between March 2024 and March 2025 was retrospectively analyzed. All patients were initially managed conservatively, with surger...
Transcribe →Platelet-Rich Plasma In Knee Osteoarthritis & Telehealth Mindfulness-Based Interventions
Dec 3100:14:22Tap to summarizeCF 383: Platelet-Rich Plasma In Knee Osteoarthritis & Telehealth Mindfulness-Based Interventions Today we’re going to talk about Platelet-Rich Plasma In Knee Osteoarthritis & Telehealth Mindfulness-Based Interventions 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 creekstonecare@gmail.com 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.com You have found yourself smack dab in the middle of Episode #383 Now if you missed last week’s episode, we talked about SMT and disc regression and biopsychosocial factors for hip osteoarthritis. Make sure you don’t miss that info. Keep up with the class. On the personal end of things….. We have our new associate chiropractor up and running. Now the job is….how do we get her busy busy the quickest way possible? It’s a race to profitability, right? Here are some of our ideas. We’d love to hear your suggestions as well if you have lots of experience in building an associate’s schedule. First, we’re going to leverage the fact that she’s from Amarillo so she’s the local hero returning to town. We’ll do that with social media and her high school alumni network. We’ll have her partner with local fitness studios when possible. She’s fit and she’s into fitness so that’s a perfect fit. We’ll also see if she’s into working with youth sports programs. We’ll do the ‘New Doc In Town’ thing. We’re going to be giving her some of my new patients when appropriate and possible. I say appropriate because a lot of big guys come to me and not too many will be pleased if I stick them with a smaller female. So they’ll have to be a good fit to pass on to her. Visits to PT offices. The problem there is that I’m noticing PTs are offering many of the same services we offer now so they may look at her as competition now rather than a partner. Lots of rehab and treatment videos. Videos with Q&A with our associate. Lots of ideas but again, if you have a great strategy, I’d love to hear from you at creekstonecare@gmail.com Send them my way! Item #1 The first one this week is called, “Platelet-Rich Plasma Versus Alternative Injections for Osteoarthritis of the Knee: A Systematic Review and Statistical Fragility Index-Based Meta-analysis of Randomized Controlled Trials” by Ceding et al and published in the American Journal of Sorts Medicine in October of 2024. Remember, the citations can be found at chiropracticforward.com under this episode. Oeding JF, Varady NH, Fearington FW, Pareek A, Strickland SM, Nwachukwu BU, Camp CL, Krych AJ. Platelet-Rich Plasma Versus Alternative Injections for Osteoarthritis of the Knee: A Systematic Review and Statistical Fragility Index-Based Meta-analysis of Randomized Controlled Trials. Am J Sports Med. 2024 Oct;52(12):3147-3160. doi: 10.1177/03635465231224463. Epub 2024 Feb 29. PMID: 38420745. Why They Did It Based in part on the results of randomized controlled trials (RCTs) that suggest a beneficial effect over alternative treatment options, the use of platelet-rich plasma (PRP) for the management of knee osteoarthritis (OA) is widespread and increasing. However, the extent to which these studies are vulnerable to slight variations in the outcomes of patients remains unknown. Purpose: To evaluate the statistical fragility of conclusions from RCTs that reported outcomes of patients with knee OA who were treated with PRP versus alternative nonoperative management strategies. How They Did It Systematic review and meta-analysis All RCTs comparing PRP with alternative nonoperative treatment options for knee OA were identified. The fragility index (FI) and reverse FI were applied to assess the robustness of conclusions regarding the efficacy of PRP for knee OA. Meta-analyses were performed to determine the minimum number of patients from ≥1 trials included in the meta-analysis for which a modification on the event status would change the statistical significance of the pooled treatment effect. What They Found In total, this analysis included outcomes from 1993 patients with Based on random-effects meta-analyses, PRP demonstrated a significantly higher rate of successful outcomes when compared with hyaluronic acid, as well as higher rates of patient-reported symptom relief, not requiring a reintervention after the initial injection treatment, and achieving the minimal clinically important differ...
