The most listened to chiropractic podcast in the world.
New episodes released every Monday at 6 am EST.
014- Flexion-Distraction Outperforms Active Exercise for Chronic Low Back Pain
Learn about the essential research article that found flexion-distraction to be superior to active exercise. Also, learn HOW to apply this knowledge in your practice!
Episode Highlights-
A randomized clinical trial and subgroup analysis to compare flexion–distraction with active exercise for chronic low back pain
This episode brought to you in conjunction with Rocktape
013- Function and Movement: An Interview with Dr. Steve Capobianco
This week we have a research packed interview with Dr. Steve Capobianco, Medical Director at Rocktape. We touch on pain, functional movement, the titans of research, and his personal chiropractic mentors. An essential podcast episode!
About Dr. Steve-
Steven Capobianco, DC, DACRB, CCSP, CSCS
Medical Director, RockTape
Dr. Capobianco holds a B.A. and M.A. in Kinesiology and Exercise Science in addition to a doctorate in Chiropractic Medicine. Steve is a practicing sports chiropractor, currently holding a Diplomate in Rehab from the ACA, in addition he is a Certified Chiropractic Sports Practitioner, and a Performance Enhancement Specialists from the NASM. He is a certified in Active Release and Graston Technique provider that allows him to treat a myriad of musculoskeletal injuries using a combination of hand and tool release therapy.
Steve recently launched a sports specific rehab and performance institute called ProjectMOVE in Denver Colorado that focuses on identifying motor control dysfunction in an attempt to enhance human performance from the professional athlete to weekend warrior.
Steve is an avid athlete with a passion for sports. He has spent 25 years competing in ice hockey, lacrosse, triathlons, adventure racing, and natural bodybuilding. Steve is the Medical Director for Rocktape, pioneering evidence-informed education development that challenges the status quo in movement learning. He authored the Fascial Movement Taping manual and lectures world wide on the movement based taping technique.
Episode Highlights-
This episode brought to you in conjunction with Rocktape
012- The #1 Chiropractic Book in the World
Interested in taking your practice to the next level? Learn the tools that smart chiropractors around the world are using to increase referrals. Join me for a look inside "Marketing Chiropractic to Medical Doctors". I have been truly humbled that my book ready #1 on Amazon in Chiropractic.
If you have been frustrated by a lack of referrals, looking for a systematic way to approach MD's and build relationships, or have a desire to learn the "what", "when", and "how", of creating a practice that thrives on interdisciplinary cooperation, then this book is for you!
In this game-changing book you will learn-
• proven, step-by-step protocols to gain interdisciplinary referrals
• strategies to increase the effectiveness of your marketing
• how to position yourself as the logical referral choice
• how to address the "big 3" hindrances to chiropractic referrals
• how to schedule and execute a successful MD meeting
• and much more!
"This book provides step-by-step instructions on how to become integrated in your local healthcare community and organically tap into the enormous amount of referrals that can come with those relationships. This is something every chiropractor should do for their practice. It will elevate your practice, but on a grand scale, the profession"
- Chris Holloway, DC
"I am pleased to announce that we have doubled our direct MD referrals since implementing your plan."
- Goldi Jacques-Maynes, DC
EPISODE HIGHLIGHTS:
This episode brought to you in conjunction with RockTape
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here now.
011- Reduced Medication Use with Collaborative Care
This week we look at the astounding reduction in medication use with collaborative care. Collaborative care in this study was defined as the use of chiropractic in addition to a primary care physician for patients with low back pain. Also, the researchers found 4 key attributes of a successful referral relationships between DC and MD. Dive in, learn more, and use this knowledge immediately in practice.
The Researchers Found:
“...evidence suggests that communication between chiropractors and physicians is limited, which may foster fragmentation of care and impact its continuity and quality.”
“Evidence also suggests that a multidisciplinary approach to chronic conditions improves patient outcomes and patient and provider satisfaction.”
“...the physician referred 61% of patients in the study group for chiropractic services compared to none in the pre-study group. The sex, age, and severity of pain of the study patients who were referred were similar to those who were not referred for chiropractic services.”
Episode Highlights:
This episode brought to you in conjunction with RockTape
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here now.
010- Adding Chiropractic to Standard Medical Care
In this episode we explore the clinically and statistically significant benefits of adding Chiropractic care to standard medical care for low back pain.
The Researchers Found-
“The results of this trial suggest that Chiropractic Manipulative Therapy in conjunction with standard medial care offer a significant advantage for decreasing pain and improving physical functioning when compared to standard care alone, for men and women between the ages of 18-35 with acute low back pain.”
