Mid Back, Thoracic Spine Problems and Solutions

00:06-04:33Thoracic Spine XRay!
04:43-10:20Scheuermann’s Disease Xray
10:28-15:29Compression Fracture Xray
15:37-24:32Improving Thoracic Spine Mobility
25:07-33:35The Golf Swing
33:36-36:44Cerenity PM and Magnesium

Thoracic Spine XRay!

Dr. Clayton Roach: [00:00:06] So tonight then, what are we talking about, buddy?

Dr. Ben Boudreau: [00:00:09] Yeah, so we got to the thoracic spine or the middle back, right. The thoracic spine is the area in the middle back that connects the neck to the lowest part of your back, the lower back. It’s also the only part of your spine that connects the rib cage. Each one of those thoracic segments and there’s 12 of them, has ribs that come off the side of them. They play a huge role in your ability to take in a breath and expand your chest. And so we’ll be talking about this later on. So the thoracic spine is involved in four big main things, which is your posture. So keeping you upright, it’s involved in that.

It’s involved in the movement of your upper limbs and so your arm. So the more favourable position, the better posture you have the better movement that you’re able to have. It’s also involved in your lower limb movement. We’ll talk about that later through the kinetic chain. As I mentioned before, breathing. The thoracic spine, hugely, hugely important part. It cannot be ignored because a lot of people come in with mid-back, middle-back pain. Yeah. Goldman, perfect. And so what I like to describe to you guys here is just those images and so you can see the x-ray and there are two images there, a lateral thoracic spine image and an anterior

Dr. Ben Boudreau: [00:01:32] posterior or A to P image of the thoracic spine. And so this is one of those difficult areas to imagine because there are so many soft tissues over the top, namely the lungs, the heart. You got the esophagus, you’ve got the trachea there. So there’s a lot of things that can cloud what you see on an X-ray. And really, the best way to see it is on that lateral side, and so we’re looking at the curve there. You can look at that lateral view, you can see all those vertebrae and you can count 12.

And so what you’re looking for here in the thoracic spine, because it is the area of the spine with the smallest disc spaces, so the disk spaces normally aren’t very wide like they are in the lumbar spine or in the cervical spine, for instance, they’re usually fairly small. And so you can expect to have those big wide disk spaces as you would normally have. But you’re looking for the segments to be regular. You’re looking for them to be nice and square. We’ll talk about this a little bit later, what they look like if they were perhaps under some type of stress, but in a normal individual and an individual without pain, without any arthritis, they would be square vertebral bodies.

Dr. Clayton Roach: [00:02:57] So let’s do a little quiz here. So who here can tell us you can see it over here, I’ll kind of outline it here and I’ll go over here as well, who can tell us what this. The Radio Lucent area is here. So go ahead in the comments section, if you know what that is. Tell us in the comments section.

Dr. Ben Boudreau: [00:03:28] So, guys, that structure there and really this is what makes it difficult to image the thoracic spine, especially through the middle of the chest area, is because we have such dense soft tissue above it. And that’s the heart right. So Dr. Roach outlined the heart. Therein lies a little bit left of center. And so a lot of people will say that the heart is right up in here. Well, it’s kind of true. It’s just off the center there. You can feel it beating in between the chest, just underneath the pectoralis major or your muscle until the heart or structure there.

Dr. Clayton Roach: [00:04:11] Yeah, sometimes, you know, somebody said fluid. Now you can sometimes see, like the size of the heart. And if it is bigger than usual, you can sometimes see from the X-ray and maybe the other imaging, more imaging heart really should be done if you’re seeing that the heart is the normal size. All right.

Scheuermann’s Disease Xray

Dr. Ben Boudreau: [00:04:35] Definitely. It can definitely create a lot of shadows and it can create a lot of difficulties when you’re trying to see structures that are involved. And so you have to be able to correlate the angulation of the thoracic spine with some of the findings that you may have. That’s why I wanted to put these images here to show the difference between something that is normal. Right, which is what we saw in that previous image and structures that are impacted by some type of congenital anomaly or issues such as arthritis or fractures through the back.

