The Evidence Based Chiropractor- Chiropractic Marketing and Research
The Evidence Based Chiropractor is a podcast created for Chiropractors. Weekly research and marketing updates for Chiropractors. Learn ideas and actionable information which will inspire action, improve your communication, and lead to explosive Chiropractic growth.
Spinal Adjustments Shown to Reduce Pain and Enhance Lifting Coordination in New Study
This episode takes you inside high-tech motion capture labs to explore groundbreaking research on the real effects of spinal adjustments for chronic low back pain. We break down how spinal adjustments compare head-to-head with exercise and placebo, and share clinical pearls, take-home insights, and practical ways to apply these findings to better help your patients move, feel, and function. Whether you’re looking to elevate your practice or simply stay on top of the latest evidence, this episode is packed with value for every chiropractor.
Research:
Immediate effects of spinal manipulation, exercise therapy, and open-label pl...
Chiropractic Dominates in VA Integrative Care for Chronic Low Back Pain
Today we dive into the latest research on integrative treatment options for chronic low back pain—specifically within the VA (Veterans Affairs) healthcare system. Discover why chiropractic care stands out as the most utilized integrative option for veterans, far surpassing therapies like acupuncture and massage. Dr. Langmaid breaks down new statistics on what primary care providers and patients know, want, and actually use, exposing surprising gaps in awareness and access that also present significant opportunities for chiropractors in private practice. Whether you’re aiming to boost referrals or improve patient care in your community, this episode is packed with acti...
Transforming Back Pain Pathways: Chiropractor-Led Triage in Neurosurgery Referrals
Today we dive into groundbreaking new research on the impact of chiropractors in spine triage roles, specifically what happens when chiropractors screen neurosurgical referrals. Tune in as we break down a recent randomized controlled trial from Quebec—where researchers found that nearly 80% of back pain referrals to spine surgeons were inappropriate, and that integrating chiropractic triage drastically improved patient satisfaction and reduced unnecessary wait times. Discover how this evidence supports redesigning patient pathways and why chiropractors are uniquely positioned to be the gateway for musculoskeletal care, helping patients access the right provider at the right time. Whether you’re pass...
How Spinal Adjustments Impact Multifidus Muscle Firing in Acute Low Back Pain
Today we’re diving deep into the science of spinal adjustments with a groundbreaking study on what actually happens in the multifidus muscle during acute low back pain. We’ll explore how motor units respond to adjustments, what this means for patient outcomes, and how these insights can impact your clinical practice.
Research:
Spinal manipulation in acute low back pain patients is associated with reduced motor-unit firing variability without altering bilateral coordination: a single-motor-unit EMG study of the lumbar multifidus
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New Evidence on Cervical Adjustments: Immediate Effects on Pain and Muscle Response
In this episode, we dive into a groundbreaking new study comparing the clinical and neuromechanical effects of cervical spine adjustments versus mobilizations for chronic neck pain. With chronic neck pain on the rise and ranking high among conditions causing years lived with disability, this research offers powerful insights for every chiropractor.
Research:
Immediate clinical and neuromechanical effects of cervical spine manipulation compared to cervical spine mobilization among individuals with chronic neck pain: a randomized mechanistic cross-over trial
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The Effect of Single Level and Multilevel Cervical Fusion on Adjacent Segment Motion: A Biomechanical Analysis
Today, you’ll learn what happens to the rest of the cervical spine when certain segments are fused, unpacking the mechanical and clinical consequences highlighted in a new biomechanical study. Whether you’re seeing patients post-fusion or helping them explore alternatives, this episode is packed with actionable insights to help you better serve your community and guide patients through complex spinal health decisions.
Research:
The Effect of Single Level and Multilevel Cervical Fusion on Adjacent Segment Motion: A Biomechanical Analysis
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Exploring the Overlooked Connection Between Airway Health and Posture in Chiropractic Practice
On today’s episode, Dr. Jeff Langmaid sits down with Dr. Kameron Smith to explore the often-overlooked connection between airway health and posture. You’ll hear how Dr. Smith’s journey—from routine DOT physicals to personal experiences with his daughter—sparked a deep dive into the link between disordered breathing and musculoskeletal issues in both children and adults.
Together, they unpack the signs and symptoms every chiropractor should look for, discuss referral strategies with ENTs and airway-focused dentists, and provide actionable clinical pearls you can implement right away to help your patients breathe—and feel—better. Whether you’re...
Vertebral Nerve Ablation for Chronic Low Back Pain After Lumbar Fusion Surgery
This week we’ll explore the controversial world of nerve ablation following spinal fusion surgery. If you work with post-surgical patients—or are curious about how modern interventions like radiofrequency ablations are impacting spine pain management—this episode is for you.
