body. I totally agree. He said there's no such thing as a spine nerve doctor, a spine muscle doctor, a spine joint doctor, or a spine disk doctor because you have to know the entirety of the spine to get the best results. I took away some practice points which are: we can combine pain relief, i.e. with adjustments, but we also need to, based upon the latest research, start working on behavioral changes. If people are smokers, we know that that's a risk factor for back issues, spinal issues. Reduce drinking, exercise more. Of course things are things we hear all the time, but they make such a big difference. We also need to probably start addressing, if we're not, psychosocial issues, so reassure people. "Mrs. Jones, you don't have cancer or a tumor or anything that serious, but you do have some spinal issues that we need to deal with, et cetera." We can educator our people and hopefully get them to the right place in terms of solving any legal issues they may have because getting an attorney is one of the most powerful ways that has been shown to delay healing, interestingly enough. Chiropractic is effective for low back pain. I think we all knew that. There was a really neat paper that came out by Dr. Michael Snyder, a chiropractor PhD. I believe he's at University of Pittsburgh. What he was looking at was a randomized controlled trial comparing spinal manipulation to usual medical care for acute and sub-acute low back pain. What he found, and this paper was published in 2015, was that chiropractic manual manipulation provided greater reductions in reported disability and pain compared to usual medical care. How about some biomechanical changes... There's a lot of people that watch our show that I would say ... There's a sensitivity about some of the research when they hear it's about back pain rather than the vertebral subluxation and overall performance as you indicated earlier. There's so many ways to utilize this no matter how you practice or how we want to educate patients because even if we want to do a lay lecture and educate patients on the far-reaching effects of the vertebral subluxation, reconnecting man the physical to man the spiritual or anything else, when we have a study on low back pain, whether we like it or not, patients do relate to that. When 80-some odd percent of the population actually suffers from low back pain, that's a starting point and a commonality that the patient will be attracted to. I sure as heck want them to come into the chiropractor even if their first inclination is, "My low back hurts. They can help," educate them further once they come in. I'd rather see them come into a place that works on their behalf, which is the chiropractic office, than going to a medical facility and having more traditional care which is simply painkillers and muscle relaxers or surgery. No matter what your philosophical tenets are, these are so important and can be used in such positive ways to educate, address your patients' needs, as well as to attract patients into your office to educate them more thoroughly. I couldn't agree more. We know that most people come in to see a chiropractor because they have pain, and so this is a really important study in my opinion. You're right. Getting back to the human performance and neurological changes, all
Dr. Hoffman:
Dr. Smith:
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