Jeff LangmaidFounder, The Evidence Based Chiropractor

Patients Don’t Understand You

22 Apr 2026 · 1 min

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In this excerpt Jeff Langmaid discusses a recent study that supports managing chronic spinal degenerative changes without drugs or surgery. He emphasizes that neck pain is often linked to poor posture and loss of the spine’s natural curves, which increase stress on discs and joints. Restoring proper alignment can reduce that stress. Langmaid stresses that clear communication about these concepts is essential; when patients don’t grasp why their spine is structured the way it is, they often abandon care prematurely. He notes that a majority of patients in chiropractic practices fail to understand these fundamentals, leading to early drop‑off.

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And this study, I think, reinforces the role that we play in addressing chronic spinal degenerative changes without drugs or surgery. And that's a message people want to hear. So helping people understand that neck pain is often related to posture and spinal issues, and when we can improve how things are moving, we can reduce the stress on discs and joints. Simple message, simply said, people can get that. Helping people understand your spine is designed to have natural curves, and when those curves are lost, The discs and the muscles have to work harder. That is a true statement. That's easy to say, that people can understand, that it just starts to build that bridge of knowledge from you to your patient. When that communication is critical, otherwise people drop off care too early, they don't understand what you're doing. And I hate to be the bearer of bad news, that's a lot of people. I would venture to say that's a majority of people in a majority of chiropractic practices.