An Inverse Relationship With Chiropractic & Opioids, Anti-Inflammatory Diets, & Screen Time Might Make Dummies

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

CF 095: An Inverse Relationship With Chiropractic & Opioids, Anti-Inflammatory Diets, & Screen Time Might Make Dummies

Today we’re going to talk about the relationship between chiropractic and opioids, we’ll talk about anti-inflammatory diet ideas, and a little ditty about screen time and dumb butts.

But first, here’s that sweet sweet bumper music

OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun and accessible while we make you and your patients better all the way around. Welcome, I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast.

You have slinkied into Episode #95

Now i you missed last week’s episode on my trip to St. Louis for the Forward ’19 seminar, decompression research, and young baseball pitchers, make sure you don’t miss that info. I’d like to think that all of our episodes are such that you walk away better than before you hit the play button. That’s my goal anyway.

I usually am not at a lack of words when it comes to the personal side of what’s been going on lately. I have to say though, not much is going on around the office these days. It’s slower this week but not much slower. I’m just trying to get everything done.

For a chiropractor, what exactly does that mean? Well, I’ve created two or three new graphics for social media posts and loaded them into the hopper for realease later this week.

I proofread two blog articles my writer sent to me for two websites. I’ve gotten those posted after making corrections.

I’ll be proofreading and scheduling my patient weekly email as soon as my staff member finishes it.

I met with our marketing staff member to go over what marketing we are doing and want to do before she headed out onto the town this morning.

It’s 1 pm and I’ve already seen two new patients and my fair share of established patients.

I’ve dealt with a roof leak, a staff member that ended up with a migraine that required us to take her to be treated. Taht’sAn Inverse Relationship With Chiropractic & Opioids, Anti-Inflammatory Diets, & Screen Time Might Make Dummies a whole different crazy story.

CF 062: Chiropractic Prevalence, JAMA’s Awful Info on Opioids, & New Info on Screen Time

I get off early on Tuesdays to go home and study for the DACO part II test so I’ve got that going for me today.

So…..my point is, even when we are a bit slower, we don’t slow down. Hell, that’s when we are actually able to ramp it up.

If you are not doing external AND internal marketing consistently, you are behind your colleagues. Wake up. Dan Kennedy has a saying I follow. It’s YCDBSOYA. That stands for you can’t do business sitting on your ass.

I hate a liar but I love a hustler. I mean that in the ethical manner. Not hustling someone as in lying and cheating for financial gain. I mean hustling as in constantly busy getting the word out about how amazing your office is. The more you hustle in that manner, the more business you see. It’s magical like that.

You want a slow practice, sit on your butt in your office playing games on the computer. That’s exactly how you can accomplish that.

You would have a hard time coming up with any form of marketing that I either have not tried or am not currently doing. I’m probably doing some marketing you’ve never even thought of.

So, here’s your pro tip. When things get a little slower in the fall when the kids get back to school, that’s when you have the time it takes to really market effectively. So do it.

I may end up doing a marketing epsiode. I should totally do that. If I forget in the next several weeks, y’all send me an email or two and I’ll do it.

w/ Dr. Anthony Nicholson – (Part One) Decoding Chronic Pain

The first paper we’ll breeze across is a brand new one about the association between chiropractic use and opioid use.

First, It’s good to support the people that support you don’t you think? Well, ChiroUp certainly supports evidence-based practices.

If you’re a regular listener of our podcast, you know I used it since about June of 2018. Let me tell you about it.

ChiroUp is changing the way we practice by simplifying patient education and here’s what I mean:

In a matter of seconds, you can send condition-specific reports to your patients with recommendations for treatment, for their activities of daily living, & for their exercises.

You can see how this saves you time – no more explaining & re-explaining your patient’s care, because they have access to it at their fingertips.

You can be confident that your patients are getting the best possible care, because the reports are populated based on what the literature recommends and isn’t that re-assuring? All of that work has been done FOR you.

There are more than 1000 providers worldwide using ChiroUp to empower their treatments, patients, & practice – Including myself! **Short testimony**

If you don’t know what it’s all about or you’d like to check it out, do yourself a favor and go to Chiroup.com today to get started with your FREE TRIAL – Use code Williams99 to pay only $99/month for your first 6 months

That’s ChiroUp.com and super double secret code Williams99.

Item #1

OK, back to the research. As I mentioned, this first paper is called “Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis” Now remember, systematic reviews and meta-analyses are at the top of the research pyramid. It was authored by Corcoran, et. al(K 2019). and published in Pain Medicine on September 27, 2019…whoa….that’s like last week. Scorching hot off the presses, watch out, don’t burn your finger prints off….

Why They Did It

They wanted to investigate the current evidence to determine if there is an association between chiropractic use and opioid receipt.

How They Did It

• The study was as systematic review and meta-analysis
• The databases mined for information were Medline, pubmed, embase, amed, cinahl, and web of science.
• The search was through April 18 of 2018
• They identified 874 articels
• Those were whittled down to 6 articles
• 5 studies focused on back pain while one focused on neck pain

What They Found

In a random-effects analysis, chiropractic users had a 64% lower odds of receiving an opioid prescription than nonusers.

Bam pop snap!

