Mic'd Up with ChiroUp: A Chiropractic Podcast: Recent Episodes
Dr. Brandon Steele & Dr. Tim Bertelsman
Mic’d Up with ChiroUp is a podcast that aims to help chiropractors get better clinical results. The information is out there to help us help our patients, and we want to assist in the knowledge transfer of this information to the chiropractic community. We'll dive into the latest chiropractic evidence-based research and discuss the best tools to help you diagnose, prescribe, and market outcomes. Have a listen!
In this episode of Mic’d Up with ChiroUp, we unpack a real-life case that hits close to home for anyone in musculoskeletal care: a 50-year-old patient with stubborn hip pain who’s caught between failed conservative care and an unwanted surgery.
You’ll hear how we navigated that clinical crossroads—what didn’t work, what finally did, and how PRP injections and regenerative medicine opened a new door.
We also dig into how chiropractors can lead within a collaborative care model, and how technology—specifically a smarter EHR—can actually enhance evidence-based practice.
Sources:
Almutairi AN, et al. (2024). PRP vs standard care in hip OA – RCT Systematic Review: PRP injections led to significant pain and functional improvement in hip OA patients, with no major adverse events, outperforming hyaluronic acid.
Nouri F, et al. (2022). PRP vs Hyaluronic Acid RCT: PRP provided longer-lasting (6+ months) pain relief and better hip function than HA in grade 2–3 hip OA. Adding HA to PRP did not significantly enhance results.
Pereira TV, et al. (2025). Network Meta-analysis of Injections: In knee/hip OA, biologic injections (PRP ± HA) demonstrated the most sustained pain and function improvements up to 12 months, compared to corticosteroids or placebo.
Xu C, et al. (2022). Long-term Follow-up in Knee OA: PRP-treated patients had higher 6-year survival from surgery (90% vs 74%) and greater satisfaction than those treated with HA, suggesting disease-modifying potential.
Giorgino R, et al. (2024). Systematic Review – MSC Therapy in Hip OA: Intra-articular MSC injections showed pain relief, functional gains, and imaging signs of cartilage repair with minimal adverse events, though higher-quality trials are needed.
Entessari M, et al. (2023). Review – Stem Cells in Hip OA: 5 of 6 studies reported significant improvement post-MSC injection; no major complications noted, underscoring a positive safety and efficacy trend in early clinical experience.
OARSI/Guidelines Synthesis (2022): High-quality guidelines thus far have recommended against PRP or stem cell injections in hip OA due to insufficient evidence, but more recent research and some regional guidelines are neutral or cautiously optimistic, reflecting evolving evidence.
Post-injection Rehab Principles: (Physiopedia, 2023) Contraindications for PRP include immunosuppression and active infection; and (Clinical consensus) gradual rehabilitation after PRP/MSC is essential to protect healing tissue while restoring function.
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Every chiropractor knows the frustration: your clinical skills are sharp, your treatment plan is solid, but the patient never returns after visit two. In this episode, we're tackling one of the biggest challenges in practice—patient compliance. Join us as we explore how understanding patient psychology, specifically cognitive dissonance and buyer's remorse, can radically transform your communication and retention strategies.We’ll show you how small tweaks to your messaging, expectations, and follow-up can build trust, reinforce patient decisions, and keep your treatment plans on track. Tune in to learn how to become not just a better chiropractor—but a better communicator.
Not yet a ChiroUp subscriber? Get started for free at https://chiroup.com/free-trial
Sign up for our free weekly chiropractic blog here: https://chiroup.com/blog
Learn more about our new EHR here: https://chiroup.com/ehr
If you’re an evidence-based chiropractor committed to delivering better outcomes and running a tighter ship, this episode is for you. In this podcast, we dive into Mastering the Hip, breaking down how a single orthopedic test can unlock the diagnosis behind common and often-missed hip pathologies. You’ll learn how to clinically recognize and effectively treat conditions like labral tears, hip impingement, and sacroiliac joint dysfunction using practical, research-backed strategies.
Plus, we discuss the critical role of signing SOAP notes—not just for compliance, but for protecting your license, improving documentation, and enhancing clinic operations. We’ll also explore new software tools that ensure no note goes unsigned, empowering practice owners with clarity and accountability. Don’t miss this deep dive into clinical precision and operational efficiency.