If we look at the image to the left, this is a condition called Scheuermann’s or Sherman’s, and it causes an acute kyphosis through the mid-back. And that means that it causes a really sharp bend through the back there. And if we look at the x-ray to the left there. You can see that there is almost little endplate necrosis, so dead bone at the endplates of the actual vertebrate.

Dr. Clayton Roach: [00:05:49] So what Ben is talking about here, if you looked on the right side here, you see how you can see the top part of the vertebrae. You can see the bottom part of the vertebrae here. It is not as defined. It’s almost the same colour as here. It’s almost dark here. So the bottom part and look at this one, right. Like this is really messy here. And it becomes very hard to determine where the vertebrae end and where it starts. And so those clean boxes that you see here on the right-hand side are not quite as defined on the left side.

Dr. Ben Boudreau: [00:06:26] So this is developed and it doesn’t just happen in older individuals. This happens at a young, young age. And so it can start to develop. And they usually notice this as young as the age of 12 and then even as old as 17, they’ll start to pick this up, that there’s a very acute bend in the mid-back that seemingly occurred out of nowhere. There’s a male predominance to this. And so men are more commonly affected by this condition than women. But the exact cause of the condition is unknown. So but the proposed mechanism is that there’s a depth of the actual endplates of those vertebral bodies.

So the bottom part of the vertebrae from the top, like the just the top and bottom of the vertebrae there, there’s the actual death of the vertebrae. And commonly you’ll see disc herniation as well with this condition. And actually, there’s a small description that you can see just the schmalz node on the inferior endplate of the vertebrae just there, a small schmalz node, as you can see. So that is actually a description that protrudes superior and so up into the vertebral body above. And so it’s indicative of that basically those that narrowing of the spacing of the disk space there.

Dr. Clayton Roach: [00:07:58] So let’s just talk about that for a second just to orient people. So you’ve got one vertebra on top and you’ve got one vertebra below. And what we’re talking about, the necrosis or the hard tissue death is that every vertebra has a ring on top and below, and then the outside part of the vertebrae is made from someone of a different structure. And that part is what starts to die. So the outside perimeter of the bone, so the outside part of the donut, so to speak, begins to die. So the vertebrae start to crumble. And then what can happen? The disc, which would typically herniate or bulge to the side where the nerves are, the ones that create the pain going down the leg instead of her needs to the side, go straight up.

And what happens? Because we said there’s tissue death. That bone is not very strong in the bottom. The herniation bumps up against the bone and creates an indent because the bone here is not strong. That’s what we call a Schmorl’s node that basically the the the bone, the middle part of the disc, which is the water herniated upwards first is to the side where we’re used to seeing those disc herniation affect nerves that go down the leg and arm. Very, very different conditions. And I’ve seen probably a dozen of these in the clinic.

And because we see kids obviously in the clinic, we tend to see these as well. If you haven’t seen one yet, then you definitely will. And it’s a very interesting case because you definitely have to be somewhat more fragile. I am sorry, you have to be somewhat more careful in terms of how much pressure you place on. That’s fine. But there are definitely things that you can help to mitigate the pain and some of the issues that they’re having.

Dr. Ben Boudreau: [00:09:46] Yeah, because definitely one of the goals of care would be to improve the posture, to improve that and prevent it from progressing and getting any worse. And so a case like this, certainly if an individual has this type of disease, they should be seeing a chiropractor regularly to have their back checked, ensuring that the curve isn’t progressing or getting any worse and that their relief and getting relief from some of the stresses placed on the muscles there from the unfavourable position that they’re being placed into.

Compression Fracture Xray

Dr. Clayton Roach: [00:10:20] And so, yes, on the right, we’re going to the right image, no, yeah. So on the right image, I’ve already put the markers on the corners of this vertebrate here and I’ve put the corners on the vertebrae here. What I want you to notice is if you go to the one above, you will notice. I think there are basically two compression fractures here. Ben. Yeah, you can see that. The back of the vertebrae right here. Is longer than the front of the vertebra if you draw a straight line back. The front is not as wide as the back, so the front part has been compressed and that’s what we call a compression fracture worst off here. You will see.

