Seaborne Chiropractic

There is a huge stress on the importance of evidence-based interventions (GCC Code of Professional Practice Code 2024).

Like the type of evidence the people who drafted the Code haven’t read and won’t read.

Principle A1 states: ‘Put the patient’s needs and safety at the centre of their care’…

So; re spinal surgery:

Nguyen, et al. (2011). Long-term Outcomes of Lumbar Fusion Among Workers’ Compensation Subjects: A Historical Cohort Study. Spine 36(4): 320-331

26% of those who have surgery return to work within two years.
67% of those who DO NOT have surgery return to work within 2 years.
36% OF SURGERIES RESULTED IN SIGNIFICANT COMPLICATIONS
27% of those who had surgery had to be REOPERATED ON due to symptoms and or complications.

If it’s good enough for them, it’s perfect for you👊💪👊

Reposted…

Dear colleagues, those of you that read the recent ‘food for thought’ blog by Mr Nick Jones, GCC CEO, will likely (or hopefully) be alarmed. I’ve chosen to respond openly (instead of anonymously) as set out below.
I hope you’ll join me while we still can. (Original blog - https://www.gcc-uk.org/gcc-news/blogs/entry/the-code-conversation-food-for-thought)

Dear Mr Jones,

I write in response to your recent article ‘food for thought’ published online in the public domain on 06.03.24.

I had intended submitting my observations and response online directly alongside your article but was concerned to notice that the opportunity to do so was prematurely closed due to an abundance of replies.
Please do forgive me if I’m wrong, but it would seem a large number of replies indicates that there is a significant proportion of the profession who wish to have their views fully received and adequately responded to. Why then, was the opportunity to respond online closed prematurely?

I am dismayed to see that a number of unreferenced observations about the profession are published so readily in the public domain, which could easily cast our great profession into a very negative light to the average member of the public, and bring our profession into disrepute, should the public view it.

I believe that our great profession, provides an extremely valuable healthcare service to the public, which no other profession is capable of providing in the same manner. Sadly, most of the public have no real idea of what our profession is, and instead tend to revert to stereotypes (of which many are banded about online). I believe that you article could significantly devalue the reputation of our profession to the public upon viewing it.

I believe that transparency in healthcare is essential, but it is not made clear where these observations arose from at all. Politely I would suggest that it would’ve been more responsible to raise them directly and internally with registrants by private email first before submitting them (if at all) into the public domain.

It was not made clear within your article what the provenance of your ‘food for thought’ is. Were they raised by any patients? Were they raised by any chiropractors, if so who, as they are bordering on making allegations about fellow practitioners. Are they your personal opinions? Please clarify.

With respect to open plan treatment rooms, it should be borne in mind that this is the exact format which is used in a great many of our wonderful NHS hospital wards and physiotherapy departments. As we are all aware, there are also facilities set aside for private appointments within these facilities.

I myself do not presently practice in an open plan setting, but I do have colleagues who may respect greatly as people and clinicians, who do so with great success for their Patients.

As I have been directly involved with open plan practice, previously, I can tell you for a fact that many Patients enjoy the environment and find it vibrant and supportive of realising better health.

In modern times there is also a great potential for one or two Patients to make malicious claims against the chiropractor. This cannot happen in an open plan setting and so it affords a great level of protection for the practitioner.

It goes without saying that the opportunity for private consultations and appointments coexist in these (open plan) practices.

With regards to online vouchers/inducements/free consultations, provided that the service is comprehensive and holds a patient’s best interesting in mind, these represent a very helpful means of prospective Patients being able to evaluate how well or not they feel Chiropractic care and the particular practice are suited to them without going to the trouble of paying full price for a consultation.

I have seen a great many online vouchers for free consultations, but I have never heard of any evidence that these necessarily have a lengthy course of care attached to them. It would be useful if some operational terms had been defined here, such as what actually constitutes a lengthy course of care.

A quick survey of social media and/or a Google search will show that many dentists and opticians offer all manner of free and discounted vouchers for consultations for the many kinds of services that they offer. Is anyone accusing them of any kind of wrongdoing? Are their professional bodies appropriately discussing, and considering attenuating such approaches?

