Posts Tagged ‘Impulse’

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

CHIROPRACTIC EVOLUTION

Tuesday, July 3rd, 2007

Through the mid-nineties pivotal chiropractic research was conducted and was published at the beginning of the 21st Century, and yet a large segment of the profession missed it! Why?

1) The findings weren’t published in a peer-reviewed chiropractic journal – they were actually published in two major psychiatric journals; the Journal of Molecular Psychiatry (published by Nature) and the Journal of Psychoactive Drugs: No chiropractor would have received these journals in their post-box.

2) The research involved a patient population commonly ignored by comfortable middle-class chiropractors, namely an addicted population. But this study population was chosen for very specific scientific reasons – they biogenetically possess an inability to achieve a state of wellbeing.

Why was this research potentially so paradigm shifting for the chiropractic profession?

1) The design of the study was overseen by a leading medical biostatistician from the University of Miami, School of Medicine: Nothing was included in the study unless it stood up to his rigorous statistical and evidence-based standards.

2) The study involved randomization, and all of the scientific design expected of longitudinal clinical research, and, three-arms – not just active treatment and control groups, but also a placebo-control group.

3) The acceptance and rejection of various chiropractic examination procedures which lead to a short-list of evidence-based indicators of Subluxation, ultimately synthesizing a technique for analyzing and differentially diagnosing a Primary Subluxation.

4) The need to design an adjusting instrument that provided true reproducibility of the adjustive thrust and the vectors of the classic chiropractic adjustment – the Toggle Recoil.

5) Acceptance of the research results by peer review panels far more rigorous and skeptical than normal chiropractic peer review.

6) A documentary featured on Discovery Health Channel highlighting the findings of the research and giving chiropractic a glowing review.

What was so impressive about the results? To understand this we need to tell you a little about the clients accepted into the trial: These were recovering addicts with many substance-abusing habits, who were undergoing normal 30-day withdrawal in an in-patient facility… Nasty stuff: Major withdrawals, cravings, severe physical and mental symptoms, abstinence-based challenges… all going on at the same time. What happened when they received specific chiropractic adjustments?

1) They finished the program: The gold-standard of recovery is how many clients make it to the end of the thirty days? Good rehab facilities achieve somewhere around 70% retention. When they were adjusted as well, the retention rate increased to 100%… That’s right no-one left! In recovery circles it is common knowledge that if someone drops out of care it isn’t because they’ve started a new job, or had a miraculous healing and didn’t need to hang around. No, they’ll usually be back in their old haunts doing the same old stuff. This finding is huge – if they stayed they must have been doing really well.

2) Their anxiety levels dropped dramatically: This research project didn’t just measure one outcome, it also utilized internationally accepted state of wellbeing questionnaires: When the clients were adjusted the Spielberger’s State of Anxiety Test scores dropped the same amount that it normally takes six months of standard care to achieve.

3) Their depression levels dropped markedly. When the clients were adjusted the Beck’s depression inventory scores dropped the same amount that it normally takes twelve months of standard care to achieve.

4) They didn’t need the usual nursing and first-aid measures demanded by this population. Nursing station visits are actually the biggest overheads in running a rehab facility: When the clients were adjusted only 9% needed to make any nursing station visits – the placebo and normal care groups made visits in 56% and 48% of cases respectively (that’s right the placebo group was more miserable than the normal care group – so much for the argument that chiropractic is a good placebo – this suggest it’s actually a “nocebo”!)

Now wait a minute I hear many of you saying – “I have no interest in treating drug addicts in my practice, so why would I want to learn a technique to treat them?”

Here is the point… the CHIROPRACTIC IN THIS STUDY DID NOT TREAT ADDICTION, IT ADJUSTED SUBLUXATIONS. The in-patient program treated the addiction with the normal abstinence strategies, group therapy, counseling etc. The chiropractic produced massive increases in state of wellbeing, helping the recovery to be more effective. You need to learn how to produce such massive increases in state of wellbeing to, in all of your practice members…

Isn’t this what great chiropractic is about? We don’t fix them, but when we adjust them their body’s healing and recuperative processes are exponentially released to fulfill their true potential – great chiropractic that is…

So why would you learn Torque Release Technique the chiropractic model that evolved through this scientific process?

