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The Chiropractic Forward Podcast: Evidence-based Chiropractic AdvocacyA podcast addressing Chiropractic care today. Where chiropractors have been and where Chiropractic seems to be headed as well as how integrated chiropractic practices can play a part in the healthcare landscape today and tomorrow. Author: The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy Language: en-us Genres: Alternative Health, Health & Fitness Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Motor Weakness In Cervical Radiculopathy & Exercise And Dementia
Thursday, 5 February, 2026
CF 384: Motor Weakness In Cervical Radiculopathy & Exercise And Dementia Today we’re going to talk about Motor Weakness In Cervical Radiculopathy & Exercise And Dementia 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 giving evidence-based chiropractic a little person ality and making it profitable. We’re not the stuffy, judgmental, elitist, puffing on a pipe, pretentious kind of research. We’re research talk over a couple of beers. So grab you a 6-er. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re lending me your ear, spending your time with me and we’re learning this stuff together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, smarts, personality, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at creekstonecare@gmail.com Things you should do. Go to Amazon and BUY my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. Easy to understand and easy to support everything you do. It’s on Amazon. Like our Chiropractic Forward Facebook page, Join our private Chiropractic Forward Facebook group, and then Review our podcast Check our website at chiropracticforward.com You have found yourself smack dab in the middle of Episode #384 Now if you missed last week’s episode, we talked about Platelet-Rich Plasma In Knee Osteoarthritis & Telehealth Mindfulness-Based Interventions. Make sure you don’t miss that info. Keep up with the class. On the personal end of things….. Well February is off to a big start. I think I personally saw 175 last week which is leaps and bounds beyond what I normally see each week. Especially since COVID came around and crashed the practice. Since 2020, my average week is anywhere from 135 or so, up to about 160 on a good week. So to run 175 last week, that’s a big deal for me and a very very welcome change. Now, if I can just get them to spread evenly in the mornings and afternoons instead of the vast majority of them only wanting to come in in the afternoons. We sit around a little in the mornings and lose our minds in the afternoons trying to keep up with everyone. It’s a problem to be honest. A good problem, of course. But a problem all the same. Also in today’s news, after a very welcome sabbatical from traveling since my New Orleans trip last October, the travel season is kicking back in and there will be non-stop coming and going from now until probably next November. That’s my life. In late January, I headed to Park City, Utah with my Mastermind group. I’ve only ever been to Utah when I had a layover in Salt Lake City but I’ve never seen any of the state so that was nice and I always love seeing my Mastermind family. If you’re not in one, I encourage you to get in one. My MCM East group is sold out. But the MCM West group has openings. If you’re interested, contact Dr. Kevin Christie at modernchiropracticmarketing.com/contact Go do it! But If you do, you better tell Kevin you’re there because of me, pal! In other news, I finally got my California chiropractic license. I had to fly to Dallas to take the jurisprudence/legal test….it’s actually called the CCLE exam. That was the last step I needed out of the way to get the CA license. I’ve also been studying up for the QME exam that will be in April. They have about a 50% pass/fail rate but the folks who attend the class I’m taking live out in Marina del Rey have more of a 80% pass/fail rate so I’m doing it. I’m ready to get this Qualified Medical Examiner licensing out of the way so I can start building that arm of my retirement income. So, if you’re keeping track, the arms of retirement for me now include: Whatever is made from the exit of practice (percentage, buyout, etc) Airbnbs Voice over work QME work in CA Art income Music if needed Stocks, IRA’s, inheritance, and investments I didn’t start this stuff until I was almost 50 folks. Please, start considering your exit when you’re younger. There is a building phase when you cannot invest in other arms. But when you build that practice, it’s time to start keeping an eye on your exit. The sooner you start, the sooner you can act when burnout hits and trust me, burnout WILL hit. Especially if you’re good, smart, and ambitious. Count on it. Alright, into the research people! Item #1 Our first one today is called, “Is motor weakness in cervical radiculopathy an indication for surgery? Analysis of risk factors for poor recovery” by Kwon et al and published in European Spine in December 2025. Remember, the citations can be found at chiropracticforward.com under this episode. Kwon K, Park S, Song MG, Park WS, Hwang CJ, Cho JH, Lee DH. Is motor weakness in cervical radiculopathy an indication for surgery? Analysis of risk factors for poor recovery. Eur Spine J. 2025 Dec 26. doi: 10.1007/s00586-025-09677-0. Epub ahead of print. PMID: 41452372. Why They Did It To investigate the natural course of motor weakness in cervical radiculopathy and analyze risk factors associated with poor recovery. How They Did It A cohort of prospectively enrolled patients presenting with motor weakness due to cervical radiculopathy between March 2024 and March 2025 was retrospectively analyzed. All patients were initially managed conservatively, with surgery reserved for persistent weaknesses or intolerable symptoms. Demographic, clinical, and imaging data were reviewed. Motor strength was assessed using the modified Medical Research Council (mMRC) scale. Patients achieving a motor grade 4 or higher were classified as the recovery group; those who did not were assigned to the non-recovery group. We compared both groups and evaluated possible risk factors for non-recovery. Wrap It Up Most patients with motor weakness due to cervical radiculopathy recovered functional strength within 2-3 months of conservative treatment. However, older age, severe initial motor deficits, and persistent pain were associated with a higher risk of incomplete recovery. Item #2 Our second one today is called, “Physical Activity Over the Adult Life Course and Risk of Dementia in the Framingham Heart Study” by Marino et al and published in JAMA network Open in November of 2025 and that’s a muy en fuego. Mucho caliente. Marino FR, Lyu C, Li Y, Liu T, Au R, Hwang PH. Physical Activity Over the Adult Life Course and Risk of Dementia in the Framingham Heart Study. JAMA Netw Open. 2025;8(11):e2544439. doi:10.1001/jamanetworkopen.2025.44439 Why They Did It The authors say that being physically active is protective against dementia. Yet, it is unknown when during the adult life course physical activity is most associated with dementia risk. Objective To determine whether higher physical activity levels in early adult life, midlife, or late life are associated with lower risk of all-cause or Alzheimer disease (AD) dementia. How They Did It This prospective cohort study used data from the Framingham Heart Study Offspring cohort. The offspring of participants in the original Framingham Heart Study cohort who were dementia free and had physical activity measured at baseline (early adult life, midlife, or late life) were followed up for a mean of 37.2, 25.9, or 14.5 years for the development of incident all-cause or AD dementia until December 31, 2023. Physical activity was self-reported using the physical activity index, a composite score weighted by hours spent sleeping and in sedentary, slight, moderate, or heavy activities. Physical activity was divided into quintiles (Q). As far as outcomes, All-cause and AD dementia were classified by expert consensus based on established diagnostic criteria. What They Found This study included 1526 early adult–life, 1943 midlife, and 885 late-life participants. There were 567 cases of incident all-cause dementia during follow-up. Higher levels of midlife and late-life physical activity were associated with lower risk of all-cause dementia. There were no associations between early adult–life physical activity and dementia risk. Wrap It Up In this cohort study of adults in the Framingham Heart Study Offspring cohort, higher levels of midlife and late-life physical activity were associated with similar reductions in risk of all-cause and AD dementia. These findings may inform future efforts to delay or prevent dementia through timing interventions during the most relevant stages of the adult life course. 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 Remember the evidence-informed brochures and posters at chiropracticforward.com. 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. Website http://www.chiropracticforward.com Social Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter https://twitter.com/Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ 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 The post Motor Weakness In Cervical Radiculopathy & Exercise And Dementia appeared first on Chiropractic Forward.
