Dr. Jerome Fryer Chiropractor

03/28/2026

Here is a write-up from my other hat, for my chiropractic colleagues and the patients I care for who really want to dig into the behaviour of the spine. This is at the root of why I developed Dynamic Disc Designs Spine Education Models to help patients understand their symptoms and solutions.

New research shows disc degeneration primarily alters fluid mechanics rather than stiffness. Learn how loading and hydration influence spinal disc biomechanics.

03/20/2026

Interesting new research.

Nanaimo chiropractor Dr. Jerome Fryer explains how to tell if your headache is coming from your neck and what cervicogenic headaches really mean.

03/19/2026

I respect these authors and their push: https://www.frontiersin.org/journals/nutrition/articles/10.3389/fnut.2023.1098453/full

Robert Lustig MD as the anchor author

Ultraprocessed food is established as a metabolic disruptor acting to increase adiposity, reduce mitochondrial efficiency, drive insulin resistance, alter gr...

03/17/2026

Clinical guidance from Bone and Joint Canada points to per-population referral rates as a key benchmark. BCCA member data suggests chiropractors refer patients for imaging at about a 7–8% rate, consistent with guideline-based care.

In Saskatchewan, where chiropractors can directly refer for publicly funded X-rays, chiropractors account for only 4.75% of all referrals, despite representing nearly 9% of referring providers.

Chiropractors in British Columbia already refer patients for imaging through family physicians. Allowing direct referral would simply remove an extra step and improve patient access.

Let chiropractors refer directly for publicly funded diagnostic imaging.

03/10/2026

There is currently a consultation underway with the BC Ministry of Health regarding proposed changes to the scope of practice for physiotherapists, including the authority to order certain diagnostic imaging.

Modernizing the scopes of practice to improve access to care is an important step for our healthcare system. However, it is equally important that these changes reflect the education and competencies of all musculoskeletal providers.

Doctors of Chiropractic complete approximately 4,200–4,500 hours of doctoral-level professional education, including over 300 hours of formal training in diagnostic imaging such as radiology, imaging physics, radiation safety, positioning, and interpretation. In comparison, physiotherapy programs typically include approximately 10–30 hours of imaging education, generally focused on imaging awareness rather than interpretation or ordering.

Chiropractors are primary-contact musculoskeletal practitioners, and determining when imaging is appropriate is a core part of our training and clinical role.

As the province considers expanding imaging authority within musculoskeletal care, it is reasonable to ask that chiropractic be considered alongside physiotherapy, so that policy decisions reflect demonstrated education and competency across professions.

If you are a patient, colleague, or healthcare professional who values timely access to appropriate musculoskeletal care, you may wish to share your perspective with the Ministry of Health.

Public input helps shape policy.

Submissions can be sent to:
PROREGADMIN@gov.bc.ca

Thoughtful and respectful feedback from the public and healthcare professionals can help ensure that scope modernization in BC reflects the full capabilities of the musculoskeletal healthcare workforce.

Better pathways. Less red tape. Faster access to care.
If you want to see this change happen, talk to your MLA. Find yours at
🔗 leg.bc.ca/members/mla-by-community

03/05/2026

Subject sacrifice for science. Good thing I had good shoulders....haha

https://www.ualberta.ca/en/rehabilitation/news-and-events/news/2015/april/pull-my-finger-say-scientists-who-solve-knuckle-cracking-riddle.html

03/05/2026

Mechanics matter, especially in synovial joints. New paper in support of our work.

New fluid-mechanics research suggests joint cracking may begin with tiny vortices that trigger cavitation inside synovial fluid during joint separation.

03/04/2026

Education VERY VERY important!

02/25/2026

For decades, the familiar “joint crack” has been explained as a collapsing bubble inside the joint. But modern imaging suggests something different — the cavity forms and persists rather than collapsing immediately.

I’ve just uploaded a new synchronized high-speed dataset (4000+ frames/sec) showing the event alongside sound and mechanical measurements. The goal is to better understand what actually changes mechanically after cavitation — especially the temporary reduction in stiffness during the refractory period — and how that may relate to why some people feel relief after manipulation and others don’t.

This is part of an ongoing effort to move beyond tradition and study spinal mechanics directly through measurable physical behavior.

If you’re curious, you can explore the data and discussion here:
https://doi.org/10.13140/RG.2.2.21411.31526

I’d also love to hear your thoughts — clinicians, patients, and researchers alike.

PDF | This dataset contains synchronized measurements of a reproducible synovial joint cracking event obtained from a closed in-vitro joint model with... | Find, read and cite all the research you need on ResearchGate

02/24/2026

02/22/2026

Pretty proud of this one.

02/08/2026

Time to modernize for British Columbians