In this episode, we dive into the latest chiropractic research, focusing on a brand new systematic review that examines the biomechanical effects of high velocity, low amplitude spinal manipulation. Whether you’ve ever wondered what really changes in the body after an adjustment or you’re looking for better ways to communicate those benefits to your patients, Dr. Langmaid breaks down the findings in clear, straightforward language. From increased range of motion in the cervical spine to the surp...
Aug 11, 2025•16 min•Ep. 504
This week, Dr. Jeff Langmaid sits down with Gabe from ChiroHD, one of the fastest-growing EHR platforms in chiropractic. Whether you're actively searching for a new EHR or simply curious about how the latest technology can make your practice run smoother, this episode is packed with insights. Gabe shares the story behind ChiroHD’s rapid rise. These unique features set them apart—like integrated texting, actionable data, and cutting-edge reporting—and why more and more chiropractors are making th...
Aug 04, 2025•23 min•Ep. 503
In today’s episode, we dig into one of the most intriguing topics in spinal imaging: the comparison between upright and recumbent MRIs. He breaks down a brand new systematic review published in the Spine Journal—featuring data from 19 studies and over 5,200 participants—to answer a key question for clinicians: Are there meaningful differences between upright and traditional lying-down MRI scans, and which correlates better with a patient’s pain? Episode Notes: Upright versus recumbent lumbar spi...
Jul 28, 2025•17 min•Ep. 502
In this episode, we explore new research that explores what really happens beneath the surface when a spinal adjustment is administered. Highlighting a study that sifted through nearly 20,000 articles to nail down the highest-quality evidence, he unpacks key findings on the immediate anatomical and positional changes sparked by chiropractic care—think increased facet joint gapping and reduced spinal stiffness. You'll hear how these biomechanical shifts translate to improved movement, reduced pai...
Jul 21, 2025•13 min•Ep. 501
In our 500th episode, I’d like to thank every listener for nearly a decade of unwavering support and offer a special giveaway as a token of appreciation. But that's not all—this episode is packed with practical insights for chiropractors. Dr. Jeff delves into a groundbreaking, multi-arm, randomized trial that compares the effectiveness of spinal adjustments, acupuncture, traction, and their combinations in treating lumbar disc herniations. If you care for patients with back pain or disc issues, ...
Jul 14, 2025•14 min•Ep. 500
In this episode, we’ll delve into a brand-new systematic review and meta-analysis focused on manual therapy for cervicogenic headaches. If you’ve ever wondered about the best hands-on approaches to managing this common condition, you’ll want to tune in for the latest research findings. Dr. Langmaid breaks down the evidence on spinal adjustments, mobilizations, and massage, revealing which technique takes the top spot for pain and disability relief. He also shares practical clinical pearls for pa...
Jul 07, 2025•16 min•Ep. 499
In today’s show, we dive into the evolving world of virtual chiropractic assistants with guest Dr. Allen Miner, CEO of Chiro Matchmakers. If you’ve ever wondered what a “virtual CA” is, how offshore team members can support your practice, or whether a cost-effective, college-educated, and highly professional remote assistant could be right for you, this episode is for you. Dr. Langmaid and Dr. Miner break down the ins and outs of hiring virtual assistants—from overcoming management fears and und...
Jun 30, 2025•23 min•Ep. 498
In this exciting episode, we unveil something he's been working on behind the scenes for months: Avatar DC. Imagine having your very own AI-powered video twin that helps you connect with patients and prospects 24/7—without ever stepping in front of a camera. From engaging social media videos to essential practice communications, Avatar DC makes it easier than ever to build trust, boost engagement, and grow your chiropractic practice. Dr. Langmaid walks you through how this revolutionary tool wor...
Jun 23, 2025•14 min•Ep. 497
On this episode, we dives into a fascinating new study straight from the Global Spine Journal, taking a close look at the neurological complications that can arise after an anterior lumbar interbody fusion (ALIF)—a spinal surgery that's exploding in popularity, with a staggering 600% increase in procedures between 2000 and 2019. We’ll break down what every chiropractor should know about ALIFs: from the most common neurological risks to how these complications can impact post-surgical care and pa...
Jun 16, 2025•17 min•Ep. 496
In this episode, we dive deep into the critical discussion surrounding opioid use versus non-pharmacologic treatments, such as chiropractic care, for adults dealing with pain. Drawing on a landmark study that tracked trends from 2011 to 2019, he highlights both the encouraging rise in drug-free treatment options and persistent challenges, like the staggering percentage of people with chronic pain still receiving no professional care at all. Dr. Langmaid doesn’t shy away from addressing the opioi...