Not yet a ChiroUp subscriber? Get started for free at https://chiroup.com/free-trial
Sign up for our free weekly chiropractic blog here: https://chiroup.com/blog
Learn more about our new EHR here: https://chiroup.com/ehr
This episode is packed with practical, evidence-based insights to help chiropractors sharpen their Carpal Tunnel Syndrome (CTS) diagnosis. Dr. Steele breaks down which CTS tests are truly reliable, how to interpret negative orthopedic tests—often overlooked yet critical for ruling out conditions like cervical radiculopathy and thoracic outlet syndrome—and how to apply these findings in real-world practice.
Then, Dr. Bertelsman sits down for a Q&A session with Dr. Steele to share key lessons from 50 clinics that have successfully transitioned to our new EHR system, offering valuable takeaways and insights for the future!
Not yet a ChiroUp subscriber? Get started for free at https://chiroup.com/free-trial
Sign up for our free weekly chiropractic blog here: https://chiroup.com/blog
Learn more about our new EHR here: https://chiroup.com/ehr
In this episode of Mic’d Up with ChiroUp, we deliver a fast-paced, 30-minute session packed with actionable insights to elevate your chiropractic practice. You’ll uncover the game-changing power of collaboration through personal growth lessons from a mastermind event, followed by a clinical deep dive into managing whiplash injuries.
Learn 8 surprising facts about whiplash, discover the orthopedic test that tracks patient progress, and master imaging decision-making after auto accidents. Plus, hear a compelling personal story linking the acne medication Accutane to musculoskeletal pain in young athletes—an eye-opener for any chiropractor treating active patients. Tune in for expert advice, relatable stories, and practical tools to transform your practice today!
Not yet a ChiroUp subscriber? Get started for free at www.chiroup.com/free-trial
Sign up for our free weekly chiropractic blog here: www.chiroup.com/blog
Are you ready to transform your thoughts about heat and cold therapy? In this episode, Tim and Brandon uncover research-backed insights to revolutionize your understanding of injury recovery. Explore the science behind cryotherapy and how it reduces inflammation and pain in conditions like acute injuries, migraines, and post-surgery recovery.
Then, delve into the cellular mechanics of heat therapy and discover when and how it can accelerate healing beyond the initial 12 hours after an injury. With practical tips on application, including ideal temperatures and durations, plus a deep dive into surprising advancements in chiropractic care from the founders of ChiroUp, this episode is packed with game-changing information.
Read the associated blog here: www.chiroup.com/blog/heat-vs-cold-therapy-which-is-best-for-musculoskeletal-injuries
Not yet a ChiroUp subscriber? Get started for free at www.chiroup.com/free-trial or visit www.chiroup.com/pricing to take advantage of our New Year Sale! *Offer valid for new subscriptions only. Offer expires 1/17/25.
In this episode, we dive into four key topics to help chiropractors improve their clinical practice.
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Key risk factors that can delay tissue healing—and how to address them.
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Practical ways chiropractors can speed up patient recovery.
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A new treatment technique that could revolutionize how you approach myofascial pain.
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A fun twist with the “name game,” exploring how a patient’s name might impact their care and patient flow.
Buckle up, and let’s get started! If you enjoy this episode, share it to help more chiropractors enhance their clinical outcomes and business performance.
As Dr. Steele mentioned, you can review Dr. Bertelsman's latest blog on Heat & Ice Therapy here: https://chiroup.com/blog/heat-vs-cold-therapy-which-is-best-for-musculoskeletal-injuries
Not yet a ChiroUp subscriber? Get started for free at www.chiroup.com/free-trial
In this episode, we’re diving into some intriguing topics that might catch you off guard—oversized display booths, innovative research on treating dizziness, and, yes, even cankles. I know it sounds a bit quirky, but stay with us! These discussions are packed with insights that can transform your practice and deepen patient engagement.
Of course, today's episode will include one clinical discussion: the identification and treatment of high ankle sprains. We’ll also share some new research on treating patients with BPPV who suffer from concurrent neck and back pain.
As a bonus, we’re dropping a HUGE announcement for our subscribers that you won’t want to miss!
Want to learn more about our EHR? Visit chiroup.com/ehr
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In this episode, we’re diving into the fascinating worlds of scoliosis studies and heel pain, mainly focusing on the Achilles tendon—the most common culprit of posterior heel pain.
After receiving fantastic feedback from our last episode on heel pain, we knew we had to address Achilles tendinopathy directly! If you missed our previous discussion, check out Part I here.
But don’t worry; we’re about to dig even deeper! Join us for the next 30 minutes as we unravel the mysteries surrounding these topics—because understanding these conditions is essential for every chiropractor’s toolkit.
In this episode, we explore the complexities of plantar fasciitis and discuss how common misconceptions can lead to misdiagnosis and ineffective treatments. We also discuss the key differences between plantar fasciitis, heel pad syndrome, and other mimickers like Baxter's neuropathy and stress fractures.
