Jeff Langmaid explains why published guidelines often sit unused for years: evidence alone doesn't change practice. Adoption depends on whether providers read it, believe it, and whether their professional groups push it. In chiropractic, low market penetration in a town signals either fierce competition or untapped demand.
Evidence does not automatically become practice. A guideline can sit for 10 years. A great paper can get thousands of citations and absolutely nothing happens. Implementation is at the behest of the individual industries, categories, and providers, whether they choose to read it and whether they choose to implement it. Of course, they can be influenced by the organizations that they belong to. But I thought that these findings were just really, really fascinating because this isn't a paper that changes your adjusting technique. It's not a treatment protocol. But what it does is it starts to showcase I think to me anyway, where the opportunities lie. And to me, that should be the most exciting fact of this. You've heard me probably say this before. It's like if everybody in your town already saw a chiropractor, you either have to be cheaper or way better to get their attention. So, you know, the double-edged sword is a fractional percentage of people in your community see a chiropractor. That's the bad part. But the good part is, man, talk about opportunities.
