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Neuro-nutrition for the Preconception and Prenatal Period!⭐🎥😀🔊👍

Download the transcript: https://csecnow.com/klo

Hey, Dr. B and Elizabeth here. If you missed our show on ChiroSecure, we dropped pearl bombs for a specific nutrient that you must know about from preconception, prenatal, and postnatal period for optimizing neural development. Go back and listen to it today.

Brain functional changes following spinal manipulation therapy in patients with lumbar disc herniation and chronic low back pain: a scoping review⭐🎥😀🔊👍

A ChiroSecure Research Update

Abstract: Chronic low back pain (LBP) is a common symptom in patients with lumbar disc herniation (LDH), and spinal manipulation-related therapies can alleviate pain. This study aimed to review the clinical research evidence regarding the central nervous mechanisms of spinal manipulation in treating chronic lower back pain related to lumbar disc herniation, summarize the current state of research, identify existing gaps, and lay the foundation for future studies.

Discussion: This scoping review was conducted according to established methodological frameworks. Origina l studies were retrieved from eight databases from inception to August 1, 2025. Of the 169 articles, 10 were ultimately selected as meeting the inclusion criteria. The data were systematically organized and categorized according to the research objectives.

The ten included studies demonstrated that spinal manipulation therapies induce significant changes in brain activity and connectivity. Key findings include modulation of the prefrontal cortex, visual network, and default mode network. These neuroplastic changes were correlated with improvements in clinical pain intensity (VAS), functional disability (ODI, JOA), and emotional states (SAS, SDS). Acupoint-specific manipulation was found to elicit distinct brain activation patterns compared to non-acupoint stimulation.

Conclusion:: Preliminary findings indicate that spinal manipulation-related therapies may alleviate LDH-associated chronic low back pain and mood disorders by modulating regions such as the prefrontal cortex, the visual network, and the default mode network. The development of standardized clinical practices and clarification of central nervous mechanisms are vital for improving pain management in this population group.

Reference: Cao L, Shu J, Li B. Brain functional changes following spinal manipulation therapy in patients with lumbar disc herniation and chronic low back pain: a scoping review. Front Neurol. 2026 Jan 6;16:1712320. doi: 10.3389/fneur.2025.1712320. PMID: 41567532; PMCID: PMC12815715.

Back to Alignment - F4CP👍🔊😀🎥⭐

Download the transcript: https://csecnow.com/18q

Hi, everyone. Look forward to having you join me for Back to Alignment. We're in May, and we have a outstanding moment for you to reflect on some of the upcoming opportunities and where we have been through the month of May. Movement is important in May.

Bad Google Review 👍👊🕐📹🔉

1. HIPAA Issues
2. What Not To Do
3. Best Practice
4. Should You Respond?
5. False Statements

If you can't make it you can get a copy of the transcript by texting NEEDLE to (714) 332- 6926.

Manipulation after total knee arthroplasty⭐🎥😀🔊👍

A ChiroSecure Research Update.

Abstract: Following total knee arthroplasty, some patients who fail to achieve >90 degrees of flexion in the early perioperative period may be considered candidates for manipulation of the knee under anesthesia. The purpose of this study was to assess the outcomes of manipulation following total knee arthroplasty.

Discussion: One hundred and thirteen knees in ninety patients underwent manipulation for postoperative flexion of < or =90 degrees at a mean of ten weeks after surgery. Flexion was measured with a goniometer prior to total knee arthroplasty, at the conclusion of the operative procedure, before manipulation, immediately after manipulation, at six months, and at one, three, and five years postoperatively.

Eighty-one (90%) of the ninety patients achieved improvement of ultimate knee flexion following manipulation. The average flexion was 102 degrees prior to total knee arthroplasty, 111 degrees following skin closure, and 70 degrees before manipulation. The average improvement in flexion from the measurement made before manipulation to that recorded at the five-year follow-up was 35 degrees (p < 0.0001, paired t test). There was no significant difference in the mean improvement in flexion when patients who had manipulation within twelve weeks postoperatively were compared with those who had manipulation more than twelve weeks postoperatively. Patients who eventually underwent manipulation had significantly lower preoperative Knee Society pain scores (more pain) than those who had not had manipulation (p = 0.0027).

Conclusion: Manipulation generally increases ultimate flexion following total knee arthroplasty. Patients with severe preoperative pain are more likely to require manipulation.

Reference: Keating EM, Ritter MA, Harty LD, Haas G, Meding JB, Faris PM, Berend ME. Manipulation after total knee arthroplasty. J Bone Joint Surg Am. 2007 Feb;89(2):282-6. doi: 10.2106/JBJS.E.00205. PMID: 17272441.