Continuing with the theme of lengthy courses of care, unfortunately this particular point you raised is difficult to have a meaningful conversation on as you have not defined what you mean. Not only have you not defined the terms of duration that constitutes lengthy courses of care, but you have not taken into account how they might apply to the vastly differing Patient population groups the average Chiropractor gets to look after. Are we talking acute or chronic Patients? Are we talking paediatric, sports or pregnant or indeed geriatric Patients?

In my 21 years of practice, I have noticed that some Patients require chiropractic care as a form of treatment and some people require it as a form of care.

For instance, if somebody young and fit (say in the 20s, who is very active and is in excellent overall health otherwise) has had a very short-lived very minor episode of neuromusculoskeletal pain, then a short course of care, perhaps 6 to 12 visits may well alleviate the symptoms and restore some measure of function to the person.

On the other hand, there are many Patients presenting to chiropractors in the 60s or 70s, whom have advanced degenerative changes within their spines, and have suffered from pain, and impaired function, for perhaps 10, 20, 30 years. They may also have a number of other comorbidities and be of average or even poor general health, naturally, such individuals may well require care over months or even years, and once the symptoms are under control, and a reasonable level, if not excellent, level of function has been restored, it would make perfect sense that they have some form of ongoing supportive care.

I believe that if the GCC seeks to define the length of a course of care that a chiropractor may offer the patient, they are effectively attempting to circumvent the consultation/assessment/diagnosis stages of a patient’s care, for it is only once these have been actioned that the length of a course of care can be logically determined.

Of course, reviews in which there is open communication and different care options explored with People/Patients are a fundamental part of practice and again, something which I have always done, and I believe all chiropractors do.

On the subject of written communication with a Patients’ general practitioner following every interaction, I really think the practicalities of this preclude it being a plausible way to practice.

Writing even a simple letter would add considerable time needed for each patient’s appointment. This could mean that the waiting list to see chiropractors, escalates significantly, which could be to the significant detriment of the public health, and ironically, the fees that a chiropractor charges may have to considerably increase to cover the time spent preparing such letters.

At one point, I used to write to every patient’s GP at the start of the care and at least every 12 visits. I stopped this when several Practice managers and several GPs told me that it actually annoyed them that they were receiving such letters, because they did not have the time to read them and did not consider our perspective useful or valid and simply saw the letters as an additional inconvenient burden on the tremendously overburdened public health service.

Naturally, should a Patient present to myself or any of my close colleagues and information arising from the consultation/examination process be of any help to the patient’s GP, and especially the patient, we immediately write. We always promptly submit such information by post.

You also raise the issue with chaperones. With respect to them being applicable to our wider cohort of Patients, again, it is first necessary to define what cohort of Patients you feel such chaperones are required for, in order for us to have any kind of a meaningful conversation, publicly or otherwise.

I would certainly agree that any Patient that can be considered in any sense vulnerable would want to have a chaperone present for posterity.

Should chaperones be required at the majority of appointments, again, this will mean recruiting additional staff, and will significantly increase the cost of the patient of providing chiropractic care.

Should chaperones become mandatory or indeed expected, this may well negatively impact the doctor-patient relationship, for instance, many Patients wish to discuss sensitive, personal matters and the ability for them to express such matters can be very beneficial in terms of their health. Naturally, should a chaperone be present, it will be much more difficult if not impossible.

Naturally, should a Patient wish a chaperone to be present,
then they’re always made aware that a friend or family member or staff member can accompany them.

Lastly, you discuss a number of modalities that chiropractors around the country use, in addition to the Chiropractic adjustment. As a first point of conversation, one would hope that if somebody has completed a 4 to 5 year degree, that is similar in scope bread, depth and complexity to a medical degree, they are in a suitable position to provide what are relatively suitable modalities.

I do not believe the manner in which you have gone about raising these concerns is constitutional or appropriate, particularly as the CEO of the GCC.

I await your kind response.

Best regards,

Dr Michael Paull, Doctor of Chiropractic

The Code Conversation - food for thought? | GCC The Code Conversation - food for thought? I am often asked by chiropractors what the GCC is doing to protect patients from behaviours by a small minority of chiropractors that they feel may give the profession a bad name. 06.03.24

Dont imagine…Do❣️

Or, at least do it til you die-]

Just saying👊🙌👊

Get Strong, get Adjusted☠️

Chiropractic is the diagnosis of and manual correction (Adjustment) of dysfunctional joints, especially those of the spinal column, which result in disorders caused by nerve interference & musculoskeletal compromise.

