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Best Practice Recommendations for Neck Pain

Exit forum ID Forum Discussion Best Practice Recommendations for Neck Pain

This topic contains 2 replies, has 2 voices, and was last updated by   William Brady, DC May 5, 2020 at 1:45 pm.

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  • #9233

    William Brady, DC
    Participant

      JMPT recently published best practice recommendations for patients with neck pain.
      Available here for free: https://www.jmptonline.org/article/S0161-4754(19)30008-9/fulltext

      ID meets or exceeds every single recommendation. We are the only system that actually teaches these steps never mind generating therapeutic benefit. Nice to see the experts agree on some of the big picture stuff even if we would likely completely disagree on adhesion, manipulation…

      They even got the yellow flag assessments and priority correct.

      Please give it a read. It’s nice to see some people catching up to ID. Also a nice reminder how far ahead we are.

      #9244

      Brandon Cohen DC, CSCS
      Participant

        I’ve only read through the best practices section to “History,” but this looks amazing. This is how the system functions, and in essentially the same order. The concerning part is that I thought I was doing all these things before I found ID.

        The reality is that I was kind of doing most of those things, but history questions (and answers) had no meaning. Exams were general, and used to rule out red flags, imaging was a last resort even when patients did not respond as expected, etc.

        The sad thing about this report is that people will read it, assume they already have the answers and do nothing different.

        #9248

        William Brady, DC
        Participant

          Totally agreed. I doubt anyone will read the whole thing never mind use it. I recently posted in the evidence based chiropractic group asking for people to post their most influential research article. That is the article that most changed how you practice. There were exactly four responses, only one of which included an article, and that person works for Carl. So even among an 8,000 member group pre-selected to care about and read research there was a near zero rate of research influencing practice.

          Similarly another great diagnotic based article was recently publuished. https://www.jmptonline.org/article/S0161-4754(19)30072-7/pdf
          This is heading in the same direction as ID. They actually recommend trying to diagnose the condition. It even includes piriformis syndrome and cluneal nerve entrapment. Of course it’s not nearly as systematic or thorough as ID and doesn’t speak toward treatment or management. You don’t see the pain science crowd quoting from this paper.

          To your point, chiropractors are looking for validation of held beliefs not looking for the truth.

          We don’t have to wonder why an adjustment is worth $25. The market has spoken.

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