Posts Tagged ‘Trt’

Who needs a Paradigm Shift?

Thursday, March 21st, 2013

Paradigm shift is an often heard phrase in chiropractic motivational circles – and as a profession we have been waiting for the community to have the necessary paradigm shift to comprehend and gravitate towards our vitalistic healing services. But what if it is us that need the paradigm shift?

We beat up on the medical profession and quote the growing body of evidence of harm produced by pharmacy and surgery. We beat up on the common man as though he is too simple to understand that a spinal adjustment can release his inborn healing potential. But even if these two scenarios are true – can we change them? Can you make someone else have a paradigm shift? Will a research paper convert the medical profession to refer each and every inpatient to our rooms instead? Will a better spinal health care class transform the average Jo into a compliant, new patient referring machine? If we could just get our educational brochure to say what we really want it to say, then the world will finally notice us? Maybe a glossy TV advertising campaign will convert the masses…

If chiropractic is the answer that many of us think it is – and I’m not talking about curing cancer, turning HIV+ to HIV-, blind seeing, lame walking and deaf hearing: I’m talking about the ability of chiropractic adjustments to improve quality of life – regardless of the ailment. Haven’t we been around long enough for others to notice this is happening? Maybe not enough have seen what we see because:

1) It isn’t happening – maybe the clinical benefits from adjustments aren’t as big as we would hope?? Maybe only a small percentage of adjustments release innate intelligence – If so, is this a failing of chiropractic or of chiropractors? I am a huge fan of objective functional assessments and progress exams, but in my long involvement with professional development I have noticed that few in our profession truly share this obsession. Most want a tool that converts sceptics to long term practice members – few want to have their therapeutic effectiveness or lack thereof exposed and measured. I have to be honest that I have needed to make some significant shifts in the way I do things to find ways to more consistently and significantly improve function – and I am still looking for better ways.

2) It is happening but we don’t have the evidence to show anyone else. I am bamboozled by members of our profession that desire to limit our scope of practice to musculoskeletal pain on the basis that there isn’t any evidence to support any wider claims. I wonder how you can adjust large numbers of people and not see internal physiological improvements of some sort – surely at least one asthmatic, bed-wetter, parkinsonian, multiple sclerotic, migrainous, immune deficient would have returned to their office and thanked them for the help? Maybe not? But I think that this alludes to a wider challenge – how do we SEE the changes that our adjustments deliver? Can an Xray do it, CAT scan, MRI, blood test? My fantasy is that we will develop the skill and acumen to decipher which body function tests best measure the most important changes that occur in someone who receives regular chiropractic care. I’m a bit disappointed with our scientific and academic community that this hasn’t already been achieved: I don’t think the oswestry questionnaire is the answer…

3) It is happening, and we have the evidence, but we can’t get the message out. There’s a neuroscience to marketing – and I don’t think we use it – in fact to a degree we are forbidden to use it. I’ve never been fully able to find the words or images that convey the message that I want my surrounding community to perceive and comprehend. I’m still looking for the perfect imagery that encompasses a subluxation – and it is definitely not the one with two vertebrae pinching against each other and shrivelling the spinal nerve. And I scratch my head as to how McDonalds, Coca-Cola and other life threatening products succeed where I fail. But I do know that if you tell the wrong story then you will be misunderstood – I don’t think that anyone will expect improved quality and quantity of life from visiting a profession that promotes themselves as the spinal care experts.

Paradigm shifts birth from A-Ha moments: Someone looks at why and how they do things and all of a sudden sees a problem, but more than that, they envision a different way of thinking, being and doing: The thought that a circle could be turned into transport, electricity into light, sound transmitted along wires or through the air etc etc. So what is the paradigm shift awaiting chiropractic?

We have this concept that spinal dysfunction leads to nerve dysfunction. And regardless of our technique, practice management style, straight or narrow, type o or type m etc – the language of chiropractic tends to centre back to this one concept. And we claim that this is a vitalistic concept – it’s not – it is a mechanistic concept!

