Opioids vs. A Non-Addictive Answer to Pain... Ask Me Anything

Peter D. Holt
May 9, 2018

Peter Holt is a high energy, solution-oriented CEO, who operates a publicly-held company, whose mission is to treat discomfort and offer attainable solutions for pain management.

An advocate for alternative pain relief and convenient care, Peter has lead The Joint Corp. (NASDAQ: JYNT) to disrupt the health and wellness industry with its “no appointment, no insurance and no hassle” business model. The Joint is reinventing the chiropractic care sector by making quality healthcare affordable for patients seeking pain relief and ongoing wellness. By welcoming walk-ins, consumers have easier access to the clinics and can seamlessly visit a licensed chiropractor without disrupting their daily lives.

Additionally, The Joint’s unique membership model allows patients to customize ongoing treatment plans and take part in preventative care on a weekly basis. Plus, chiropractors across the company’s network have secure access to patient files, allow members to use their membership at any of The Joint’s 400-plus clinics across the country. Through pain management and ongoing treatment plans, The Joint and its doctors operate with a noble purpose to change the way people live their lives.

Peter has a strong understanding of how the average person works to deal with their pain and can provide top-notch expertise into why the United States must work to change its current pain treatment model and standard of care to solve the nation’s current opioid crisis.

Passionate about alternative pain management methods? Peter is here to answer any and all questions you have about how shifting the paradigm of chiropractic care to a mainstream pain relief solution will help curb opioid use and addiction.

 


Conversation (76)

In three easy steps and under a minute you could be hosting your own AMA. Join our passionate community of AMA hosts and schedule your own AMA today.

Let's get started!

What do you think created the current opioid crisis in the USA?
May 9, 5:54PM EDT0

Mawaddah: Because there is not a single contributor to this crisis, it is difficult to provide an answer on a platform like this. However, it is important that we begin to take proactive steps to resolve it. In other posts, I talk about how you can get involved in your community to have a positive impact on this crisis.

May 9, 6:09PM EDT0
Does chiropractic treatment hurt, and if so, to what extent?
May 9, 5:08PM EDT0

Thanks, James - Chiropractic is one of the largest and safest forms of health care available. Statistically, patient risk is substantially lower when receiving chiropractic care as opposed to medical care, where the use of prescription drugs and surgery pose a greater risk. A chiropractic adjustment is a highly-controlled procedure that infrequently causes discomfort or pain. In fact, most patients feel relief immediately following treatment.

Any reported soreness or pain after an adjustment has been described as being similar to starting a new exercise program or receiving deep tissue massage. Drinking plenty of water, using an ice pack, and engaging in light stretching after your visit can help ease any discomfort to promote healing, as recommended by the doctor. It's always important to have open conversation with your chiropractor should you experience any pain or discomfort.

May 9, 5:40PM EDT0

Can you explain more "The Joint’s unique membership model" you referenced above? Thanks in advance.

May 9, 4:36PM EDT0

Hi Linda: We believe in routine and affordable chiropractic care and have a membership model that provides up to four chiropractic adjustments a month for less than most co-pays per visit. Our membership model makes it affordable for patients to adhere to their doctor's recommendation through any stage of care, including relief, recovery and wellness/preventative care.

For more information on our plans and pricing, click here.

Last edited @ May 9, 4:48PM EDT.
May 9, 4:45PM EDT0

As a busy CEO, how do you balance work and life?

May 9, 4:14PM EDT0

I've always found that by loving what I do, has helped me find that balance between work and life because they're not necessarily in conflict. When one doesn't truly love what they do, the balance question becomes more problematic.  

May 9, 4:18PM EDT0
Do you offer home visits via booking on the site?
May 9, 4:10PM EDT0

This is currently not part of The Joint's care model, Marywillis. We are revolutionizing the way in which chiropractic care is accessed by providing it in a retail setting without appointment or insurance hassles, with extended hours at all locations, allowing you to receive the care you need when you need it.

Last edited @ May 9, 4:16PM EDT.
May 9, 4:16PM EDT0

With seasonal allergies, our visits can be sporadic.  Can you offer a family membership so the visits do not go unused?  I have canceled twice for this reason.  

May 9, 3:43PM EDT0

Hello, Bobbi: Thank you for this great feedback. We continually evaluate our current offerings to ensure that we are meeting the needs of patients like you.

May 9, 6:13PM EDT0

Rather than prescribing pain medication, how often are internal medicine/pain management physicians referring their patients to visit chiropractors? Do you think there is a strong opportunity for health professionals across the board to work together to help put a stop to the opioid crisis?

May 9, 3:40PM EDT0

There is absolutely opportunity for health professionals everywhere to work together to stop the opioid crisis, specifically between medical doctors, who can prescribe treatment for pain, and chiropractors. 

