Jeff Langmaid Jeff Langmaid

Evidence-Based Insights on Maintenance Care

Evidence-based maintenance care among chiropractors in Norway

Myhrvold et al.'s 2023 research illuminates the landscape of maintenance care (MC) among chiropractors in Norway.

This study offers chiropractors critical insights that can significantly impact clinical decision-making and patient outcomes.

Understanding Maintenance Care

Maintenance care represents a proactive approach chiropractors implement for secondary and tertiary prevention in managing recurrent musculoskeletal issues. According to the Nordic Maintenance Care Program, influential MC relies on a comprehensive understanding of patient profiles, allowing practitioners to identify those most likely to benefit.

The study reveals that while most chiropractors know MC's potential benefits, only 26% perceive the tools for recommending such care as genuinely helpful.

This highlights the need for improved education and resources that can enable chiropractors to integrate evidence-based guidelines into their practice effectively.

The Role of Evidence-Based Practice in Chiropractic Care

The study indicates that a significant proportion of Norwegian chiropractors (57%) feel qualified to identify suitable candidates for MC. Yet, only 45% have engaged with published research on patient selection in the previous month.

This dichotomy poses a challenge: the gap between knowledge and practice must be bridged. Barriers exist, chiefly around access to valuable resources and tools that facilitate informed clinical decisions.

At the same time, understanding who benefits from MC—specifically those with high pain severity or dysfunctional psychological profiles—can enhance treatment efficacy. To further explore these concepts, consider visiting the National Center for Complementary and Integrative Health for broader insights into integrative practices.

Enhancing Patient Care through Improved Access to Resources

The study emphasizes that access to appropriate resources remains a significant barrier for many practitioners.

Over 80% identified limited access to current and relevant research as hindering effective patient care strategies. This underscores a critical call for chiropractic associations and educational institutions to advocate for more accessible research dissemination mechanisms.

Furthermore, knowing the right patient groups to target for maintenance care creates a path for effective treatment strategies that can result in better patient outcomes.

The results further indicate that the clinical setting influences skill perception, with those in conventional healthcare collaborations reporting lower confidence in their MC skills.

Embracing evidence-based practices in maintenance care equips chiropractors to provide superior patient care and promotes a culture of ongoing learning and adaptation.

You can find the full research article here to explore the study further.

Use Research Like This to Get More Referrals!

Want to get better results faster using a proven referral-building system? 

Don't miss out on our proven MD Connection Referral Program, specifically designed to help chiropractors like you build successful referral relationships with medical doctors. The proven program includes everything you need to generate referrals for your practice. 


"I've only been a member two days, and I got my first referral from a medical doctor."

- Dr. Bryan Call

"I am currently averaging 30 referrals a month from local providers. Thank you for your help in making this happen!"

- Dr. Boyle

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Jeff Langmaid Jeff Langmaid

Insights from a Groundbreaking Study on Spinal Mobilisation and Neuroimmune Responses

Immediate systemic neuroimmune responses following spinal mobilisation and manipulation in people with non‐specific neck pain

Spinal manipulation and mobilization have long been hallmark interventions within chiropractic care.

The emerging evidence from Lutke Schipholt et al. sheds new light on the immediate neuroimmune responses following such interventions in patients experiencing non-specific neck pain.

The revelations from this comprehensive study can potentially enhance patient outcomes and serve as a critical guide for clinical decision-making in chiropractic practice.

Understanding Neuroimmune Responses

Understanding the neuroimmune landscape is essential in an era where precision in patient care is paramount. The study examined the immediate effects of spinal mobilization and manipulation on inflammatory markers, specifically IL-1β and TNF-α, in 100 participants.

Remarkably, while participants experienced significant pain reduction post-mobilization (a mean difference of 30 mm on the Visual Analogue Scale), no detectable systemic changes in the inflammatory markers were observed (p ≥ 0.10).

This finding suggests that traditional notions linking immediate inflammatory response to spinal manipulation may need reevaluation, empowering chiropractors to focus more on clinical outcomes rather than solely on underlying inflammatory changes.

Implications for Patient Care

The study's findings have profound clinical implications. As practitioners, chiropractors must prioritize interventions that yield tangible patient outcomes. The lack of significant neuroimmune responses does not diminish the effectiveness of spinal mobilization; instead, it reinforces the value of utilizing evidence-based approaches tailored to individual patient needs.

By focusing on pain intensity and functional improvement rather than systemic inflammatory status, chiropractors can enhance treatment protocols, foster patient satisfaction, and drive better clinical success.