IF we are vitalistic then we need to practice with model, theory and technique that are also vitalistic. Let me illustrate what I believe was a paradigm shift in my own chiropractic world. We say that a Subluxation is a mechanical lesion which can interfere with the transmission of something in the nervous system (Let’s not argue today about whether that something is intelligence, mental impulse, action potentials, neuropeptides, type c fibres, proprioceptors – Whatever). What if the mechanical lesion is not the cause – what if it is merely a symptom of what’s really going on? It’s not a huge paradigm shift in terms of language but what if a Subluxation is a neurological lesion first and foremost? What we see and intervene against is a manifestation of this disturbed neurological state. Hence our intervention does not necessarily have to be mechanical as is required by the former model – but it does need to be “neurological”.

How else can we describe the variation in adjustment vectors, forces and contact points all having similar therapeutic outcomes: Without regressing to the placebo copout that is. Many have tried to win the argument of which technique is best on biomechanical grounds, but maybe that misses the active ingredient? How often have we seen in the nutritional product world where they try to extract the active ingredient only to find that they have lost something magic in the process?

Stop for a moment and allow your mind to stretch around the idea that the Subluxation is a neurological pattern – an altered state of frequency that may manifest with tightening muscles, reducing range of motion, and amended flow of neuropetides – but the underlying state is at least electrical and perhaps more accurately energetic. When you read this, do you have this internal mental tension attempting to bring it back to the fact there must be a mechanical explanation – if you do then you are not ready for the paradigm shift quite yet.

I’ve been teaching vitalistic, neurological, tonal chiropractic for roughly eight years now and I have observed the furrowing of the chiropractic brow when I present the idea that we can forget the mechanical component of the Subluxation altogether and still be a Chiropractor: DD Palmer predicted that we would find better ways of doing things. But I often have Chiropractors approach me during the refreshment breaks asking “you’re not really serious are you”?

Let me put it another way – we have a public image problem, and a professional image problem. The public has trouble comprehending how a “bone out of place” can produce anything but a sore back bone. And the other health care professions doubt that spinal dysfunction can cause anything but mechanical back pain. And we have to go through this long-winded process of trying to explain spinal anatomy to connect the dots between a vertebra and the immune system, or an organ or even the brain.

What if you just skip the vertebra part of the explanation? If you talk in terms of nervous system only you will observe some different A-Ha experiences occurring in your practice members. As soon as you mention a bone or a muscle their minds will get stuck there and they won’t hear anything else you say. If you hear this statement– “so it’s just a muscle” or “so something is out” – then the chance of new communication has ended.

Here is a challenge for the next two weeks in practice: Do not mention a single bone or muscle. Make all of your conversations about nerves. It’s not easy for most chiropractors and the temptation to take the easy path will be strong. Don’t talk about pinched nerves – that’s a mechanistic concept. Use words like tone, tune, tension, frequency, vibration, electricity, energy, balance, harmony, spinal cord, spinal nerves.

Use illustrations like guitars and pianos being tuned, electricity flowing through the body, fuse-boxes with blown fuses, switchboards with switches in the off position, radios or televisions tuned to the wrong frequency/channel or with volume switches turned up or down too far. Talk about the nervous system and how it controls and regulates every cell in everybody – but avoid the need to then talk about spinal bones – instead talk about the flow of information around the body and how there can be blockages – and how your specialty is to locate and reduce those blockages.

Here’s what you may discover – your practice members stop asking you about whether this will help their sore neck or back, instead they will ask about the internal functions that need help. You see – they innately know that the nervous system controls and regulates every cell in every body. And they innately know that the spinal bones don’t control and regulate every cell in every body. Heresy you say? Paradigm shift I say…

Now give yourself permission to attend a Torque Release Technique Seminar to complete the shift to a vitalistic and neurological adjusting system – one that DD himself aspired to. Check the details of the next TRT Seminar at this link: www.torquerelease.com.au/Torque-Release-Discount.htm

Yours for better health and better chiropractic
Dr Nick Hodgson, 2005 Victorian Chiropractor of the Year

Every Case a Case Study

Thursday, March 14th, 2013

Some time ago I set myself a goal to write up case studies based on the positive results that have I seen in my practice. Like every Chiropractor I get excited when I hear of life changing turnarounds in a wide range of health complaints. And not always because that person first consulted me with “Condition X” – they may come to me with the garden variety neck and back ailments. But then weeks later the person shares their story of healing and improved quality of life since starting to see me.

