Episode

Dr. Carlos Gevers

Dr. Carlos Gevers joins me to discuss mechanisms of spinal manipulation, particularly as they relate to central sensitization and neuroinflammation. He also shares a study on Tumor Necrosis Factor-Alpha in Urine Samples of Patients With Chronic Low Back Pain Undergoing Chiropractic Care.

Carlos Gevers Montoro is a second-generation chiropractor. He graduated from Life Chiropractic College West in 2003 as Valedictorian and the recipient of the Clinical Excellence Citation award. After practicing for a few years in Spain and France, he was instrumental in the opening of the Madrid College of Chiropractic (MCC), where he still lectures. His contributions at the MCC were mostly related to the clinical sciences. In parallel, he served for seven years as the President of the Spanish Chiropractic Association, being involved in chiropractic politics and policy at the national and international level.

In 2018 he decided to switch gears and take a completely new path in the research arena. He started his PhD in Pain Neurosciences at UQTR – University of Montreal joint program under the supervision of Prof. Mathieu Piché. His PhD studies are partially funded, by a prestigious grant from the Government of Quebec. His line of research and his first publications are mostly focused on mechanisms of spinal manipulation, particularly as they relate to central sensitization and neuroinflammation. These two phenomena seem to be strongly implicated in the development of chronic pain syndrome and other conditions.

Check out Dr. Carlos Gevers researchgate profile page.

Here are the articles we discuss in this episode:

1.Presence of Tumor Necrosis Factor-Alpha in Urine Samples of Patients With Chronic Low Back Pain Undergoing Chiropractic Care: Preliminary Findings From a Prospective Cohort Study.Gevers-Montoro C, Romero-Santiago M, Losapio L, Conesa-Buendía FM, Newell D, Álvarez-Galovich L, Piché M, Ortega-De Mues A.Front Integr Neurosci. 2022 Apr 12;16:879083. doi: 10.3389/fnint.2022.879083. eCollection 2022.PMID: 35492573 Free PMC article.
2.Chiropractic Spinal Manipulation Prevents Secondary Hyperalgesia Induced by Topical Capsaicin in Healthy Individuals.Gevers-Montoro C, Provencher B, Northon S, Stedile-Lovatel JP, Ortega de Mues A, Piché M.Front Pain Res (Lausanne). 2021 Jul 20;2:702429. doi: 10.3389/fpain.2021.702429. eCollection 2021.PMID: 35295504 Free PMC article.
3.Neurophysiological mechanisms of chiropractic spinal manipulation for spine pain.Gevers-Montoro C, Provencher B, Descarreaux M, Ortega de Mues A, Piché M.Eur J Pain. 2021 Aug;25(7):1429-1448. doi: 10.1002/ejp.1773. Epub 2021 Apr 15.PMID: 33786932 Review.

Dr. Martin Descarreaux and I discuss his research regarding learning to perform chiropractic adjustments, neuromuscular responses following spinal manipulation and several other studies.  Dr. Descarreaux graduated from the UQTR’s first cohort of the chiropractic program in 1998, and completed a PhD in kinesiology at the Université Laval 6 years later. He is now a full professor in the Human Kinetics Department (UQTR), and an invited professor and researcher at the Institut Franco-Européen de Chiropraxie, in Paris and Toulouse. His current research projects involve the characterization of the neurophysiological and biomechanical effects of spinal manipulation, the various effects of pain and pain-related psychological components on trunk neuromuscular strategies, as well as spinal manipulation learning, as can attest the numerous articles he has published on these topics. Over the years, he has developed several strategies to better integrate motor learning principles, which have been shared with students, professors and those responsible for clinical training within chiropractic teaching institutions not only in Canada, but also in Europe. His work in this specific area has contributed to the characterization of the adjustment learning sequence, and showed the importance of augmented feedback in the technical training of future chiropractors. He is currently the Director of graduate studies in human kinetics and director of the Groupe de recherche sur les affections neuromusculosquelettiques at UQTR.

Take a look at Dr. Descarreaux’s publications at researchgate.

Here are the links to the articles we discussed in this interview:

1. Effects of practice variability on spinal manipulation learning.
Marchand AA, Mendoza L, Dugas C, Descarreaux M, Pagé I.
J Chiropr Educ. 2017 Jan 25. doi: 10.7899/JCE-16-8. [Epub ahead of print]
PMID: 28121458 [PubMed – as supplied by publisher]
Similar articles
2. Influence of Lumbar Muscle Fatigue on Trunk Adaptations during Sudden External Perturbations.
Abboud J, Nougarou F, Lardon A, Dugas C, Descarreaux M.
Front Hum Neurosci. 2016 Nov 14;10:576.
PMID: 27895569 [PubMed – in process] Free PMC Article
Similar articles
3. Physiological and Psychological Predictors of Short-Term Disability in Workers with a History of Low Back Pain: A Longitudinal Study.
Dubois JD, Cantin V, Piché M, Descarreaux M.
PLoS One. 2016 Oct 26;11(10):e0165478. doi: 10.1371/journal.pone.0165478.
PMID: 27783666 [PubMed – in process] Free PMC Article
Similar articles
4. Neuromechanical response to spinal manipulation therapy: effects of a constant rate of force application.
Nougarou F, Pagé I, Loranger M, Dugas C, Descarreaux M.
BMC Complement Altern Med. 2016 Jun 2;16:161. doi: 10.1186/s12906-016-1153-6.
PMID: 27249939 [PubMed – indexed for MEDLINE] Free PMC Article
Similar articles
5. Systematic Augmented Feedback and Dependency in Spinal Manipulation Learning: a Randomized Comparative Study.
Lardon A, Cheron C, Pagé I, Dugas C, Descarreaux M.
J Manipulative Physiol Ther. 2016 Mar-Apr;39(3):185-91. doi: 10.1016/j.jmpt.2016.02.002.
PMID: 27016338 [PubMed – in process]
Similar articles
6. Effects of a prehabilitation program on patients’ recovery following spinal stenosis surgery: study protocol for a randomized controlled trial.
Marchand AA, Suitner M, O’Shaughnessy J, Châtillon CÉ, Cantin V, Descarreaux M.
Trials. 2015 Oct 27;16:483. doi: 10.1186/s13063-015-1009-2.
PMID: 26507388 [PubMed – indexed for MEDLINE] Free PMC Article
Similar articles