CHIROPRACTIC EXCELLENCE

This feature is based on an article originally published in 1957. Few people know that many years ago there was a number of Chiropractic Psychiatric Hospitals which had unprecedented success stories. This topic deserves to be revisited…

There is a considerable accumulation of evidence that chiropractic is effective in the handling of various mental ills, perhaps even more effective in certain instances than the medical battery of treatment which includes psychoanalysis, psychiatry, drugs, various types of shock therapy, and surgery. This evidence has been piling up since the days of DD Palmer himself, who wrote that in the case of insane patients it was usual to find “occlusion of the third, sixth, seventh, eleventh, and twelfth dorsal nerves.”

In 1952, a crusading book entitled Obsolete American Mental Health Systems made startling claims that both chiropractic and osteopathy were far superior to so-called “orthodox” procedures in the handling of mental ills. Written by John Stevenson, who was for many years a prominent figure in labor management in the State of Michigan, it made such direct comparisons as these:

“Under our present state mental health programs, seventy-five to ninety-five patients of every one hundred patients who enter state mental hospitals are doomed to an asylum prison for life, depending on which state the patients are confined in…

“Investigation reveals that the private sanitariums of the chiropractic profession show from 60 to 65 per cent satisfactory discharges per annum as against 1 per cent to approximately 25 per cent discharges from state mental hospitals.”…

Chiropractors state that clinical experience with many thousands of nervous patients has definitely established a direct connection between the nervous system and these disorders, demonstrating that the latter are not always of purely emotional origin. They also state that the physical alterations they are able to stimulate in the nervous system through spinal adjustment are highly successful in eliminating nervous symptoms, including those of long duration. This was stressed in a recent series of articles in the National Chiropractic Association journal titled “The Connection Between Nerves and Nervousness” and written by Dr. Herman S. Schwartz, President of the National Chiropractic Psychotherapy Council and author of the popular self-help book The Art of Relaxation…

A valuable guide to the subject is a public-information booklet written by Dr. Schwartz with the technical and editorial collaboration of George W. Hartmann, Professor of Psychology, Teachers College, Columbia University. It is entitled 350 Nervous and Mental Cases Under Chiropractic Care and was published by The Chiropractic Research Foundation of Webster City, Iowa.
Dr. Schwartz cogently sums up chiropractic’s approach to mental illness. He says: “It is logical to ask how chiropractors correct nervous and mental conditions without resorting to psychiatry. The answer is that chiropractic is a neurological approach to these problems, operating on the independent assumption now an established scientific fact-that much emotional illness stems from nerve irritations maintained by distortions in the spinal column. By correcting these subluxations, the chiropractor eliminates intense and persistent pains of obscure origin which mental cases suffer. A person with a cinder in his eye sometimes shows temporary lack of emotional control. So does one who has his corn stepped on heavily. Perpetuate excitation with a less obvious source of trouble and one begins to understand why some of the mentally ill suffer.”

Of the 350 patients in the Schwartz survey, 212 or 60.5 per cent were “apparently cured” through chiropractic, 87 or 25 per cent “much improved,” 28 or 8 per cent “somewhat improved,” 19 or 5.5 per cent revealed “no change,” and 4 or 1 per cent were “worse.” Thus in 93.5 per cent of these patients improvement was noted ranging from apparent cure to some betterment of the condition.

“The summation here,” observed Dr. Schwartz, “is that the chances are about 9 in 10 that `nervous’ cases of the sort considered, benefit from whatever the chiropractor does for them. Interestingly enough, every one of the 350 cases studied revealed subluxations of variable magnitude in spinal analysis.”

The Schwartz study becomes even more impressive when it is noted that of the patients studied 33 per cent had been in mental institutions and another four per cent were on the verge of being committed at the time chiropractic was first applied to them. More than 55 per cent had received general medical care, 13 per cent had undergone some form of shock therapy, and six per cent had had psychiatric treatment. Of the entire 350, all but five had had at least some degree of medical and psychiatric attention. Under such treatment, 27 or 8 per cent of the entire group had worsened, 33 or 10 per cent had shown some improvement, and 285 or 81 per cent had shown no change either for better or for worse…

One of the best-known chiropractic institutions dealing with the mentally ill is Forest Park Chiropractic Sanitarium in Davenport, Iowa. Its record in mental cases appears far superior than that of many, if not all, orthodox institutions. As far back as 1934, through the efforts of Hon. A. W. Ponath, County Judge of the Probate Court of Richland County, Wahpeton, North Dakota, 10 patients from the State Hospital at James-town, North Dakota, who had all been diagnosed as hopeless and incurable cases of dementia praecox, were sent to Forest Park in a test of what chiropractic could or could not accomplish. All of the 10 were chronic cases, and eight of the ten had been in the North Dakota state mental institution for from five to ten years. The remaining two were acute cases who had been mentally deranged for only a short time.

With these ten mental patients—all of whom had been diagnosed by state-employed medical doctors and psychiatrists as hopelessly incurable—Forest Park appears to have achieved 80 per cent complete recovery. The two acute cases were completely recovered by the end of the second month of treatment. Of the eight chronic cases, six were returned home as free from symptoms within one year.

Judge Ponath subsequently published a report titled Facts—What Chiropractic Has Done for Insanity in which he compared the overall records at Jamestown, N. D., (under medical supervision) and Forest Park (chiropractic). He found that during the years 1922-1934 the state mental hospital achieved 27.18 cures or satisfactory discharges, as compared with 65 per cent of the chiropractic institution over the same period.

