Cancer Vaccines & Cognitive Behavioral Therapy

The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy

CF 342: Cancer Vaccines & Cognitive Behavioral Therapy Today we’re going to talk about Cancer Vaccines & Cognitive Behavioral Therapy But first, here’s that sweet sweet bumper music

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OK, we are back and you have found the Chiropractic Forward Podcast where we are giving evidence-based chiropractic a little personality and making it profitable. We’re not the stuffy, elitist, pretentious kind of research. We’re research talk over a couple of beers. So grab you a bushel. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning 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 [e-mail] If you haven’t yet I have a few things you should do.

• Go to Amazon and check our my book called The Remarkable Truth About Chiropractic: A Unique Journey Into The Research. It’s excellent resource for you and is categorized into sections so the information is easy to find and written in a way that is easy to understand for everyone. It’s on Amazon. That’s the Remarkable Truth About Chiropractic by Jeff Williams.
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You have found yourself smack dab in the middle of Episode #342 Now if you missed last week’s episode, we talked about Lumbar Disc Regression and Music’s Effect On Dementia Make sure you don’t miss that info. Keep up with the class.

On the personal end of things…..

It’s a short week for me, many of you know that my full time side gig is as a voice actor and they’re having the big One Voice conference in Dallas this weekend so off we go. I’m taking my kid to this one. He’s 22 and thinks he wants to try his hand at voice acting so we’re going to get his feet wet and see what he thinks. Kids can me iffy. It could go either way. It’ll spark something in him or he’ll hate it. We’ll see.

Chiropractically, I am about to dive head first into a shockwave machine. I bought a course through Physio-tutors that I’m making my way through first. Once I’ve finished the course and am feeling solid on it, I’ll jump off into a shockwave machine. The way my office operates, I can’t bring something new in that will take up more of my time. I don’t have the time to give. So, as long as I can learn everything about it and then teach and delegate, then we have something. If at the end of the day it’s too hard to generate protocols and delegate, I won’t get it.

I just don’t have the time to do things myself. It’s not possible.

And let that be a lesson to you. It’s the newest latest greatest gadget, right? Everyone’s getting one, right? So that means you should get one too right? Wrong! It’s not always what you say yes to. It’s also about what you say no to. You have to protect your time. Trust me. This is coming from a guy that has busted his hump for 26 years now and failed to protect my time and my availability. So, now, I’m the dude on the hamster wheel with no path to getting off of it.

Actually, I do have a path. It just hasn’t played out yet. I have a few roadblocks I’m dealing with and changing medical providers here in the clinic hasn’t been helpful. But I think it will be soon. So, back to the point; don’t turn away patients but protect your time. You control the schedule. Don’t allow the patients to control it.

Be convenient and offer a flexible schedule but sometimes, it’s better for your productivity if a patient comes in at 3:00 instead of 3:45 so give them the 3:00 choice and make sure they know that’s when they can be seen the fastest. Just don’t tell them you’ll be available at 3:45 but that time is already earmarked for marketing or for a team meeting or for brainstorming and goal setting, or whatever. Just protect your time to the best of your ability without losing or turning away business. That’s all. Just a tip from your Ol’ Uncle Jeffro there.

Item #1

The first one this week is called “The promise of vaccines to treat cancer” by NBC News that just came out last week so it’s hotter than a $2 pink pistol! Remember, the citations or links can be found at chiropracticforward.com under this episode. https://www.nbcnews.com/paid-content/paid-content/promise-vaccines-treat-cancer-n1310224?utm_source=Facebook&utm_campaign=FBPaidPost1&fbclid=IwZXh0bgNhZW0BMAABHVQwHCVFVrXEB1rPJVpNVuAMNFpjyIBovF7ITxGJu23eH5pku89wzEb9qA_aem_E68bKa9WJjTAFv35r75-_A&utm_medium=paid&utm_id=120210984734920033&utm_content=120210984900240033&utm_term=120210984858110033 Cancer is a common disease in the U.S., with about 40% of people developing it in their lifetime. Scientists are working on cancer vaccines to both treat and prevent cancer. These vaccines work in three main ways:

• Treatment: Fighting existing cancer

2. Preventing recurrence: Stopping cancer from coming back in patients who’ve had it

3. Prevention: Stopping cancer before it starts, like other vaccines

Researchers at Mayo Clinic are developing personalized cancer vaccines. These teach the body to recognize and attack specific proteins on cancer cells. This targeted approach could be better than chemotherapy, which often harms healthy cells too. “We know that human cancers are widely different,” says Keith L. Knutson, Ph.D., co-leader of the David F. and Margaret T. Grohne Cancer Immunology and Immunotherapy Program at Mayo Clinic Comprehensive Cancer Center in Florida and a professor in the Mayo Clinic College of Medicine and Science. “We can target multiple antigens, and some of those do overlap. Our challenge is in developing vaccines across the notable differences among varying cancer types.” There are ongoing trials for breast cancer vaccines, including for aggressive types like triple-negative and HER2-positive breast cancers.

They’re also working on a vaccine to prevent breast cancer in people who’ve never had it. Another exciting development is a vaccine for ovarian cancer, which is often deadly. In a small study, 40% of patients who received this vaccine have been cancer-free for almost 10 years, much better than the usual 10% survival rate. This ovarian cancer vaccine uses special immune cells called dendritic cells to boost the body’s immune response. It’s personalized for each patient using their own white blood cells. While most cancer vaccines are still being tested, researchers are making progress. The goal is to create effective, personalized treatments that help the body fight cancer with fewer side effects than current therapies.

Item #2

The last one this week is called, “The effectiveness of cognitive behavioural therapy in chronic neck pain: A systematic review with meta-analysis” by Korakakis et al and published in Cognitive Behavior Therapy in May of 2022 and online in July of 2023 so it’s fairly recent. Ploutarchou, G., Savva, C., Karagiannis, C., Pavlou, K., O’Sullivan, K., & Korakakis, V. (2023). The effectiveness of cognitive behavioural therapy in chronic neck pain: A systematic review with meta-analysis. Cognitive Behaviour Therapy, 52(5), 523–563. https://doi.org/10.1080/16506073.2023.2236296

Why They Did It

We evaluated the effects of Cognitive Behavioural Therapy (CBT) alone or with additional interventions on pain, disability, kinesiophobia, anxiety, stress, depression, quality of life, and catastrophizing of patients with chronic neck pain (CNP)

How They Did It

• Nineteen studies met the inclusion criteria, and fourteen studies were quantitatively analyzed.
• Risk of bias was assessed using the PEDro scale and the certainty of evidence using the GRADE approach.
• Studies were pooled (where applicable) and subgroup analyses were performed for CNP, or whiplash-associated disorders.
• Studies compared—directly or indirectly—CBT interventions to no treatment, conservative interventions such as exercise and/or physiotherapy, or multimodal interventions. We present effect estimates at 8-week, 12-week, 6-month, and 1-year follow-up.

What They Found

• Low certainty evidence suggests a clinically significant pain reduction (short-term) favoring CBT with or without additional intervention compared to no intervention
• Very low and low certainty evidence suggest clinically significant improvements in kinesiophobia (very short-term, depression, and anxiety favoring a multimodal intervention with CBT (short-term) compared to other conservative interventions.

If you’re not taking advantage of the newer thinking around centralized or upregulated sensitization and chronic pain, you’re missing a big piece of the pain puzzle, folks. Reach out to me at [e-mail] if you want an article that I wrote to hand out to all of my chronic pain patients. I think you’ll like it. Also, I teach a 1-2 hour course to other chiropractors called Chronic Pain and the Upregulated CNS.

Be sure to book me for one of your state’s or organization’s conferences. 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.

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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

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