The vertebrae are almost a triangular shape here. So there is some nasty stuff happening in that Medoc and, you know, God knows how that happened. The vertebras do appear very, very dark this air over here. And this is bone and the bone is not white at all. So more than likely, this person has osteoporosis. She could or he could have fractured a vertebrae compression fracture, as you can see here, simply by leading into a deep freeze. Right. Somebody giving them a hug, bending over to depending on how fragile the spine is to just tie their shoes. Right. So the compression happens on the front and the vertebrae collapse on the front. And that’s why you see a different height. You see a different height on the front than you do in the back of the vertebra.

Dr. Ben Boudreau: [00:12:03] Yeah. This is I would say that this is an old compression fracture because none of the corners seem to be sharpened, there’s some sclerosis a little bit around the ends. Actually, some people can be walking around with these fractures, have made back pain, think that it’s just old, old mid back pain when actually they’re walking around with healing compression fractures. And these can happen very easily in individuals who do have osteoporosis. There are people that have had compression fractures, something simply from stepping out, just stepping off a step, the pressure from the field, travelling up through the back and eventually landing at that segment there.

Dr. Clayton Roach: [00:12:48] Yes. So those people, when you talk about osteoporosis, definitely have to load up on the dark leafy greens. That’s where they going to get the calcium, not necessarily just not from milk, dark leafy greens. So there are definitely things you need to do. Their vitamin D, there are many other things. But just to highlight a few.

Dr. Ben Boudreau: [00:13:06] Yeah, definitely. And so greatly impacted with both conditions. Again, if you get this curving right, if you get this acute kyphosis or the mid-back, it’s going to have an impact on the structures that are around it. So you spoke a lot about how breathing is impacted. Right. And so the chest cavity is enclosed and you are lacking that curves that extension. You’re not going to be able to extend your ribs properly. Your diaphragm is not going to be able to fully contract. And so you have to think about as one of your goals for treatment, especially with an acute kyphosis such as this, that you want to be able to improve the breathing room.

You want to be able to improve that, especially when it comes to other things, other physiological mechanisms. So breathing is extremely important when you take a look at the brain. And I know I think I’ve mentioned this in another type of conversation, that the cerebellum, which is the part of the brain that allows you to be able to stand upright, do stuff like touching your nose with your eyes closed, balance, that part of the brain called the cerebellum will take up nine percent of the oxygen that makes it to the brain.

Dr. Ben Boudreau: [00:14:21] So imagine now you’re this guy or these people on these rays where you don’t have the ability to expand your chest to take a deep breath. What ends up happening? You start to breathe and imagine having this condition since you’ve been 12 years old, your shallow breathing your entire life. Now the cerebellum is now deprived of the oxygen that it so needs in order to maintain vitality and maintain integrity. So now you start to show up with senior problems at a younger age, such as the things that the cerebellum control balance. Some people start to lose their balance and they start to see atrophy.

Death of the cerebellum starts to get smaller. Now we have issues that are far more severe because of a condition that restricted your breathing and your ability to expand your chest, to be able to breathe. This is an important thing. Allowing these people to have better posture indirectly allows them to have better breathing.

Dr. Clayton Roach: [00:15:24] More capabilities of extending their lives and helping part of the brain called the cerebellum. So very important, right?

Improving Thoracic Spine Mobility

Dr. Ben Boudreau: [00:15:35] Totally true. And so what can you do about these conditions? Right so are there solutions when you have an old compression fracture in your back? Does that mean that I’m stuck like that forever? Well, no. You can begin to start the process of encouraging mobility through your middle back. And so we call these thoracic spine mobility exercises. I’m just going to speak about exercise for a moment and then we’ll run into adjustments. And normally it would go the other way around. I just want to be able to introduce it. But you want to keep the back moving even outside of the adjustment because one way of being able to maintain the movements that we’re creating here.