“There was a statistically and clinically significant benefit to those patients receiving chiropractic manipulative treatment...”
“The majority of systematic reviews find that chiropractic manipulative therapy appears to reduce pain and disability at least moderately for many low back pain patients.”
“73% of participants in the SMC plus CMT group rated their global improvement as pain completely gone, much better, or moderately better, compared with 17% in the SMC group.”
Episode Highlights-
This episode brought to you in conjunction with RockTape
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
009- Special Interview with Dr. Krista Burns of the American Posture Institute
This week I am proud to release a special interview with Dr. Krista Burns of the American Posture Institute. This high impact talk touches on posture research, the American Posture Institute, the League of Chiropractic Women, as well as some of her personal chiropractic history. Dr. Krista travels extensively teaching; and this interview shows why she is a leader in the chiropractic profession. As an added bonus she released the 24 Research Studies Every Posture Expert Needs to Know, which is linked below.
Episode Highlights-
The 24 Research Studies Every Posture Expert Needs to Know
RockTape- Proud to be a sponsor of The Evidence Based Chiropractor
A step by step system to increase referrals. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
008- Adjustments, Medication, or Home Exercise for Neck Pain?
This weeks episode looks at a study from the Annals of Internal Medicine which reported the functional outcomes of adjustments/manipulation vs medication vs home exercise for neck pain. I love this study because it is a randomized trial, it provides follow up to 52 weeks, AND it focuses on function. I also touch on how you can use this article to position your practice locally.
THE RESEARCHERS FOUND-
“Spinal Manipulative Therapy seemed more effective than medication according to various measures of neck pain and function.”
“For pain, Spinal Manipulative Therapy had a statistically significant advantage over medication after 8, 12, 26, and 52 weeks.”
“For participants with acute and subacute neck pain, Spinal Manipulative Therapy was more effective than medication in both the short and long term.”
Episode Highlights-
This episode brought to you in conjunction with RockTape
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
007- Comparing 2 Types of Chiropractic Care
Happy New Year! We are starting off 2016 with a fantastic study that looks at the efficacy of both high and low velocity Chiropractic care against standard medical care. This randomized controlled trial found that chiropractic care, regardless of technique choice, provided up to 40% MORE improvement than standard medical care for adults with sub-acute and chronic low back pain. Dive in and learn how to use this research for patient AND provider education.
The Researchers Found-
“Participants who received either form of SM (spinal manipulation) were approximately 30% to 40% better on the average in functional status than those who received minimal conservative medical care.”
“both manipulative procedures were associated with clinically important changes in functional status by the end of treatment...”
“SM (spinal manipulation) had improvements on average in functional status ranging from 1 to 2.2 over those who received MCMC (minimal conservative medical care).”
Episode Highlights-
This episode brought to you in conjunction with RockTape
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
006- Steroid Injection Lead to Increased Risk of Vertebral Fracture
This week we look at an expansive (over 50,000 patients were a part of the study) piece of research released by The Journal of Bone & Joint Surgery in 2013. They found a staggering increased risk for lumbar vertebral fracture with every ESI that a patient received. This is of particular importance because patients typically go through a series of injections over the course of weeks, months, or years. This paper indicates their may be a cumulative effect to these injections and a propensity for vertebral fracture. Clinically, this is important for Chiropractors because, statistically, we are seeing patients every day in practice who may have a heightened risk for vertebral fracture.
The Researchers Found-
“No significant difference between injected and non-injected groups with respect to age, predicted propensity score, sex, race, hypothyroidism, or steroid use.”
“Each successive injection increased the risk of fracture by a factor of 1.21 (95% confidence interval).”
“Of greater concern, the definable fracture risk as documented by Mandel et al. should be set against the best available evidence regarding the long-term efficacy of these interventions, which is admittedly less than robust.” - Andrew J Schoenfeld, MD
Episode Highlights-
This episode brought to you in conjunction with RockTape
A Retrospective Analysis of Vertebral Body Fractures Following Epidural Steroid Injections
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
005- Chiropractic Care and Spinal Stenosis
This weeks episode looks at research released in 2006 by BMC which shows Chiropractic Care to be an effective and recommended option for patients suffering from lumbar spinal stenosis. We dive into the research, talk about its clinical implications, and revisit the fundamentals of neurogenic claudication. All in the time it takes to get to your office!
The Researchers found-
“...non-surgical management should be the first line of approach in patients with lumbar spinal stenosis...”
“Lumbar spinal stenosis can lead to low back and leg pain, most typically via encroachment on the central canal, lateral recess, or lateral canal. The source of the encroachment is typically vertebral body osteophytes, hypertrophy of the ligamentum flavum or zygapophyseal joint, or a combination of these. The development of these degenerative changes is often accompanied by restriction of the segmental mobility.”