Well you might say I have opened a can of worms because the reality of “writing up” has been daunting: A clear history, examination findings and having some sort of outcome measure in place so that after those weeks of adjustments you can say for real that signs and symptoms have diminished – the objective before and after as opposed to the testimonial. And then there is the challenge of writing up an introduction and discussion of the condition in question – requires literature research and time.

So retrospectively I began to dig out files of my fondest case memories and quickly discovered that I did not have much more to go on than a testimonial. Child was a bed wetter – now they aren’t, teenager had reduced asthma medications and number and severity of attacks but no actual numbers to go along with those subjective observations, person who attended for low back pain and was then able to become pregnant after being adjusted (why didn’t they tell me they were infertile when they presented?), a parent stating that their child’s ADHD had significantly improved but now I have the challenge of finding out of their academic and social performance has improved – where to start?

I had been haunted by the words of an “old-timer” chiropractor at a Dynamic Growth Congress years before. He asserted that you “never ask your patients how they are – you tell them!” How do you do that? Now I know that we get to know our practice member’s bodies and that we can to a degree sense where they are at – but that intuition wasn’t quite enough for me – I wanted tools to measure where someone was in their functional journey. I’ve never been a dedicated user of Xrays and biomechanical lines and would always prefer non-invasive technologies so I began searching. The first purchase I made somewhere in the mid-nineties was software to analyse posture (www.torquerelease.com.au/Posture-Pro-Software.htm) and to come up with some objective calculations – cool tool and patients love the before and after pictures – a win-win. Back then this type of software cost thousands. This was in the days when computers were like old-age pensioners – took half the morning to warm up, and then didn’t do much after lunch. And we had to buy excessively expensive cameras that had a removable floppy disc – remember what those were? I envy today’s chiropractors who can pick up the latest version of this software for less than a grand, and download and install it on their high-speed notebook, and already have the camera that connects wirelessly.

Next I took out a five-year lease to get my hands on an Insight Subluxation Station (www.subluxation.net.au) and discovered that surface EMG, thermography and inclinometry were awesome tools for me to see if I was making the physiological changes that I hoped my adjustments produced. Boy was this confronting as I was forced along a pathway of finding better ways to deliver better adjustments and advice. I think we Chiropractors have had it too easy for too long because the only quality assurance that we have had to answer to is customer satisfaction. I remember one of my associate Chiropractors who was notorious for bypassing initial and progress exams, who when confronted stated that he didn’t see the point in using the measurements when they didn’t change! I guess my conclusion had been different as my revelation was that maybe I had to find the best ways for making positive changes – After all if a spine isn’t better aligned, more flexible and surrounded by less muscle tension after a series of adjustments, then what has been the actual benefit of those adjustments?

My next revelation was that I needed better outcome measures in my practice for a range of health concerns: If someone consults me and they suffer with migraines then I need to be able to demonstrate that the improvements in the sEMG, posture, thermography and range of motion are matched by measurable improvements in the regularity and severity of the signs and symptoms of migraine – sounds simple – just visit outcomemeasures.? to download the free tools I hoped? Not! My fantasy was a file of severity questionnaires that could be accessed depending on the name of the presenting dis-ease. So I contacted the academics and was told that such standardized and validated tools did exist. Next step was to find them… Still looking! Here’s the problem – they all have different completion and rating systems, most aren’t free or at least accessible, and regardless of whether they are scientifically validated few have been designed by chiropractors, for chiropractic – what is the point of a headache questionnaire that lacks a question about neck pain or dysfunction, or a low back questionnaire that fails to note any associated gastrointestinal or genitourinary signs? Since this time I have been gradually authoring my own range of health questionnaires – as I encountered a different health syndrome in practice, I would spend hours researching and then listing the “top twenty” associated signs and symptoms which would then be pasted into my template – each having exactly the same rating and format (www.torquerelease.com.au/Health-Questionnaires.htm) . Now these aren’t validated research tools but I love them for the power that they offer in terms of being able to take a subjective snapshot in time.