To help place the segments in the proper position is being able to keep them that way. And so we’re trying to encourage mobility and we’re doing that adjustment. We’re giving you that extra bit of range of motion, less pressure on the nervous system. We want you to maintain that structure. And so one of the exercises that I would commonly give to a patient who is, you know, has started chiropractic care and it’s begun to introduce that mobility is something called a cat camel. So it’s all about on the breath in arching the back, promoting that flexion at a certain range of motion Ben. Arching the low, the middle backs down to promote that extension.

And especially when you get that extra range from your adjustment, you’d be able to perform this exercise and an easier level than had you not had an adjustment in the first place. And sometimes when you don’t get your adjustment, you try to perform these exercises. You may not be performing them as correctly as you should.

Dr. Clayton Roach: [00:17:18] And let’s be real here. For the most part, most of our day is spent in the flexed posture. Right. And we’re sitting we’re sinking into the chair. Our back is flex. So this cat camel, specifically the cat part where you’re extending in your brain, your stomach towards the floor, let’s say, is super important. And then when you’re going up and down, this allows for the cerebral spinal fluid to be able to move back and forth from the sacrum all the way up to the brain. So. Very, very important exercise, Ben.

Dr. Ben Boudreau: [00:17:55] Yeah, yeah, and just for adding fluidity to the joint, know my patients and I will talk often about we’re trying to encourage proper nutrition right. To the joints. And this is one way, you know, when you go home at night, when you find that if things are beginning to stiffen up again a little bit, that you can encourage that, like Dr. Roach said, that cerebral spinal fluid, that synovial fluid to flow through the joints up the spinal canal to the brain and encourage that health, that spinal health that you’re looking for. And we had a question, how can we do this when people have sore knees?

My suggestion, you might have a different one, Ben, because that’s a great question. There are many people down on their knees. My suggestion would be if you’re having an issue where your flex and you have a hard time extending, you can start with what’s called a McKenzie protocol and basically what that means, you’d be laying flat on your stomach and you start off with just going on your elbows in what we call the Spanx position. Right. So you just basically put your elbows to your side, you put your hands and you just come up on your elbows. As you get a little bit better, you can start to push with your hands and extend your back by coming up onto your hands like you’re doing a modified pushup.

Dr. Ben Boudreau: [00:19:13] Right. So you can definitely do it that way if you have other suggestions. And that’s a great suggestion. I have one for those of you who might want to prefer to do this seated or it doesn’t take a lot. Know, we’re trying to encourage that posture. And something that I’ve spoken about before in the past conversation is something called a Bruguera exercise. It’s meant to open the chest cavity. And so you’re really trying to get that extension. So as you can imagine, if we’re spending all day more like this, a brewer is all about bringing the arms back, by your sides, palms facing forward and bringing our chests ahead, shoulders back and chest to head, arms down.

You can even extend the head up a little bit. But as you can see, my chest is coming forward and at the same time to my chest, it’s coming forward. My spine is extending. My middle back is extending its own breathing into the opposite direction than what I had been encouraging it to be all day long. So I’m trying to reverse and flip the switch. I just like the camel because you can really use breathing to your advantage and sort of slow down a little bit, whereas it’s really kind of tough. I mean, you could do like on the breath in your chest forward, but I just like a camel. It’s a good routine

Dr. Clayton Roach: [00:20:34] And a good one where are you doing that brooders exercise?

Dr. Ben Boudreau: [00:20:36] Imagine you had a plumb line that was tied to the inside of your it should be right over your shoulders, always focused when you’re extending and bringing your chessboard that your head is transiting back over the shoulder area because so many times your head is more like a chicken. So we got to be we ought to be careful of that. Yeah. Yeah. And I mean, these exercises can be tough, definitely can be tough, especially when you’re first starting. I usually tell patients in the clinic, you know, it’s they might be a little bit sore to perform first because your muscles, when you’re restricted, when you’re subject, say, to the muscles in the back, don’t want to activate.

A part of our protocol and clinic is that we adjust the mid-backs to encourage that mobility so we can turn those muscles on. We’re moving these joints slightly beyond the range of motion to get that joint to move properly and into the proper position there. That’s why I’ve included adjustments here because it is the most important part of getting that spinal mobility encouraging. That’s very encouraging, that joint health without the adjustment. There’s only so far that you can take it. I want to talk about something because we’re talking about this right now.

