Dr. Bobby Maybee, Chiropractor

Hello! Address and contact info to be updated shortly. Follow to stay in the loop!

We’ve been closed all this week, and even most of last week. And we will be closed all of next week. And then we will play it by ear from there as conditions permit.

However, the state still permits chiropractic care as an essential service (and even that might change). For our office I am defining “essential” as a patient or potential patient with acute/severe pain, trauma such as a motor vehicle accident, and radiating nerve pain. I will still see those cases, depending on a viral symptoms check of patient and doctor before we meet!

Once again, the office is open for one on one visits (and you can bring a guest/chaperone). It is best to keep musculoskeletal cases out of the ER and Medical Doctor offices right now if we can. Save that space for sick people.

If you have any concerns, send me a message! My patients already know I do this for their health first and foremost. Nothing else about what we do in our practice is more important.

Oh yeah and of course, wash your hands!

Patients:

I’m sure you’ve seen numerous updates and proclamations on your social media feeds concerning COVID-19 already. Here’s mine for you and your chiropractic care:

1. When it comes to public health advice, put your trust in actual public health authorities. They do this for a living. Yes there are plenty on social media with their version of the facts. No one compares to experts on this. CDC, WHO, and your local public health offices.

2. Our schedule hasn’t changed much since social distancing has been put in place. I believe that is because you awesome patients already know that you are in a concierge, one on one treatment environment. So the chances of being in contact with others are exceedingly slim.

3. Recently I’ve shown quite a few patients (with great pride) my reserve stock of cleaning items that we always have in store. We have enough supply of wipes, sanitizers, and cleaners to stay clean till 2050!! Credit for that of course goes to my lovely wife. Rest assured, we’re keeping it clean.

If you have any questions, or need direction to proper resources concerning COVID-19, don’t hesitate to ask. And if you’re feeling ill, stay at home.

This too shall pass.

Bobby

People will try anything and buy anything to make their back pain stop. A whole industry is built up around that behavior. The facts are that conservative care and active self management are the best options.

Vast sums are wasted on treatments for back pain that make it worse Most patients should be prescribed exercise and patience, not invasive surgery

This common therapy for joint pain may do more harm than good The shots may speed up the progression of arthritis and hasten the need for surgery.

SNAPS

Sleep expert Matthew Walker on the secret to a good night’s rest The neuroscientist talks about combating insomnia, going up against Big Pharma — and why night owls shouldn’t feel guilty

Credit

"Conclusions
Our scoping review found the majority of published articles described chiropractic services in the active duty military in the US setting. Recent RCTs suggest a benefit of including chiropractic care to usual medical care in managing back pain in active duty military."

Chiropractic services in the active duty military setting: a scoping review Musculoskeletal injuries are one of the most prevalent battle and non-battle related injuries in the active duty military. In some countries, chiropractic services are accessed to manage such injuries within and outside military healthcare systems; however, there is no recent description of such acc...

These are the issues that I think it is difficult for the average patient to understand. Pain is a biopsychosocial thing. It’s a melting pot of your body tissue and what’s happening within it or to it, your psychological interpretation of that, and how those two things are filtered through your social construct.

For so long we’ve been taught, as health care providers and as consumers, that pain is “bad” and needs to be cut out or erased through medication. And that pain means damage. It just plain doesn’t. And this is so culturally ingrained, that it is difficult as a provider (of any type) to educate a patient otherwise. It’s even hard for many to NOT give bad advice about pain.

Americans have a bad relationship with pain. The cultural sentiment that you should not have any at all is misguided. It’s naive. Pain is natural.

And we have a bad relationship with how to manage pain. Most pain (most not all) can be managed with activity, exercise. And mild conservative “resets”. I never understand the logic behind “we are going to help your pain by cutting into you, hacking part of you out, and then sewing you back together”. It not a sound PAIN management strategy.

Our country needs an expert, any expert, to be the expert in pain. “Pain Management” doctors aren’t cutting it. They’re just pill dispensers. Physicians don’t manage pain well (as a whole). No one does. Which leaves patients desperate to try anything and everything.

And this isn’t a commercial for chiropractic either. Many of the chiropractic providers are poor at explaining pain and how to manage it. And some even feel it is “beneath them” to even address or admit that they deal with a patients pain because it’s “just a symptom” and they have fantastical ideals that they care for so much more than that. .Except musculoskeletal Pain is at EPIDEMIC levels in the world, and is worst in the USA, and is the main reason anyone would ever see a chiropractor.

