Everett Chiropractic Center Blog

May 25, 2015

The Back Injury Prevention Course: Assumptions, Certainties, and Risk Factors

This Course follows an outline. There is a reasoning process, a certain logic, and considerable thought behind that outline. There is a reason for each of the Topics in the Outline so here, and with the next few Blog Posts, I intend to share the thinking and address the questions which are answered by the Outline Topics. This will give participants something to refer to, in review, after the Course, and give you some insight into why.

Why “risk factors”? Why that risk factor? Why even discuss “assumptions,” and “certainties”?

Remember, the main audience for Posts related the Course is employers. This entire effort is an attempt to help them (you) with a problem that they (you?) have: back pain injury at work. Some are stopped in their tracks by the Assumptions with no where to go, hence the sense of inevitability that we now have in many circles within industry and the healing professions. Most haven’t calculated in the Certainties because they haven’t made the connection or they think that these are uncontrollable.

I believe if we accept the Assumptions as a given, we can move on. Why? Because of the Certainties. These are going to happen no matter what.

The Back Injury Prevention Course: Assumptions

Filed under: Uncategorized — doctordilday @ 12:01 pm

You have a room full of employees somewhere in America today. What can you assume about that crowd? (I ask in case you think these are all reasons that you can’t do something meaningful and measurable to prevent back injury on the job. You can still ask “So what?” if you like, the answer is to come, but here I simply point out that these assumptions are a safe bet, like it or not. Some of the people in the crowd will relate to one, some, or all of these assumptions.

  • Worker Demographics
    • Aging work force and the average age of the injured worker (now 40 in WA State)
    • Fitness levels (flexibility down) and weight issues (up)
    • Habituated to poor habits (sedentary – meaning too much sitting)
    • May think that they know but don’t (so they don’t know what they don’t know)
    • Natural history of back pain (it’s not good, and you don’t want it know matter what your medic says)
  • Prevalence of back pain injury (and trends… based on the above: things are just getting worse)
  • Need for an “industrial athlete” mentality (coined by back pain researchers no less:-)
  • Mainstream Medicine’s Management of Back Pain and the Disability Industrial Complex
    • A broken system that victimizes the patient in pain

So What?

So… accept that assumptions and move on. They don’t trump the Certainties we’ll be talking about later; and they don’t prevent pro-active initiatives to produce measurable and meaningful improvements in the incidence of back pain injury. (For some they provide and excuse, but we aren’t here to talk about that.)

And… notice that many of the worker demographics are also Risk Factors. Risk Factors don’t cause a condition, and sometimes there is nothing you can do about them anyway, but they do two things: give you something to measure; and give you somewhere to start in attempting to influence the incidence of the condition. (Managing risk factors is how you do prevention! Gosh I hope that that isn’t news:-)

May 23, 2015

My Teaching Is “Generous”

A Tai Chi student made that comment that other day. I didn’t really know what was meant by it, so I asked, and we got to discuss what it means to be a teacher or a student.

As a mostly, if not all, Asian student, with a history of Asian martial arts under his belt, this student comes to the conversation with a certain point of view: one that is pretty generous toward me the teacher, by the way, as long as I don’t do anything to screw that up.

Not everyone comes to Tai Chi (or to Chiropractic for that matter), with that same point of view. It’s a point of view that understands, honors, and values some, if not all, of that traditional aspects of the relationship between student and teacher. (There are some traditional aspects that are not all that honorable.)

His main point ended up being that I pay attention to where the students are, what they need, and how best to lead them along; I adjust my instruction accordingly, and it doesn’t look exactly the same for each student. I responded that, as the teacher, recognizing who is putting in the effort, who practices, and who has the capability helps to guide what, when, and how instruction is offered. It is the same balancing act that takes place in the office. (Doctor means “teacher” after all.)

Getting out too far ahead of a patient is just as bad as not keeping up. And since every patient and every student is different, it’s all about the conversation (and the relationship). I know that I am an acquired taste, so it’s on me not to overwhelm folks with my energy, intensity, and enthusiasm. I try, believe me, every day.

Any, you may not see that connection, but today’s Blog Post by Seth Godin is too good not to share and ties right in here. Have a safe Memorial Day Holiday!!

May 22, 2015

8 Ways To Lower Your Risk Of Cancer

Don’t believe every word, but this is a good article.

We call them Healthy Habits… there are many on this site, if you have questions use the search box to learn more.

In Health, DrD

May 21, 2015

I Was Wrong About the Back Injury Prevention Course

When I developed the Back Injury Prevention Course I declared that it could be taught (and learned) in one hour.

Now we know that it takes 90 minutes.

And given the feedback we’ve had, the participant’s preference for more activities, more practice, and more hands-on assessment, two hours is going to be the new standard.

I thought you should know so you can plan accordingly.

