The Back to Health Chiropractic Podcast

Marc Dupuis, DC, CCSP, ICCSP, health, wellness & fitness expert
The Back to Health Chiropractic Podcast

Join us every other week on The Back to Health Chiropractic Podcast, with your host, Dr. Marc Dupuis, board certified chiropractic sports physician where we discuss tips, tools and strategies for improving the health and wellness of you and your family. We cover a wide range of topics related to optimal health, optimal living and how sick people can get well and stay well without the use of drugs or surgery.

Episodios

  1. 27/08/2023

    Unnecessary Surgeries and the Watch Analogy: The Green Book Series

    Today I want to apply some common sense, straight line thinking to a problem that is plaguing all “health care systems” worldwide, especially here in the United States.  That problem is unnecessary surgeries.   This has been an issue for over a century!  Dr. BJ Palmer, the world’s most pioneering chiropractor wrote about this for years.  Sadly, his warnings about this topic have fallen on deaf ears as the prevalence, cost and damage to patients done by unnecessary surgeries has skyrocketed!  Nevertheless, his words of wisdom are as prescient today as they were back then which is why I would like to share them with you today! But first, let’s add some context to this discussion.  This is an excerpt from the International journal of clinical practice in 2014:“US health care expenditures per capita far exceeds that of ANY other nation in the WORLD.  Indeed, over the last 15 years, the USA has distantly surpassed most countries in the developed world in total healthcare expenditures per capita with the USA now spending over 17.4% of its gross domestic product on health care ($7960 per capita) compared with only 8.5% of GDP in Japan ($2878 per capita) a distant second.  Such spending growth rates are unsustainable, and the system would soon go broke if not corrected.  The drivers of these spending growth rates in US healthcare are several and varied.  In September of 2012, the Institute of Medicine reported that US healthcare squandered over $750 billion in 2009 through UNNEEDED care.”  Now, with all that spending, surely we have the best outcomes right?….. WRONG, dead wrong in fact.  A 2022 report by The Common Wealth Fund revealed we rank 38th in the world in life expectancy, which is LAST for all major developed nations, there are 3rd world countries with higher life expectancies!  If that was not bad enough, did you know of all countries in 2020, The United States possessed the HIGHEST infant mortality rate which is markedly higher than Norway which was the top country in the world for having the lowest infant mortality rate.  This was reported in The American Journal of Managed Care in January of THIS year, 2023.  This is from the Journal Patient Safety In Surgery in 2017Title, “Why do surgeons continue to perform unnecessary surgery?”Please listen very closely, what you are about to learn will likely be quite shocking..“This unrecognized problem has escalated so far that medical errors currently rank as THE 3RD leading cause of death in the United States. Strikingly, in the 21st century, we still have to come to terms with the absurd reality that it is significantly safer to board a commercial airplane, a spacecraft, or a nuclear submarine, than to be admitted to a US hospital!”Let me repeat, medical errors account for the 3RD leading cause of death in the US, over 440,000 people die in the US per year!  Shouldn’t that be a headline on the news??  Keep in mind that data is from 2013, all indications suggest the current number of deaths caused by medical errors are EVEN higher!  Many of those deaths are due directly or are related to complications from unnecessary surgeries.  What is unnecessary surgery?  They define it as follows: “Any surgical intervention that is either not needed, not indicated, or not in the patient’s best interest when weighted against other available options, including conservative measures.”  That last part is extremely important, they included conservative measures being something that should be done if it can benefit the patient over surgery.  Chiropractic is such a measure, which in many cases should be used first BEFORE resorting to surgery.  Notice I said in many cases.

