Posts Tagged ‘Manual Adjusting’

WHY ATTEND TORQUE RELEASE TECHNIQUE TRAINING?

Wednesday, February 6th, 2008

There are SO many chiropractic programs and techniques available to Chiropractors nowadays – Alphabet Soup you might say. For this reason it is imperative that each DC choose programs which are going to give them real value for their money. Nobody wants to attend a program which gives them one take-home strategy which they will use on one patient a week; or worse still leave the class and never implement a single aspect of the training. Below is my list of reasons to attend Torque Release Technique based on feedback from previous graduates of what changes the most in a DC’s life after attending a TRT program…

1) Better results with the majority of your patients – so many programs tell you that they are going to help you get better results with those “problem patients”. Isn’t it perplexing how we forget about the 80% that are getting good results and focus our minds on that 10% that isn’t responding: And we’ll spend big dollars attending a program that will help us get better results with the people who provide us with a small proportion of our income!! What if you could attend a program that will convert your good results to great results – imagine what will happen when 80% of your practice is getting better results?

2) Absolute certainty that you are adjusting the subluxation which most needs to be adjusted, at that moment in time, with the correct vectors and contacts – by contrast most other systems give you a list of possible subluxations, and then you either adjust all of them or make some subjective decision as to which ones you will adjust on that visit – and then there’s a bunch of systems that place no value or priority on what needs to be adjusted (if it pops then it must have needed it) – near enough is not good enough.

3) Increased retention – Because most other systems are linear and mechanistic they don’t adapt to the change that is happening: They see patient plateau at some point in the care program – plateau is the biggest enemy of retention – TRT is non-linear and vitalistic – in other words; the adjustments adapt and evolve as the patient’s nervous system goes through plastic changes – this means that patients keep getting significant changes after each adjustment – and excited patients stay and they refer.

4) Very quick analysis system that helps to cut down the number of adjustments needed each visit while still giving the best results – It IS possible to give someone a high quality adjustment in less than 2 minutes.

5) Less physical strain on the DC’s body – many DCs are paying a personal price physically and mentally due to how hard they are working to give their patients great adjustments – TRT is very easy physically and very orderly mentally – you get to the end of the day with energy still left over for your family and interests.

6) Every DC who has ever implemented TRT to some degree has increased their practice volume, while often reducing their working hours – TRT is very helpful for DCs wanting to practice high volume.

7) It is the first analysis and adjustment system to be totally neurologically based: The indicators we use are neurological indicators, the analysis system we utilise is neurological, and the Integrator adjustment is a neurological intervention.

8) It is the only system that breaks Chiropractic out of a mechanistic model: Most systems talk about the nervous system in terms of the outcomes, but then regress into biomechanical speak, assessment and intervention – “I’m a wellness Chiropractor and I straighten spines” – NOT! – a straight spine does not guarantee wellness – only improved neurological function guarantees wellness.

9) It is the only system that offers a completely vitalistic application of our vitalistic philosophy – totally congruent with the 33 principles and yet current with quantum science: Mechanism is not a subset of vitalism; it is a subset of reductionism. Vitalism requires a respect for the life, spirit, energy and intelligence of human existence – does your “treatment” release human potential, or does it impose your belief of what angle a cervical curve should be?

10) Increased understanding of the emotional component of subluxation – how emotions contributes to subluxation – how subluxation impacts on the emotional component of the nervous system – and most DCs see bigger changes in patients emotional states when they use TRT.

11) Totally congruent with WELLNESS practice – many DCs say they are wellness DCs, but basically have a practice full of people who come for regular check-ups – a wellness practice can only be measured by improved state of wellbeing in the clients, not by how often someone gets adjusted – TRT DCs find that their practice members go through major shifts in their state of wellbeing.

12) The level of satisfaction with the Integrator is much higher than with most other instruments – most DCs use their instrument as an alternative to manual adjusting – when all else fails or when they feel it is not safe to adjust manually. The opposite happens when DCs use Integrators – they are usually shocked to find that they actually get better changes and feel their adjustments “hold” better when using an Integrator. And those recurring subluxations that used to be back again every visit suddenly seem to clear and no longer recur.