Dr. Clayton Roach: [00:21:49] People don’t realize that when they are slow to forward, what that does is where the risks are, particularly on the sternum, on the front side. It forces their ribcage to bunch up on the front side because you’re rounding your shoulders. The rib cage is being so the rib cage on the right, rib cage on the left. Imagine them coming together because we’re rolled forward. That puts a lot of stress on the joints and the articulation between the ribs and the sternum called costal sternal joints. When they get irritated, we get information there and it produces a condition called Tietze Syndrome or costochondritis.

And that is a very, very painful situation because you’ve got inflammation on your sternum, which creates severe and your pain that is hard to handle. You can put some ice there because the structures are very superficial and sometimes you can get calm down. But maintaining stability in the back will help this joint. And also maintain posture. So that’s very, very important.

Dr. Ben Boudreau: [00:22:54] Yeah, I mean, that’s a great point, because a lot of people will come in and they’ll have this tightness in the front. Right. And they’ll say, yeah. And then I reach back and my entire chest cavity just pops like I feel like my ribs are going to come out. I mean, like, as you can imagine, if you’re rolled forward all day long, a lot of muscles will get tight in the front here. So the minute that you extend back your pectoralis muscles, which are right here, they attach right to this joint in the center-right, this costosternal joint.

So the minute that you pull your shoulders back, they’ll pull on that joint and that’s what causes it to release. And so a lot of people aren’t aware. But if you just change your posture, you can actually fix that condition and cause this to go away.

Dr. Clayton Roach: [00:23:37] And the pain and I’ve seen this before if the pain is around like the first or second rib, whether it’s in the front or whether it’s in the back, but it’s the rib that’s producing that pain, you can actually have radiating pain going into the arm. And I’ve actually had people go to the emergency room thinking they’re having a myocardial infarction, a heart attack. The big difference is that a heart attack doesn’t matter if you’re breathing in or out. It’s going to hurt no matter what. If you’re taking a deep breath in, the pain is jabbing, then you know more than likely that it is a rib subluxation or rib that’s creating that pain, because as soon as you go to take a deep breath and it’s trying to move, but it can. It creates pain.

One of the differentiators between a heart attack and a rib problem is that there’s more pain when you breathe in on a rib problem. The heart attack is just not going to matter. And there are obviously other symptoms as well. At this point, please, guys, if you’ve learned something so far, we’ve got a few more things to cover. Give us a thumbs up and that would be a good time to share this episode. We’ve got fewer people live tonight than we usually have. We need a little bit of your help tonight to get this across to the social media world. Again, we’re competing against the hockey game tonight, assuming that that is why and it’s nice also. Thanks for those hearts and those thumbs up and next.

The Golf Swing

Dr. Ben Boudreau: [00:25:07] Yeah. So I wanted to do something. I wanted to switch gears, bring something that might be a little fun. We’re on the theme of sports and hockey and summertime and running around. So I wanted to introduce something where we have an impact in a way that maybe people didn’t think. And we have a lot of golfers in the clinic and a lot of people come in and they ask, well, I get a lot of my back pain while I play the game of golf. Is there any way that you can help mitigate some of this symptomatology?

And so a huge part of the goals in practice with mine, in particular, is improving the golf swing and making the thoracic mobility best it can be so that the patient is in less pain. So why we talk about this, because as chiropractors are put in the perfect position based on our education to help improve the mobility of the athlete, and so look at Tiger. I mean, look at that thoracic mobility. Isn’t that amazing? It’s 10 times better than my golf swing. I can tell you that my golf head probably goes about, I don’t know, a quarter of the way up that Tiger’s golf goes. Isn’t that amazing?

Dr. Ben Boudreau: [00:26:27] You say 10 times Ben.

Dr. Ben Boudreau: [00:26:29] A quarter.