Jun 09, 2025•16 min•Ep. 495
This week’s episode dives into brand new research on prognostic factors for patients with nonspecific low back pain—one of the most common challenges chiropractors face every day in practice. Dr. Jeff breaks down a recent prospective study that tracked nearly 250 patients across multiple chiropractic practices, revealing what really predicts improvement, how long meaningful outcomes take, and which strategies can set your patients up for lasting success. You’ll learn not only about the numbers—l...
Jun 02, 2025•17 min•Ep. 494
This week, we delve into one of the most groundbreaking chiropractic studies of 2024, published in Brain Sciences, which explores how chiropractic adjustments impact the brain far beyond spinal mechanics. Get ready to learn about the neuroplastic changes associated with chiropractic care, featuring research-backed improvements in pain, mood, sleep, and overall quality of life. We will break down the study’s design, the powerful outcomes for patients with chronic low back pain, and the measurable...
May 26, 2025•15 min•Ep. 493
This week, we’re diving into a fascinating new study exploring the neuromuscular responses to spinal adjustments. Dr. Langmaid breaks down the latest research, published in January 2025, which pulls insights from over 35 studies to reveal what really happens in the body—from muscle activation and reflex changes to cortical (brain) responses—after a chiropractic adjustment. If you’ve ever wondered how chiropractic care impacts the body beyond just pain relief, this episode is packed with data and...
May 19, 2025•15 min•Ep. 492
This episode delves into one of the most pertinent topics for today’s practitioners—the efficacy and safety of spinal adjustments for managing acute neck pain—based on a newly published systematic review and meta-analysis in 2025. This research strongly supports the use of spinal adjustments as a first-line treatment for acute neck pain, providing both pain relief and restored function safely and effectively. Plus, that’s a compelling message to share with your patients on social and in your loc...
May 12, 2025•17 min•Ep. 491
In today’s episode, we discuss a brand new, multicenter randomized controlled trial that addresses a big question: When it comes to non-acute lumbar disc herniations, what’s more effective—nonpharmacological care, like spinal adjustments and acupuncture, or conventional medications and injections? We’ll highlight what the study found, why it matters for your clinical practice, and how you can effectively communicate these findings to your patients. He’ll also discuss the ongoing challenges patie...
May 05, 2025•16 min•Ep. 490
Today, we're exploring the cellular science behind spinal disc degeneration—specifically, how region-specific mitophagy (the body's process of cleaning out damaged mitochondria) impacts the nucleus pulposus, annulus fibrosis, and cartilage end plates of our intervertebral discs. Dr. Langmaid breaks down what makes each region of the disc unique, explains why these microscopic processes matter for overall spinal health, and offers actionable clinical pearls you can use in practice. Whether you’re...
Apr 28, 2025•16 min•Ep. 489
In this episode, Dr. Jeff Langmaid dives into a groundbreaking 2025 study from Frontiers in Psychology that reveals how the context of your care—everything from your words and tone to the cleanliness of your practice—can dramatically influence patient outcomes in musculoskeletal pain. Dr. Jeff unpacks the powerful concept of “contextual effects,” which go far beyond the placebo and play a critical role in healing. He shares actionable clinical pearls on leveraging empathy, clarity, and positive ...
Apr 21, 2025•16 min•Ep. 488
Today, we have a fascinating discussion focusing on therapy after lumbar disc herniation surgery. We delve into a massive study that brings together findings from 55 randomized controlled trials, shedding new light on the best approaches to post-surgical rehab and the role of physical therapy. With significant implications for your chiropractic practice, we'll explore key insights on how physical therapy post-surgery can reduce pain, improve function, boost return-to-work rates, and even lower a...
Apr 14, 2025•17 min•Ep. 487
In today's segment, we're diving into the fascinating realm of manual therapy with a brand-new study that unveils the complex mechanisms behind its efficacy. This episode promises to shed light on manual therapy's multifaceted ways, extending beyond mere biomechanical adjustments. We discuss a comprehensive review encompassing neurological, biochemical, and physiological responses courtesy of groundbreaking research hosted by Duke University. Whether you're a seasoned chiropractor or new to the ...
Apr 07, 2025•16 min•Ep. 486
This week, we're diving into a fascinating piece of research that shines a light on how adolescent growth affects spinal discs, particularly focusing on the lumbar spine. We'll explore a groundbreaking longitudinal MRI study that tracks how rapid growth during the critical years of adolescence can impact disc degeneration by age 18. We'll discuss the implications of those sudden growth spurts and what they mean for spinal health, along with practical advice on how chiropractors can monitor, educ...