Nowadays I am in a newer practice and while designing my new systems I spent numerous hours (internet) searching for the best outcome tools out there: They had to be affordable, simple to use, and easy for the practice member to comprehend. After much shopping I combined Posture Pro, with digital photographic range of motion analysis software, Heart Rate Variability (www.torquerelease.com.au/emWave.htm) , along with the Torque Release Technique Indicators of Subluxation Scoring System that I had developed, and my Health Outcomes Questionnaires. Now I present my practice members with what I call their Spinal Functional Age (SFA) and Self-Perceived Health Age (SPHA).

The next barrier was in getting humans to follow the plan. I realised that my chances of producing legitimate case studies retrospectively were small. I needed to have a prospective plan: When Master Bedwetter, or Miss Asthma, or Mr Parkinsons or Mrs Multiple Sclerosis arrives at my rooms then I need the procedures in place so that I have sufficient pre-examination findings. Next challenge is to achieve sufficient compliance with care that will result in the types of positive changes we aspire to. And step three is to conduct a progress examination that supplies the “evidence” that I crave which is going to look good in ink.

What I am trying to say here is that my initial urge to write up a simple case study that is of some value to the evidence-base has actually sent me on a path of research and development that I like to think is making me a better Chiropractor.

Have you ever watched an episode of Geoffrey Robertson’s Hypothetical? This famous legal shark draws together a diverse cross section of “experts” and then forces them through a hypothetical case scenario that pushes the ethical, moral and human boundaries. Entertaining and usually enlightening viewing. To a point I believe it is valuable to apply this principle in our practice development pathway.

So, how does MY hypothetical influence YOUR life in practice? Ask yourself these questions:

1) Is your initial intake process thorough and objective enough that you could present clear evidence of what it is you are setting out to change for that person?

2) Do you have objective measurement tools to demonstrate how much this person’s functional status needs to change and whether you will have been able to initiate a change in their health concern?

3) Do you conduct a progress or review exam to measure whether you are achieving your shared goals?

4) Have you had the guts to put your technique to the objective litmus test across your entire practice population and not just your favourite miracle cases?

5) Do you have enough evidence to contribute a Case Study for the advancement of the Chiropractic Evidence Base?

When I present the stats from my own practice I show the average functional changes that occur and share the journey I have had to follow to ensure that I consistently generate significant objective improvements. At one seminar a Chiropractor pulled me aside during a refreshment break, and with a concerned look on his face stated that the changes I had documented were not very BIG. “Oh really” I said “how big are the changes that you are seeing?” “Well I don’t know” he said “but I know that they would be better than yours”. I almost envy his delusions of grandeur, but the reality is if you don’t know for sure, then you don’t know! My own research based on the functional tools that I currently prefer, suggest that one adjustment reduces someone’s functional age by one year. I personally think that is very significant – name any other healing method that can make someone one year younger in one visit?

To find out more about the next Torque Release Technique Seminar visit: www.torquerelease.com.au/Torque-Release-Discount.htm

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

Do Something Different

Thursday, February 21st, 2013

It’s time to talk about my “Life Rule” Number 3.

Hang on just a minute I can hear you think: You haven’t told us about Rule Number 1 and 2 yet?

Well to summarise; Rule Number 1 is “Breathe”. Doesn’t sound too difficult as it is one of the most basic life reflexes, and after sitting by the bedside of a dying person I can tell you just how innate and strong that reflex is. My kid’s got sick of me teaching this Rule at a very young age – Every time they had a fall or fright, and as a parent you watch that “hold” of the breath, and sense that rising of the anxiety and panic in their physiology, I would place a reassuring hand on their shoulder and firmly say “Breathe!” Breath control is a key to controlling our internal homeostasis but it’s not what I want to highlight today.

Rule number 2 is “Keep Moving” or as it was chanted in Finding Nemo “Just Keep Swimming”. Some of my practice members look a little bemused when they present in an acute inflamed state and ask – “should I rest?” And my standard response is “you need to keep moving, but gently!” Perhaps they are secretly craving a few days flat on their back in bed, with a small bell to ring to beckon their spouse to bring more fluids? Rule number 2 is a critical ingredient to any endeavor in life but it is not today’s topic.

