Posts Tagged ‘Adjustment’

The Secret to Building the Practice of Your Dreams

Monday, March 4th, 2013

Could you sum up all the secrets to success in practice and perhaps even life in two words? I think I can… And I am going to tell you on this page, without the need for you to subscribe to my free e-report, or register to a cheap tele-seminar, or commit to twelve months of direct debited coaching: Instead you are going to receive 100% free, unconditional wisdom!

Here is the first word – but before I tell you I’d like to introduce you to my life changing program: Just kidding – The word is “Relationships”. Everything you do in life and the outcomes of your thoughts, beliefs and behaviours comes down to this one complex biochemistry term.

Invest time and energy into healthy relationships in any domain of life and you will achieve success in that area. Ignore, abuse or neglect this facet of life and I guarantee that any success will be short-lived, hollow and most likely lonely.

Now I am not just talking about human relationships here – this principle can be applied to EVERYTHING!

Let’s break this down first – to a microscopic level. Would your DNA, RNA and enzymes function if the relationships between the C, N, O & H are incoherent? You could have a soup of the individual atoms, or even nucleotides, but unless the relationships between the components are aligned then organic chaos will prevail.

On a human level health and wellbeing depends upon healthy relationships between every single cell. To understand this in technical terms one should spend time researching the topics of Tensegrity (see tensegrity-and-chiropractic/) and Neural Holography (see holographic-brain-model-and-chiropractic/) . As chiropractors we have simplified this down to the model that the central nervous system controls and regulates every cell in every body. To claim this requires greater understanding beyond action potentials and perhaps our pioneers were closest to the truth when coining the term “mental impulse”.

Now I know some vocal contemporary chiropractic academics dismiss the mental impulse as nonsense, but these same authors fail to supply a modus operandi for chiropractic beyond pain transmission and a shallow hypothesis that stimulating proprioceptors inhibits C fibres, and that’s that. This may be an accurate small picture, but as always there is a bigger picture – and an even bigger idea.

Within a family, relationship is pivotal –when relationships break down, families decay. And we could continue to illustrate the vitality of relationships within groups, organisations, cultures and populations. Let’s face it crime and war are the most pathological manifestations of relationship breakdown.

Which brings us to the second foundational word for success in all things = “Communication”. Relationships only work when communication flows. Relationships are like the structure and communication the function. Why would RNA be so important to human existence? Because it communicates the message stored in DNA. Why do we dare to claim that the nervous system is the most important system of the body? Because it is the means of communication in the human body – afferent and efferent. Relationships within a family are only sustained by communication. Why do entertainers get paid such ridiculous wages? Because they are perceived to be the masters of communication…

Now let’s bring this into the realms of chiropractic practice.

At our most prehistoric level we propose the importance of the relationship between adjacent vertebrae, and how the disruption of these relationships leads to at least pain and perhaps also bodily dysfunction. And the relationship between adjacent vertebrae hinges upon communication – Biofeedback between neighbours that enables coordinated alignment and movement.

Many use Xrays to analyse and demonstrate these relationships between neighbouring bones, but a more instantaneous and non-invasive assessment tool is postural analysis. The downside of postural analysis is that if you lack technology to measure and record postural relationships your assessment will be too subjective to mean much: But when in ownership of technology that objectively illustrates the breakdown in postural relationships a chiropractor possesses a tool that can be meaningful to his clinical decision making, a practice member’s comprehension of need for care and progress under care, and has the added bonus of being able to demonstrate clinical necessity and efficacy to a third party (see Posture-Pro-Software.htm) .

Posture is the most global expression of relationship and communication in a person – why would someone carry their head which weighs as much as a bowling ball more than two inches in front of their shoulders when this uses more energy and creates more stress on all the supporting structures? Because of breakdown in relationship between the head and the torso, and an obvious disconnect in communication about where that person’s head is located in space. Why would someone carry their head too far forwards – because they don’t know it is there!

Healthy relationships between human cells, tissues and organs depend on this same dance between relationship and communication. And chiropractic knows better than every other healing profession that this all flows up and down via the central nervous system. Jay holder describes chiropractic as “communication through touch”. When we are analysing someone’s spinal and neural state we are asking the person’s body pertinent questions – “where do you want to be adjusted and how?” That is if you have ownership of a technique that teaches you these questions – if not then you must be imposing some external recipe of when and how to adjust.