1) Wouldn’t you love your client retention to reach record proportions? There’s only one thing that really increases retention – RESULTS. You might be a great salesperson and be able to coerce people into hanging around, but when they FEEL the benefits they don’t need any convincing.

2) No-one refers like an excited customer: Do you think that massive changes in emotional and mental status would excite your clients? When their back pain’s gone they quickly forget why they are coming to see you: But when the lights get turned on every adjustment, you’ll be impressed when they start to ask if it is alright for them to regularly come back for more, and and can they bring someone else with them?

3) If we are truly a wellness profession, then our clients’ dependence on symptomatic and crisis care should start to vanish. How thankful do you think your clients will be when they notice how they aren’t spending so much on panadol, panadeine and nurofen, and they no longer have to spend ages sitting in the MD’s waiting room with all those miserably infectious people? How much easier will your practice hours be when no-one is winging and whining about their latest ache?

4) Wouldn’t you like to get to the end of the day after having seen more clients than ever before, and not be emotionally and physically spent? With TRT you can speed up your decision making, reduce the number of adjustments per visit, and minimise all the extra stuff you do trying to hit the right spot.

5) So you can be sure you are using the most evidence-based technique ever available to the chiropractic profession. Make sure you have total proficiency in the procedures accepted by one of medicine’s top biostatisticians – discover if you’re wasting your time doing stuff that was rejected?

6) So you can access the Integrator Adjusting Instrument, the only instrument with pre-loading, recoil, torque, stunningly high speed (1/10,000 sec), low force, and neurologically-based impulse frequency.

7) To be trained in the technique that provides you with the vitalistic, tonal, non-linear, neurologically-based adjusting technique to go hand-in-hand with your vitalistic chiropractic philosophy – Leave behind the mechanistic methods that have held back chiropractic practice in the twentieth century.

FLAWS OF A MANUAL CHIROPRACTIC ADJUSTMENT

Friday, June 8th, 2007

DD Palmer was the first practitioner to deliver a correctional thrust to the spinal column in an attempt to restore nerve function. DD must have been aware of the shortcomings of the manual adjustment as he very clearly stated that future generations of his profession would find better ways of delivering the goods. But for many decades it has become taboo to discuss the limitations and flaws of our wonderful healing art. Thankfully there are some pioneering practitioners exploring new means of facilitating neurological change.

But first let’s do some serious soul searching…

1) Difficulty isolating a segment

We’ve all been guilty of this one – your intention is to adjust C2, but when you set up and deliver your dynamic thrust, you may or may not feel the cavitation at one of the C2 articulations; can you ever be truly sure that the joint that you wanted to move – moved? And then there are those extra “pops”. I remember being adjusted by an “old-timer-chiro” years ago: He insisted on adjusting me so I could experience a “real adjustment”. I guess he was intending to adjust my upper cervical spine, because they were the first joints that I felt separate. But then his thrust continued and I felt numerous more joints move further down my neck and what felt like my upper thoracic spine. Apparently the soreness and stiffness that I experienced for the next two weeks was an essential and needed healing process? Now I know that most of us are much more specific than this life-crunching experience; but let’s be really honest – we don’t truly know whether we hit our target on each and every adjustment.

There is an alternative means of adjusting which guarantees that you will impact exactly the joint/nerve you intend – one that delivers its impulse exactly where you place it…

2) Inability to deliver specific frequency

The thing that first got me excited about chiropractic was the suggestion that spinal adjustments might improve neurological performance. I was studying a Bachelor of Science at the time and had no trouble with the concept of the supremacy of the central nervous system over all other body systems – this understanding is not peculiar to the chiropractic profession. But let’s have a moment of awakening – the thought that the delivery of a correctional force vector to the spine to change nerve activity appears quite peculiar to many other members of the scientific and general community.

The ONLY way that an adjustment could change nerve function is if it can change nerve frequency.