Learn how to effectively manage these conditions with practical tips, treatments, and exercises. Plus, stick around as we discuss the exciting developments with ChiroUp’s EHR!
This episode explores the intersection of cutting-edge technology and quality patient care, focusing on artificial intelligence and its impact on the chiropractic profession.
Like many of you, we’ve been captivated by big dreams since watching The Jetsons in the 1980s—a world of flying cars, talking dogs, and Rosie the robot maid. Interestingly, The Jetsons originally debuted in 1962 as ABC's first color broadcast. However, it faltered in its early days, airing at night to an audience not yet ready to appreciate its futuristic vision.
It later found success in the 1980s on Saturday mornings, showing that timing and readiness are crucial for revolutionary ideas to thrive. Today, we stand at the precipice of another technological revolution: Artificial Intelligence.
Join us as we explore AI’s potential to transform healthcare, tackling the complexities of musculoskeletal disorders, the challenge of interpreting symptom variability, and how chiropractors can guide AI to better serve our patients.
PLUS, take advantage of our BOGO summer sale! Visit https://chiroup.com/pricing to claim this offer!
In this special episode for Subscriber Appreciation Month, we delve into effective strategies for boosting patient engagement and overall clinic performance. Learn how to utilize digital tools, encourage online reviews, and optimize your social media presence to attract and retain patients.
We discuss the importance of defining your practice's purpose, motivating patients through personalized care, and setting realistic expectations. Discover actionable tips to simplify exercises, address patient barriers, and ensure consistent improvement.
Join us for an insightful episode where we debunk the myth of rib dislocations and delve into the real culprits behind mid-thoracic spine pain. Dr. Bertlesman and Dr. Steele explore costovertebral joint dysfunction, dorsal scapular neuropathy, and notalgia paresthetica, offering in-depth insights into best-practice treatments and effective differentiation strategies.
Join us for our latest episode as we dive into effective strategies for managing shin splints, aka Medial Tibial Stress Syndrome (MTSS). This episode is packed with actionable insights and innovative techniques tailored specifically for treating your running patients. Explore the latest research and gain valuable tips for preventing recurrence of this condition. Plus, stick around as we discuss the exciting developments happening with ChiroUp!
Dive into the latest episode of Mic’d Up with ChiroUp as we tackle common challenges in chiropractic practice. From addressing staff shortages to managing patients with unique symptoms like numbness, tingling, and dizziness, this episode is filled with practical insights and innovative techniques. Discover a new exercise for patients with Meralgia Paresthetica and an improved approach to handling BPPV cases. Tune in to stay ahead with valuable practice pearls, cutting-edge research updates, and a wealth of chiropractic news and resources.
This podcast episode distills the top five research articles from thousands of studies published in 2023, debunking myths and shedding light on groundbreaking discoveries. From the World Health Organization’s endorsement of spinal manipulation therapy for low back pain to dispelling the association between SMT and strokes, each segment is a treasure trove of evidence-based insights.
Have you ever wondered why your patients complain about their ribs being “out again”?
Dive into the latest podcast episode featuring a fascinating exploration of two common causes of thoracic spine pain: Dorsal Scapular Neuropathy (DSN) and Costovertebral Joint Dysfunction. Uncover the lesser-known world of DSN, where misdiagnosis is common, and learn to recognize its symptoms, from nocturnal pain to winging scapula. Delve into the details of the DSN nerve, orthopedic testing, and effective treatment strategies, including spinal manipulation and nerve flossing.
But that’s not all! Explore the realm of Costovertebral Joint Dysfunction, understanding its role in thorax stability and how manipulation becomes the mainstay for rapid recovery. Whether dealing with patients with recurring pain or seeking diagnostic insights, this podcast is your go-to resource for expanding your expertise.
In today’s episode, Brandon and Tim will shed light on a condition often overlooked or misdiagnosed – deep gluteal syndrome. This elusive ailment manifests as chronic buttock pain, extending to the lateral and posterior thigh, mimicking other common issues like hamstring tendon pain.
Join us as we explore the intricacies of deep gluteal syndrome, differentiating between Ischiofemoral Impingement and Piriformis Syndrome, two major culprits behind the scenes. We’ll provide valuable insights for chiropractors, offering diagnostic approaches and treatment protocols to address this condition effectively. So, whether you’re a seasoned practitioner or someone eager to expand your knowledge, stay tuned to position yourself as a thought leader and problem solver in musculoskeletal health.