So that gets us up to Life Rule Number 3: “Do Something Different” – I think I also learned this principle as a young parent. As your children begin to explore and attempt new milestones but at times reach a point of frustration when trying to do something new, by repeating the same unsuccessful steps. As a “mentor” it would be quick and simple to step in and show your “student” the correct way to do it – but a better life application lesson will come if they discover the solution – so instead we can summarise the best possible advice as “Do Something Different”. This doesn’t mean we turn a blind eye and leave them to figure it out, it would be better for us to make an alternative single suggestion, “reach your hand over a little further this way”, “why not try turning that block over on its side instead?”

Let’s jump for a moment into practice life and hear the Life Rule again – “Do Something Different”. Think of the practice member that appears to be responding poorly or too slowly to your care plan: This is a simple one – “Do Something Different”. Change the technique, change the schedule, change the home advice – makes obvious sense? The worst cases of over-servicing that we hear of in our profession are nearly always a case of a person with a complex health concern who is signed up for a long program of care, and then subjected to the same recipe book visit regardless of the course of their concerns. Having said that I do not believe that over-servicing is a widespread problem in our “culture”. Actually I strongly believe that under-servicing is the most serious negligence which exists at epidemic proportions in our society – there are very few people in our world that are suffering from too many adjustments – but there are far too many suffering from too few!

But this essay is not quite as simple as this – what about the person who is a loyal customer that might potentially see you on an ongoing basis for years to come? “Do Something Different!” Now I may ruffle some chiropractic feathers at this point. But the warning is to avoid the “if it ain’t broke then don’t fix it” philosophy. We supposedly reject this philosophy on the basis that prevention is better than a cure. When someone is out of pain we beseech them to continue with care, but if that care is the same neurological encounter on each and every visit from that point forwards then is that really any different – You see Maintenance is not Wellness?

Look at this from a few points of view:

1) The nervous system adapts and evolves based on its perception and response to every stimulus: So if the stimulus that you provide each week/fortnight/month is the same again and again then what evolution is going to occur as a result of your input? Let me simplify it this way – does your “technique” allow you to perform a live analysis of someone’s state right there and then so that you can provide an adjustment that is responsive to their neurological needs on that given day? Sorry to say but too few techniques truly offer this.

2) If the body is a self-healing organism, then why are you still correcting the same Subluxations that you chose on the first visit? I hear the arguments about scar tissue and degeneration, and “patterns” – but if your adjustment is initiating change, and healing and progression, then surely something has to change therapeutically at some point? In Torque Release Technique we argue that this should be occurring on every visit…

3) Chiropractic is about maximizing human potential: Doesn’t this mean that a person who is in their fifth year of care will probably need more advanced care than someone in the first? As an elite masters’ athlete, my training program develops in intensity and complexity within a short term and long term time-frame. I made my comeback to competitive athletics in 2008, and training methods have changed somewhat since my former aths career in the 80s. Even though I am approaching the 50 milestone, the training that I am doing in 2013 is more advanced than the training I was doing in 2008. And the training that I am doing in February 2013 is higher quality and more technical than the training I was doing in December 2012, as I approach my peak for state and national championships. This is contemporary sports science: But, I’m not convinced that this has pervaded contemporary chiropractic science.

Let me illustrate this with a scenario that I know we have all seen in practice: A person comes in to see you and they are in a bad way. You perform whatever analysis you do, go to work with your healing hands and send them home with some tips to keep them occupied till they next see you. They come back next time and praise you for your majestic healing powers and share their testimonial of retracing and insight. Now you have a quandary – you want to give them the same amazing experience each and every visit – so you rush back to your notes to try and discern what it was exactly that you did last time? And you attempt to reproduce that exact same adjustment. You eagerly await their next visit only to find that it just was not quite as dramatic, or worse they actually took two steps back after the last visit. What happened? You forgot Rule Number 3 – You adjusted them based on your analysis from days before, and not on the day that they presented: You didn’t “Do Something Different”!

