CF 356: Opioid Use Disorder, Physical Therapy, and Chiropractic & Neural Mobilization And Pain Today we’re going to talk about Opioid Use Disorder, Physical Therapy, and Chiropractic & Neural Mobilization And Pain But first, here’s that sweet sweet bumper music

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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, elitist, pretentious kind of research. We’re research talk over a couple of beers. So grab you a bushel. 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, 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 If you haven’t yet I have a few things you should do.

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You have found yourself smack dab in the middle of Episode #356 Now if you missed last week’s episode, we talked about Daily Water Intake & Curcumin Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Christmas is over now and this week we contend with New Year’s Day. What a pain in the butt, right? I enjoy a day off here and there just like anyone else but right in the middle of the week two weeks in a row starts to mess with business. So, last week I worked Monday, 1/2 of Tuesday, and 1/2 of Friday so basically two full days if you combine it all. We ended up with about 75 chiro patients for the Christmas week. That’s not great buut it’s better than nothing. Especially when you total the profit on 75 patients vs the total profit on zero patients had I chosen to take the full week off. Then, this week, we have New Years Day off and we’re slow becauuse it’s the damn holidays and, of course, insurance people renew on January 1st, so it’s looking bleak this week, folks. Typing out on a Monday, I have 78 or so for the whole damn week. Of course that will grow because Monday will re-book and then re-book again on Friday but that’s still bleak.

What I’ve discovered over my career that you may or may not agree with is that the last 2 weeks in December and December as a whole really…it starts to slow up. People are getting ready for Christmas, xmas parties, buying gifts, and things like that. Then the insurance plans re-set in January and it just takes some time to re-engage in healthcare for these folks. So we start to see February as a growth month and start to hit our full stride again in March. That’s my experience anyway.

I have 2 Airbnbs and I can attest that I’ve been booked at almost 100% capacity for months now but January and on are almost empty at the moment. It’s just that time of the year so, if you’ve slowed up like I have, you didn’t do anything wrong. It is what it is. Take this break to plan for 2025. Don’t have a plan? Get one. Use AI to give you ideas for growing your practice in 2025. At this point, its almost a crime to not be taking advantage of AI for purposes like these. OK, on to the research…

Item #1

Our first one this week is called, “Association of Opioid Use Disorder Diagnosis With Use of Physical Therapy and Chiropractic Care Among Chronic Low Back Pain Patients: A Group-Based Trajectory Analysis” by Moyo et al and published in The Journal of Pain in 2024….and it’s muy en Fuego!

Remember, the citations can be found at chiropracticforward.com under this episode.

Patience Moyo, Jessica S. Merlin, Miriam George, Theresa I. Shireman, Brandon D.L. Marshall, Association of Opioid Use Disorder Diagnosis With Use of Physical Therapy and Chiropractic Care Among Chronic Low Back Pain Patients: A Group-Based Trajectory Analysis, The Journal of Pain, Volume 25, Issue 3, 2024, Pages 742-754, ISSN 1526-5900, https://doi.org/10.1016/j.jpain.2023.10.003.

Why They Did It Nonpharmacologic approaches are recommended as first-line treatment for chronic pain, and their importance is heightened among individuals with co-occurring opioid use disorder (OUD), in whom opioid therapies may be particularly detrimental. Our objectives were to assess the receipt and trajectories of nonpharmacologic pain treatment and determine the association of opioid use disorder diagnosis with these trajectories.

How They Did It

This retrospective cohort study used Medicare claims data from 2016 to 2018 and applied group-based trajectory models to identify distinct patterns of physical therapy (PT) or chiropractic care treatment...