May 20, 2015

The First Breakthrough Chiropractic Visit

When patients present for chiropractic care they almost always have a problem they want our help with. We talk. We examine. We talk some more.

Then we do what we do. And wait for the result.

During all the earlier talking we, both the patient and I, get a sense of how long it will take to get some or all of the results that the patient wants. My job is to (1) help the patient understand their condition (Here is where we insert the whole conversation about them holding on to pain as their “problem” and us trying to educate them that their real problem is what causes their pain, but that’s not what this Post is about – them getting that is the Second Breakthrough:-), and (2) give them reasonable expectations about results, usually relief from pain.

Sometimes it takes a while for the patient to experience enough relief to believe that they have made the right choice in coming here; sometimes they leave before they get to that point (having the expectation that it would happen before it did). But if they stay. If they do what we recommend. If I can do my job well enough. And if their daily life isn’t too hard on them… they always get the results.

Yesterday a new patient – he has been seen only a half dozen times or so – came in. It was that visit where the patient says, “I really am feeling definitely better, and have since my last visit.” It’s a great visit, I wanted to share it with you:-)

At this point I have to reiterate to the patient that they are not really out of the woods: healing has barely begun. Here we enter an entirely new phase of the relationship, if not care. That’s the subject of another Post. This Post is about that Breakthrough visit.

The message to the person considering chiropractic care or those who have tried it and decided it didn’t work for them after a bad experience is: almost always that visit comes within a couple of weeks of care and several visits. It may take that long, it may take longer, but it doesn’t take months (usually). And if you are going to be a big exception to the rule, that should all be obvious to both doctor and patient on day one – and discussed.

May 18, 2015

A Wolf Story Worth Repeating…

Filed under: Be careful who you listen to!, Sustainability — Tags: , , , — doctordilday @ 1:31 pm


There is always at least two sides to a story about something as uncooperative as wolves, but this video tells a part of the story you might not hear else where.

Thanks to Charlie Blackburn!

May 15, 2015

Tylenol In The News…Again

And it aint good. Here is the news:http://www.newsmax.com/Health/Health-News/Tylenol-acetaminophen-lifespan-premature/2015/04/29/id/641565/

We have talked about Tylenol before, here.

And here is another analysis of the issue.

May 12, 2015

Red Wine And Probiotics

I like this article on red wine and probiotics…

probiotics is one thing that you don’t get with Kangen Water…

But then it is one of the many things you do get with JuicePlus+ products…

May 9, 2015

From Pain To Ping Pong


A recently new patient was in yesterday. He’s been seen enough times to be out of pain and he is doing the basic spine exercises regularly without problems.

So he asks if he can play tennis…

Here’s the deal. When it doesn’t hurt it’s easy to think it’s Ok. It isn’t. It wasn’t even “Ok” before it started hurting: it was dysfunctional and probably degenerating (It may already have reached the diseased state – think arthritis). Out of pain and doing basic mobility exercises is a very long was from playing tennis and getting away with it. Playing tennis (or Ping Pong) at this point is an invitation to RELAPSE.

So when it isn’t hurting is precisely the time to REHABILITATE. That means gradual progressions in activity and demand stopping at each progression to spend plenty of time so that your body responds all the way and adapts completely to the new demands.

It goes without saying (but I will say it) that a review of your body mechanics (how you move, especially bending, lifting, squatting, and getting up and down off the ground) has already been accomplished by this stage and any corrections made so that you are now “training”  (or re=training) proper movement patterns.

Sure, I know it’s hard to find help with these aspects of your RECOVERY. But if these steps are not taken, you won’t have a recovery. You will have the typical NATURAL HISTORY of back pain that most people have. You don’t want to be typical in this case.

Call if you need assistance: (425) 348-5207.

P.S. – You can use the Search box on this Blog to learn more about each of the terms in CAPS. There are almost a 1,000 Posts here and most are related in one way or another.


May 8, 2015

Kangen Water To The (Rash) Rescue


For two to three weeks I had a rash: icing and annoying.

At first I ignored it – it didn’t go away, it was getting worse.

Then it dawned on me that I have the solution sitting on my kitchen counter: Kangen Strong Acid, Strong Alkaline, and Beauty Water.

One application, a splash of Strong Acidic, a splash of Strong Alkaline, finish with Beauty Water – and it was all over. I didn’t even think about it again for two days.

(If you are a chiropractor and wondered if I needed to be adjusted, I already was/am.)

Anyway, I thought that I would share that:-) To learn more about Kangen Water, click Here, or call the office at (425) 348-5207.

Great stuff!

May 5, 2015


“Our life is frittered away by detail. Simplify, simplify.” – Henry David Thoreau

Get adjusted.

Eat JuicePlus+.

Drink Kangen Water.

Do Tai chi.

And if you need help with any of that just let me know: 425.348.5207.

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