And then your adjustment needs to be healing communication – “a correctional vector with intent” – are you adjusting each person in the way that their body is giving permission to be adjusted, or are you imposing your will on the baddest, stiffest, crookedest bone or joints? (See Torque-Release-Discount.htm) I hope that you possess the technical skills that give you clear communication from a person’s spinal column about where the vertebral relationships have become disconnected and the best approach to communicate the need for adjustment to that person’s nervous system.

Now look at the person from a wider view and if you can comprehend the definition of Subluxation as a “separation from wholeness” – then you will start to see how breakdown in the relationships within the Cranio-Spinal-Meningeal-Functional-Unit results in interference with communication within the central nervous system which will include disorders in pain, emotion, coordination and regulation. And suddenly the intent of each adjustment you deliver takes on wider and deeper implications for the individual and the community that surrounds them.

Then the other side of the formula are the human relationships and communication that either build or shrink your practice numbers. The only problem that I have with scripts in practice management is that they are usually uni-directional and that reeks of relationship deficiency and communication minimisation: The only scripts I endorse are questions – relationship builders and communication initiators. Take a look at your own scripts and see if there is some way that you can rephrase them as questions.

I can sense some of you cringing at this point – “if I ask my practice member’s a question I don’t have time to stand around waiting to hear the answer.” Here is my advice to you – be very good at hiring great team members – team members who will compensate for your own inability to build deeper relationships, and nurture meaningful communication! Sounds harsh but could be the best advice I could ever give to you?

Now what are the symptoms in your practice that you need some adjustments to your relationships and communication?

1) Insufficient new patients – The Universe will supply you as many new patients as you have the capacity to develop relationships and communication pathways with. If you want more new patients, before you invest huge amounts of money into a marketing campaign, investigate how you can increase your capacity to initiate a relationship and effectively communicate with a larger patient base.

2) Poor patient retention – If people are dropping out of care prematurely then it is time to investigate your ability to maintain ongoing relationships and to keep communication pathways open. As soon as a practice member smells any degree of disinterest or misunderstanding between you, they will leave. The skills of developing a lasting clinical relationship are not the same as those needed to maintain a long lasting romantic relationship so don’t make the mistake of thinking that I am suggesting you have to become everybody’s best friend.

3) Poor team morale or high staff turnover – If your staff aren’t especially happy to be at work, or they leave for something better not long after you have finished training them then you may need to work to build better relationships and communication within your team.

I understand that this piece may be sounding hypothetical or at least metaphorical but I hope that you can contemplate the applicability and simplicity of these two concepts – Relationship and Communication. And if you are willing to invest some time to brainstorm this in your own life circles I believe you will find a holistic way of prioritising your energies. For example – your technique – take a look and review of your “treatment” system is improving relationships and communication in your practice members’ bodies? And do you have the means to determine that you are achieving this? And are your team members aligned in their procedures to maximise relationship and communication within your office? And when you finally leave your office are you investing adequate time and energy into all the other key relationships in your own body and community?

Here are some concepts to explore…

  • So what is the role of an initial consultation = to build a relationship.
  • What is the role of an initial examination = to determine the relationship and communication status in that individual’s biology.
  • What is the role of the report of findings = to communicate your perception of the state of their body’s relationships and communication, and express how you believe you can help them improve these.
  • What is the role of your care = to improve the person’s spinal relationships and communication via their central nervous system.
  • What is the role of an office CA = to support and enhance the human relationship and communication within the office and to facilitate the practice member’s compliance with the agreed program of care.
  • What is the role of a technical CA = to support and enhance the human and clinical relationship and communication within the treatment room/s and to facilitate the practice member’s participation with the agreed program of care.
  • What is the role of a progress exam = to review the level of success of the agreed plan, to celebrate positive progress and in the case of null or negative progress to amend the understanding of the relationships and communication.
  • What is the role of an office educational process = to maximise communication, deepen relationships and to encourage and facilitate the best possible program of care.
  • What is the role of an office procedural manual = to clearly communicate the methods utilised to perfect the development of win-win relationships between team members and towards practice members.

When I teach a Torque Release Technique Program one of my intents is to improve each clinician’s ability and intuition to perceive the state of relationship and communication within each practice member’s nervous system –I like to think of it a conscious intuition… Find out more about the next TRT program at www.torquerelease.com.au/Torque-Release-Discount.htm

Are you practicing 21st Century Chiropractic?

Monday, March 26th, 2012

You may have the newest web site, the latest computer front desk system, the fanciest Digital XRay Unit, and the best marketing strategy around – But are you using the most up to date Chiropractic Technique available?