Dr. Clayton Roach: [00:26:33] Oh, yes. I actually love this. I like how you put this together. One of the things that we’ve talked about and that we’ve almost it’s almost like we’ve been beating a dead horse here is the kinetic chain and how you have a transference of load from you know when talking about the hips, you’re talking about the foot as he sets up. And how is weight on this one? I’m trying to get this. There you go then I have just a shirt that is red and I’ve got my marker being red. So as he translates his weight onto this right leg, how many things have to happen while the knees have to rotate accordingly?

Right. His ankle needs to move accordingly. Here he has dorsiflexion. Right. Now, as he starts to rotate, where is that going to happen? Well, he needs to be able to externally and internally rotate the hips at the same time on both sides. And then as the hips start to rotate, now, his torso starts to basically continue on the momentum that the hips created to get his club around. And all of that rotation is going to happen right at what we call the thoracal lumbar junction that is 12 L1. So that way he can have the force that he needs come around as the hips come around to hit the ball. Amazing.

Dr. Ben Boudreau: [00:28:13] Yeah, yeah. And probably a perfect swing, honestly, because we’re talking about a legend in the game. Tiger Front. What right. Doesn’t move a bit. It is always facing straight ahead. So as you can imagine, his femur has to rotate along that axis. And if it doesn’t get there, he’ll have to engage areas beforehand, which could lead him to suffer an injury that he has in the past. Like Tiger’s needed multiple back surgeries, do the lumbar discrimination’s because he did early in his career to have a very aggressive stroke, which has cost him his lower back later in his career.

Dr. Clayton Roach: [00:28:58] So Tiger Woods’ chiropractor Trevor Van Beacon. And one of the things that Tiger did not have great mobility and it was his hip, so he didn’t have great hip rotation. So one of the things that ended up happening here is that having knee surgery a lot, because when you take a look at his back, his front leg over here, this one right here, when he would come around his knee, would basically go back very quickly, and he would snap that knee backwards as he struck the ball. And that’s what led him to have knee surgery, or I think he tore actually the ACL and some of the structures inside the. And you had to modify the swing so many times.

Right, because as the injuries mounted, he had to constantly adapt, then shift. And it’s been very taxing on his body. So when you don’t have great hip rotation. The lower back starts to take a beating, hence the number of surgeries that Tiger has had. Now, one of the things that happen to you guys understand golf when you can bring the hips around while the club has to come around. What ends up happening? You start using your wrist a lot more, which ends up causing what we call golfers elbow. Right.

There are so many things that can happen in golf because it’s such a complex movement that they actually have courses for chiropractors to take. We can get certified to assess the swing and all that stuff so we could get in more depth in this. But it is such a beautiful way to represent how the body is amazing. Right. And how we’re able to transfer, load and be able to hit something so accurately is this is like a work of art.

Dr. Ben Boudreau: [00:30:49] It’s amazing. Yeah. And so I’m one of those chiropractors that took a golf seminar course to learn how to assess golfers as well as learn to treat different areas and what are the prime locations to be looking at. But the idea is that we’re improving we’re engaging like we’re always engaging in different areas and we’re trying to improve increase these points of rotation as much as we can so that we can offload some of the more sensitive structures and get the rotation and movement to the best that we can do. I wanted to bring up the thoracic spine in this particular instance because I wanted to show how much thoracic spine mobility is needed during the game of golf.

As you can see and it’s not the only thing that’s involved, but as you can see, there is a lot of movement through that Sirocco lumbar junction. If you don’t have that mobility, you’re going to engage your low back a lot more and put yourself at risk for injury. So I just want to make people aware of that connection, like, why are you treating my mid-back when I have low back pain? Well, it’s because everything’s linked and connected beautifully, just like an orchestra. And so we want to make sure that the music is playing right and that no one area is playing in a different tune and the other one’s playing and drop dead, for instance.

Dr. Ben Boudreau: [00:32:07] So I love this picture. How do you like this picture? Just give us the thumbs up, because it basically summarizes many of our previous Humpday conversations as well. That’s really cool. I like this picture a lot. Yeah. Yeah. So I just thought that that would be great. And I also at this point, I wanted to bring up a study. Right. And so this was a study comparing those that were being treated by golf to all the golfers who are being treated by chiropractors. Some of them were just doing stretching in. Some of them were doing stretching and chiropractic adjustments. An SMT, spinal manipulative therapy is what we call it.