Recently, more and more influential health care organizations and authorities are recommending chiropractic as a primary alternative to opioid prescriptions for pain. The American College of Physicians (ACP) released this statement: "The ACP now recommends for patients with chronic low back pain, non-drug therapy such as spinal manipulation as a first line of treatment. The ACP states that treatments such as spinal manipulation are shown to improve symptoms with little risk of harm."

May 9, 3:52PM EDT1
Anonymous

As you lead your company, what other current CEO's do you look to for inspiration and what innovative models would you like to adapt or integrate into The Joint?

May 9, 2:42PM EDT0

In the franchising community, there are many CEOs who I've connected with and known over the years who have profoundly influenced my own experience in leading a company. Probably the most influential CEO is Jim Amos, who currently serves on The Joint's Board of Directors. Another example is Cheryl Bachelder, former CEO of Popeye's, who has the philosophy of servant leadership and believes that serving the needs of the franchise community is essential to building long-term enterprise value. 

While any growing concept requires innovation and adaption to remain relevant to our consumers, The Joint business model's power is derived from its simplicity. We continue to focus on what matters most to our patients: Improving their quality of life through routine and affordable chiropractic care. 

May 9, 3:27PM EDT0
Is there a way to leave feedback on the site and view such left by other patients? Do you rate chiropractors in any way?
May 9, 1:46PM EDT0

Hi, Luke: We always encourage feedback from our patients, whether it be posted on third-party sites, such as Google, Yelp and Facebook or delivered in-clinic. Feedback is the way that helps ensure we are delivering on our mission.

As for rating our chiropractors, all of our doctors must have a license in good standing in the state in which they practice. They are required to maintain their licensure through continuous education. We do not have a specific rating system of the doctors.

May 9, 4:53PM EDT0
What are some of the best alternative pain management methods?
May 9, 6:25AM EDT1

Although chronic pain can be an incredibly complicated situation to manage, there are several “alternative” options that can help to decrease pain and improve the quality of daily life of those suffering. 

In general, the best place to start is with one of the options below, but it’s always important to work with a health care provider to determine what is the safest approach for you. 

  • Chiropractic
  • Massage
  • Yoga

All three provide non-invasive, non-addictive drug-free solutions to help reduce inflammation and restriction in both your muscles and your nervous system, allowing optimal function and communication throughout the body. This ultimately can help to reduce and manage your pain. The great thing is that they can even work in tandem.

May 9, 4:23PM EDT0
What are the criteria for the chiropractors you have on the site? How do you check they are good in what thy do? How do you maintain that over time?
May 9, 3:57AM EDT0

Hello, Cenja: All of our chiropractors must have a license in good standing in the state in which they practice. They are required to maintain their licensure through continuous education.

We have also developed internal training for our doctors and other clinic staff to ensure they are delivering quality chiropractic care to patients of The Joint. We conduct regular, on-site visits to ensure our standards are being met.

To maintain our standards, we continously add, develop and refine the training that our doctors receive.

May 9, 4:29PM EDT1

Among other issues with my back (stenosis, degeneration, ... I have a herniated disc that is sitting on a nerve root. After being on hydrocodone for around eight years my current Dr weaned me off the pain med.

Please tell me what I can do to help with the almost unbearable pain.

May 8, 9:59AM EDT2

Hi Cheryl, I’m very sorry to hear that you dealing with these issues. Based on what you said, there are two positive things about your situation:

  1. Your current doctor has weaned you from eight years of pain medication. This alone is something to celebrate. As you know and read in the headlines everyday, prolonged use and dependencies are very hard to overcome and can lead to more issues.
  2. There are natural solutions that can help you manage and relieve the unbearable pain caused by spinal stenosis, degenerated and herniated discs. In fact, chiropractic care is a great starting point. Chiropractic adjustments help restore motion in spinal joints and create as much space as possible for the nervous system to perform its functions with the least amount of interference. When the spine is moving properly, the distribution of weight and the physics of how the spine moves also improves. These will help provide relief to the stressed areas in your back. In addition, with regular adjustments, patients commonly state it’s easier to move properly and also to hold better posture for longer periods of time. Your chiropractor can also recommend helpful stretches and exercises to decrease pain and increase spinal joint function.However, like always, I recommend you consult with a local doctor of chiropractic to determine what is the best approach for you. To learn more about how chiropractic can assist those with spinal stenosis and degeneration, you can visit the link here.
Last edited @ May 9, 4:39PM EDT.
May 9, 4:38PM EDT1
What do you think is the biggest problem with the health care system in the US at the moment?
May 7, 2:36AM EDT0

This is a huge question.  From my perspective the two greatest problems with the health care system in this country are the total cost that we as a nation spend on health care and who has access to our health care system.  As a nation, we spend more per capita on health care than any other nation in the world.  Based on "Health at a Glance 2015" from the Organization for Economic Co-operation and Development (OECD), the United States spends about $8,713 per person on health care annually.  Despite the high spending, Americans are not anywhere near the world's healthiest. More than 35% of Americans are obese, one of the highest rate in the world, and exceptionally high compared with other countries spending the most on health. The United States is also the only top 10 country for health spending where the life expectancy does not exceed 80 years. 