TORQUE RELEASE TECHNIQUE is the first chiropractic system to be developed through a randomised, placebo controlled, scientific research project. With research published in Molecular Psychiatry, the Journal of Psychoactive Drugs, JMPT, JVSR, Annals Vertebral Subluxation Research and featured on a documentary by the Discovery Health Channel: 2012 is your time to learn how to adjust with Quantum Science and a Neurological Art to match your Vitalistic Philosophy.

Learn how to differentially diagnose the primary subluxation at any moment in time:

We hear at seminars that “Chiropractic Works” but in our own rooms we all struggle with how to get the best results with each individual practice member: And this is not always as simple as we (and they) would like is it? Sometimes this hunger to help can send us to obscure seminars that offer us the secret to helping that 1 in 10 patients that just don’t respond. And this may help us to get slightly better results with some patients. We do have a tendency though to think that to get better results, we need to do something different - other than adjusting that is. But here’s a thought - maybe if we did what we do best, better, then we would get consistently better results! One conclusion I have drawn through my nearly twenty three years in practice - is that the most important thing I can do for a practice member that comes to my rooms for help, is to deliver the best possible adjustment that I can. Now here’s the challenge - the best adjustment is delivered where it needs to be, when it needs to be, in the manner in which it should be - and that requires a differential diagnosis to be able to make such a decision - few technique methodologies truly provide a way of delivering this. Ask yourself this - do you have absolute confidence that the next adjustment that you deliver, is going to be THE ONE that is most needed?

See the Integrator in action – the only three-dimensional adjusting instrument to reproduce what the hands were intended to do with true inter-professional reproducibility:

I’ll be honest - I was never a huge fan of instruments - after all Chiropractic means “done by hand”! And most of the instruments I have seen in action are poor second cousins to what the human hand can offer. That was until I saw the Integrator and its technical specifications. Now I repeatedly hear that an Integrator looks just like many other silver hammers - what the Australian Doctor called “sticks that click”. But “looks like” does not mean “works like”. A chiropractic adjustment is three dimensional in correctional vectors, but all instruments I have seen are two dimensional. The Integrator delivers a super fast impulse, with or without torque, plus recoil, at the exact tonal hertz frequency required to adjust a subluxation, and with a pre-loading mechanism (you don’t fire it, it fires at a pre-determined pressure). In short the Integrator is the only adjusting instrument I have seen that surpasses the specifications of an adjustment by hand.

Experience how to tap into the mesolimbic system with every adjustment to deliver significant state of wellbeing changes:

This is the “final frontier” for chiropractic research, chiropractic science and chiropractic practice: We talk about the power and wonder of the central nervous system, and then regress into showing pictures of squashed spinal nerves in distorted intervertebral foramina. People are not that silly, the scientific and medical community is certainly not that simple, and I’m not sure why we persist with being this immature. The magic of the nervous system is happening deeper than this - at least at the dorsal horns, and all the way up into the mesolimbic system: And the magic of a chiropractic adjustment happens in the depths of the central nervous system and we are rapidly developing the art and science that maximises this effect.

Please come and join us for an intense weekend of philosophy, science and art that will truly expand your horizons, potential and outcomes…

This year’s only opportunity to participate in a Torque Release Technique Seminar and Hands-On Workshop is on Saturday and Sunday May 19 and 20 in Melbourne. Go to http://www.torquerelease.com.au/Torque-Release-Discount.htm for a great discount offer to register early.

The Art of Chiropractic - Art 12

Monday, April 11th, 2011

ART 12. RECOIL.

“Recoil is the term used for Innate contraction of forces, in the body, in response to the adjustic concussion. Mechanically, recoil is the product of elasticity. It is the bouncing or springing back of an object when it strikes another object. It is not possible without concussion…”

If you have learnt Toggle Recoil you will recall the high speed, low amplitude thrust along with recoil that you may have spent hours trying to master. Often we were given the toggle boards with the hinge and latch mechanism that helped to train just the right depth, and I can remember a degree of competition in trying to be the most lightning fast adjuster.

One of the key ingredients built into the Integrator adjusting device during its development was recoil. This is partly provided by the pre-loading mechanism that allows the instrument to fire upon a pre-determined amount of pressure, but actual recoil is also built into the device’s specifications to maximise the “Innate contraction of forces” that Stephenson speaks of.