But there’s more in store – prepare for an in-depth conversation about recognizing and treating vertebral compression fractures. We’ll address the challenging queries, including whether to brace or manipulate them, the necessity of ordering imaging, and the optimal referral timing in these cases.
Finally, for chiropractors with a specific interest in musculoskeletal sports injuries, we’ve got you covered on ankle fractures, sharing foolproof rules to rule out fractures in 99% of cases. And if that isn’t thrilling enough, stay tuned for a sneak peek into the future of ChiroUp with groundbreaking features set to revolutionize your intake process.
This episode discusses the business aspect of implementing a no-show policy for chiropractic offices. Dive into the details of its creation, explore the tangible results we’ve observed, and gain access to our policy for you to implement.
But there’s more in store – prepare for an in-depth conversation about recognizing and treating vertebral compression fractures. We’ll address the challenging queries, including whether to brace or manipulate them, the necessity of ordering imaging, and the optimal referral timing in these cases.
Finally, for chiropractors with a specific interest in musculoskeletal sports injuries, we’ve got you covered on ankle fractures, sharing foolproof rules to rule out fractures in 99% of cases. And if that isn’t thrilling enough, stay tuned for a sneak peek into the future of ChiroUp with groundbreaking features set to revolutionize your intake process.
In this solo episode of Mic’d Up with ChiroUp, Brandon dives into the world of cervical radiculopathy and explores the following key learning objectives:
1. Understanding Cervical Radiculopathy: We’ll explore the root causes of this condition and the possible connections between mechanical nerve compression and/or inflammation resulting from disc injuries.
2. The Mystery of Rapid Onset: One intriguing aspect to be discussed is how cervical radiculopathies can sometimes develop surprisingly quickly, even though they are typically associated with a degenerative process. This insight can potentially enhance your ability to provide timely and effective treatment.
3. Orthopedic Testing Techniques: Lastly, we’ll offer insights into the use of positive and negative orthopedic testing. This can be a valuable tool for improving the accuracy of diagnosing and treating cervical radiculopathies.
Are you curious about the intriguing world of spinal curves and degenerative joint disease (DJD)? Tim and Brandon are ready to share their valuable insights, offering not just opinions, but also essential facts that every chiropractor and patient should know. They’ll address those nagging questions that you encounter frequently. Brace yourself for the revelation that these matters indeed matter, but perhaps not in the ways you initially thought.
In this episode of Mic’d Up with ChiroUp, we’ll uncover essential subjects like Codman's critical zone, the evolution of Charles Neer's shoulder dysfunction continuum, and dispelling myths about the acromion's impact on rotator cuff tears. Gain expert perspectives on steering patients clear of needless arthroscopy for shoulder impingement syndrome. And that's not all – explore insights into diabetic neuropathy and the effectiveness of foot insoles. Elevate your chiropractic practice and patient care by tuning into this informative podcast.
Welcome to an insightful episode of our podcast, where we take a deep dive into the chiropractic management of carpal tunnel syndrome (CTS). Join us as we unravel the complexities of this condition caused by mechanical compression of the median nerve within the carpal tunnel.
One of the highlights of this episode is the exploration of eight evidence-based treatment methods to effectively manage carpal tunnel syndrome. Gain valuable insights into the most effective and proven interventions that can significantly alleviate symptoms and enhance patient outcomes.
Join us for a special episode where we explore questions asked by our subscribers from our previous episodes. We’ll dive into Maigne Syndrome, Cluneal Neuropathy, Peripheral Neuropathies, Anterior Knee Pain, Ischiofemoral Impingement, and Thoracic Outlet Syndrome. Your suggestions shape our content, so keep them coming! Let's deepen our understanding of chiropractic care together.
In Podcast 9, we explore chiropractic's burning question: What causes the popping sound during joint manipulation, and does it matter? Discover the underlying causes of joint cavitation and the beliefs of providers and patients regarding its significance.
And that's not all. We'll also touch on MD marketing and the fascinating topic of Bertolotti syndrome, keeping you up to date on the latest research in chiropractic care. Tune in to Podcast 9 for an episode packed with knowledge and practical insights to elevate your practice.
In this episode, Tim and Brandon dive into the fascinating world of neuropathic pain. Have you ever been curious about how our nerves can both transmit and produce pain signals? If so, then you won't want to miss out on this deep dive into this complex topic.
During this episode, we will be dissecting a common orthopedic condition that is often mistaken for sciatica - ischiofemoral impingement. By the end of the podcast, you will have a clear understanding of how to identify and effectively treat this condition.
