Postoperative Acupuncture & Activity And Depression

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

CF 268: Postoperative Acupuncture & Activity And Depression

Today we’re going to talk about Postoperative Acupuncture & Activity And Depression

But first, here’s that sweet sweet bumper music

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OK, we are back and you have found the Chiropractic Forward Podcast where we are making evidence-based chiropractic fun, profitable, and accessible while we make you and your patients better all the way around. We’re the fun kind of research. Not the stuffy, high-brow, look down your nose at people kind of research.

We’re research talk over a couple of beers. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together.

Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, drive, smart, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at [e-mail] If you haven’t yet I have a few things you should do.

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You have found yourself smack dab in the middle of Episode #268 Now if you missed last week’s episode, we talked about Pain Reprocessing Therapy & Meditation-Based Therapy For Chronic Pain. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Things are steadily picking back up here at Jeff Central. One of our new hires is having a Zoom meeting with our social media crew from the UK this week to get their heads together on TikTok stuff, YouTube ads, and all of that fun stuff. Some of the older guys will fondly remember the days when all you had to do was place an ad in the YellowPages, an ad in the town newspaper, and if you were really fancy, an ad on the radio. Then join Lion’s Club or the Rotary Club. From there…..you were pretty good to go. No other effort really required.

Not only that but reimbursements were better, co-pays cheaper, deductibles less, and premiums cheaper. It’s just dumb to be a healthcare provider these days when you think about it sometimes. You damn well better be in it for the right reasons. That’s for sure. If it’s all about the money, you’re in the wrong place, pal. Now, we have social media, podcasts, content marketing, website SEO, keywords, Google ranking, and all of the other BS that comes along with it. It’s a bunch of crap. But, it’s a bunch of necessary crap if you want to compete and build a business in 2023. Damnit.

Those that have better systems and better people helping them with it all are just naturally going to do better. I’ve tried doing it myself for years. I’m an early adopter. But, it’s gotten too difficult. I’m trying to gather a team of helpers because, honestly, my practice can be so much larger with the right team in place. We’re working on it. Stay tuned. And, in the meantime, if you know of an associate that wants to come to Amarillo and is certified in acupuncture, or can be, send them my email and tell them to get hold of Ol’ Uncle Jeffro at [e-mail]

Item #1 Speaking of acupuncture.

The first one today is called, “Wrist–Ankle Acupuncture as Additional Therapy for Postoperative Multimodal Analgesia in Orthopedic Surgery: Systematic Review and Meta-Analysis” by Ning Xu and published in Pain Medicine on 28 April 2022. Dayum. That’s hot.

Why They Did It The present meta-analysis analyzed the efficacy and safety of wrist–ankle acupuncture (WAA) as an additional therapy for postoperative multimodal analgesia after orthopedic surgery.

How They Did It

• Electronic databases, including Cochrane Library, PubMed, EMBASE, Web of Science, CNKI, SinoMed, Wanfang, and VIP, were searched to identify randomized controlled trials and cohort studies that reported details of WAA as an additional therapy for postoperative multiple analgesia in orthopedic surgery before October 1, 2021.

• Analyzed outcomes included time points of the visual analog scale, use of patient-controlled intravenous analgesia (PCIA), and postoperative adverse events. Subgroup analysis was performed according to time points and complication type.

What They Found

• Eleven randomized controlled trials and one cohort study were included in the meta-analysis. Among a total of 845 patients, there were 422 patients in the wrist–ankle acupuncture groups and 423 patients in the control groups.

• The wrist–ankle acupuncture groups showed a better analgesic effect, lower use of patient-controlled intravenous analgesia, and lower occurrence of postoperative adverse events than did the control groups.

Wrap It Up Wrist–ankle acupuncture as an additional therapy for postoperative multimodal analgesia in orthopedic surgery showed advantages over control treatment in terms of pain relief, use of patient-controlled intravenous analgesia, and occurrence of postoperative adverse events.

Item #2 Our last one this week is called, “Association Between Physical Activity and Risk of Depression” by Matthew Pearce, PhD and published in JAMA Psychiatry on April 13, 2022. Hot potato!

Why They Did It To systematically review and meta-analyze the dose-response association between physical activity and incident depression from published prospective studies of adults.

How They Did It

• They used information from PubMed, SCOPUS, Web of Science, PsycINFO, and the reference lists of systematic reviews retrieved by a systematic search up to December 11, 2020, with no language limits. The date of the search was November 12, 2020.

• They included prospective cohort studies reporting physical activity at 3 or more exposure levels and risk estimates for depression with 3000 or more adults and 3 years or longer of follow-up.

• Data extraction was completed independently by 2 extractors and cross-checked for errors. A 2-stage random-effects dose-response meta-analysis was used to synthesize data. Study-specific associations were estimated using generalized least-squares regression and the pooled association was estimated by combining the study-specific coefficients using restricted maximum likelihood.

What They Found

This systematic review and meta-analysis of 15 prospective studies including more than 2 million person-years showed an inverse curvilinear association between physical activity and incident depression, with greater differences in risk at lower exposure levels. Adults meeting physical activity recommendations (equivalent to 2.5 h/wk of brisk walking) had lower risk of depression, compared with adults reporting no physical activity.

Wrap It Up This systematic review and meta-analysis of associations between physical activity and depression suggests significant mental health benefits from being physically active, even at levels below the public health recommendations. Health practitioners should therefore encourage any increase in physical activity to improve mental health. Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.

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Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!

The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!

Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!

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Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.

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About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger

Bibliography

• Ning Xu, M., Lu-lu Liu, BN, Wei Rong, MD (2022). “Wrist–Ankle Acupuncture as Additional Therapy for Postoperative Multimodal Analgesia in Orthopedic Surgery: Systematic Review and Meta-Analysis.” Pain Medicine 23(10): 1654-1669.
• Pearce M, G. L., Abbas A, (2022). “Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis.” JAMA Psychiatry.

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