I think there are some key concepts shared in the short paragraph about recoil:

  1. Something happens as a result of us delivering our thrust - recoil - we don’t realign bones, we don’t release stuck joints - the body has to respond for there to be a therapeutic effect - we just need to get the concussion right…
  2. Recoil is dependent on elasticity - in chiropractic our disclaimer to the potential benefits from our care is something we call “limitations of matter” - this primarily means the structural changes that result from the long term dysfunction and distortion that restrict the body’s ability to be corrected. I would argue that this manifests most significantly as reduced recoil.

During TRT training we discuss The 14 Indicators of Subluxation - one of the benefits of understanding and having a system to objectify and review these indicators that I have found in my practice is to develop better intuition in predicting the state of a practice member’s “matter” - that is the degree of tension which is being stored in their system - or in other words the degree of elasticity in their body. This helps enormously with scheduling and with pre-empting the need for increased education and encouragemnt to increase the chances of compliance and hence great results…

To check out TRT training dates go to this link: http://www.torquerelease.com.au/TRT-Seminar.htm

The Art of Chiropractic - Art 6

Monday, March 28th, 2011

Art 6. ADJUSTMENTS

“A Chiropractic adjustment is the RESTORATION of a subluxated vertebra to its normal position, by Innate Intelligence.

“This restoration is brought about by Innate recoil or Innate contraction of forces. The contraction of forces takes place in the supporting tissues of the vertebra in question… The Palmer method of arousing Innate to do this… is by means of the Palmer Toggle Recoil.

“…no other method teaches that adjusting is restoration performed by Innate Intelligence.”

In Torque Release Technique (TRT) we teach that an adjustment is “communication through touch”: This builds on this concept that we deliver a correctional vector with intent, but then the body has to do something intelligent with this force, energy and/or information. In other words the real healing begins after your hands have finished.

The defining attributes of a Toggle Recoil adjustment include:

  • Highly specific contact point
  • High speed low amplitude thrust
  • Recoil
  • Torque

During the design of the original TRT research project a statistical problem had to be solved: This was the statistical confounding of touch. Because chiropractic is “done by hand” it is actually quite difficult to achieve statistical significance - a large sample size or huge clinical difference between active treatment and control group is required. Not to mention the “placebo” stigma of human touch. (You know some researchers think that chiropractic works because we are nice to people?)

To avoid this Jay Holder designed a totally new adjusting instrument so that the adjustment could be delivered by a reproducible, reliable and specific tool that reproduce what the hands intend during a Toggle Recoil. While some DCs mistakenly think that an Integrator is just another variation of other standard impact hammers that have been used by Chiropractors for some time, it is important to understand that there are very few similarities in engineering and construction.

The Integrator delivers all of the above factors of the Toggle Recoil but with less force, higher speed and greater specificity than ever possible with the human hand. And the findings of the research suggested that something extra beneficial had been created, so much so that demand for the Integrator in the market place predicated its manufacture. And the assessment and adjusting protocol used by the practitioners during the research project were similary demanded for use in clinical practice - and so began the teaching of Torque Release Technique.

To check out when the next TRT program is go to this link: http://www.torquerelease.com.au/TRT-Seminar.htm

The Art of Chiropractic - Art 5

Sunday, March 27th, 2011

Art 5. MOVES.

“A move is a mechanical movement given by an adjustor with the intention of adjusting a subluxation.

“A move is not necessarily an adjustment. All moves do not succeed in adjusting subluxations. A move may shift a vertebra from one place to another but that is not always an adjustment. A move does not succeed in adjusting unless it produces an Innate recoil. The educated mind of a surgeon or even a chiropractor does not know where to put that subluxated vertebra. The only intellect that knows is the Innate Intelligence of the patient…”

I guess if we can be brutally honest with ourselves - we will have observed this in our practices. Not every adjustment seems to produce the magic that we expect and that our practice members desire.

The key ingredient is this obscure component of “innate recoil” - a positive physiological response to our therapeutic “move” - needs to be an intelligent one on the recipient’s behalf. I know that some segments in our profession have difficulty with the concept of innate intelligence, but I am not sure how we can comprehend any internal healing without such an intuitive process existing on some level? One might call it homeostasis, another the immune system, someone else just energy flow - to be honest I think Innate Intelligence describes it better!

And I think the next question that arises from this is how do I maximise my chances of delivering an adjustment that more consistently produces innate recoil? On my own personal technique journey, Torque Release Technique has answered this question better than most, and continues to strive with research and development to further enhance each chiropractors healing potential.

Check out the next TRT Training program at http://www.torquerelease.com.au/TRT-Seminar.htm