“A non-surgical approach that attempts to target the unique pathophysiology of Lumbar Spinal Stenosis may be best able to rapidly improve pain and function in these patients.”
“Clinically meaningful improvement in disability was seen in over two-thirds of the patients”
Episode Highlights-
This episode brought to you in conjunction with RockTape
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
004- Where MRI and Referrals Meet
The use of spinal MRI has been a topic of increasing popularity in the last few years due to it’s “gold standard” diagnostic reputation. This study from SPINE shows that the use of MRI has minimal significance on the clinical decision making of primary care physicians, and ultimately minimal correlation with the subsequent intervention.
The authors suggest the use of a non-surgical spine specific physician as the most effective way to manage these patients. In this episode we explore how you can use this knowledge to market your practice, build confidence, and gain additional referrals through appropriate communication.
The authors of the paper found-
“Specific findings on the index MRI scans (i.e. degenerative disc disease, disc herniation, spinal stenosis, ...) were not very predictive of subsequent consultation with a spine surgeon.”
“...among patients who received an MRI scan in the primary care setting, MRI scans almost always contain abnormal imaging findings, referral for surgical assessment is frequent, and subsequent surgery is infrequent.”
“MRI scan results do not discriminate very well between those who will and will not undergo surgery, suggesting that alternative models for the assessment of patients with spinal complaints in primary care should be explored...”
“Alternate models of health care delivery for individuals with spinal complaints, such as multidisciplinary spine assessment centers staffed by highly trained personnel, could potential result in more targeted use of MRI testing, may provide a more optimal pathway to transition patients from general practice to surgical care...”
Episode Highlights-
Patterns of Care After Magnetic Resonance Imaging of the Spine in Primary Care
This episode brought to you in conjunction with RockTape
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
003- The Award Winning CHIRO Research Article
This weeks episode focuses on the award winning CHIRO Research article.
The CHIRO study received the 2010 Outstanding Paper award from The Spine Journal in part because it is a randomized controlled trial which places the treatment of acute low back pain in a “real world” context. The authors found that the study “clearly supports” the use of Evidence Based Care which included chiropractic manipulation as a focal treatment. In this study the patient age range was 19-65 years. We both know that improving patient outcomes in the acute phase of injury is imperative because the development of chronic back pain often begins with poor outcomes during acute management. In my opinion this study exhibits why cooperation and co- management of acute back pain can lead to better outcomes for our patients.
In short, the authors found-
“The evidence-based care group demonstrated significantly greater improvements in reported function through 6 months follow up.”
“The results of this study demonstrated that in equivalent groups of patients with Acute Low Back Pain of less than 4 weeks duration, carefully controlled and comprehensive Clinical Practice Guideline based care was associated with greater improvement in terms of condition specific functioning at 16 weeks...”
“This study follows two previous studies conducted by our group that demonstrated that treatments commonly recommended by primary care physicians are often highly guideline discordant, and other studies have demonstrated that PCP’s are highly resistant to changing their patterns of practice for managing patients with Acute Low Back Pain.”
This piece was highlighted as a Monthly Research Brief for the members of The Evidence Based Chiropractor. Our members use research to GROW their practice. Are you interested in increasing your referrals? If so, click here.
Episode Highlights-
This Episode was brought to you in conjunction with RockTape
Featured as one of our "Top 10 Chiropractic Research Articles"
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
002- Chiropractic Outperforms NSAID's for Low Back Pain
Spinal manipulation outperforms NSAID's for low back pain. Not only did patients in this study receive decreased pain, but they also had improved FUNCTION.
Learn how you can use this study to grow your practice!
Episode Highlights-
This episode brought to you in conjunction with RockTape
Get More Referrals with The Evidence Based Chiropractor
The Evidence Based Chiropractor Podcast was featured on iTunes "New and Noteworthy"!! We could not have done it without you. Please comment, subscribe, and rate our podcast to help us continue to deliver the best chiropractic content to you each and every week.
001- Research in Support of Maintained Chiropractic Care
Learn the about the cutting edge research which supports maintained chiropractic care. Also, discover how this can lead to practice growth and better communication with your local referral partners.
Highlighted Content
Free AAOS Inspired Chiropractic Office Forms for Through Documentation (value of $199)
The Documentation Guru- Dr. John Davilla
Marketing Your Practice Through Research with The Evidence Based Chiropractor
A Weekly Podcast on The Latest Chiropractic Research and Marketing.
New episodes are served up weekly at 6 EST. Are you ready?