Moreover, understanding that a substantial proportion of patients reported significant pain relief (49% classified as having a good outcome) leads to actionable insights in patient management. Implementing a comprehensive approach that combines spinal manipulation with other therapeutic modalities could amplify outcomes, as the study underlines the complexities of pain pathways and individual responses.

Call to Action: Empower Your Practice with Evidence-Based Insights

As the landscape of chiropractic care evolves, staying informed on the latest research is essential to providing the highest-quality patient care. Embrace these findings and consider incorporating them into your practice strategies.

You can find the full research article here to explore the study further.

Use Research Like This to Get More Referrals!

Want to get better results faster using a proven referral-building system? 

Don't miss out on our proven MD Connection Referral Program, specifically designed to help chiropractors like you build successful referral relationships with medical doctors. The proven program includes everything you need to generate referrals for your practice. 


"I've only been a member two days, and I got my first referral from a medical doctor."

- Dr. Bryan Call

"I am currently averaging 30 referrals a month from local providers. Thank you for your help in making this happen!"

- Dr. Boyle

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Jeff Langmaid Jeff Langmaid

Embracing Chiropractic Care: A Crucial Component of the Healthy China Initiative 2030

The Inclusion of Chiropractic Care in the Healthy China Initiative 2030

Integrating chiropractic care into the Healthy China Initiative 2030 is not just an idea but a necessity.

As healthcare professionals dedicated to the well-being of patients, chiropractors hold the key to advancing public health through effective musculoskeletal care.

This article outlines chiropractic practices' vital role in reshaping China’s healthcare landscape, aligning with the initiative's health promotion and disease prevention goals.

The Current State of Chiropractic Care in China

Chiropractic care has gained recognition for its benefits in managing musculoskeletal disorders, particularly in regions like Hong Kong, where it is regulated and supported.

However, the profession faces significant challenges in mainland China due to a lack of official recognition and regulation. This has resulted in limited public awareness and integration into the healthcare system, ultimately affecting patient access to vital care.

By establishing a regulatory framework for chiropractic practices, we can ensure patients receive safe and effective treatment, significantly enhancing overall health outcomes.

Read more about Healthcare Regulations.

Aligning Chiropractic Care with Health Goals

The principles underlying chiropractic care perfectly align with the Healthy China Initiative 2030 objectives. Focusing on noninvasive treatments and holistic strategies, chiropractic practices relieve pain, promote health literacy, empower self-care, and support chronic disease prevention.

Studies have shown that chiropractic treatment can substantially decrease medication prescriptions for chronic pain conditions, illustrating its value in the larger healthcare framework.

The synergy between traditional Chinese medicine and chiropractic can further enhance patient care and offer a comprehensive approach to health management.

Policy Recommendations for Integration

Strategic policy recommendations must be implemented to fully capitalize on chiropractic care's advantages within the Healthy China Initiative. These include establishing educational standards for chiropractic training, implementing licensing protocols to ensure practitioner competence, and promoting interdisciplinary collaboration within the healthcare spectrum.

Addressing regulatory barriers and raising public awareness of the benefits of chiropractic care can pave the way for broader acceptance and support for this vital profession.

In closing, embracing chiropractic care as part of the Healthy China Initiative 2030 is not just brilliant; it's essential.

Chiropractors stand on the frontline of promoting health and preventing disease. We invite all practitioners to engage with this evolving conversation and empower their practice with evidence-based insights.

You can find the full research article here to explore the study further.

Use Research Like This to Get More Referrals!

Want to get better results faster using a proven referral-building system? 

Don't miss out on our proven MD Connection Referral Program, specifically designed to help chiropractors like you build successful referral relationships with medical doctors. The proven program includes everything you need to generate referrals for your practice. 


"I've only been a member two days, and I got my first referral from a medical doctor."

- Dr. Bryan Call

"I am currently averaging 30 referrals a month from local providers. Thank you for your help in making this happen!"

- Dr. Boyle

Read More
Jeff Langmaid Jeff Langmaid

The Potential of Imaging in Chiropractic Care for Low Back Pain

Effectively managing low back pain (LBP) is a challenge that chiropractors frequently face in their practices.

A recent systematic review focusing on the association between clinical findings and imaging features related to lumbar spine osteoarthritis provides essential insights that can guide clinical decision-making and enhance patient care.

Integrating this review's findings into your practice can improve diagnostic accuracy and effectively tailor treatment plans.

Understanding the Clinical Correlation with Imaging Features

High-quality evidence indicates strong associations between LBP intensity and specific imaging findings, particularly disc space narrowing and osteophyte formations.