Transcribe →SMT And Disc Regression & Biopsychosocial Factors For Hip Osteoarthritis
Dec 1100:14:33Tap to summarizeCF 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 creekstonecare@gmail.com 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.com You 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 d...
Transcribe →SMT And Reoperation Rates & The Most Expensive Condition
Nov 1300:13:27Tap to summarizeCF 381: SMT And Reoperation Rates & The Most Expensive Condition Today we’re going to talk about SMT And Reoperation Rates & The Most Expensive Condition 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, judgemental, 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 creekstonecare@gmail.com 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.com You have found yourself smack dab in the middle of Episode #381 Now if you missed last week’s episode, we talked about Low Back Chronic Pain & Osteoporosis Medications and the Decrease in Societal Fracture Risk Make sure you don’t miss that info. Keep up with the class. On the personal end of things….. Nothing too crazy. Still enjoying the Fall bounce where business acts like it should act and I’m better behaved with regard to traveling all over the world. It’s weird; when you stay put, business just does better. You remember I mentioned that I am on the medical side carousel? We have a NP interview this afternoon so we’ll see how that goes. I went to teh cardiologist the other day. I’m 53 and never been so I thought, maybe I’m missing out on all of the fun so let’s see what it’s all about. Well, it Ain’t all it’s cracked up to be. The first visit was fine. The dude saiid I don’t see anything particularly concerning here but let’s do an echocardiogram and just dive in and see what’s there. So I got that done and what do you know? I got a call from his NP saying that overall I look good BUT….the bottom of my heart contracts too much and doesn’t relax like it should. What the hell does that mean anyway?? So she recommends putting me on the lowest dose diruetics to keep the upper portion of the heart from eventually enlarging. Well, I’m in no mood to go on life long meds but diving into these meds, they’re pretty much like taking an antiacid every day so, maybe not so bad. I’m still checking it out but will probably take them. At least until I can finally get some damn weight off. 6’4” and 275 lbs is big and I’d much rather be around 230-240 lbs. Or less. But my body doesn’t want to be that. No matter what I do or try. It’s crazy. The weight loss meds that work so well for everyone….yeah, I’m a non-responder. Because that’s my life. I look like I eat like a horse but I don’t. I eat fairly lightly overall day to day. It’s like my body has set it’s weight point at 275-280 and it doesn’t matter what the hell I do. It doesn’t want to budge from that spot. So, it’s a constant battle. One that I know I’m not alone in. Many of us struggle with it. Just trying to figure it out. Butt the good news is, the cardio suggested I reduce stress and try to relax more. Which means I’m getting a massage this afternoon. Yay! Which also means I gotta get going on this episode so let’s hop into the research. Item #1 The first one is an article from Forbes called, “The Most Expensive Medical Condition Is Not What You Think” by Peter Ubel, a physician and behavioral scientist at Duke University. It was updated in July of 2025 so it’s sizzlin like a stack of fajitas! Remember, the citations can be found at chiropracticforward.com under this episode. The article from Forbes reveals that the most expensive medical condition in the United States is not heart disease or diabetes, as commonly assumed, but rather low back and neck pain. While heart disease and diabetes are both serious and costly—ranked fourth and third respectively, with expenditures of $90 billion and $111 billion annually—back and neck pain surpasses them with costs exceeding $130 billion each year. This substantial burden is linked to the sheer number of people affected and the chronic nature of these conditions. The article highlights that individuals suffering from low back and neck pain commonly undergo expensive diagnostic procedures like X-rays and MRIs (often unnecessarily), use pain medications, participate in physical therapy, seek chiropractic care, and may ultimately face surgery—with almost half of these operations deemed unnecessary. The impact extends beyond the healthcare system, affecting productivity due to missed work and causing considerable suffering among adults during their most productive years. Additionally, the piece points out a major discrepancy in government research investment: In 2021, the National Cancer Institute received over $7 billion, while the National Institute for Arthritis and Musculoskeletal and Skin Diseases (which includes spinal research) received just $685 million—barely a tenth by comparison. T...