From Above down, from Inside out❣️☠️❣️

Chiropractic isn't just great for pain relief; it's fantastic for whole-body wellness! To book an assessment call us at 07399 057999

This is the year💪👊💪

Vernon McLellan wrote “What the New Year brings to you, will depend a great deal on what you bring to the new year.”

This insightful quote serves as a powerful reminder that the unfolding of a new year is not a passive experience but a dynamic interplay between our actions, attitudes, and aspirations. It underscores the profound truth that the outcomes and opportunities the new year holds are intricately linked to the energy and effort we invest in it.

Said simply, what you put in is what you will get out.

Here's to an incredible 2024!

The Truth of it☠️

Are you experiencing any of these symptoms?

If so, you may be suffering from a TMJ disorder. The TMJ springs into action each time you chew, talk, swallow or yawn.

According to research, women tend to develop temporomandibular joint disorder (TMD) conditions more often than men.
These conditions can be very painful and affect how well your jaw joint works. OW!!😖

Common causes of TMJ pain include clenching or grinding the teeth, chewing gum, stress and upper neck issues.

Alongside getting Adjusted, there are also other things you can do to help yourself! 🙏🏻

Drink more water!
🔷Dehydration decreases the effectiveness of the body's natural joint lubrication, which aggravates the joints (neck and jaw) and can lead to a TMJ flare-up.
🔷Cut down on caffeine, drink plenty of water and eat foods with a high water content (e.g., cucumbers, cantaloupe, tomatoes, etc.,) to help the body remain well hydrated.

Exercise your jaw to help ease TMJ. Try this...

Resist opening of the mouth:
1. Place your thumb under your chin.
2. Open your mouth slowly, pushing gently against your chin for resistance.
3. Hold for three to six seconds, and then close your mouth slowly.
4. Repeat 10 times.

Chiropractic care can also help!

If you’re having TMJ issues, call us for an assessment 07399 057999

It’s as easy as…

A WISE MAN ONCE SAID

1. Don’t call someone more than twice continuously. If they don’t pick up your call, presume they have something important to attend to.

2. Return money you borrowed before the person you borrowed from asks for it. It shows your integrity and character. The same goes for umbrellas, pens, and lunch boxes.

3. Never order the expensive dish on the menu when someone is buying your meal.

4. Don’t ask awkward questions like ‘Oh so you aren’t married yet?’ Or ‘Don’t you have kids’ or ‘Why didn’t you buy a house?’ It's not your business.

5. Always open the door for the person coming behind you. It doesn’t matter if it is a guy or a girl, senior or junior. You don’t grow small by treating someone well in public.

6. If you take a taxi with a friend and he/she pays now, try paying next time.

7. Respect different shades of opinions. Remember what's 6 to you will appear 9 to someone facing you. Besides, a second opinion is good for an alternative.

8. Never interrupt people talking. Allow them to pour it out. As they say, hear them all and filter them all.

9. If you tease someone, and they don’t seem to enjoy it, stop it and never do it again.

10. Say “thank you” when someone is helping you.

11. Praise publicly. Criticize privately.

12. There’s almost never a reason to comment on someone’s weight. Just say, “You look fantastic.”

13. When someone shows you a photo on their phone, don’t swipe left or right. You never know what’s next.

14. If a colleague tells you they have a doctor's appointment, don’t ask what it’s for, just say "I hope you’re okay".

15. Treat the cleaner with the same respect as the CEO.

16. If a person is speaking directly to you, staring at your phone is rude.

17. Never give advice until you’re asked.

18. When meeting someone after a long time, unless they want to talk about it, don’t ask them their age and salary.

19. Mind your business unless anything involves you directly - just stay out of it.

20. Remove your sunglasses if you are talking to anyone in the street. It is a sign of respect. Moreso, eye contact is as important as your speech.

21. Never talk about your riches in the midst of the poor. Similarly, don't talk about your children in the midst of the barren.

22. After reading a good message try to say "Thanks for the message".

APPRECIATION remains the easiest way of getting what you don't have....
❤️

Thanks for Reading 📝👌

SUMMER’S STILL HERE, Exmouth and East Devon!!!

So much for autumn, it’s another stunning Exmouth Saturday. Do yourself a favour & stop by The Strand today for a chat and complimentary Spinal check (Good start or Next level on your Wellness journey).

