Empowering Women Chiropractic – Creating Videos – The Role Video plays in Your Marketing

Welcome to ChiroSecure’s Empowering Women In Chiropractic, the Facebook live show for successful women by successful women, proving once again, women make it happen.

Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

Now join today’s host, Dr. Julie McLaughlin as she talks, learning, living and teaching. And now here’s Dr. Julie.

Hello everyone. Dr. Julie McLaughlin here for Empowering Women put on by ChiroSecure. And I’m super excited for you to meet my guest. Her name is Brandy Kinnear, but first I went to all to give some love, put some little hearts, some likes and for ChiroSecure because they are just awesome that they host these for us and it really gives us so much information.

So without further ado, I would like to introduce you to Brandy. She is a passionate advocate for natural health, which is really awesome for us, right? She is into digital marketing. She’s a strategist and she really helps the heart-centered practitioner. And she is disrupting the average practice and helping practitioners really understand how to use systems, technology, digital marketing, and grow their expert brand so they can make a bigger impact in their community. So thank you for joining us, Brandy. I’m super excited you’re here.

Oh, thanks for having me, Julia. You know, I’m always amped to share some pearls and see if we can help each practitioner get a little bit more insight into what they can do with their practice. So I’m excited.

Well, today you’re going to tell us about making videos, right?

Yeah. One of the biggest issues that I find with a lot of the practitioners that I work with is there’s this direct hesitation towards using video in their practice. But I want to break down the reason why video is so important in your marketing strategy and then dial into how to effectively use it and what you need to know. So we’re going to, we’re going to go through all that today.

That sounds good. Let’s get started.

Okay. So I’m just going to share my presentation. So, we’re talking about how to make videos that inspire, engage and convert because let’s face it, just getting up there and talking as a talking head, is not a valuable marketing strategy for your business, although it’s better than doing nothing. So first thing, I want to go through some stats so people understand why video is so important in their practice right now.

65% of people use YouTube to help them solve a problem. Are you on YouTube? Are you solving people’s problems on YouTube? Good question to ask yourself.

It is.

Right, the next one is social media posts with video have 48% more views, so just posting up pictures or just posting up comments compared to posting a video, you’re doubling your value by using video and it doesn’t have to be complicated and we’ll get into why it doesn’t have to be complicated.

Wow, that’s amazing.

Right? Facebook has over 8 billion video views a day. Can we just let that sink in for a minute?

8 Billion.

8 billion and a lot of practitioners, whether it’s Chiro’s dealing with parents that are always on their phones, teenagers that are always on their tablets, and the kids that are always stuck to the, there’s so much video content being absorbed. So yes, we have an entire solution with tech neck and all of these things that we [inaudible 00:04:34] but we have to understand fundamentally, people are consuming content online in mass.

So social video generates 1200% more shares than text and image combined. [crosstalk 00:04:49] That means that if anyone’s going to share content, they’re more apt to share a social video than they are to share just regular content. So that doesn’t mean you stop making regular content. It just means if you’ve got to pick one or if you don’t have a marketing strategy that includes video, you need to really pay attention and figure out how you’re going to get it in there because it doesn’t have to be hard, but it does have to be strategic.

So what video does essentially is a, I’ll call it four fold. The first one it does is educate. And when I say educate, I want to be really clear with this. We’re not talking science geeky and this is of no disrespect to any practitioner listening. I love all the science. I am a total science geek for anything in the natural health industry, but I am not your average consumer.

The average consumer needs to be spoken to in literally fifth grade English. So you have to educate them, but you have to educate them about what their problems are, not what you think their problems are from a scientific, technical standpoint. My problem is my tipping point. What is it that’s affecting my daily life? That’s my problem. Okay.

And then you’re also going to be able to use video to resonate with people. So people buy people. People don’t buy your brand. They’re not buying your name, they’re buying into you. So because we know that people don’t make logical decisions and that they buy through emotion and that they buy your particular person, how are you standing out and letting people know a little bit more about who you are?

Because, I mean, we could go on a tangent, Julie, for days on how to identify your ideal client and how to market to them and I’m sure that’s for another segment. But to be able to resonate with the person that you really want to serve is amazing for you because it allows you to weed out the people that aren’t a good fit, which who wants to serve them anyway, and allows you to build deeper connections with the people that you want to serve. So if you already identified who it is that you want to serve in your practice, then you allow yourself to resonate with them by sharing stories, by talking about who you are and the things that you do in your practice and the people that you love to help. The resonation piece is huge. Is resonation a word? I feel like it’s not a word.