So what advice could I possibly have for someone in pain? First off, finding someone who can address your pain appropriately can be a challenge. However, the first person and the best person is right there in the mirror. And they are the main person in the equation.

Next, you will need a proper guide to guide you through pain, and they can be hard to find. They aren’t defined by profession. They can be an MD, a PT, a Chiro, a DO. The letters don’t matter. The approach does.

Finally, the approach might not be what you expect. What they do TO you or prescribe TO you can help, but what they teach you to DO for yourself and the education they provide TO you is the most important. So it will seem like an unusual approach. But it’s the right one.

Finally: Your bone isn’t out of place (unless it’s dislocated). You aren’t having pain just because you’re old. It’s not your scoliosis or your posture alone. And it’s not “all in your head”. It’s part of the give and take of living as a human being. Respect it. Don’t ignore it. And if it effects you, do something about it.

Pain isn’t just about pain. It’s a bigger story than that.

https://www.theatlantic.com/health/archive/2017/12/america-experiences-more-pain-than-other-countries/548822/

Why Americans Have More Pain Than People in Other Countries A third of Americans have pain “often” or “very often”—here’s why.

Time for some real talk here:

Those “sugary drinks increase mortality” links that everyone was sharing a week ago? Well there’s something much more hazardous to your health than having more than your allotment of Dr Peppa....no purpose.

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2734064

The hazard ratio (HR) for sugary drinks in the study being shared is 1.1. 70% of those people were also obese, which no one seemed to mention correlation vs causation either way.

The hazard ratio for not having a purpose in life over age 50 is 2.4, well over double the mortality risk of drinking sugary drinks.

I ask my patients all the time about their purpose. Honestly, I don’t see good outcomes in purposeless people. Perhaps we can see through the clickbait? Yes, sugary drinks aren’t good for you. Obesity is worse. But no purpose?? Potentially twice as destructive.

Association Between Life Purpose and Mortality Among US Adults Older Than 50 Years This cohort study assesses whether an association exists between life purpose and all-cause or cause-specific mortality among adults older than 50 years of age who participated in the US Health and Retirement Study.

And yet another piece of this puzzle, for the low back, is ENDURANCE. Low back endurance training is even more effective than strength training for reducing injury risk.

But stretching? Stretching is almost never the right solution in reducing injury risk.

That’s pretty good. Peace & Love

Do we need a new mnemonic for soft tissue injuries?

“Get some sleep!”

“Hard to sleep when it hurts!”

I get it.

https://neurosciencenews.com/sleep-pain-10648/

Sleep Loss Heightens Pain Sensitivity and Dulls Brain’s Painkilling Response Researchers report sleep deprivation intensifies and prolongs pain.

A New FTCA Podcast Has Been Released! -

A New FTCA Podcast Has Been Released!

I feel I have three roles during a patient visit:

- Investigator
- Care giver
- Educator

Generic answers yield generic results.

Stuart McGill - No such thing as non-specific back pain This lecture is part of the IHMC Evening Lecture series. https://www.ihmc.us/life/evening_lectures/ There is no such thing as non-specific back pain. There i...

My people know this 😉

Because we talk about it every visit. Every person. Please share.

“PAIN CAN BE ‘REAL’ PAIN — AND IT CAN BE CAUSED BY BRAIN CIRCUITS. WE HAVE TO GET OVER THIS CONCEPT THAT EITHER THE PAIN IS REAL OR IT’S ALL IN MY HEAD AND I’M MAKING IT UP.”

https://www.vox.com/science-and-health/2018/5/17/17276452/chronic-pain-treatment-psychology-cbt-mindfulness-evidence

100 million Americans have chronic pain. Very few use one of the best tools to treat it. Chronic pain often has no physical cause. Psychotherapy can reduce the suffering.

Dr. Bobby Maybee, Chiropractor updated their phone number.

https://www.youtube.com/embed/YaWAcwbB4gM?rel=0

What is Sciatica? ChiroUp | Evidence-Based Chiropractic Check out this condition description over Sciatica from ChiroUp. ChiroUp is an online resource for chiropractors with condition protocols for 100 of the most...

Dr. Bobby Maybee, Chiropractor updated their address.