    25 min
  2. 07/01/2023

    Supercharging Muscle Strength & Mass With Blood Flow Restriction Training

    Welcome to the Back to Health Chiropractic Podcast I’m your host Dr. Marc Dupuis on this show we discuss tips, tools and strategies to improve the health & wellness of you and your family! Today’s topic: BFR training: If you have not heard of it, get ready as this could really shake up your training by literally turbo charging your strength & conditioning plan!  In a nutshell, BFR training is one of the best, if not the #1 way to increase muscle hypertrophy and strength without the risk of joint injury or excessive muscle damage!   Of course: Please NOTE: There are certain risks associated with this type of training, be SURE to consult with your health care provider prior to beginning any BFR training Before we dive into the specifics of BFR training, we need to take some time and review the basics of muscle building  and strength building so that you will be able to understand just how BFR training works and Why NOW Is the time to add it to your training plan. Let’s call this muscle hypertrophy 101 There are TWO basic Ways to increase muscle size or technically muscle hypertrophy1. BY Applying Mechanic stress (which ultimately creates muscle damage): traditional strength training: lifting increasingly heavy weights to create damage.  Then when the body is at rest, if given enough time and adequate nutrition,it will rebuild the muscles bigger and stronger than they were before, this is known as the principle of super compensation.2. By creating Metabolic stress accumulation (this involves building up lactate, while simultaneously failing to clear it from the muscles as well as the accumulation of hydrogen ions in the working muscles which are the by-products of ATP hydrolysis). Most people that exercise regularly are aware this happens, as this is what you feel when your muscles are burning at the end of a set or sprint  etc, but not that many people know this accumulation of metabolites is also a direct trigger of muscle hypertrophy.   Now let’s move on the some basic Principles of Exercise PhysiologyWe will start with Muscle fiber.  There are 2 primary types of muscle fibers: Type 1: slow twitch /more aerobic and Type 2: fast twitch  /  more anaerobic This is important because there is a Size Principle of Motor Unit RecruitmentType 1 fibers are recruited first, these fibers as I said are more aerobic, meaning they primarily utilize oxygen, now as demand increases during a particular exercise the body will then recruit Type 2 fibers which as I noted are more anaerobic.  here is a Key Point: Hypertrophy does NOT always = greater strength.  A bigger muscle is not always a stronger muscle.Hypertrophy plays a role in building strength, but it is the Central Nervous System’s involvement in learning to recruit more motor units and also synchronize these additional motor units, which allows them  to fire together> that COMBINED with a larger or hypertrophied muscle, equals greater strength.   Now for muscle hypertrophy 202: There are Hormones needed for muscle hypertrophy; such as: Growth Hormone is the major player here, keep in mind GH is only optimized with adequate: sleep, nutrition, exercise) mTOR major pathway activating muscle protein synthesis and skeletal muscle hypertrophy; Think of mTOR as the Body’s on/off switch for muscle growthThen there is IGF-1, which is an upstream trigger via the Akt pathway which activates mTOR.    You may have heard of mTOR, it’s been a suddenly hot topic of discussion especially from many so called online health experts and by many in the biohacking space, often it is seen as the enemy because excessive mTOR activa...

    18 min
  3. 18/10/2022

    The Negative Effects of Forward Head Posture on Health & Performance!

    I’m your host Dr. Marc Dupuis on this show we discuss tips, tools and strategies to improve the health & wellness of you and your family! New forward head posture study, just came out this past July 2022 Journal of Sport Rehabilitation: high level journalComparison of Sensorimotor Integration and Skill-Related Physical Fitness Components Between College Athletes With and Without Forward Head Postureauthored by Ibrahim Moustafa, Meeyoung Kim, Deed Harrison. Case control study.  What is a case control study?This is pretty neat.  First you identify a condition you want to investigate.  Then you design a study to try and determine, if the condition in question, has any effect on a particular function/task/performance or on health.Then you must come up with two groups of people to study.The first group has the condition you want to studyThe 2nd group does not have the condition in question.Next you match the groups in terms of certain factors like age/sex/work/ etc to try to ensure equality in the groups you are comparing minus the key condition being studied Then determine what types of tests to perform on each group to see if there is a difference between the people with and without the condition This study looked at the condition of:Forward head posture 100 Young athletesCollege Level athletes high performing athletesNO symptoms Q: Was there a Difference in athletic performance skills tests between those with FHP and those without?How did they determine if someone had FHP?They used a postural measurement called the CVA (cranial vertebral angle) ear (tragus) relative to C7 spinous relative to horizontal.  This measurement can be confusing to clinicians not familiar with it because a bigger angle, means the head is being held in a more neutral position; while a lower angle means they have more FHP.  Here the CVA cut point was 50°  The Cut point was based of other well-established studies in the literaturecranial vertebral angle (on 4 view posture screen) What do these values mean in terms of x-rays 55° or more = Less than 20mm FHP.  That is consistent with what research has shown, most people can get away with about 20mm of FHP and not have any negative consequences.  MC neck p, Has, cervical degeneration & disability Their cut point of 50° = ~ 25mm or more FHP 1’’ They measured Sensory motor integration: which is how astimulus at either the wrist/hand/finger – is processed in the higher centers of the brain If there is a difference in Sensory motor integration, does it affect athletic skills tests:  They used 4 key tests, which highlight skills useful in ALL Sports: Basically: Do you have speed/power/strength?T-testTime sprint T test:    Sprint 10m straight    Sprint left 5m    Sprint right 10m makes “T”    Sprint back to center 5m    Sprint back to start Vertical Leap Static Single Leg Balance Test – stork Dynamic Stretch Balance Test – 3 plane dynamic stretch test for agility Findings: They DID Find a Difference between the 2 groups in amplitude in regions of the brain that process sensory motor integration as it goes into the motor cortex.  Problems in this region would in theory create down going / descending motor cortex issues. As we have known for some time, abnormal sensory inputs create abnormal motor output.  The athletes with FHP and differences in sensory motor integ...