If you're a chiropractor looking to gain a deeper insight into this commonly encountered diagnosis, then this podcast is a must-listen. Tim and Brandon will be sharing some of the industry's best-kept secrets, giving you the tools you need to recognize and treat ischiofemoral impingement effectively.
In Podcast 7, listeners will learn about cervicogenic vertigo and why it is crucial to understand it. The podcast delves into the causes of cervical vertigo, including anatomical and physiological factors and common triggers such as neck trauma and degenerative changes in the cervical spine. Additionally, listeners will gain insight into the most common symptoms of cervicogenic dizziness and how they differ from other forms of dizziness. The podcast also covers the critical assessment findings used to diagnose cervicogenic vertigo and the importance of ruling out other potential causes of dizziness. Furthermore, listeners will learn about the differences between benign paroxysmal positional vertigo (BPPV) and cervical vertigo and the importance of making an accurate diagnosis for appropriate treatment. Lastly, the podcast covers the different treatment options for cervicogenic vertigo and the evidence supporting each treatment's effectiveness. Overall, this podcast is an informative and essential listen for anyone looking to understand cervicogenic vertigo better.
This podcast has an exciting lineup of topics to discuss. First, we'll dive into new research on platelets versus steroids for spinal injections—guess the winner. Next, we will dive into the condition of the month: Thoracic Outlet Syndrome (TOS). We'll explore the differences between vascular and neurogenic TOS and how the entire nerve becomes irritated from long-standing adhesion, compression, or injury. Tim and Brandon will share their six evidence-based methods for treating neurogenic TOS and provide their favorite exercises. And, as always, we have two exciting announcements from ChiroUp- including a downloadable new infographic on the use of medication versus manual therapy and a new research synopsis by Walter Herzog on the safety of cervical manipulation. So, sit back, relax, and let's get started!
In today's podcast, we will discuss condition-specific prognosis, and why your treatment plan duration is dependent on the tissue injured and associated healing time, not your office policies. We will also gain an understanding of a lesser-known cause of lumbar radiculitis, which is called friction radiculitis. You will learn the factors that delay the recovery of patients with friction radiculitis including a lack of knowledge about the condition, treatment options, and obtaining the proper clinical resources for this condition. Finally, we will finish the podcast by discussing some new research studies that may just change the way you think about spinal manipulation.
Patellofemoral pain syndrome (PFPS), also known as “runner’s knee,” is a common condition that causes discomfort, swelling, and crepitus in the knee. It can be caused by trauma or imbalanced forces on the joint, and is often the result of muscular imbalances and excessive stress on the knee. PFPS is the most common cause of knee pain, affecting around 25% of adults and potentially as many as 10% of young athletes. It is often related to lateral tracking of the patella, which can be caused by imbalances in the stabilizing muscles of the lower extremity, as well as factors such as flat feet, hip and foot alignment, and weakness in the gluteus medius muscle. Other risk factors for PFPS include joint overload or overuse, trauma, tight lateral knee capsule, patellar hypermobility, and muscle imbalances, particularly in the quadriceps or iliotibial band. Loss of core stability is also a risk factor. Chiropractic treatment may include manual therapy, exercises to strengthen the muscles around the knee, and the use of orthotics or other supportive devices. Check out our New Year’s Sale here.
A randomized control study in The American Journal of Sports Medicine fueled this podcast. They compared treating an elbow with chronic tendinitis with a corticosteroid or treating it with conservative measures. This podcast will detail the findings, then provide real-world advice with supporting evidence surrounding the diagnosis and treatment of Lateral Epicondylitis. Tim and Brandon will also relay past stories and patient encounters, highlighting the intersection between research and action. This podcast lets the listener immediately implement new evidence-based information into their practice. Get to know the company behind the Podcast | Try ChiroUp for Free.
This podcast will detail four findings, then provide real-world advice with supporting evidence surrounding the diagnosis and treatment of Cubital Tunnel Syndrome. Tim and Brandon will also relay past stories and patient encounters, highlighting the intersection between research and action. This podcast allows the listener to immediately implement new evidence-based information into their practice.
Maigne syndrome and cluneal neuropathy are commonly overlooked causes of pain in the lumbosacral region, iliac crest, and buttock. In fact, the pair are causative or contributory in up to 40% of LBP cases. And that prospect increases as symptoms extend over the posterior iliac crest. Maigne syndrome typically results from irritation of a thoracolumbar dorsal ramus. Facet joint dysfunction, degeneration, and instability are common culprits. Maigne syndrome is particularly elusive because the anatomical site of origin is often asymptomatic. This podcast will cover the essentials of management, including the most appropriate assessments, treatments, and exercises.