The longitudinal association between LBP-related physical functioning and lumbar disc degeneration and the link between spinal morning stiffness and disc space narrowing has been established. These findings underscore the importance of utilizing imaging not only as a diagnostic tool but also as a means to track the progression of osteoarthritis in the spine.

Integrating imaging results into clinical evaluations can empower you to make informed choices regarding treatment interventions and patient education.

Establishing a Framework for Patient Assessments

The review highlights a critical need for agreed-upon diagnostic criteria for spinal osteoarthritis. Currently, many patients with nonspecific LBP may have underlying conditions like symptomatic spinal osteoarthritis that go unrecognized. Establishing clear diagnostic guidelines will allow chiropractors to consider specific clinical and imaging features when assessing patients.

This precision will aid practitioners in identifying which individuals may benefit from targeted interventions, including various chiropractic techniques or referrals to specialists.

Moreover, chiropractic practices can implement a standardized assessment protocol that includes patient-derived measures of pain and functionality and systematic evaluations of relevant imaging findings. This approach is crucial in uncovering potential red flags that may necessitate further exploration.

As chiropractors, we have the unique opportunity to advance our understanding of low back pain through evidence-based practice. The findings from this systematic review offer a robust foundation for integrating clinical assessments with imaging features to enhance diagnostic accuracy.

You can find the full research article here to further explore the study.

Use Research Like This to Get More Referrals!

Want to get better results faster using a proven referral-building system? 

Don't miss out on our proven MD Connection Referral Program, specifically designed to help chiropractors like you build successful referral relationships with medical doctors. The proven program includes everything you need to generate referrals for your practice. 


"I've only been a member two days, and I got my first referral from a medical doctor."

- Dr. Bryan Call

"I am currently averaging 30 referrals a month from local providers. Thank you for your help in making this happen!"

- Dr. Boyle

Read More
Jeff Langmaid Jeff Langmaid

The Impact of Fascia Therapy on Chronic Neck Pain

Chronic neck pain is a pervasive issue that significantly impedes the quality of life for countless individuals.

Chiropractors are at the forefront of managing this condition, and emerging research illuminates innovative approaches to enhance patient outcomes.

A recent study has highlighted the comparative efficacy of fascia therapy and fascial manipulation. This blog explores the significant findings from this research, empowering chiropractors with knowledge to optimize clinical decision-making and patient care.

Understanding the Efficacy of Fascia Therapy

Fascial tightness is often overlooked in the treatment of chronic neck pain, yet it can severely limit the range of motion and exacerbate discomfort.

The recent trial with 52 participants revealed that DBM (Danis Bois Method) fascia therapy demonstrated a marked improvement in cervical extension and right-side bending compared to fascial manipulation. The results indicated that patients undergoing fascia therapy experienced a statistically significant enhancement in their range of motion after just three weeks of treatment.

This finding underscores the importance of incorporating fascia therapy into chiropractic practice as a complementary treatment option for patients suffering from chronic neck pain.

Enhancing Patient Care through Evidence-Based Techniques

In pursuing evidence-based practice, chiropractors must stay updated on the most effective methodologies for treating musculoskeletal disorders.

The study’s findings revealed that DBM fascia therapy and fascial manipulation effectively reduced pain and improved function, but their effectiveness regarding specific motion parameters varied.

Notably, both techniques significantly improved pain levels, as quantified by the Numeric Pain Rating Scale (NPRS) and the Neck Disability Index (NDI).

By integrating tailored approaches based on these evidential insights, chiropractors can better serve their patients, leading to more personalized care plans that directly address the individual needs of those suffering from neck pain.

Focused Techniques for Superior Outcomes

As the study's findings suggest, precision in treatment modalities can lead to superior patient outcomes. Chiropractors must recognize that while both fascia therapy and spinal manipulation have strengths, the strategic application of fascia therapy shows compelling effectiveness in enhancing specific cervical movements.

In closing, practitioners are encouraged to continuously expand their knowledge and integrate evidence-based practices into their patient care strategies.

By embracing innovative treatment approaches, such as fascia therapy, chiropractors can alleviate pain and dysfunction in their patients and elevate the standard of care within their practice.

You can find the full research article here to further explore the study.

Use Research Like This to Get More Referrals!

Want to get better results faster using a proven referral-building system? 

Don't miss out on our proven MD Connection Referral Program, specifically designed to help chiropractors like you build successful referral relationships with medical doctors. The proven program includes everything you need to generate referrals for your practice. 


"I've only been a member two days, and I got my first referral from a medical doctor."

- Dr. Bryan Call

"I am currently averaging 30 referrals a month from local providers. Thank you for your help in making this happen!"

- Dr. Boyle

Read More