Mar 31, 2025•17 min•Ep. 485
Today, we're diving into an insightful study from Sweden exploring the effectiveness and cost-efficiency of chiropractic care and physiotherapy for individuals with chronic low back pain. This episode is packed with valuable clinical pearls and statistics that can elevate your communication with your community. Episode Notes: Effectiveness and cost-effectiveness of chiropractic and physiotherapy for chronic low back pain The Best Objective Assessment of the Cervical Spine- Provide reliable asses...
Mar 24, 2025•14 min•Ep. 484
In today's episode, we're diving into a fascinating and timely topic: does sedentary behavior actually cause spinal pain in children and adolescents? Dr. Jeff Langmaid is here to break down a brand-new study from the British Journal of Sports Medicine that explores this very question. We'll examine the systematic review and meta-analysis of over 20 individual studies and discuss their findings. From the impact of long screen time to the role of physical activity, we'll uncover the potential rela...
Mar 17, 2025•14 min•Ep. 483
Today, we delve into a compelling, systematic review that tackles the effectiveness of epidural steroid injections for conditions like cervical and lumbar radiculopathy and spinal stenosis. If you're a chiropractor, this is an essential listen as we unpack whether these injections truly offer relief, examining both short—and long-term outcomes. We'll explore the study conducted by the American Academy of Neurology, which scrutinized 90 randomized control trials, and discuss their findings on pai...
Mar 10, 2025•16 min•Ep. 482
In today's episode, we're delving into a groundbreaking research study that explores how spinal adjustments affect oxidative stress and inflammation markers in the body. This new study, which comes from the pages of Chiropractic and Manual Therapies, is the first to examine the impact of different levels of spinal adjustment force on blood biomarkers related to oxidative stress and inflammation resolution. Episode Notes: Preliminary insights into the effects of spinal manipulation therapy of dif...
Mar 03, 2025•15 min•Ep. 481
In this episode, we examine a systematic review highlighting the prevalence and risk factors for lumbar disc herniations. From age and occupation to lifestyle choices, we cover key insights that can transform patient care. Lumbar disc issues are more common than you might think, affecting active and sedentary laborers. Chiropractic care plays a crucial role by promoting preventive, noninvasive solutions and educating on healthy lifestyle changes. Episode Notes: Incidence of and risk factors for ...
Feb 24, 2025•16 min•Ep. 480
Today, we're delving into a groundbreaking study that examines the impact of spinal adjustments on scoliosis, focusing on movement mechanics and overall stability. Scoliosis affects a significant number of adolescents, and while traditional treatments include bracing and surgery, this episode shines a spotlight on the effectiveness of conservative approaches like spinal adjustment. Episode Notes: Analysis of kinematic and kinetic changes in scoliosis following spinal manipulation The Best Object...
Feb 17, 2025•15 min•Ep. 479
In this episode, we explore groundbreaking new research on how chiropractic care can play a crucial role in reducing opioid-related adverse events, particularly in patients with sciatica. Tune in to delve into the compelling data that shows chiropractic care significantly lowers the risk of opioid dependency and enhances patient outcomes. With the opioid crisis still rampant, this research is not only timely but offers actionable insights for healthcare providers. Discover how to leverage this i...
Feb 10, 2025•16 min•Ep. 478
Today's episode delves into groundbreaking research on how chiropractic adjustments can reduce the risks of falls in older adults with spinal pain. This study highlights the profound impact of chiropractic care on enhancing sensory motor function, balance, and pain reduction. With falls being the leading cause of injury and fatality for adults over 65, it underscores the importance of chiropractic intervention in not only preventing injuries but also potentially extending lives. Episode Notes: C...
Feb 03, 2025•15 min•Ep. 477
In today's episode, we're diving into groundbreaking new research that explores the factors contributing to the perceived treatment effects of spinal manipulative therapy in chiropractic practice. From discussing the impact of patient perceptions on clinical outcomes to examining key themes like therapeutic alliance, adjunctive therapies, and objective measures, we'll uncover actionable insights that can enhance your practice and patient satisfaction. Don't miss it, as we also discuss the import...
Jan 27, 2025•18 min•Ep. 476
This week, we sit down with Dr. Cameron Bearden to delve into the latest innovations in cervical spine assessment. Dr. Bearden shares his firsthand experience using NeckCare in his practice, discussing its profound impact on patient care, clinical assessments, and even business operations. Episode Notes: Association Between Spinal Manipulation, Butalbital Prescription, and Medication Overuse Headache in Adults With Tension-Type Headache The Best Objective Assessment of the Cervical Spine- Provid...
Jan 20, 2025•22 min•Ep. 475