Research:
L5–S1 basivertebral nerve ablation for chronic vertebrogenic low back pain following lumbar fusion
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TURN YOUR CHIROPRACTIC PRACTICE INTO A 7-FIGURE REVENUE MACHINE: The 'Hybrid Practice Model' That Helps Chiropractors & PTs Generate $40K-$200K Per Month While Taking FEWER Appointments
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Are We Researching the Right Things in Back and Neck Pain?
Are we researching the right things when it comes to back pain, neck pain, and osteoarthritis? With musculoskeletal conditions leading to significant global disability and healthcare utilization, it's more important than ever to evaluate whether current research priorities truly address the needs of patients, clinicians, and policymakers—or if we're missing key factors that could help reduce the worldwide burden of these conditions.
Research:
Global research priorities for back pain, neck pain and osteoarthritis: a scoping review
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What Cervical X-rays Really Reveal About Pain, Degeneration, and Alignment in Practice
Today we explore what cervical X-rays really reveal about pain, degeneration, and alignment in our patients. With insights from a cross-sectional review of 250 outpatient exams, we’ll break down the relationships between X-ray findings and clinical symptoms, challenge some common assumptions about cervical imaging, and discuss how to integrate radiographic data into practical, patient-centered care. Whether you swear by cervical curves or question the impact of degenerative changes, this episode promises to sharpen your clinical reasoning with real-world evidence and thoughtful discussion
Research:
Associations among cervical radiographic morphology, degeneration severity, and clinical presentation: a retrospective cr...
Dysregulated Pain Responses in Chronic Low Back Pain
Today we’ll dive into the latest research spotlighting a fascinating aspect of chronic low back pain: how it can affect not just the sensation of pain, but the way the nervous system automatically responds to it. We’ll unpack a brand new study exploring the interplay between pain processing and autonomic nervous system activity in patients with nonspecific chronic low back pain.
Research:
Dysregulated Pain-Autonomic Responses in Patients With Nonspecific Chronic Low Back Pain
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New Research Highlights Brain Responses to Spinal Manipulation
Today we highlight a brand-new scoping review on the neurophysiological responses to spinal mobilization and manipulation in people with and without musculoskeletal spine disorders. You’ll learn what happens in the brain after a spinal adjustment, how this impacts pain, movement, and sensory integration, and what this emerging research means for your clinical practice.
Research:
Neurophysiological Response of Spinal Mobilization and Manipulation in Individuals With and Without Musculoskeletal Spine Disorders
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Understanding the Neurological Effects of Spinal Manipulation on Pain Relief and Proprioceptive Processing
In this episode, we dive into groundbreaking new research examining the impact of spinal manipulation on lumbar proprioception and its connection to pain relief. You'll discover how spinal adjustments might do more than just relieve pain—they may actually influence how the nervous system processes sensory information from the muscles of the lower back, helping to explain why different patients respond differently to care.
Research:
The impact of spinal manipulation on lumbar proprioception and its link to pain relief: a randomized controlled trial
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How Low Back Pain Care Has Changed Over 20 Years
In this episode, we explore how the management of acute low back pain has evolved over the last 20 years. We’ll dive into a fascinating new study comparing the approaches of physiotherapists, osteopaths, and chiropractors in the UK, highlighting important shifts in clinical practice, guideline adherence, and the changing role of imaging, hands-on care, and patient education from 2003 to 2023.
Research:
The changing face of acute low back pain management by physiotherapists, osteopaths and chiropractors in the UK: a 20-year comparison from 2003 to 2023
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Exploring the Impact of Lower Limb Adjustments on Squat Strength in Athletes
In today’s episode, let’s dive into groundbreaking research exploring whether lower-limb joint manipulation can immediately boost squat strength and ankle range of motion. Drawing from a double-blind, randomized crossover trial, he discusses the implications for athletes and everyday patients alike, translating the study’s findings into actionable insights for your practice. Whether you’re a seasoned practitioner or just curious about the intersection of movement, performance, and manual therapy, tune in to discover how adjustments may influence functional ability and what this means for your approach to care.
Research:
Effects of lower limb joint ma...
Chiropractic’s Expanding Role in Strengthening Rehab and Integration Across Health Systems
In this episode, we’ll explore a groundbreaking new study that redefines the role of chiropractic in strengthening rehabilitation within health systems. Rather than being limited to spine care or isolated interventions, chiropractors have a unique opportunity to be recognized as essential members of the rehab workforce, addressing the growing global need for functional restoration and disability reduction.