    14 min
  4. 24/04/2022

    Improvement in Autistic Behaviors Following Chiropractic Care: A Case Series

    Today we are going to discuss a 2011 Case Series titled, Improvement in Autistic Behaviors Following Chiropractic Care.  This case series was published in the Journal Pediatric, Maternal & Family Health, in December of 2011. As many of you are all too well aware, the rate of Autism is rising at an extremely alarming rate.  In the United States, as of 2021, 1 in 44 children are being diagnosed with Autism!  In the 1990’s the rate was 2 out of 1000 children and in the 1980’s it was 10x’s less than that, just .1 – .4 children per 1000 were being  diagnosed with autism!   We need all hands on deck to tackle this massive health issue.  Today’s discussion is NOT focused on the likely causes of this massive increase, rather I want to focus on a case series that showed improvement in autistic behaviors following chiropractic care. As noted in the introduction in this paper, Autism is a neurodevelopmental disorder characterized by abnormal social interactions and communication concurrent with repetitive behaviors and mannerisms. From the paper’s Abstract, Methods & Outcomes sections: Clinical Features: This case series involves two case studies.  Case one involves a 20-year old autistic male who displays aggressive behavior towards others.  Case two is a 17-year old autistic female who abuses herself.    Intervention and outcome: Both patients received a trial of chiropractic care for 5 and 4 months respectively with visit frequency of once per week.  Both patients responded favorably to chiropractic care with the male patient decreasing in aggressive behavior and the female patient decreasing in self-abuse and improved socialization.  For the case involving the male, he attended a total of 20 chiropractic visits and was adjusted using a low force Activator adjusting tool.  He began showing signs of improvement after his 4th adjustment that involved being more co-operative, having a longer attention span and he even began to watch tv which he had not previously done. For the case involving the female, she attended a total of 16 office visits and was adjusted using a combination of low force Activator tool adjustments and drop table adjustments.  She began to show signs of improvement after her third visit in the form of sleeping through the night, which was unusual and she demonstrated less self-abuse.    Conclusions: Each had favorable results after undergoing chiropractic care.  This case series provides supporting evidence that individuals with autism may benefit from chiropractic care.  More research is warranted in this area.  Now let’s talk about the likely mechanisms behind chiropractic care and the results from this case series.  As we discussed recently in another neurodevelopmental disorder and chiropractic paper summary, the MAIN goal of chiropractic care is to improve brain-body, body-brain communication.  We do that by analyzing the spine for abnormally positioned or abnormally moving spinal segments, known as vertebral subluxations.  Vertebral subluxations are corrected by specific chiropractic adjustments. Because vertebral subluxations, by the stress caused to the surrounding spinal cord and nerve roots, cause nervous system interference, it should make sense that correcting vertebral subluxations reduces nervous system interference and therefore could help those suffering from neurodevelopmental disorders.  I will cover the more technical aspects of exactly how this works but first; It is very important to note: people alway ask,

    9 min
  5. 12/04/2022

    Autism, Attention Deficit Hyperactivity Disorder & Chiropractic: Literature Review