Can you deliver exactly the right frequency needed to correct aberrant nerve activity due to Subluxation with your hands? Thankfully, technology exists that can deliver specific vibrational frequency…

3) Speed/acceleration variable

The best manual adjusters are fast. The faster you are the less the mass you have to use. This is a simple physics formula: Force = Mass times Acceleration. Increase the speed and you increase the impact of your adjustment without increasing the body weight that is needed. “Small” chiropractors can adjust just as well as “big” chiropractors – if they have speed on their side.

Imagine if you could adjust with an impulse that is finished in 1/10,000 of a second? You would hardly need any mass whatsoever to produce the same physiological changes – such a tool exists today…

4) Increased Mass

Higher speed reduces the mass you have to use. Low speed with high mass meets with more tissue resistance, reflex muscle guarding, patient discomfort and fear, and increased pressure against supporting soft and hard tissues. In other words, increased likelihood of developing clients that don’t like you and that are sore after you adjust them. If you can make this one shift alone in your adjusting proficiency, then you will dramatically increase your patient satisfaction and clinical outcomes.

Why not remove your dependence on mass altogether by using an instrument that is so fast that mass is almost irrelevant?…

5) Reliance on cavitation as THE outcome

I can still remember my early days in practice. I inherited a few patients who showed up sporadically to get their “back put back in”. I don’t know whether they had been taught that cavitation was evidence that the bone had returned to its rightful place, or whether they had made their own conclusions due to their previous DCs gleeful comments when a good “pop” was produced. Anyway, some of them would refuse to leave the practice until they were satisfied that an adequate noise had emanated from their spinal column. Praise God, I know longer have any of these kind of clients in my rooms. Most of my practice members seem to intuitively as well as intellectually get it that there are many more signs and symptoms that their adjustments are delivering health improving benefits, than just the production of “spinal farts”.

If you can rehabilitate yourself from the false belief that cavitation is any kind of sign of a neurological response then you are ready to evolve to the use of newer adjusting methodologies…

6) Poor inter-examiner reproducibility

I’ve had a lot of locum and associate DCs grace my practice rooms over the last eighteen years, and the variance in client satisfaction, and obvious variability in touch, technique and practices has been astounding. No two DCs are the same, and no two chiropractic experiences are consistent it would seem. Contrast this to my current situation – I have been fortunate over the last three years to employ locums who use the same system, method and adjusting technology that I use every day. Most recently one of my clients commented, “it was like you were there, even though you were in Marysville!”

I’ve got to tell you that it makes leaving your highly valued business and long-term clients in the hands of someone else VERY easy, when you can rely on the fact that what you do and what they do is so reproducible. Wouldn’t you like that same degree of confidence and security?…

7) Move joints into para-physiological range

Real Estate Agents speak of the golden rule of investing in property – “Position, position, position”. In terms of effective manual adjusting perhaps we can steal and adapt this concept to – “Positioning, positioning, positioning”? Previously when tutoring associate DCs to deliver precise neck adjustments I always found that if you get their patient positioning right then “all else followed”. We all know that to get a joint to cavitate we must get the joint into its para-physiological zone – don’t get there and it won’t move without extra force and excursion in our thrust; go too far and woops we’re talking sore clients.

Wouldn’t it be good if we could find a way of adjusting which didn’t require resting on that knife’s edge? A way of adjusting that could be performed with a joint in its neutral, totally relaxed position? That “way” already exists and patients will love you and enter into very deep states of relaxation when you adjust with this method…

8) “Bone-crunching”

“Bone-crunching” has made chiropractic famous – It has also made Chiropractic infamous: There is a large segment of the population who will never go to a chiropractor that “crunches bones”. And I know that there isn’t a single chiropractor on the planet that thinks they are a bone cruncher – but if you manually adjust, producing audible popping sounds, then good luck trying to convince the skeptics that what you do is not bone crunching. These skeptics will however visit a chiropractor who uses a low force methodology: I know this to be true because 50% of my new clients nowadays, have never been to a chiropractor, and all of them tell me the same story; “I swore I would never go to a chiro but then someone told me that you helped them without crunching their bones, so I figured I would give it a go”

There’s lots more of this untapped new patient market place awaiting you too…

9) Less specificity of vectors

Imagine if there were some tests you could perform that would differentiate exactly what correctional vectors were needed to provide the most effective adjustment – wouldn’t that be great? They exist and are very quick and simple to perform. However, is there any point knowing within a few degrees these vectors required, if you then cannot deliver those vectors with your adjustment. Unfortunately with a manual adjustment there are some basic flaws which preclude exact correctional vectors.