Research:
Chiropractic’s role in strengthening rehabilitation in health systems
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TURN YOUR CHIROPRACTIC PRACTICE INTO A 7-FIGURE REVENUE MACHINE: The 'Hybrid Practice Model' That Helps Chiropractors & PTs Generate $40K-$200K Pe...
New Research Reveals Chiropractic Adjustments Impact Inflammation and Immune Signaling
In this episode, we explore new and fascinating research on the neuroimmune effects of spinal adjustments, with a special focus on inflammation and multiple sclerosis (MS). We'll explore a recent pilot study examining how thoracic spinal manipulation combined with trigger point therapy can impact inflammatory cytokine levels in individuals with relapsing and remitting MS.
Research:
Effects of thoracic manipulation with trigger point therapy on inflammatory cytokine levels in individuals with multiple sclerosis: a pilot study
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TURN YOUR CHIROPRACTIC PRACTICE INTO A 7-FIGURE REVENUE MACHINE: The 'Hybrid Practice...
How to Recommend Care Plans Without Sounding Like a Salesperson
In this episode, we’ll explore care plans in chiropractic practice, and we aren’t afraid to touch on the sometimes uncomfortable subject of sales. We’ll unpack why clear, honest communication about care plans is crucial for both patient outcomes and the financial health of your practice. You’ll learn why care plans should be seen as clinical tools, not sales tactics, how to build them around both objective findings and patient goals, and why discomfort around “selling” often leads to less effective communication and patient adherence. Whether you’re looking to sharpen your patient conversations or deliver better results...
Systematic Review: Spinal Adjustments for Chronic Back and Neck Pain in Older Adults
Today’s episode delivers a fresh look at brand new research that’s highly relevant to your day-to-day patient care. This week, we’re exploring an updated systematic review focused on spinal adjustments in older adults with chronic spinal conditions—think chronic low back pain, neck pain, lumbar spinal stenosis, and combined neck and back disability. Discover what the research says about effectiveness, how to set expectations for your older patients, strategies for better clinical communication, and practical tips to help you deliver the best care and results.
Research:
Efficacy of spinal manipulative therapy in older ad...
BONUS- Celebrating Chiropractic Excellence: The Top 20 Influencers and UAC’s Impact on the Profession
Welcome to a special bonus episode with Dr. Stef Rodsater, where the conversation focused on the influential chiropractors shaping the profession today. A key theme that emerged was the UAC's (Ultimate Achievers Club) "Top 20 Chiropractors" initiative, designed to recognize and honor those making a meaningful impact within chiropractic. The discussion explored the nomination and voting process—highlighting that it's a peer-driven effort, open to chiropractors from every corner of the field, and aimed at celebrating diversity of influence, technique, and achievement.
Vote here: https://uacchiro.pro.typeform.com/Most2026?typeform-source=uacchiro.com
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Maximize Chiropractic Profits by Cutting Payment Processing Fees with Practice Pays
In today’s episode, we dive into one of the most overlooked aspects of running a successful clinic: your payment processing system. I sit down with Jacob Lowe, of Practice Pays, to discuss how most chiropractors are losing thousands—sometimes tens of thousands—of dollars each year to hidden processing fees. Jacob explains how Practice Pays’ pricing model can help you keep every penny you earn, eliminate processing fees, and simplify your workflow. Whether you run a cash, insurance, or membership-based practice, this conversation could change the way you get paid, boost your bottom line, and set your business up for l...
Chiropractic Impact on Medication Use in Lumbar Spinal Stenosis Patients
Today, we dive into a brand new research study examining analgesic use before and after chiropractic care for patients with lumbar spinal stenosis. You'll discover pragmatic insights and actionable clinical pearls on how non-pharmacological care, including chiropractic, can play a critical role in reducing reliance on medication among patients—especially older adults facing everyday spine-related challenges.
Research:
Use of prescribed analgesics before and after a standardised chiropractic care programme among patients with lumbar spinal stenosis: a nationwide cohort study
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What Lumbar Fusion Research Reveals About Pain Relief, Recovery, and Patient Communication
This week, we explore a groundbreaking study comparing different lumbar fusion surgical approaches and what they can teach us as chiropractors about pain relief, patient recovery, and having better conversations with those facing spine surgery. Many patients come to us pre- or post-surgery, uncertain about what terms like "minimally invasive" really mean for their outcomes.