    Welcome to the Back to Health Chiropractic Podcast I’m your host Dr. Marc Dupuis on this show we discuss tips, tools and strategies to improve the health & wellness of you and your family! Today we are going to discuss a 2015 literature review, titled Neurodevelopmental Disorders and Chiropractic: A Systematic Review of the Literature.  This research review was published in the Journal Pediatric, Maternal & Family Health, in March of 2015. This topic is so important and timely since Neurodevelopmental disorders include some of the most challenging health issues facing children today, namely, ADD (Attention Deficit Disorder), ADHD (Attention Deficit Hyperactivity Disorder) and ASD (Autism Spectrum Disorder).  The rates of ADD, ADHD and ASD are rising within the global population at an alarming rate, while treatments seem to be sadly lagging behind.  Therefore, any intervention, especially those that are non-invasive & safe that shows promise should be looked at closely.  Despite there being numerous pharmaceutical drugs on the market for these conditions, their results are mixed and side effects are often just as troubling as the conditions they are supposed to be addressing.   The Summary or Abstract of the review is as follows:The objective: To provide a comprehensive analysis of the current body of scientific literature regarding the chiropractic management of a wide variety of neurodevelopmental disorders. The Methods of the Review: A literature search was performed using PubMed, MANTIS, the Index to Chiropractic Literature, McCoy Press, Galileo, and ScienceDirect. Inclusion criteria consisted of full-text peer-reviewed articles written in English as they related to the efficacy of chiropractic management of neurodevelopmental disorders. The Results: 50 articles were selected.  The results were: 3 Randomized Controlled Trials (RCT), 7 Reviews of Literature, 3 Case Series, 34 Case Studies and 3 Survey/Commentaries. The Conclusions: The majority of articles dealt specifically with Autism Spectrum Disorder (ASD) and attention deficit disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD) and were predominantly case studies. While we believe there is enough evidence to support the use of chiropractic with children who have been previously diagnosed with neurodevelopmental disorders, especially ASD and ADD/ADHD, the chiropractic community should see this as a call to action to provide more research regarding neurodevelopmental disorders. Given that RCTs (Randomized Controlled Trials) are the gold standard of research, the authors acknowledged that although 3 RCTs supporting Chiropractic care for neurodevelopmental disorders is a great start, we need to fund additional research projects to build upon these initial studies.   Lets dive deeper into this research review.  Now, what does Chiropractic care have to do with neurodevelopmental disorders?  For those of you not familiar with HOW chiropractic actually works, the answer is quite simple.  The MAIN goal of chiropractic care is to improve brain-body, body-brain communication.  We do that by analyzing the spine for abnormally positioned or abnormally moving spinal segments, known as vertebral subluxations.  Vertebral subluxations are corrected by specific chiropractic adjustments. Because vertebral subluxations, by the stress caused to the surrounding spinal cord and nerve roots, cause nervous system interference, it should make sense that correcting vertebral subluxations reduces nervous system interference and therefore could help those suffering from neurodevelopmental disorders.