To me, the high cost of health care is the biggest access problem in the United States. More than one-third of Americans said they did not fill a prescription they were given, did not visit the doctor they should have or did not get the tests that were ordered because of the cost.

May 9, 3:31PM EDT0
To what extent is the care given to patients at The Joint Chiropractic personalised to their needs?
May 6, 8:04PM EDT0

Every patient of The Joint receives individualized care, specific to their issues and health goals. As required by any health care provider, we  consult, evaluate and examine our patients to ensure that the chiropractic care provided meets their specific needs. If necessary, we refer for imaging such as x-rays or MRIs and may elect to co-treate with other health care professions.

May 9, 3:56PM EDT0
What is a joint dysfunction/subluxation in chiropractic terminology?
May 6, 11:57AM EDT0

Hello Hasan203: While this is traditional chiropractic terminology, it has nuanced definitions. We here at The Joint define joint dysfunction, subluxation or misalignment as two or more vertebrae or joints that are not functioning properly. These dysfunctions can lead to issues with muscle tightness, nerve irritation and/or cause symptoms of pain, discomfort, decreased mobility and worse.

May 9, 4:03PM EDT0
As a citizen, what positive direct community action can one take to help with the opioid crisis?
May 6, 4:08AM EDT0

Thank you for the question, Khushboo: There are real actions that can be taken here. We all, as citizens of this country, have the ability to cause positive change in our communities. For example, since our political leaders have such a important responsibility to address this issue, your vote for candidates who share your concerns can have direct impact on the programs funded in your community. Nearly every community has opioid crisis centers that are in need of volunteers. As we find our friends and family in pain, we can educate them that there are alternatives to the prescriptions, such as chiropractic care. In fact, The Joint has many such patients who have found pain relief through routine and affordable chiropractic care, rather than relying on opioids. 

May 9, 4:12PM EDT0
What are some of the best ways to prevent back pain?
May 5, 9:28AM EDT0

Hello, Sarah: There are typically two causes of back pain. One is that your body is not moving correctly. I talk about this in another answer as joint dysfunction, subluxation and misalignments. The second contributor to back pain is uncontrolled inflammation, typically worsened by joint dysfunction. Ensuring proper function of your spine and eating well will help maintain a pain-free lifestyle. This is why our doctors often recommend routine adjustments as part of your wellness routine.

May 9, 5:34PM EDT0
In what ways did the drug industry contribute to drug addiction and the opioid crisis?
May 5, 8:09AM EDT0

Hi, Smacarena: This could be an AMA all on its own! Because there is not a single contributor to this crisis, it is difficult to provide an answer on a platform like this. This crisis is more of systemic issue within health care, so it is important that we begin to take proactive steps to resolve it. In other posts, I talk about how you can get involved in your community to have a positive impact on this crisis.

May 9, 5:26PM EDT0
What are some viable solutions to the "opioid crisis" that are not yet in play?
May 5, 7:54AM EDT0

Jenespulgar: There are many viable solutions to this crisis, one of my favorite ones to talk about is chiropractic care. 

Recently, more and more influential health care organizations and authorities are recommending chiropractic as a primary alternative to opioid prescriptions for pain. The American College of Physicians (ACP) released this statement: "The ACP now recommends for patients with chronic low back pain, non-drug therapy such as spinal manipulation as a first line of treatment. The ACP states that treatments such as spinal manipulation are shown to improve symptoms with little risk of harm."

May 9, 4:56PM EDT0
Do you think Americans fully understand the extent of the Opioid crisis?
May 4, 9:24PM EDT0

I think the opioid crisis is one of the most devastating epidemics facing the U.S. today. Opioid overdose is the No. 1 killer of U.S. citizens under 50 years old today. For two years in a row, the average lifespan is dropping. It's a direct result of the opioid crisis. Communities are being devastated by this horrible problem. In 2016, ~64,000 died of opioid overdoses, which would translate to seven people an hour, according to the Centers for Disease Control. 

While I think there is a growing awareness about this problem in our communities and with our state and federal political leaders, it's not enough. 

May 9, 3:40PM EDT0
Ask your question
About #HealthAMA

Welcome to #HealthAMA, an "all things health" channel where you will encounter a far-reaching collection of AMA's gleaned from our caring community of approachable and informed hosts. In addition, we also cherry pick Health related AMA's from around the web for your viewing pleasure.

Interested in participating? Our user-friendly channel makes it possible for anyone to create an AMA on just about any imaginable topic that’s relevant to health, wellness--and you.

The #HealthAMA channel (http://www.HealthAMA.com) is owned and operated by AMAfeed, LLC.

Top Contributor
Top Contributor