Research:
Comparative analysis of acute postoperative pain and opioid use between lateral transpsoas, anterior, and transforaminal lumbar inter body fusions
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Chiropractic Long-Term Impacts on Pain, Disability, Sleep, and Social Participation
This week, we dive deep into new research on how chiropractic care impacts active military personnel with low back pain—not just in the short term, but at 12 and 52 weeks out. We’ll explore the “life impact” of pain, uncover what really motivates patients to seek care, and discuss how improvements in pain and function can ripple out to affect sleep, fatigue, social participation, and overall quality of life.
Research:
Mediators of the effect of chiropractic care on 12- and 52-week outcomes for U.S. active-duty military personnel with low back pain: secondary analysis of a clinic...
Spinal Adjustments and the Critical Role of Pre-Treatment Communication
In this episode, we’ll break down a compelling new study investigating whether pre-treatment verbal suggestions—positive, neutral, or negative—can influence the short-term effects of spinal manipulation for young adults with chronic non-specific low back pain. Discover why the context and confidence behind your communication matter just as much as the care you deliver, and get practical tips for maximizing patient improvement through intentional, positive messaging in your daily conversations.
Research:
Can pre-treatment verbal suggestions influence the short-term effects of spinal manipulation in young adults with chronic non-specific low back pain?
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How Upper Cervical Adjustments Influence Movement Control in Chronic Neck Pain
In today’s episode, Dr. Jeff Langmaid explores groundbreaking new research on the immediate effects of upper cervical spinal manipulation. This episode dives deep into an exploratory randomized control trial investigating how adjusting the upper cervical spine impacts sensorimotor control in individuals with chronic neck pain. We’ll break down the study’s innovative methods, its surprising results on movement accuracy and neurological adaptation, and reveal what this means for both patients and practitioners.
Research:
Immediate effects of upper cervical spinal manipulation on cervical sensorimotor control in individuals with chronic primary cervical pain
Specia...
How Neuroimmune Crosstalk in Bone Impacts Chiropractic Practice
In today’s episode, we explore a brand new study on the neuroimmune control of bone, revealing how bone health is about far more than just structure or mechanical loading. Get ready for deep insights on the intricate connections between the nervous, immune, and skeletal systems, and discover what this means for your patients, clinical conversations, and the value you deliver as a chiropractor.
Research:
Mechano responsiveness of neuroimmune cross-talk in bone and joints: A narrative review with implications for force-based manipulations
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How to Build and Scale a Profitable Hybrid Chiropractic Practice
This week, Dr. Jeff Langmaid sits down with Dr. Grant Elliott of RehabFix—a pioneer in online and hybrid chiropractic care. With a thriving online practice focused on low back pain and a rapidly growing team, Dr. Grant Elliott has helped doctors worldwide integrate digital outreach into their traditional brick-and-mortar clinics. In this episode, you’ll hear how he built a global brand from scratch as a student, the mindset shifts required for success in the online rehab space, actionable steps for incorporating hybrid programs into your practice, and how charging your true value can lead to both better pati...
The Role of Patient Centered Communication in Chiropractic Practice
Today, we’ll explore the vital yet often overlooked art of patient communication in chiropractic practice. Featuring insights from a recent study published in the Journal of Chiropractic Education, this episode delivers actionable strategies for improving patient-centered communication—a skill shown to enhance trust, treatment adherence, and clinical outcomes. Discover how chiropractic curricula in the United States currently address communication, why it matters so much for practice success, and simple ways to level up your patient conversations right away.
Research:
Frequency of patient-centered communication-related terminology in United States chiropractic curricula, chiropractic accreditation standards, and chiropractic nati...
The Impact of Spinal Adjustments on Stress Hormones
Today, explore groundbreaking research revealing how manual therapy can lower stress hormone cortisol and boost the connection hormone oxytocin. This physiological shift isn’t just theory—it’s what your patients experience after each adjustment, feeling calmer, more connected, and better equipped to move past pain. If you want to communicate stronger results, build lasting referral relationships, and truly impact the lives of chronic pain patients, don’t miss out on these powerful findings.
Research:
Physiological changes of cortisol and oxytocin following manual therapy
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How Spinal Adjustments Aid Herniated Disc Healing
Today, we dive into a groundbreaking new study exploring how spinal adjustments may actually help herniated discs heal, not just from a mechanical standpoint, but at the neurophysiological level. We’ll break down the study’s key findings, including how spinal adjustments compare to steroid injections for disc pain, the important role of inflammation in healing, and how you can communicate these findings ethically to empower your patients.