I think it was, yeah. I mean it’s awesome. You just want to find your people, right? You want to find your people.

You want to build tribe. Like it’s a community based business that you’re running for the most part. Even if you have a chain of stores, they’re all community based businesses and you want to find your tribe because it’s better to have a small amount of people that love you deeply than it is to have a mass amount of people that don’t love you.

Right? Yeah, it’s way better.

We know how that converts from a business perspective. You’re constantly looking for new patients. You’re constantly fighting with retention, and you’re constantly trying to eliminate those people that come in that you’re not amped to work with.

The other component about what video does and what people need to really understand about video is using story. So you’re going to educate, you’re going to use fifth grade English, you’re going to resonate by sharing personal experiences. Your own journey into why you got started as a health practitioner is an amazing one. If you could sit down with a pen and a paper and just journal that out and figure out more about who you are and why you got into this profession. If you haven’t done that, dive a little bit deeper and be able to tell that story.

Tell the success stories of patients that you’ve helped that will be similar to the people that you’re trying to attract and it allows you to create an emotional response with people. So we said that people don’t buy through logic, they buy through emotion. That’s why if you ever see a good commercial on TV, a good, good one, you’re crying, you’re crying or you’re laughing or smiling. They know that in order to get you to connect with their brand, they need to elicit emotions. So story’s the key to doing that, and it really can help you with the resonation. It can help you with educating, but it can really help you to get that emotional contact with your potential clients.

I love that. I know when we do our talks, the patients, when they come in, there’ll be like, “Oh my gosh, I loved your story about this and that.” They couldn’t tell you what I told them about detox and toxins, but they remember the story. And so that’s what triggers them to want to come and see you.

For sure. And I mean, story’s ingrained in everything we do. We grew up reading books. We grew up watching the story on TV. What makes an amazing movie? It’s the story arc, right? It’s being able to get people emotionally connected to the story, to the journey, to the hero, to the outcome. So story is huge and it’s not being used in this profession. It’s not being used well. It’s barely being used at all, but it is one of the best ways to resonate, to educate and to connect with potential patients and existing patients.

I have clients that have said to me, “Hey, Brandy, listen. You were right. I just started getting on doing videos and sharing my story and stories of others and clients that I haven’t served in years I’ve been flooding back in because they see me, they remember the type of person I am.” And it’s just helped to rebuild that bond that’s kind of lost because maybe they’re not opening up their emails. Maybe you’re not sending emails. Maybe you just don’t have a solid way to retain everybody and everybody isn’t going to stay. Even if you’re amazing at doing the work. People, you’ve healed somebody, they’ve moved on and they’re in their mind, they don’t need you anymore. Let’s connect back with them using video and story particularly.

And then inspiration. So the portion of the population that you’re serving have challenges with their health, but it’s also affecting not just their physical self but their stress levels, their emotion, anxiety. All of the things that we deal with from a health perspective are affected by whatever their issue is that they’re coming to see you for. So when you’re able to inspire them and motivate them and help them to understand that, there’s positivity oozing out of your comments and that things can get better and they will get better and just provide that inspiration to people using video.

It also helps to build a tribe because you’re like their cheerleader. You’re telling them, “Hey girl, or Hey, guy, you’ve got this, don’t give up. It’s a journey. You’re on the path. You’re headed toward whatever that motivational piece is and that inspiration that you can add in.

You know where else inspiration comes, Julie?

Where?

That’s stories, patient success stories. This person was just like you, they suffered from this, this and this. We put them through our four phase program or our X, X, X methodology or this treatment care plan, whatever care plan, I know it’s not treatment in your industry. Whatever it is, let them know that they could identify with that person and inspire them to be that success story.

Yeah, they see that and they can see themselves in them and like, “I want that for me, too.”

Totally, and that’s how it’s done. I mean, look at all the weight loss campaigns that have been done. If we just look at weight loss, because it’s a huge industry and we look at the money that’s been poured into marketing campaigns over the years before and afters, before and afters. Everyone’s just like, I want that belly.

Right? Then when you see that, then they say, “How did you do it?” They want the story of how you did it. Was it difficult? Was it easy? They want to know the story, right?

100%. So these are the facets of what video can do for your practice. And in the center I put fans because ultimately we want to build a tribe of people that love us because we all know that referrals are the best possible source of new leads for your business. And if you have people happy and we could go on for days about how to retain and appreciate and all of those things, fans, building fans that love what you’re doing and appreciate that you’re delivering this value for them goes so far and actually it doesn’t cost you anything.