    9 min
  6. 03/12/2021

    Nutritional Support for C0VID Long Haulers & Injections

    I’m your host Dr. Marc Dupuis on this show we discuss tips, tools and strategies to improve the health & wellness of you and your family! Today’s topic is extremely important and what we are about to discuss may be information that you will want to share with family, friends and loved ones.  In our office we’ve been hearing a number of people report that they are taking much more time than expected to fully recover from COVID-19 infections, long enough for them to be considered long haulers.  Interestingly, more and more of these types of cases are being reported as breakthrough infections.   By definition Long Haulers are people that have symptoms of COVID-19 four or more weeks after being diagnosed with SARS CoV-2 infection, otherwise known as Post-Acute SARS-CoV-2 (PASC). Because the spike proteins that cause COVID-19, can travel throughout the body, these inflammation producing proteins can cause damage in virtually any organ which is why the symptoms long haulers have can be so varied.  Fatigue, muscle aches, joint pains, anxiety, depression, cardiac problems, bowel issues, autoimmune problems, insomnia and cognitive dysfunction are some of the more common complaints. Fatigue is often the main complaint, most likely due to this fact: The immune system can take up to 50% of all of your body’s available energy at the cellular level!  A study in July of 2021 published in the Lancet found that the average long hauler patient has 14 symptoms that involve 9 different organs and 80% still have symptoms over 6 months from the initial infection.  On average it takes almost 9 months for a long hauler to fully recover, some take even longer.  A study in the December issue of Nature Neuroscience showed that the SARS-CoV-2 S1 spike protein can cross the blood brain barrier and enter the central nervous system, this may explain the many brain related symptoms associated with long haulers.  Although much still needs to be learned about why long haulers are not recovering as quickly as they should, some things are becoming VERY clear.  Obesity and those with Metabolic Syndrome are at higher risk of becoming long haulers.  Why?  The answer seems to be the following:  Obesity and metabolic syndrome are conditions, which themselves, create inflammation.  The symptoms long haulers complain of are symptoms associated with excessive inflammation.  Let us not forget that the cytokine storm that is responsible for the majority of COVID-19 deaths, is caused by the person’s own hyper-inflamed immune response!   Here is the connection of obesity & metabolic syndrome with excessive inflammation:  First let’s discuss obesity;  Fat cells are reservoirs for toxins.  When we are exposed to more toxins than we are able to excrete, the body takes action to remove these dangerous chemicals from the general circulation where they could harm vital organs, and locks them away into your fat cells (known as adipose tissue).  The more fat one has the more toxins they can hold onto and unfortunately, most toxins CAUSE inflammation.  The heavier we become, the more inflamed  we are which translates into greater risk of serious complications from acute COVID-19 and the greater the risk of becoming a long hauler.   Now for metabolic syndrome:  Metabolic syndrome is technically a combination of conditions that result in elevated risk of heart disease, stroke and type 2 diabetes.  What do these three problems have in common?  They are all signs of increased inflammation!  Metabolic syndrome is caused by insulin resistance.

    18 min
  7. 12/07/2021

    Busting Breast Cancer with Dr. Susan Wadia-Ells

    About our featured guest: Dr. Susan Wadia-Ells is a long-time cultural change agent. During the 1970’s she organized women at Polaroid, creating the first affirmative action program for women within a Fortune 200 corporation, and soon became Polaroid’s corporate affirmative action manager and a mentor to other women’s groups  fighting for equal pay, training, benefits, and career opportunities. After returning to academia in the early 1980’s for a graduate degree in energy economics and political development at The Fletcher School, Dr. Wadia-Ells worked with community development groups in Zimbabwe as that nation’s long struggle against apartheid ended. Next, she operated as a small town journalist in Brattleboro VT, under the guidance of the legendary UPI International Editor, Norman Runnion. Wadia-Ells then moved on to complete her PhD in women’s studies, before teaching over the next decade in Lesley University’s Adult Baccalaureate Program in Boston—helping women learn to fearlessly write their unspoken ideas and life stories. During this time, while raising her son, she also created national feminist conferences on once-ignored or banned topics including the landmark Women’s Ways of Knowing Study—exploring the personal growth dimensions within motherhood, and understanding the power of women’s menopausal years. Her 1995 anthology, The Adoption Reader: Birth Mothers, Adoptive Mothers and Adopted Daughters Tell Their Stories (Seal Press, Seattle), helped define adoption as primarily a woman’s issue. Wadia-Ells’ column, “Honest Health”, published by the Gloucester Daily Times (MA), beginning in 2008, her long-time Busting Breast Cancer blog, and her 2013 e-book, Birth Control Drugs and Breast Cancer: Learn the Terrible Truth, all served to introduce many of the topics discussed in her 2019 book, Busting Breast Cancer: Five Simple Steps to Keep Breast Cancer out of Your Body, based on the new metabolic theory of cancer. She currently lives in Manchester by the Sea, MA. Main Questions Covered Dr. Susan Wadia-Ells, welcome to the show. Thank you so much for taking time to be with us today.  Your new book, Busting Breast Cancer five simple steps to keep breast cancer out of your body is an absolute MUST read for not just for all women but really all men so that they can support and encourage the women in their lives to be as healthy as they can!  I want to begin by asking what inspired you to dedicate so much time in the research and development of this book? As we begin, I just want to mention some pretty scary statistics. In the United States alone, it is estimated that there will be about 280,000 new cases of invasive breast cancer in 2021 and an additional 50,000 cases of ductal carcinoma in situ!   With so many new cases each and every year the amount of fear these statistics generate in our women is staggering.  This is why your book is needed more now than ever before.  It really should serve as a beacon of HOPE because you present research supported ways for women to REDUCE their risk of break cancer….BUT many of the things they should do, will make them challenge much of what they have been told by mainstream media and the modern medical industry, including many of their doctors.  Can you speak to this challenge for women? Let’s go right after the Elephant in the room.  All too often, as you clearly report in the book, when women are diagnosed with cancer, rarely, if ever do they get an actual scientifically supported reason WHY they developed cancer.  This bad luck, as some women are told, is one of the drivers of the fear surrounding this epidemic as women are left wonder...