Research:
Spinal manipulative therapy promotes nucleus pulposus resorption and alleviates pain in a rat model of lumbar disc herniation via JNK-dependent regulation of inflammation and tissue remodeling
How Posture Correction Impacts Cervical Disc Health and Neck Pain Relief
Today, we’re diving deep into the cervical spine—specifically, how improving cervical lordosis and posture can lead to increased disc height and decreased neck pain and disability. We’ll explore insights from a brand new study on chiropractic biophysics, discuss what these findings mean for daily practice (even if you’re not using CBP methods), and highlight the practical ways these research-backed strategies can enhance your patient outcomes. Stick around as we connect the science with the art of chiropractic care and give you actionable takeaways for both your clinical approach and patient education.
Research:
Incre...
Manual Therapy and Magnetic Stimulation: Latest Evidence for Lumbar Disc Herniation with Radiculopathy
In today’s episode, we’ll dive into a brand new study that’s hot off the press—an RCT exploring the short-term effects of manual therapy combined with functional magnetic stimulation (FMS) for patients suffering from lumbar disc herniations with radiculopathy. If you see patients with leg pain, numbness, or MRI-confirmed disc issues, this research offers fresh insight into conservative care and multimodal treatment approaches.
Research:
Short-Term Effects of Manual Therapy Combined with Functional Magnetic Stimulation in Individuals with Lumbar Disk Herniation with Radiculopathy: A Randomized Clinical Trial
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How Global Policy Is Shaping the Future of Spine Health
This week, we dive into a fascinating new research paper, "Spine20 Recommendations 2025: Sustainable Spine Care for All." While on the surface it might sound like high-level policy talk, this study holds practical insights for chiropractors everywhere—outlining global trends, the growing burden of spine disorders, and exactly where conservative spine care fits into the future of health.
Research:
SPINE20 recommendations 2025: Sustainable spine care for all
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How Posture and Computer Use Drive Upper Crossed Syndrome
Let’s dive into the latest research surrounding upper crossed syndrome in the workplace—a major driver of neck and shoulder pain among modern office workers. As screens dominate our daily routines, the conversation focuses on posture, workplace ergonomics, and how non-pharmacologic approaches, including chiropractic care, can make a meaningful impact.
Research:
Upper Crossed Syndrome in the Workplace: A Narrative Review with Clinical Recommendations for Non-Pharmacologic Management
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How Spinal Adjustments Create Neuroplastic Changes
This week, we highlight one of the most fascinating areas of chiropractic research—what actually happens in the brain after a spinal adjustment. Forget the old ideas that adjustments only impact joints or muscles; in this episode, you’ll hear about a groundbreaking 2026 scoping review that reveals how chiropractic care directly alters brain activity, especially for patients with lumbar disc herniation and chronic low back pain.
Research:
Brain functional changes following spinal manipulation therapy in patients with lumbar disc herniation and chronic low back pain: a scoping review
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Cervical Adjustments and Artery Safety
This week, we dive into groundbreaking new research that answers a vital question in chiropractic care: do cervical adjustments actually pose risks to the arteries? Addressing common concerns from both patients and practitioners, Dr. Jeff Langmaid explores a recent systematic review and meta-analysis studying the effects of mobilization and manipulation on cervical blood vessels—offering a fresh look at the real evidence behind the safety of neck adjustments.
Research:
The effects of mobilization and manipulation on mortality and structure, function and inflammatory markers in cervical blood vessels: a systematic review and meta-analysis of studies in he...
How Thoracic Adjustments Impact Neck Pain and Clinical Practice Guidelines
In this episode, we’ll dive deep into a brand new study exploring the effectiveness of thoracic spine manipulation for managing neck pain. Ever wondered why adjusting the mid back can relieve neck discomfort?
Research:
Effectiveness of Thoracic Spine Manipulation for the Management of Neck Pain: A Systematic Umbrella Review with Risk of Bias and Methodological and Reporting Quality
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Transforming Osteoarthritis Care in Chiropractic Practice
528- Transforming Osteoarthritis Care in Chiropractic Practice Dr. Jeff Langmaid Download
In today’s episode, get ready to dive deep into one of the most common—and often overlooked—conditions that walks through the doors of every chiropractic practice: osteoarthritis. Host Dr. Jeff Langmaid sits down with Dr. Scott Munsterman for a fascinating conversation about the true impact of osteoarthritis on patients and practices alike.
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Why Guidelines Alone Don’t Change Low Back Pain Treatment in Healthcare
Today, we dive into one of the most critical topics in chiropractic care: the real-world effectiveness of strategies for implementing guideline-concordant care for low back pain. We’ll explore recent research that asks a simple but powerful question—do strategies designed to promote best practices in low back pain management actually change provider behavior?
Research:
Effectiveness of strategies for implementing guideline-concordant care in low back pain: a systematic review and meta-analysis of randomised controlled trials
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