What they found is that those that were being treated by a chiropractor versus those that were just doing the stretching alone had better swings, further golf distances, further distances on their initial swings than those who stretch alone. There is something to be said about the influence of the chiropractic adjustment on these particular segments to help with mobility that is far beyond just stretching alone, which I thought was really cool, especially for those of you who are interested in golf and looking to improve performance a little bit. Improving your mobility will improve your golf swing and it doesn’t require just stretching. You’re going to need a little bit more than that. Beautiful.

Cerenity PM and Magnesium

Dr. Clayton Roach: [00:33:33] Supplements, we are going to talk about Cerenity PM. This is a very cool supplement, it’s helped a lot of people, specifically people that wake up in the middle of the night because their cortisol spikes in the middle of the night. Basically, the body thinks that it’s the morning you get a cortisol spike and you wake up. 7:00 p.m. has helped many people, sometimes taken in conjunction with B complex vitamins and as well as magnesium. But yeah, so definitely has a role to play in your circadian rhythm and help your sleep. Fantastic results with this. And it’s also in terms of producing neurological neurotransmitters like GABA and Melatonin and helping boost that, as well as serotonin as well to help people sleep better, but not just fall asleep, actually stay asleep for the remainder of the night.

So what Ben here? Well, research products obviously available in the clinic and we love Orthomolecular. They’re on top of their game. They constantly are researching where they can get the best products and things that they promote and stuff the extracts from plants and stuff like that. You can be sure whatever you’re buying from orthomolecular is the best and they don’t allow their staff to sell on Amazon or any place like that. So it’s a health practitioner brand, which is important.

Dr. Ben Boudreau: [00:35:08] Yeah, and I think that was like the most important point that our health practitioner branding is number one because you can’t get these products at any store and you have to get them through a health care provider who knows what they’re talking about and knows which products they’re selling because we want to get results. And so that’s why we search for products like Orthomolecular

Dr. Clayton Roach: [00:35:30] As I want to talk about magnesium one quick second. One of my patients came to me Ben anyway. So he had been having, like, restless leg syndrome for like 15 years. So he was probably on his fourth or fifth visit. And I said you should try magnesium, the powdered magnesium, very high observability. And magnesium is a natural muscle relaxer. He came in the other day, says it’s the first time in 15 years that he went to bed without having restless leg syndrome. Magnesium again, we’ve talked about magnesium in the past, definitely a great supplement for natural muscle relaxation.

It kind of blends into what we’ve talked about because a lot of people have that tension in through the middle back. Now, obviously, the symptom is probably the muscle is probably the symptom, not the cause, but to help manage it from various angles, it’s great to be able to lessen the muscle tension so that what we’re doing can kind of have a bigger effect and a quicker effect because obviously for putting things in alignment and the muscles are constantly pulling back and you’re not doing your exercises, it’s going to be hard to push that forward and make changes to your structure. So just want to mention that. So what else?

Dr. Ben Boudreau: [00:36:48] Well, that was the supplement of the month, and I think I think it’s time.

Dr. Clayton Roach: [00:36:56] It’s time.

Dr. Clayton Roach: [00:36:57] So we are going to reveal who we’re going to have as a special guest. He has already agreed to do at least one guest appearance with us and maybe others, but his name is Dr. Brian Rayde. I would say arguably one of the best naturopathic doctors, I’m going to say probably in Canada. He is speaking around the world. He speaks all the time in conferences, a very, very well respected colleague, great guy. And he’s going to be talking to us about various topics, I hope. But one of them being joint pain and things you can do for arthritis and stuff like that, I think it’s going to be a phenomenal opportunity for everyone here to learn.

