Dr. Brett Guist - Chiropractor

10/18/2024

WHAT DO WE MEAN BY REHABILITATION? Rehabilitation is defined by the World Health Organization as “a set of interventions designed to optimize functioning and reduce disability in individuals with health conditions in interaction with their environment”.

Put simply, rehabilitation helps a child, adult or older person to be as independent as possible in everyday activities and enables participation in education, work, recreation and meaningful life roles such as taking care of family.

It does so by working with the person and their family to address underlying health conditions and their symptoms, modifying their environment to better suit their needs, using assistive products, educating to strengthen self-management, and adapting tasks so that they can be performed more safely and independently. Together, these strategies can help an individual; overcome difficulties with thinking, seeing, hearing, communicating, eating or moving around.

Chiropractors have a huge role to play in optimizing function and contributing to the WHO’s Rehabilitation 2030 initiative. How are you getting involved?

12/03/2023

LAUNCH OF WHO LBP GUIDELINES DEC 7. Low back pain is estimated as the leading contributor to disability globally. Chiropractors have been involved in providing evidence and developing these new guidelines, which will inform countries around the world on the best approaches for managing LBP.

Learn how WHO is responding with its new guideline on chronic primary low back pain adults, launching 7 Dec 12.15-13.15 CET.

Register at https://www.who.int/news-room/events/detail/2023/12/07/default-calendar/who-guideline-for-non-surgical-management-of-chronic-primary-low-back-pain-in-adults-in-primary-and-community-care-settings

02/06/2023

Another reason to train in multiple sports - transfer of strength and power.

The Eagles quarterback developed his lower body strength as a lifter in high school—and that has helped him carry Philadelphia to a Super Bowl.

12/14/2022

NEW PAPER AFFIRMS LIMITED ROLE FOR SURGERY IN SPINE CARE. Spinal surgery for all forms of back pain (other than for radicular pain and disability from neural compression, cancer, infection or gross instability) is unsupported by clinical data, and the broader evidence base for spinal surgery in the management of LBP is poor and largely ineffective, says a new study published in the Medical Journal of Australia.

Instead, the paper concludes, chronic low back pain should be managed with a holistic biopsychosocial approach of generally non‐surgical measures.

This narrative review focused on studies of any design involving adult patients (aged ≥ 18 years) with axial pain affecting the region of the lumbar spine. The focus was on patients experiencing axial LBP secondary to non‐specific degenerative changes such as facet arthropathy, disc degeneration and soft tissue abnormalities.

“The evidence supporting spinal surgery for the treatment of LBP in the absence of neural compression, infection, cancer, or gross instability is sparse and contrasts with the increasing frequency at which this surgery is being performed,” the study reports. It goes on to note significant bias from sponsoring industry and device manufacturers, where low quality and poorly-designed studies reach conflicting conclusions.

The study concludes: “Surgical intervention for LBP has increased substantially among Australian patients, and disproportionately among those with private health insurance. The contribution of industry toward this increase, and their role in the conduct of published research, requires further scrutiny.”

WFC Secretary-General Richard Brown commented, “Chiropractors can play an important and cost-effective role in the non-surgical management of many spine-related disorders. Hands-on care, such as spinal manipulation or adjustment, exercise prescription, lifestyle advice and education, and other rehabilitative approaches, can all contribute positively to patient outcomes.”

“The paper’s recommendation of a holistic, biopsychosocial approach to spine care is also a powerful endorsement for chiropractic’s inclusion in tackling the global burden of spine-related pain and disability.”

Reference: The role of spinal surgery in the treatment of low back pain
Lachlan Evans, Thomas O’Donohoe, Andrew Morokoff and Katharine Drummond
Med J Aust || doi: 10.5694/mja2.51788
Published online: 12 December 2022
Full text at https://www.mja.com.au/journal/2022/218/1/role-spinal-surgery-treatment-low-back-pain

06/24/2022

Cool adductor exercise..."Effects of Copenhagen Adduction Exercise on Muscle Architecture and Adductor Flexibility" (Int J Environ Res Public Health 2022 - open access)

"These results could indicate that CAE would be a suitable strategy to modify the architecture of the adductors and thus form part of training protocols designed for the prevention and rehabilitation of muscle injuries."

Read more: http://ow.ly/QGaq50JC5q8

05/19/2022

It appears that decreasing acute inflammation may lead to chronic pain. Another win for the PEACE & LOVE approach.

https://www.science.org/doi/10.1126/scitranslmed.abj9954?fbclid=IwAR2iR4YQzTYOdr2Q3ihSiFtPKQYd73ysOdAIdATeTrR7NK11oD-zvivWhAI

Blocking neutrophil-based inflammatory processes during acute pain increases risk of chronic pain development.

01/04/2022

Interesting study about RTP procedures in athletes who were diagnosed with COVID-19.

Although symptom duration was ~10 days, most athletes needed 17 to resume full training although a small percentage experienced lingering symptoms.

📣 Impact of on UK elite athletes 🦠

What is the typical patten of symptoms❓ How does this affect return to sport❓

Read the latest study from the current edition ➡️ https://bit.ly/3swguVo

01/04/2021

Check out this article from GQ about starting 2021 with some better health habits.

Take stock of how the pandemic has wrecked your daily routine, and resolve to feel better in the new year.

12/14/2020

"You need a treatment approach that will be more active than passive … If someone goes to a health professional and all they talk about is the massage they will give or the back cracking, that’s a red flag.”

https://amp.smh.com.au/lifestyle/health-and-wellness/why-does-back-cracking-feel-so-good-the-pop-explained-20201210-p56mhu.html?__twitter_impression=true&fbclid=IwAR3_O9pI7lYUb5lTYTn7R6i6jgC7CQy7-R4zuZt7ZvfgANFdPObRMUiNXJM

And no, the cracking has nothing to do with joints being put back into place. Rather, there is a far more simple physiological process at play.

10/22/2020