So let’s move on. Let’s talk a little bit about how to break down the perfect video. And anyone who’s watching, if there’s a lot of women on this call, which I suspect is the case, I want you to know that I work from a heart-centered, integrity-based perspective with the marketing advice that I give. But I also have to infuse psychology.

I have a psychology degree, I understand how to sell. I’m not afraid to ask for the sale. And I also understand marketing. So if you feel like any of this feels a little bit icky, remember, sometimes you have to change your mindset in order to be successful with a new tool in your business. And I’m here just like, I’m your cheerleader. You can do this, understand the elements, and then make them work for you.

So we know now that you have about three seconds to engage somebody and to stop them from scrolling. Okay? Even if they’re on YouTube checking you out. I mean, they’re checking you out. What is your cover photo look like? What does she look like? Should I listen? But you get three seconds to wow somebody. So that’s why video always has to start with the hook. So what’s a hook? A hook is that juicy headline that you see in the National Enquirer that makes you pull it off the shelf when you’re buying your groceries.

Yeah, I’ve got to read this.

You know, it’s not true what they said about Megan Markle, but you are pulling it off anyway because that headline has got you hooked. That’s what we want to put in a video. What would make them stop scrolling and listen?

So I’ll give you an example because I love examples. I learn by examples and I feel like everybody needs to get a sense of it. Are you, I’m not even going to fill it, are you blank, blank, blank, and it’s affecting your daily life? Or are you not able to play with your grandchildren because your back pain is so severe? Or is your stress level affecting your social life and your relationships?

Those are the hooks and it doesn’t always have to be a question. It can be a polarizing statement. Why you should stop using medication to fix your back problem.

That’s the hook, right? So something that’s going to make people stop and listen and then you go into the problem. So what’s the problem of this video that you’re trying to solve? Everything from a perspective, it’s all about me. I don’t really care about you. I’m not going to lie. I’m sure you’re amazing. You’re all amazing. I don’t care about you. I’m the consumer and I care about me. So what’s my problem that you’re solving with this video?

I suggest taking a look at, even if you want to just get started with five or six quality videos for your practice and you can put these on your website. We’ll talk about where you can put them. Five or six problems that your patients have. So if you look at your ideal patient base, what are the biggest five to six problems that they have? Make a video.

Yeah, back pain, headaches, neck pain, any of them.

It could even be deeper. It could be something to the effect of stress from a high pressure job. It doesn’t have to be related to their physical problem. There’s a variety of different problems that your patients that you’re serving can have. So look at what they say when they come in and the questions that you could be asking when they come is, “How is this affecting your daily life?” If you don’t understand their problems on a deeper level, it’s a good time to dive in and just really get a sense of how their back pain is actually affecting their life. Because they know they have back pain, but they might’ve been putting it off for months before they come to see you. What’s that tipping point that made them stop and take action? You know, that’s really what we want to get into.

So think about the biggest five to six problems your patients have. Make a video, use one of those problems for each one of these videos. So you talk about the problem and then you exaggerate the problem. And I know this is where it gets a little odd, Brandy. “You’re losing me. I don’t want to exaggerate the problem. It sounds salesy.” But the thing is people need to understand that if they have this problem and they don’t fix it, then they’re actually setting themselves up for further failure. And it’s your job as the person with the wisdom and the healer to provide that for them in advance.

And we’re not selling it. We’re actually just saying legitimately like, look, if you have this problem and you don’t fix it, here’s what’s going to happen. Okay, so that’s where we exaggerate it, if they don’t solve the problem.

Right, and sometimes when someone comes in and they tell me this or that, and I write it all down, even just reading it back to them, just what they just told me, they’re like, “Oh my gosh, I didn’t realize I had all those issues.” Because they don’t hear themselves saying it, but when somebody else is saying it to them, then something clicks and they’re like, Whoa.

Often, we’re not asking these probing questions like, “What would your life be like if you didn’t have this problem anymore? That’s the answer. You want to hear that answer because now you’re going deeper into their psyche. Now you’re going deeper into building a relationship with them where you really understand where they’re coming from. Not just what’s wrong with your back or your neck or your shoulder or whatever that case may be.

