Episode #14 | Chiropractic Maintenance Care with Dr. David Newton, DC

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Episode Summary

The conversation between Chris and David revolves around the topics of handling criticism and the concept of maintenance care in chiropractic. They discuss the importance of engaging in open discussions and handling disagreements professionally. They also explore the challenges of defining chiropractic and the need for a more patient-centered approach. The conversation then delves into a critical analysis of a research paper on maintenance care and the contextual factors that contribute to treatment outcomes. The conversation explores the importance of individual preferences and experiences in determining the most effective treatment for pain. It emphasizes the need for chiropractors to ask the right questions and listen to their patients in order to guide the decision-making process. The speakers discuss the role of education in empowering patients to manage their own pain and make informed choices. They also highlight the benefits of physical activity and exercise in improving overall health and reducing the risk of chronic conditions. The concept of maintenance care is redefined as an ongoing educational process that helps patients navigate flare-ups and develop the physical attributes needed to reach their goals.

Key Takeaways

Engaging in open discussions and handling disagreements professionally is important in any field.
Defining chiropractic and its identity is a complex task due to differing opinions within the profession.
Maintenance care in chiropractic is a topic of debate, with limited evidence supporting its effectiveness.
Contextual factors, such as the patient-practitioner relationship, play a significant role in treatment outcomes.
A patient-centered approach that considers individual needs and preferences is crucial in providing effective care. Individual preferences and experiences play a crucial role in determining the most effective treatment for pain.
Asking the right questions and listening to patients can guide the decision-making process and lead to better outcomes.
Education is key in empowering patients to manage their own pain and make informed choices.
Physical activity and exercise have numerous benefits for overall health and can be an effective tool in pain management.
Maintenance care should focus on ongoing education and support to help patients navigate flare-ups and reach their goals.

Episode Chapters

00:00 Updates and Changes in Chiropractic Programs

09:12 The Evolving Definition of Chiropractic

13:44 Exploring the Concept of Maintenance Care

21:24 The Limitations of Research on Maintenance Care

25:15 The Importance of Contextual Factors in Chiropractic Care

32:35 Individualizing Maintenance Care for Patient Needs

37:15 Discussing Positive Outcomes and Cases of Non-Response

39:17 Reevaluating the Concept of Maintenance Care

41:02 Understanding Patient Goals and Preferences

42:51 Individualizing Care Based on Preferences and Experiences

45:57 The Benefits of Physical Activity and Exercise

49:17 The Importance of Education in Pain Management

57:02 Empowering Patients through Maintenance Care

Sound Bites

"I've been enjoying all the episodes you guys have been putting out."

"I think there's always going to be pushback. And I think it really just provides an opportunity for those types of discussions to be brought forward and hopefully handled in a somewhat professional way."

"When there's some truth to it, I feel like that's when people get those spiteful comments."

"None of them are really any better than any other one across an average population for average pain"

"People have their own preferences and they have things that maybe historically have worked better."

"If you ask the right questions, your patients will tend to guide you in the direction that care can go."

References

Palmer College of Chiropractic Continuing Education - Care Plans, Maintenance Care, and the Reliability of Methods for Detecting Subluxations