Come on MDs, DOs, and all of your flock. It’s time to start turning the back and neck pain folks over to the profession that continually proves, through research I might add, that we can get them better safely, effectively, non-invasively, non-pharmaceutically, with better outcomes assessments, and better patient satisfaction than any other healthcare practitioner in the world.

If it’s really all about the patient, and you all REALLY mean that, then start referring these patients to evidence-informed chiropractors. Like yesterday.

If you want to try PT first, OK. Do that. Then, when PT isn’t as effective as the patient was hoping it to be, send them to an evidence-informed chiropractor.

That’s if it really is all about the patient.

Item #2

Item 2 is from Harvard Health Publishing from Harvard Medical School and is called “Foods that fight inflammation.” (2014)They published it in June of 2014. It’s an older study. Old Man River, that old man river….

They start by asking what does an anti-inflammatory diet do? Your body creates inflammation in response to anything it recognizes as foreign. Things like microbes, plant pollens, and chemicals. That’s great obviously but sometimes inflammation persists right? The article goes on to state that many major diseases like cancer, heart disease, diabetes, arthritis, depression, and even Alzheimer’s have been linked to long-standing, chronic inflammation.

Dr. Frank Hu, professor of nutrition and epidemiology in the Dept. of Nutrition at Harvard School of Public Health says, “Many experiemental studies have shown that components of foods or beverages may have anti-inflammatory effects.”

Wouldn’t it be nice if we can reduce our risk of these deadly serious diseases just by eating more of the right stuff?

First they list foods they have identified as CAUSING inflammation so that you can stay away from them. Take a deep breath, this is going to hurt a little bit. OK, it’s going to hurt a lot.

• Refined carbohydrates – yes, white breads, pastries, noodles, yep I know
• French Fries – no real loss there.
• Soda and other sugar-sweetened drinks. Honestly, if you’re still drinking soda as an adult, you’re behind the curve.
• Red Meat – like burgers, steaks, and processed meat like hot dogs and sausage. Although I saw a report this morning that red meat isn’t as bad as they thought.
• Margarine – shortening, and lard

The anti-inflammatory foods they highlight are:

• Tomatoes
• Olive oil
• Green leafy vegetables – spinach, kale, and collards
• Nuts – almonds and walnuts
• Fatty Fish – like salmon, mackerel, tune, and sardines
• Fruits – strawberries, blueberries, cherries, and oranges.

That would be a brief overview of the article but I’d encourage you all to go read the whole thing. Very interesting stuff. I just wanted to give you the short version of it.

Store

Part of making your life easier is having the right patient education tools in your office. Tools that educate based on solid, researched information. We offer you that. It’s done for you. We are taking pre-orders right now for our brand new, evidence-based office brochures available at chiropracticforward.com. Just click the STORE link at the top right of the home page and you’ll be off and running. Just shoot me an email at [e-mail] if something is out of sorts or isn’t working correctly.

If you’re like me, you get tired of answering the same old questions. Well, these brochures make great ways of educating while saving yourself time and breath. They’re also great for putting in take-home folders.

Go check them out at chiropracticforward.com under the store link. While you’re there, sign up for the newsletter won’t you? We won’t spam you. Just one email per week to remind you when the new episode comes out. That’s it.

Item #3

On to our last item here. It doesn’t have anything to do with musculoskeletal issues but might be a little something you could print up and put in your lobby for your patients to look over and think – Dayum.

It’s called “Association Between Screen Media Use and Academic Performance Among Children and Adolescents A Systematic Review and Meta-analysis” by Adelantado-Renau, et al and published in JAMA Pediatrics on September 23, 2019(Adelantado-Renau M 2019).

Why They Did It

They were trying to find out if there was any association between screen-based activites and academic performance areas among children and adolescents.

How They did It

• They took 58 cross-sectional studies, television viewing and video game playing were inversely associated with academic performance.
• In addition, it was more profound in adolescents than it was for the smaller children.

Wrap It Up

• Television and video games were the worst of the screen time culprits.
• This study suggests that education and public health professionals should consider screen media use supervision and reduction as strategies to improve the academic success of children and adolescents.

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 instead of chemical treatments like pills and shots.

When compared to the traditional medical model, research and clinical experience show that many patients get good or excellent results through chiropractic for headaches, neck pain, back pain, joint pain, to name just a few.

Chiropractic care is safe and cost-effective. It can decrease instances of surgery & disability. Chiropractors normally do this through conservative, non-surgical means with minimal time requirements or hassle to the patient.

And, if the patient develops a “preventative” mindset going forward from initial recovery, chiropractors can likely keep it that way while raising the general, overall level of health of the patient!

Key Point:

Patients should have the guarantee of having the best treatment offering the least harm.

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 or tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on iTunes and other podcast services. Y’all know how this works by now so help if you don’t mind taking a few seconds to do so.

Help us get to the top of podcasts in our industry. That’s how we get the message out.

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 – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger

Bibliography

• (2014). “Foods that fight inflammation.” Harvard Health Publishing https://www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation.
• Adelantado-Renau M, M.-U. D., Cavero-Redondo, (2019). “Association Between Screen Media Use and Academic Performance Among Children and Adolescents A Systematic Review and Meta-analysis.” JAMA Pediatr.
• K, C. (2019). “Association Between Chiropractic Use and Opioid Receipt Among Patients with Spinal Pain: A Systematic Review and Meta-analysis.” Pain Med.

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