Judge Ponath concluded, “And if this record, 65 per cent, can be obtained on cases where the large percentage are classed as incurable and had already spent much time in insane asylums and other sanitariums, how much more chiropractic could do if given the opportunity to handle the patients immediately after being brought to an insane asylum, rather than months or years later when their constitution has been run down by deterioration or prolonged mental disability or both.”…

Read The Full Article At Old And Sold Antiques Digest…

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.

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…

The number and type of clients you see and draw to your practice are a SYMPTOM of your own attitude towards chiropractic!

1) If your attitude is that chiropractic is great for the relief of any number of aches and pains - then you will have a pain relief and crisis care practice.

No matter how many visits you try to extract from your customers, they will tend to use you only for the relief of aches and pains - you may have a PVA of 20, but this will be 20 visits of crisis care. And because you will see primarily pain relief occurring, you will justify your attitude. In other words, you will either not initiate larger state of wellbeing and general health changes, or even if they are occurring you will be oblivious; because you won’t even ask the questions that might detect that something else is going on. And your patient’s won’t think to mention any other changes that are happening in their lives, because you are the “Back Doctor”, and the other stuff has nothing to do with you.

2) If your attitude is that chiropractic is good for fixing back problems, or straightening abnormal spinal angles - then you will have a corrective care practice.

You could have a huge practice, with people seeing you for a bunch of visits in a relatively short space of time. People will be convinced and even impressed by your level of professionalism, equipment and affluent appearance. But here’s the question: How many families are you seeing, how many of your clients have been seeing you for 5 and even 10 years, how dependent are you on the next bunch of new patients to refill the appointment book and balance sheet?

3) If your attitude is that regular chiropractic helps to prevent spinal problems from progressing to be serious, acute and painful - then you will have a maintenance practice.

How quickly do your patients get to four to six week intervals in their care? Often they get to monthly visits and you haven’t even reassessed them. A couple of times a week for a couple of weeks, then once a week for a couple more weeks, and then before you know what’s happened they are booked in, in 4-6 weeks. They may be out of pain, and they may have experienced some initial health improvements, but have YOU really made any signifiant physiological and functional changes to their global state of wellbeing? Will they live longer and better as a result of an adjustment every 30-60 days, while in between they undo all your good work?

4) If your attitude is that chiropractic is an integral part of a person’s health program, having an effect on their nervous system and releasing the work of the body’s innate intelligence - then you will have a broad scope health and wellness practice.

Their symptoms, state of disease, financial position are even totally irrelevant to your belief that a regular adjustment will do them good… It’s this simple - PEOPLE WHO GET ADJUSTED DO BETTER! And they usually feel and function better too. But you don’t take responsibility for your practice members’ state of health - You didn’t get them into the state they are currently in, and you can but assist them and even coach them towards a more optimal lifestyle… You understand that each adjustment is a positive healing step forwards, and you utilise all your clinical and technical skills to determine how many steps they take backwards in between adjustments to determine the optimal schedule for their care. And this attitude is contagious, because the type of new patient that appears at your door seems to intuitively understand this philosophy, and they seem to be surrounded by a family and peer group that wants to join them at your rooms on a regular basis.

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There seems to be a mythology in chiropractic that the average person is unable to comprehend the nervous system - IF this is true it is because no-one has ever taken the time to teach them…

Masseurs and Physios are hardly going to teach ANY principles that explain the nervous systems’ role in health and disease. The pharmaceutical companies and AMA would probably prefer that the average person did not understand the CNS, except that they have drugs that can block all pain and unwanted emotions. Not many people are going to see a neurologist in their life - and those who do rarely come away with any insight into the normal functions of the CNS.

You’re a chiropractor - it is your calling to teach the world about the importance of a healthy and fully functional nerve system. No-one else will. The simplest way to do this is in bite-sized chunks…

1) Explain at the very beginning of your relationship with a new client that the nervous system controls and regulates ALL bodily functions, and therefore everything that you do to them is is all about improving their nervous system; and warn them that you will tend to explain everything to them in terms of the nervous system so that they can better understand their own body and how to look after it.

2) Convert your explanations of your exam procedures to neuro speak: eg. POSTURE - Posture is not a biomechanical phenomenon - it is a neurological phenomenon - it represents the body’s ability to perceive and position itself against gravity - its effectiveness in maintaining the sphenoid directly above the coccyx - this requires proprioception and fine-motor control. When you display a person’s postural distortions to them, forget the mechanical talk about the spine bending forwards and putting more strain on the discs. Instead explain to them that the reason their head has got into such a ridiculous position is because their brain doesn’t know where their head is; and the most likely reason for this is something (a subluxation) blocking the information getting from their neck joints and muscles to their brain.

When you explain spinal XRays spend as little time explaining the shape and position of the vertebrae; instead teach them how the changes on the XRays will be affecting their CNS: “See how your neck is leaning forward, and has become straight - this will be stretching your spinal cord like someone trying to wring out a wet towel”. Look at this extra backwards bend in your low back; look at the size of the holes between the vertebrae - this is where the nerves have to exit to control your body - what effect do you think this squishing will have on the nerve’s ability to transmit information?

3) Do an audit of each of your exam procedures and examine your explanations. Then re-write your description for that procedure in terms of the nervous system - you can do it - you’re a chiropractor. AND/OR Attend a TRT seminar and we will help to show you all the neurological indicators that you can use to assess, explain and educate your practice members.

4) Explain the outcomes of your adjustments in terms of the nervous system and then show them the changes that occur in their positive findings when they are adjusted. When you learn TRT you will be able do do this in a few short moments…

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