So when we move on from exaggerating the problem, we go to the solution. So the solution isn’t the treatment. You’re the hero, you’re the guide. You’re not the hero, sorry. You’re the guide that’s taking them through the problem to the solution. So the solution is really something that they might not even be aware of. So the solution, your treatment, is potentially just chiropractic or whatever modalities you’re using in your practice. But the solution is something that they might not be aware of. So we have to make sure that you’re talking about the problem because we’re stopping anybody, this is scrolling, you just want to stop anybody from looking. They might not have a clue what chiropractic care is. You still have a lot of work to do with educating your ideal patients. So the solution can be something that they’re unaware of, that you provide.

And that’s where you can say, “Look, did you know that the stress related to your busy life, your nonstop mom life, your nonstop corporate career, your busy social life, sitting at a desk all day, whatever it is, that the solution is very simple.

If you’re not using align, if you’re not aligned, blah, blah, blah. Right? So you get to decide what the problem and the solution is based on these five to six biggest problems that your patients have.

This is it. It’s simple and it doesn’t need to be more than three minutes long. It can be two to three minutes. It’s short because we know from a psychological standpoint, people don’t pay attention for long. You might not even be paying attention to this anymore, right, Julie?

I hope they are.

They better be. But the reality is five to seven minutes is the max that we can expect from people. And it just is what it is. It’s the age of distraction, right? So we take that into consideration and make things short and sweet for people.

And then I also want to break down because there’s this whole mystique around like what technology do I need in order to make this a successful operation? Good lighting. So if everybody just to go on Amazon right now, I do not have an Amazon affiliate link to share, so I benefit nothing from this advice. There’s two, there’s a ring light. There’s one by a company called Neweer, N-E-W-N-E-E-R. It’s cost-effective. It might cost you $100. It’s bright light. You can have warm light, have a good place in your office or have a good backdrop where you’ve got a bright light so that you have consistent good quality videos without pro set up and you can use your phone. You can literally use your phone.

Now if you’re using a flip phone or one of those like new Nokia. If you don’t have a smart phone with a decent camera, like ignore my advice, but you can literally just use your phone and have your phone in a vertical way. Because horizontal because if you use vertical, you’re restricting the different platforms that you can put your video on. So you want to record it like this.

I went on Amazon and I bought a tripod for, I want to say like 25 bucks and it goes up to six feet so I can put my phone, also you can put your phone right on the middle of the ring light.

Yeah, that’s what I have right here.

Yeah. So you put your phone right on the ring light and you just talking into the ring light. You’ve got great lighting, you’ve got your phone and that’s it. You might not even need the tripod. But this whole setup, you get, talking about a hundred bucks, $120. Everybody needs one. The ring lights can fold up, they can be put away.

I used to have these big crazy lights and we had this whole studio set up in my home and my whole family’s like, do you need that entire room there for all of your, no, I didn’t. I didn’t. And I took it down and I bought a ring light. But I want everyone to understand that putting out regular video content is going to help with so many things in your business.

It can go on a variety of different platforms. I always recommend batching stuff, get it on YouTube, get it on Facebook, get put it on IGTV, which is Instagram’s version of YouTube. Put it on your website. Make it once and put it across all the channels because omnipresence is key.

But really these great tips.

Yeah, and then like the only last thing I wanted to share, for anybody who’s not sure where they should be focusing their marketing and practice growth times for the design for their business and they’re looking for more. Me and my partner, Dr. [inaudible 00:21:28] have put together this free online summit. It’s a five day virtual summit. It’s for women health practitioners. ChiroSecure is an amazing sponsor for this event and there’s going to be 40 different, and Julie speaking on this event about how to blow up your practice with speaking engagements and she is amazing.

There’s 40 different natural health experts all focused on helping you with tips, tools, and strategies for success for your practice. It’s free. It’s for five days. It’s going to blow your mind. There’s going to be so much gold coming from that. We’d love for you to go and sign up.

There’ll be a link in a little bit in the comments below that you can use to sign up and register for this. But I mean this is, we’re just tipping the iceberg today. There’s so much more that you could just be, maybe just one or two things are going to resonate with you that are literally going to change your practice. And that’s what we’re looking forward to.

Well I am, I’m super excited. Well, thank you so much for sharing all your wisdom with us today and I’m super excited to see the Summit. I think is going to be really awesome. And it was so fun doing the interview with Natalie because I never get to do an interview with her because she’s on Empowering Women with ChiroSecure too. So, but thank you for joining me. And thank you ChiroSecure so much for having our show.

