The PTCH Podcast
We ran a social media experiment: showed people a study with 132 trials, 7,900 patients, modest short-term relief, no long-term benefits, and serious complications. They called it "dangerous quackery." Plot twist: it wasn't about chiropractic. It was epidural steroid injections β the "real medicine" your doctor recommends after an MRI. Same weak evidence, completely different reaction. Today we're unpacking WHY. And what conservative care should look like π KEY TAKEAWAYS: β’ 9 million epidural steroid injections performed yearly in the US β’ Evidence shows: decent for disability, NOT effective for pain β’ Short-term outcomes only: days to weeks of relief β’ Major guidelines place injections AFTER PT and chiropractic β’ Cost comparison: $2,000-5,000 per injection vs. conservative care β’ Same "low quality evidence" problem affects ALL back pain treatments π¬ THE DOUBLE STANDARD: When a physician does it with a needle and fluoroscopy machine = "real medicine" When a chiropractor or PT does manual therapy = "pseudoscience" Same evidence quality. Different labels. Why? ββββββββββββββββββββββββββββββββββββββββ π’ THIS EPISODE IS SPONSORED BY: Brain.FM Music for your brain! Your subscription helps the PTCH Podcast. π https://brain.fm/ptchpodcast Try free for 30 days! ββββββββββββββββββββββββββββββββββββββββ ABOUT THE PTCH PODCAST: What happens when a chiropractor and physical therapist actually like each other? Dr. Jason Young (evidence-based chiropractor) and Dr. Kathy Lynch (physical therapist) break down health, fitness, and pain science with humor and zero ego. Remember: there's no "I" in PTCH. π§ LISTEN EVERYWHERE: Spotify: https://open.spotify.com/show/4WRdMdsnRaWsAbaUBDrMtw?si=a7eErDsFSz-0oiB0AxJQpQ Apple Podcasts: https://podcasts.apple.com/us/podcast/the-ptch-podcast/id1805086823 Website: https://ptchpodcast.com π± FOLLOW US: Instagram: https://instagram.com/ptchpodcast TikTok: https://tiktok.com/@ptchpodcast π If this made you think twice about your treatment options, SUBSCRIBE and drop a comment with your experience! #BackPain #EpiduralInjections #Chiropractic #PhysicalTherapy #PainManagement #EvidenceBasedMedicine
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