He is a guy I respect a lot enough for him to treat some of my family members, and he’s made and will continue to make changes in people’s lives. The beautiful thing is he’s actually here in Bedford. He’s very, very innovative, does stuff that other people are not doing and stuff that’s very research. And he’s top of the line. So we’re going to have fun with Dr. Brian Rayde. I’m stoked to be able to have him and guys when we have them on. You guys need to promote this. We are going to be able to have a lot of people online be helped by some of his knowledge. Not that we don’t share good knowledge, but it’s always good to have other perspectives. We’re looking at him maybe talking about gut health, cellular regeneration and some of the things that he does.

Dr. Ben Boudreau: [00:38:50] That’s awesome. Like, that’s awesome. So this is like you know, one of these opportunities where if you’re a little bit interested in not Tripathy, you don’t know a lot about it. This is a great way to have an introduction to what it means to be a naturopath. And so if you’re planning on seeing an acrobat in the future or you know, someone who’s becoming a naturopath, this is a great way to be educated in the profession and then also learn about different avenues that you can take to deal with some of the aches and pains that you have. Let me put it this way. You call him today for an appointment you may get in December.

OK, so this guy is fully booked because of the reputation that he has created for himself in his career. So you guys are going to have a wonderful opportunity to ask questions. And I’m super excited to have him long. And I’m already in talks with our next guest as well, which we’ll reveal later, but stay tuned, we will give more, and I believe it’s going to be a little later in the month of July, so we’ll reveal the exact date. We’re still ironing that out, but we will definitely promote that well in advance to get. People in the seats, so we need people alive asking questions, so it’s going to be awesome

Dr. Ben Boudreau: [00:40:13] If that’s what we need is peeps in the seats. Thank you guys for tuning in tonight. We’re going to need your support to rally the troops, get behind something that we’re doing that’s great for the community, not just locally, but communities far and wide to learn and be educated about ways that you can help improve the health of your body.

Dr. Clayton Roach: [00:40:36] So, guys, make sure you share this episode right, because the more episodes we put out, the more people eventually you’ll join, not join, but they follow us and they like us. So that way they hear about Dr. Brian Rayde being with us in a few weeks. So definitely right now, go ahead and share this episode. If you’re watching us on Facebook, make sure you subscribe. And you also can share the episode on YouTube YouTube as well. We’d like that. This is a good one.

I love that Tiger Woods slide. We’re able to discuss that middle back area that basically is the bridge between the neck and the lower back. If you guys have any questions, any time you know how to get a hold of us comment, call all these things that you can do to reach. We’re here to help you guys, which is why we’re doing this. Closing thoughts, Ben, I think.

Dr. Ben Boudreau: [00:41:22] Thank you, guys. Thank you guys again for tuning in. Humpday conversations number thirty-one with Dr. Clayton Roach and Dr. Boudreau Roach Chiropractic Centre in Bedford, Nova Scotia, Canada, talking about mid back pain. Like how good are these mid-back adjustments? Amazing. Awesome. So thank you guys again. Thank you for the support. And we look forward to bringing you guys some more great content soon enough. Take care, guys. Have a great Wednesday night. Enjoy the rest of your week. Make sure you like and follow us on Facebook. This is how you find life.

And also subscribe to our YouTube channel. Please do that. That you miss an episode. You have to search through the whole Facebook feed to try to find the episode you want. They’re all on YouTube, all in order. It’s a little easier to navigate for past episodes. So stay tuned with Dr. Brian Rayde in the right. In the near future, we’re going to announce that the very nature you promote that and share those promotional Facebook posts we’re going to give you and sign up if we do decide to do a registration.

Dr. Clayton Roach: [00:42:25] Take care. Have a great night and see you soon. Bye-bye. What’s up? Listen, if you like this episode, you’ll probably like the other ones. The chances are pretty good. So here’s what you need to do. You need to like us and follow us on Facebook. Following means, you get notified when these two guys are alive. Next, family, friends. You need to share these episodes because you never know. You might help them because they need this information as well.

Dr. Ben Boudreau: [00:42:47] And guys, if you ever miss an episode, make sure you subscribe to us on YouTube. That way, you can watch the episode over and over and over again.

Dr. Clayton Roach: [00:42:54] Guys, we love you and appreciate you.

Dr. Ben Boudreau: [00:42:55] Take care.