And next week I want you to join us again for the pediatric show and it’ll be on the same day, same time, Thursday, one o’clock Eastern Time, 12 o’clock Central Time. And then the following week we’ll have another Empowering Women with Dr. Kathy Wendland-Colby and she will be amazing. So please come and join us.

Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

We hope you enjoyed this week’s Facebook live event. Please like us on Facebook, comment and share. We look forward to seeing all of you next week for another episode of Empowering Women in Chiropractic. Now go ahead and hit the share button and tell your friends and colleagues about the show. Thank you for watching. Have a beautiful day. This has been a ChiroSecure production.

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Empowering Women Chiropractic – Prepping for National Chiropractic Health Month – F4CP

Welcome to ChiroSecure’s Facebook Live. So excited to be with all of you. This month’s information is going to be outstanding. Why? Because what’s really important is that we get jazzed up about preparing for National Chiropractic Health Month. Listen, I know that a lot of us are in practice, such as myself, and sometimes we get a little run down in practice. That’s okay because you’re with me now, and we’re going to get you inspired, engaged, and ready to take on October’s preparing for National Chiropractic Health Month.

Now listen, again, I give always a shout out to our sponsors because without them, our national campaigns could not be possible. Especially a big thanks to ChiroSecure for having me on today. Let’s jump in. Let’s have some fun. Let’s inspire the entire nation about chiropractic benefits. Step one, if you haven’t done it in your practice and you’re not a foundation member yet, put together your own roadmap. Now the foundation does it for you if you’re a group member or an individual contributor.

I want to make sure that you look through October Marketing Roadmap to see what you would like to place on your social media links, whether that be Facebook, Twitter, Instagram, your own personal website, or a newsletter. Look at what we have in store for you coming up. If you don’t have the foundations roadmap, make your own. How are you going to reach out to your community and be effective? Some of the things that I want to prepare you for as you go through the months in your marketing preparation is first and foremost, put together your own cover photo. At the foundation, we use this one for October. It’s Chiropractic: Your First Choice for Optimizing Health. Don’t Miss a Post. Like Our Page.

And we give this free for you at the foundation to be able to upgrade all you social media platforms. And as I said before, we need to inspire our patients. How can you be inspiring if you’re not inspired? So one of the ways to do that is to continue to advance what your knowledge base is on a monthly basis with our practice progress webinars. Doctors, these are some of the national best speakers that we bring to you complimentary. Every single person on this podcast has access to them. The click to register is all about you beginning to become more engaged in what’s going on around you in the chiropractic profession and outside.

So you have Dr. Ryan Lazarus, Nutritional Strategies for the Most Common Chiropractic Issues. Sounds inspiring, doesn’t it? What are some of the chiropractic common issues? But then there’s what we want to do with the chiropractic assistants. You’ve all got front desks. Let’s make sure they’re inspired too. So Kathy Mills-Chang, fantastic speaker, very engaging. I would like to see your CAs come to that particular webinar, Don’t Let Medicare Stress You Out. We know Medicare has its options. Let them know that it’s not as hard as it looks. And yes, there’s a lot of pieces to it, but it can be easily implemented into your practice.

One of the pieces that has been a big hit throughout the nation, and I was just in Virginia with their state convention. In fact, if you see behind me, where am I now? Well, this weekend I’ll be with Indiana at their state convention, so it’s: Where in the world is the foundation? Why? Because we want to be able to present our information across the nation, so every state association has the opportunity to have marketing materials that’s real for them. Now during Chiropractic Awareness Month, we want to be able to show public service announcements. Where can you show them? On your Facebook, your Twitter page, you can get a link there, or your own website. So let’s show you what the actual public service announcement for this month is going to be.

As general health and wellness becomes top of mind for many Americans, it is no surprise that 35 and a half million individuals have seen a doctor of chiropractic in the last year. Contrary to popular belief, chiropractic care is effective for more than just managing back and neck pain, and is reported to improve overall health and wellness, leaving patients feeling better. Doctors of chiropractic who receive a minimum of seven years of higher education are trusted primary healthcare professionals for spinal health and wellbeing, and are specifically trained to recommend therapeutic and rehabilitative exercises, apply supportive procedures, provide nutritional, dietary, postural and lifestyle counseling.

In a recent study, the reasons why patients chose chiropractic care included for general wellness and disease prevention, to improve energy, to improve athletic or sports performance, and to improve immune function. To achieve, improve, or maintain a healthy lifestyle, see a doctor of chiropractic in your area. Go to F4CP.org/findadoctor.

