We ran a social media experiment: showed people a study with 132 trials, 7,900 patients, modest short-term relief, no long-term benefits, and serious complications. They called it "dangerous quackery." Plot twist: it wasn't about chiropractic.

It was epidural steroid injections — the "real medicine" your doctor recommends after an MRI. Same weak evidence, completely different reaction. Today we're unpacking WHY. And what conservative care should look like

💉 KEY TAKEAWAYS:

• 9 million epidural steroid injections performed yearly in the US

• Evidence shows: decent for disability, NOT effective for pain

• Short-term outcomes only: days to weeks of relief

• Major guidelines place injections AFTER PT and chiropractic

• Cost comparison: $2,000-5,000 per injection vs. conservative care

• Same "low quality evidence" problem affects ALL back pain treatments

🔬 THE DOUBLE STANDARD:

When a physician does it with a needle and fluoroscopy machine = "real medicine"

When a chiropractor or PT does manual therapy = "pseudoscience"

Same evidence quality. Different labels. Why?

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📢 THIS EPISODE IS SPONSORED BY:

Brain.FM

Music for your brain! Your subscription helps the PTCH Podcast.

🔗 https://brain.fm/ptchpodcast

Try free for 30 days!

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ABOUT THE PTCH PODCAST:

What happens when a chiropractor and physical therapist actually like each other? Dr. Jason Young (evidence-based chiropractor) and Dr. Kathy Lynch (physical therapist) break down health, fitness, and pain science with humor and zero ego. Remember: there's no "I" in PTCH.

🎧 LISTEN EVERYWHERE:

Spotify: https://open.spotify.com/show/4WRdMdsnRaWsAbaUBDrMtw?si=a7eErDsFSz-0oiB0AxJQpQ

Apple Podcasts: https://podcasts.apple.com/us/podcast/the-ptch-podcast/id1805086823

Website: https://ptchpodcast.com

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👍 If this made you think twice about your treatment options, SUBSCRIBE and drop a comment with your experience!

#BackPain #EpiduralInjections #Chiropractic #PhysicalTherapy #PainManagement #EvidenceBasedMedicine