    56 min
  8. 18/12/2020

    Insulin Resistance (IR), a leading cause of Alzheimer’s, Dementia, Diabetes, Obesity, Inflammation & More. Learn what causes IR and what you can do to both prevent & reverse it!

    Good day everyone!  Today’s topic, Insulin Resistance, a leading cause of Alzheimer’s, Dementia, Diabetes, Obesity, Inflammation & More.  Learn what causes it and what you can do to both prevent & reverse it!  This topic is so important for two major reasons.  #1 Insulin Resistance is responsible for more degenerative conditions than any other single cause.  #2 Insulin Resistance is the leading cause of the Top Three Pre-existing Conditions that put people at risk for COVID-19 complications: Obesity, Diabetes and Heart disease!  So let’s get rolling!  I want to begin with some basic definitions.  First and foremost.  Glucose.  Glucose is a simple sugar and is one of the main fuel sources of the body.  It is the key component to many carbohydrates.  Carbohydrates or saccharides as they are also known are the sugars, starches and fibers found in fruits, grains, vegetables and milk products.  One thing you must understand is this: Ultimately, all carbohydrates are made up of sugars.  All carbohydrates effect blood sugar with one exception.  Fiber.  Fiber is considered the roughage portion of plant-based foods that cannot be fully broken down by the human digestive system. Digestion is the process of breaking down the larger, macromolecules of food that we consume into their fundamental building blocks for use in the body.   Insulin resistance occurs when cells in your body do not respond well to insulin.  Insulin is a hormone secreted by the pancreas and its job is to allow glucose from the blood stream, to enter into cells, either for the production of energy now or for the storage of energy later.  Therefore, when someone has insulin resistance and their cells are not responding well to insulin, the cells cannot take in as much glucose as they normally would, given a certain amount of insulin secreted.  This results in higher levels of blood glucose over time. This is not good.  Although glucose is a main source of fuel, taking in much more than you need is NOT healthy.  Like so many other things in life, while some glucose is good, more is definitely NOT better.  Think of it this way.  Glucose for your body is like gasoline for your car.  Let’s say you have a 10 gallon gas tank and run it close to empty.  If you go to the gas station and put in about 10 gallons of gas, things are good.  You can drive away, you’re happy, the gas station owner is happy.  However, if you try to pump in 20 gallons of gas and spill 10 gallons all over the ground, now you have a problem, it becomes a hazmat situation because that excess gas on the ground Is damaging to the environment.  Well, this is exactly what happens if you take in more glucose than you need.   The average person can store around 1-2 hours of glucose-based fuel in their bodies, depending on how well they are trained.  Glucose that is to be stored is converted into glycogen where it is kept in our muscles and in our liver.  If you do some exercise and burn off some of your glucose stores, you should be eating some sources of glucose to replenish your reserves.  However, if you go overboard and take in far more than you need, it becomes dangerous.  Normal glucose levels are handled well by the body, but high levels of glucose are inflammatory in nature and what’s worse is this:  The same story applies to Insulin.  High levels of insulin are also inflammatory in nature.  So now you can begin to see the issue.  If you are consuming so much sugar that your body is constantly secreting insulin to try and allow the cells to utilize the sugar, your cells can become less responsive to the insulin which is how one becomes insulin resistant.

    23 min
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Join us every other week on The Back to Health Chiropractic Podcast, with your host, Dr. Marc Dupuis, board certified chiropractic sports physician where we discuss tips, tools and strategies for improving the health and wellness of you and your family. We cover a wide range of topics related to optimal health, optimal living and how sick people can get well and stay well without the use of drugs or surgery.

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