It requires an instrument which has true reproducibility to be able to deliver precise vectors. Unfortunately most instruments on the market require the practitioner to fire the instrument, and research has shown that this can vary the reproducibility of the thrust by as much as 300%. There is however one instrument which has pre-loading with pressure sensitive firing, so that every adjustment varies minimally from the last…

10) Iatrogenic risks – disc, Fx, vascular

We all know that what we deliver is amazingly safe, especially when compared to the statistics from other more “conventional” healing practices. Nevertheless there are some published risks especially associated with manual adjusting: Most of the risks appear to be proportionate to the amount of mass delivered during the adjustment, and the positioning of and thrusting upon patient’s joints into “para-physiological” ranges.
Exacerbation of disc prolapse is one such documented risk – I would hope that every DC exercises a great degree of caution and a certain amount of hesitancy when faced with a patient showing classic signs of disc protrusion; and I would hazard a guess that a significant number of DCs have erred on the side of too much force on at least one occasion.

I’ve seen two cases of cracked ribs in my practice in 18 years of practice – one was produced by a locum DC who adjusted an elderly female client’s thoracic spine in the prone position producing a loud crack, and instant pain which took 6 weeks to resolve and much “TLC” to appease. The second happened to me when I was setting up for a prone thoracic adjustment on a seemingly healthy mid 30’s male – we both heard the weird cracking noise – and then I was astonished when he announced that he should have told me that he had cracked that same rib several times and he sincerely apologised for not warning me!? I suspect that any other form of fracture supposedly attributed to chiropractic would be due to some un-diagnosable pre-existing weakness in the bony architecture.

The issue of vascular complications due to neck adjustment is controversial: It is clear that the estimates of the relative risk are at best imaginary and seemingly always overestimated. I have seen other statistics which claim that chiropractic reduces the risk of stroke in an adjusted population! The obvious fact is that nearly every DC will never see this in their practice. Let’s say that the risk of stroke from cervical “manipulation” was 1 in 1 million. In my estimate this means that there are 20 people in the whole of Australia who shouldn’t have their neck adjusted manually. My secret prayer has been that not one of this tiny group lives anywhere near my rooms, and that if they do, they intuitively know to go and see a Physio instead of me…

It would seem that every chiropractic cynic has a story of someone who was crippled by a chiropractor; one loud-mouthed critic I was confronted by once even claimed that “a nurse had told him that there was a whole ward full of chiro-cripples at a well-known Melbourne hospital”. We all know that this is absolute nonsense, but this does demonstrate a common fear of our “therapy” – safety – there are chiropractic techniques available right now which minimise risk and maximise safety…

11) One segment at a time – no “Double Ended Contact Assist”

To understand this concept fully you need to attend Torque Release Technique training. The concept of Lovett Brother Reactors is not a new one in chiropractic, but it is an ignored concept in many manual models. I wonder if this is due to the fact that you cannot manually adjust two segments at the same time? Most DCs if they possess a protocol to determine if an adjustment has held (you’ll learn this at TRT too) will keep adjusting the same segment until it submits. Deeper understanding of the neurological coupling known as Lovett Brothers provides the answer to this scenario though; and if the DC also possesses a protocol to simultaneously correct the two coupled segments at the same time then these persistent subluxations can be coerced into correction in a very quick and gentle manner.

The shortcomings discussed here have all been carefully solved through the research and development of Torque Release Technique and you will learn numerous strategies to evolve beyond these flaws as well as how to adjust with the purpose-built Integrator Instrument…