Or you may have observed in the past that when a practice member saw your locum or perhaps visited another practitioner, all of a sudden they got a positive shift in their healing progress that had seemingly halted under your regular care. Was it that the other practitioner was better or more gifted, or smarter than you? No, they just did “Something Different”. Now I know you are thinking that you have seen the opposite scenario whereby a locum or alternative practitioner has done more damage than good – if you are thinking this then make sure you read the postscript below…

So how does Life Rule Number 3 change practice? If you want to maximize the physiological response to each and every adjustment follow these simple steps:

1) Find a technique that gives you certainty that you can discern exactly where and how to adjust on any given visit: If you don’t possess this certainty then please join us at a Torque Release Technique program to share what is perhaps the most consistent educational outcome – confidence in your competence. An adjusting technique that progresses in pace with the person’s response is pivotal to successfully implementing Life Rule Number 3 as a principled Chiropractor.

2) Build into each practice member’s care plan variety, change and progression – make every visit a new experience – not random unpredictable and hence stressful – but evolutionary and intelligent (like their nervous system).

3) Never stop learning new tricks: If you left college and have avoided attending any PD unless coerced to find the cheapest and quickest shortcut program to maintain your registration then shame on you. Commit your time, energy and money to developing yourself – for your patients’ sake if not for your own longevity in practice.

4) Incorporate objective functional assessments into your progress examinations – if you rely on how your practice members are feeling to determine their progress in care then you are at the mercy of anything from the weather, to the economy, even perhaps to astrology. People are going to feel good sometimes and be sick, and feel crook at times but be healthy. But the only thing that improves function is a management plan that works.

5) Cooperatively develop a micro plan and macro plan for your practice members: What do you both want to achieve from the next 6-12 adjustments. What will be the benefits to them if they follow your plan for the next 6-12 years? Conduct regular progress exams and celebrate the small and big steps.

6) If you are feeling somewhat fatigued or jaded in practice then remember Rule Number 3 one more time: “Do Something Different”!

P.S. If  you are now pondering how this can really play out in your consulting rooms then there are some tips I have learned from elite athletics training that I find apply to “Doing Something Different” in practice:

A) Don’t try to do everything in one visit: You can’t get fit in one training session, and as much as you may want to be a miracle healer, you won’t fix most people in one visit. So keep some tricks in your bag for subsequent sessions so that variety is easy to achieve – whoever made the rule that every chiropractic consultation should consist of the same experience – but in general it does? Dr Jay Holder teaches a key TRT principle of “Less Is More” – and this can be a hard but life changing principle to implement in the real world, especially when that 50 year old male walks in the room with extreme antalgia and demands for you to crack his back into alignment.

B) Have a plan for a series of sessions versus a plan for each single session. When I start coaching a new athlete, I have a fairly standard progression of drills and activities over a series of sessions that then has to fit and adapt with the athlete’s level of response and completion. Think through a progression of care that you would like to be given yourself if you were just starting out under your own program. I remember hearing of some old-timer therapists in Perth who had a three visit progression: On the first visit you had a hot-pack placed along your spine for a few minutes. On the second visit you had the hot pack, plus a tennis ball was then rolled up and down your paraspinal muscles. On the third visit you received the hot pack and the tennis ball care, and then had your spine manipulated so severely that the noises could be heard in the next suburb. And that was it – you were done! Hopefully you can come up with a more contemporary version of a more ongoing wellness based program?

C) Make each change a gradual progression from the last: In training my rule is only change one variable at a time – up the intensity or up the quantity or up the complexity, but don’t vary any combination of the above. This is a little hard to apply directly to chiropractic care but with some thought you should get what I mean? Let’s go back to the example I mentioned before of the practice member that sees your locum or another practitioner and suffers a significant setback – I guarantee that the other practitioner has either erred on point A (they did too much and tried to fix the person in one go in an attempt to prove how inferior you are and how superior they are) or this point C (the care they provided was too large a jump from what you were doing and the person’s body suffered a shock response).

I have a simplistic point of view to practice design and management: I try my very hardest to design a practice environment, policies and procedures that I would be highly impressed and compliant to pay good money for myself… Would you be happy to visit your own practice on a regular basis, and wait for however long you make people wait, and receive the care that you supply, and pay whatever fee you expect your own customers to pay? If not then it is definitely time to apply Life Rule Number 3 and “Do Something Different”…

To find out more about Torque Release Technique Training and access a big saving go to 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.