Driven by the weather, & awesome feedback from our clients, we’re excited to continue being of service to our Exmouth and East Devon community,

Tomorrow, Sat 9 Sept, we will be in our usual spot on The Strand where we’re once again offering complimentary spinal health checks for Exmouth & East Devon locals.

If you are suffering with any of the following (or anything else for that matter), then you should definitely stop by,…
because Chiropractic has been proven to be extremely effective in the symptomatic relief of (but not restricted to):

✅Migraine
✅Sciatica
✅Neck Pain
✅Back Pain
✅Rib Pain
✅Scoliosis
✅Jaw Pain/TMJ
✅Shoulder Issues
✅Knee Issues
✅Ankle Issues
✅Wrist Issues
✅Sports Injuries
✅Bursitis and Tendinitis
✅Sprains and Strains
✅Mobility

After your complimentary spinal health check and feedback from Dr Justin, if you choose to proceed with life- enhancing chiropractic care you will book and pay for your initial assessment which will also get you HALF off the full price.

We can’t wait to see you so come by and say hello!

When: Tomorrow, Sat 9 Sept 2023, from 10am-4pm

Where: The Strand, Exmouth

If you cant make it,
then give us a call on 07399 057999
or drop us an email at [email protected]

We have clinics in both Exmouth and Newton Poppleford, and can do home visits by arrangement if mobility is an issue.

In good health,
Dr Justin Seaborne DC and the Seaborne Chiropractic Team

Are you experiencing any of these symptoms?

✅ Restricted movement in your jaw
✅ Persistent headaches that often mimic migraines
✅ Difficulty chewing or pain when eating
✅ Dizziness
✅ Blurred/hazy vision, watery eyes, sensitivity to light, pain in the eyes
✅ Clicking in the jaw joint
✅ Difficulty swallowing, sore throat
✅ Buzzing, hissing, ringing, pain in the ears
✅ Aching, stiffness or soreness in the neck, shoulder blades
✅ Lower back pain

If so, you may be suffering from a TMJ disorder.

What is TMJ?
The temporomandibular joint (TMJ) is a hinge that joins the jaw to the temporal bones of the skull, in front of each ear. TMJ springs into action each time you chew, yawn, talk or swallow.

What is TMD?
TMD is a group of disorders that occur in the TMJ, causing pain in this area.

The main causes of TMJ disorder are:

🔷Bruxism:
Repetitive grinding or clenching of the teeth.

🔷Stress:
Stress aggravates TMD symptoms. Stress also increases cortisol secretion, an acid that contributes to hormonal imbalances and triggers inflammation.

🔷Osteoarthritis:
Osteoarthritis may cause degeneration or breakdown of the joint or from wear and tear with age.

🔷Rheumatoid Arthritis:
Rheumatoid arthritis causes persistent inflammation in the joints, which may affect the TMJ.

🔷Facial Trauma:
Facial trauma, such as fracture, misaligned teeth or whiplash injury can disrupt the balance of the TMJ.

🔷Malocclusion:
People with misaligned teeth, missing teeth, cross-bite and faulty dental fillings may experience TMJ disorder.

🔷Chewing Gum:
Studies show that frequent gum chewing may increase the prevalence of TMJ pain and TMJ disorder.

If you are experiencing any of these symptoms, contact Seaborne Chiropractic for an assessment:
https://seabornechiropractic.com/contact

Chiropractic is effective in the treatment of conditions contributing to TMJ disorders.

Don’t suffer in silence, contact us today‼️

Relief is a phone call away.

The Vagus nerve (10th cranial🤔🤔🤔) is responsible for various important bodily functions, including digestion, heart rate, and breathing. It’s esp important in mood, mental health, & wellbeing. So follow this advice daily, & dont forget to get your upper Cx Adjusted regularly also👐🫴

When it comes to practicing self-care, pursuing your dreams, staying fit, or nurturing relationships, consistency is the secret sauce that makes it all happen.
The power of steady progress should not be underestimated - it's the small, regular, repeated steps that pave the way for big achievements.


Remember, it's not about perfection, but committing to your goal then showing up, again, and again, and again.
Over time those actions become a habit, then second nature. When you look back what you will see are improvements.
It might not always be easy, but the rewards are well worth the effort.

So whatever you are committed to, stay the course and watch your life transform in amazing ways! 🌈

Come to get Adjusted👐

How You Think/Move/Eat…and dont forget to GET ADJUSTED TODAY‼️‼️‼️