High Blood Pressure And Cognitive Decline & Does The Popping Noise Matter?

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

CF 252: High Blood Pressure And Cognitive Decline & Does The Popping Noise Matter? Today we’re going to talk about High Blood Pressure And Cognitive Decline & Does The Popping Noise Matter? But first, here’s that sweet sweet bumper music

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

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, smartness, 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.

• Go to Amazon and check out my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s an excellent educational resource for you AND your patients. It saves you time putting talks together or just staying current on research. It’s categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
• Then go Like our Chiropractic Forward Facebook page,
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• Last thing real quick, we also have an evidence-based brochure and poster store at chiropracticforward.com

You have found yourself smack dab in the middle of Episode #252 Now if you missed last week’s episode , we talked about Communicating Imaging Findings & Acupuncture For Acute Pain. Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

Still climbing out of the doldrums of an extended slowdown. It is what it is but shows signs of finally easing. Let’s keep our fingers crossed on that. But yeah, I think we’re back on the upswing. We’re starting the week with 15 new patients on the schedule. I like to see about 20-25 per week but I’ll take starting the week at 15 any day. Now let’s build on it. It’s a balancing act to try to push our medical services and build that side of the clinic while not letting your community forget that you have a chiropractor and all of the other services as well.

We post on social media twice per day. Once during the day and once in the evening. During the week, we post about services. On the weekend, we post funny stuff. Because honestly, what’s the point in posting something about PRP and saying call now? But nobody is at the clinic on the weekend. It makes no sense. So we entertain on the weekends with our posts. It’s fun and our audience likes them and typically responds well with likes, comments, and shares. We are still getting our TikTok game going.

Check it out at creekstonecrew806 if interested. I have a 20-something doing all of the content and she’s pretty darn great at it. It’s been fun to show that personality off. We have some fun folks working here. Nothing incredibly new or interesting to talk about this week so let’s not waste time and let’s hop right in on the research.

Item #1

The first one today is called “Impact of audible pops associated with spinal manipulation on perceived pain: a systematic review” by Moorman et. al (Moorman 2022) and published in Chiropractic and Manual Therapies on October 4, 2022, Kazow that’s hot!

Why They Did It

An audible pop is the sound that can derive from an adjustment in spinal manipulative therapy and is often seen as an indicator of successful treatment. A review conducted in 1998 concluded that there was little scientific evidence to support any therapeutic benefit derived from the audible pop. Since then, research methods have evolved considerably creating opportunities for new evidence to emerge. It was therefore timely to review the evidence.

How They Did It

• They searched PubMed, Index to Chiropractic Literature (ICL), Cumulative Index to Nursing & Allied Health Literature (CINAHL) and Web-of-Science.
• The main outcome was pain.
• Two reviewers independently selected studies, extracted data, and assessed risk of bias and quality of the evidence using the Downs and Black checklist.
• Results of the included literature were synthesized into a systematic review.

What They Found

• Five original research articles were included in the review, of which four were prospective cohort studies and one a randomized controlled trial.
• All studies reported similar results: regardless of the area of the spine manipulated or follow-up time, there was no evidence of improved pain outcomes associated with an audible pop.
• One study even reported a hypoalgesic effect to external pain stimuli after spinal manipulation, regardless of an audible pop.

Wrap It Up

“While there is still no consensus among chiropractors on the association of an audible pop and pain outcomes in spinal manipulative therapy, knowledge about the audible pop has advanced. This review suggests that the presence or absence of an audible pop may not be important regarding pain outcomes with spinal manipulation.” I tell patients all of the time. Do not relate a popping noise with effectiveness. It is movement we are after. Not sounds. Sometimes the sound is a happy side effect but nothing more.

And…they last thing the want is to be insisting on hearing a popping noise and be treated by a chiropractor that is more than happy to oblige. You can get an extremely aggressive adjustment just to hear a popping noise that doesn’t even matter in the first place and run the risk of getting injured from it.

So, focus on range of motion and movement. Not popping noises, people. I will say this though, pain is multifactorial sometimes and placebo isn’t a cuss word. Sometimes, in my humble opinion, just the noise……well….I can see how it could make a difference in the patient’s mind only. I can see. But you can’t depend on the noise. You just can’t

Before getting to the next one, Next thing, go to https://www.tecnobody.com/en/products

That’s Tecnobody as in T-E-C-nobody. They literally have the most impressive clinical equipment I’ve ever seen. I own the ISO Free and am looking to add more to my office this year or next. The equipment you’re going to find over there can be marketed in your community like crazy because you’ll be the only one with something that damn cool in your office. When you decide you can’t live without those products, send me an email and I’ll give you the hookup. They will 100% differentiate your clinic from your competitors.

I have to tell you, Dr. Chris Howson, the inventor of the Drop Release tool re-activated the code! Use the code HOTSTUFF upon purchase at droprelease.com & get $50 off your purchase. Would you like to spend 5-10 minutes doing pin and stretch and all of that? Or would you rather use a drop release to get the same or similar results in just a handful of seconds. I love it, my patients love it, and I know yours will too. droprelease.com and the discount code is HOTSTUFF. Go do it.

Item #2

Our second one today is called “High blood pressure linked to faster cognitive decline, dementia risk” by John Anderer (Anderer J 2022) with Study Finds and was published on October 3, 2022. Schiza, I love it hot like that. It’s an article so let’s get to summarizing the high points. Researchers from the University of Michigan say people with hypertension may experience a faster deterioration in their cognitive abilities (thinking skills, decision-making, memory) in comparison to those with normal blood pressure.

The team performed a “study of studies” focusing on high blood pressure’s association with declining brain function over a period of several years. They gathered and analyzed datasets collected for six large prior studies. “Our findings suggest that high blood pressure causes faster cognitive decline and that taking hypertension medication slows the pace of that decline,” says lead study author Deborah Levine, M.D., M.P.H., director of the University of Michigan’s Cognitive Health Services Research Program and a professor of internal medicine at the U-M’s academic medical center” Among both Hispanics and non-Hispanics, the team observed the same pace of deteriorating thinking skills and memory linked to high blood pressure.

However, when researchers focused solely on the two studies that had deliberately recruited Hispanics, they noted an undeniably faster decline in overall cognitive performance among Hispanics in comparison to the non-Hispanic white group. Importantly, though, blood pressure differences between those two groups didn’t appear to explain this cognitive decline difference. This may be due to Hispanic participants having lower blood pressure than non-Hispanic whites in these studies, researchers speculate. The same researchers behind this work conducted a similar study two years ago focusing on hypertension and cognitive outcomes among Blacks and Caucasians.

That project found that blood pressure control differences over time helped explain the faster cognitive performance declines seen in Black individuals. 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.

Store

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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!

Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.

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

Anderer J (2022). “High blood pressure linked to faster cognitive decline, dementia risk.” StudyFinds.

Moorman, A. C., Newell, D (2022). “Impact of audible pops associated with spinal manipulation on perceived pain: a systematic review.” Chiropr Man Therap 30(42).

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