13) They discover a massive demographic of new patients who would never see a “bone cruncher” but love the low-force approach – Like it or not – the manual adjustment has been the vehicle with which most DCs have produced great health changes in their customers. But at the same time the manual adjustment suffers from a very poor public relations history: From comedy shows, to fanatical and very vocal cynics, to a large segment of the general populace – there is a huge number of people who question “cracking backs” as being of little therapeutic value, and of much unnecessary risk. When you use a low-force adjusting approach – you enter a new game – and you find a whole new marketplace.

14) Enjoyment, fulfilment, passion and excitement seem to happen in DCs lives. It amazes me how many DCs are actually struggling in practice emotionally – and are in a state of disappointment, boredom or burnout. We get so many phone calls and emails a few months after a TRT program with amazing stories of renewed practices, revived enthusiasm, and unexpected but well-deserved rewards

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…

WHAT CHIROPRACTORS LOVE ABOUT TORQUE RELEASE TECHNIQUE

Monday, May 21st, 2007
  1. Speeds up your decision making – provides an extremely fast assessment process that delivers absolute certainty that you are adjusting each client exactly where they need to be adjusted on each and every visit.
  2. Is so much easier on their own bodies – are you paying a personal physical and emotional price for the healing that you provide to others? Why not upgrade to a new-generation technique that is easy on your body and mind?
  3. Provides an extremely effective low-force adjusting strategy – If you are like me, you may have steered away from instrument and low-force adjusting because you perceive it to be inferior to manual adjusting. The Integrator actually provides you with specifications that surpass manual adjustment – higher speed, greater specificity, recoil and torque, pre-loading mechanism to make every adjustment reproducible and consistent, exact correctional vectors, true adjustment for force, can deliver adjustments with spine in neutral posture to reduce iatrogenic risks.
  4. Helps make the quantum shift to a neurologically-based system – You may think in your own mind, that when you produce a cavitation in your practice members’ subluxated spine, that you are releasing the flow of the mental impulse: But in most of your patient’s minds, they think you are cracking their back to stretch their stiff and sore bones… This is a sad but true fact about public perception. But, the good news is that when you shift to an assessment process which utilises neurological indicators, and adjust with an instrument that has been designed to initiate neurological change; it becomes so much easier to shift your practice members’ understanding to the fact that you are a nerve doctor, and not a back doctor.
  5. Allows them to see more clients in less time – Speed up your assessment and clinical decision making, reduce the number of adjustments you perform on each visit, cut back on the extra stuff that you do out of habit as opposed to clinical necessity – All this translates to increased productivity and profitability, and decreased time wastage and brain drain.
  6. Opens up your practice world to the emotional component of Subluxation – You don’t have to become a counsellor, but when more of your clients experience emotional, mental and even spiritual change following their adjustments, they’ll want to tell you about it. They’ll also want to tell their friends, family and colleagues about it; and usually what happens in a TRT practice is you become inundated with folks desiring and experiencing the same changes.
  7. It fits snugly into a wellness paradigm - Chiropractic has succeeded in positioning its identity in the community: The average person on the street, the local GP, other health care professionals, and your local media all think you treat sore backs reasonably effectively, and then try to keep them coming back for no particular reason. If you want to reposition yourself as a “wellness” provider then you are going to have to appear very different; and your “product” or “unique selling proposition” needs to appear cutting-edge, exciting and modern. TRT fulfils all of these criteria – you’ll actually find your practice members asking “I know this is really great for my total health and energy, and I don’t seem to get sick very often anymore, but if I develop a sore back should I still come and see you, or should I go to one of those old-style chiros?”
  8. It’s actually becomes easy to write a case study – Because the protocols of TRT analysis are well documented and consistent, because you learn neurological indicators that can be documented and even quantified, and because you seem to attract more diverse clinical presentations, most DCs find themselves having a steady stream of cases that can easily be written up and published.