Transcribe →Low Back Chronic Pain & Osteoporosis Medications and the Decrease in Societal Fracture Risk
Nov 600:14:47Tap to summarizeCF 380: Low Back Chronic Pain & Osteoporosis Medications and the Decrease in Societal Fracture Risk Today we’re going to talk about Low Back Chronic Pain & Osteoporosis Medications and the Decrease in Societal Fracture Risk 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, judgemental, 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 creekstonecare@gmail.com 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.com You have found yourself smack dab in the middle of Episode #380 Now if you missed last week’s episode, we talked about Opioids And Low Back Pain & Transforaminal Epidural Steroid Injection. Make sure you don’t miss that info. Keep up with the class. On the personal end of things….. It’s been a bit cray cray around here. We’re on the hamster wheel again with regards to the nurse practitioner. Our nurse that’s been in NP school and we’ve been waiting to graduate got an offer for full time from the clinic she’s been doing her clinicals with and, just from a pure financial standpoint, she had to take it. I can only offer part time until the schedule fills up. So….down the road we go. Looking for a new staff member to help us grow the clinic medically and service-wise. She/He is out there. We just gotta find ‘em. Next, you’ve heard me speak about selling part of the clinic several times over the last several years. We were going to have a final discussion after going back and forth on the contract. What changes could they live with and what could we live with in a final contract. That sort of thing. Well, unfortunately and tragically, the CEO of the company was heading to one of their clinics in a small airplane that unbelievably crashed with no survivors. Absolutey unbelievable. His name was Dr. Justin Ramsey and he was a great guy. Not only was a lot of this a business thing but, I got to know Justin fairly well and we were friends. It’s been very hard to process on lots of different levels. Losing a friend and who knows where that puts us with selling a portion of the clinic? We don’t know. But I do know this; I’m getting up every morning and going to work and making patients feel better. It will all fall into place as soon as it is supposed to fall into place. That’s enough, let’s hop in. Item #1 The first one is called, “Reduction of Chronic Primary Low Back Pain by Spinal Manipulative Therapy is Accompanied by Decreases in Segmental Mechanical Hyperalgesia and Pain Catastrophizing: A Randomized Placebo-controlled Dual-blind Mixed Experimental Trial” by Gevers-Montaro et al and published in the Journal Of Pain in August 2024. Remember, the citations can be found at chiropracticforward.com under this episode. Reduction of Chronic Primary Low Back Pain by Spinal Manipulative Therapy is Accompanied by Decreases in Segmental Mechanical Hyperalgesia and Pain Catastrophizing: A Randomized Placebo-controlled Dual-blind Mixed Experimental Trial Gevers-Montoro, Carlos et al. The Journal of Pain, Volume 25, Issue 8, 104500 Why They Did It Chronic primary low back pain (CPLBP) refers to low back pain that persists over 3 months, that cannot be explained by another chronic condition, and that is associated with emotional distress and disability. Previous studies have shown that spinal manipulative therapy (SMT) is effective in relieving CPLBP, but the underlying mechanisms remain elusive. How They Did It This randomized placebo-controlled dual-blind mixed experimental trial aimed to investigate the efficacy of SMT to improve CPLBP and its underlying mechanisms. Ninety-eight individuals with CPLBP and 49 controls were recruited. Individuals with CPLBP received SMT or a control intervention, 12 times over 4 weeks. The primary outcomes were CPLBP intensity and disability (Oswestry Disability Index). Secondary outcomes included pressure pain thresholds in 4 body regions, pain catastrophizing, Central Sensitization Inventory, depressive symptoms, and anxiety scores. What They Found Individuals with CPLBP showed widespread mechanical hyperalgesia and higher scores for all questionnaires. SMT reduced pain intensity compared with the control intervention, but not disability. Similar mild to moderate adverse events were reported in both groups. Mechanical hyperalgesia at the manipulated segment was reduced after SMT compared with the ...
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