Now I urge you to put that public service announcement out there. Why? Because someone’s friend who is a patient of your office, who lives in Indiana, needs a chiropractor. And the more we can spread our messaging, the more we can help consumers find chiropractors, the better we’re going to be. And as we deliver our message on the benefits of chiropractic care, we want to be able to ensure that it’s surrounding them everywhere, whether it’s in the national newspaper that we’re going to be placing an ad in, or it’s in your office.

Remember this, emails are just overwhelming at this point for many people, so paper is the new email. And one piece here is our brochure. Optimize your health with chiropractic care. And these brochures can be handed to your patients on their way out. Say, “I know you have a friend or family member who probably would like to optimize their performance and their wellness. We’d like to ensure that you pass this along.” It’s caring is sharing, and that’s what we want all of us to be doing.

The next piece that we have, PowerPoint presentations. And this can be done very simple on your own YouTube site. Yes, you can put your YouTube site on your website. Marketing about you is fabulous, having quality product that you can be proud of is something that takes time. The foundation has done the work for you, having create and researched articles, and having the PowerPoint presentations ready for you to give out. This is a time of the year where a lot of people do start to get a little stressed. The holidays are coming, preparations, that kind of thing.

And wouldn’t it be nice for the chiropractor to reach out in the community and say, “How about we do relax your mind and body?” And take a few moments just for you, just take a big breath in. And just remember that stress is a choice. How we react to it and what we do to prevent it is our choice. It’s in our hands. And the chiropractor’s there to walk them right through it, from mechanical body stress, to helping them mentally relax and enjoy. So this is a downloadable PowerPoint presentation. You can do it in a variety of different forms, but I encourage you. Walk through it, and then feel comfortable about presenting.

Presenting just takes time. Practice will not make perfect if you don’t do it. So PowerPoint presentations, and just starting to reach out to the community is a great way to get yourself really engaged in helping consumers in your neighborhood. Another way to do that, infographics. So we’ve put together a variety of different infographics that you will see on that roadmap. But if you don’t have that roadmap, don’t worry. We’ve got infographics on our Facebook page. So if anything you do today, just like the Foundation for Chiropractic Progress on your Facebook page, so that you can see what we’re doing, where we’re going, and you can repost.

Re-posting is a fabulous way to get our information out across the nation, whether the chiropractor’s helping a patient with healthy weight management and what, unfortunately, the downside is to gaining weight, and trust me, it’s the holiday season. We need to get on this right now if we want to be a little too engaged in a little bit of holiday cheer. How about the relationship between sleep and pain? Remember that a body needs a certain amount of recuperation for the next day. Help your patients know what that is. Help them with a pillow suggestion. Maybe help them with positioning. But let’s start talking about the impact that a poor night’s sleep will create.

And then last but not least, when you see an infographic that says, “Chiropractic leads to better outcomes, improved health, better sleep, reduced stress, and a sense of control over health,” this can all be read in the Adams Study in Spine in December of 2018. Doctors, if you haven’t read that, The Prevalence and Patterns of Chiropractic, do yourself a favor. It will inspire you and engage you back into your practice if you’re falling off a little bit, you’re kind of burned out. Don’t worry. Read a study like that because it really will engage you on why people are actually turning to chiropractic.

Another piece that we’ve seen a lot of progress in is being able to offer healthcare dinners and longevity lectures. And this is an opportunity for you to meet the doctor at a dinner event, even if you have five people for dinner, and you have the PowerPoint presentation in a private room, that’s five warriors of wellness that can go out into their families, into their own communities, and start sharing what you do in your practice and why you’re so valuable as a healthcare provider for them to have.

I like to see a chiropractor in every single person’s life. I hope you, on the other end of the screen, do as well because I think in today’s age, our mechanics, our stress levels, and our optimum performance is best with balance and exercise, and ensuring that someone is the healthcare coach on a daily basis, who’s well based in facts and research. And that’s you, I know it is. So let’s get into some more opportunities to do that. This is a gift for everyone who’s here today, regardless of whether you’re a foundation member or not. This is a downloadable how to guide, the public relation gift that keeps on giving. Every single person here today can download that link. And it’s a how to guide for how to maximize the value of media coverage for you.

In fact, when I was in Virginia, I really talked about how to maximize your opportunities within your community and being media savvy, making sure that you’re well equipped to be able to promote and educate those around you, whether it’s putting a social syndication in your newsletter that’s a community newsletter, or reaching out to a radio that you’d like to talk a little bit more about a specific topic. Just be ready to go because I think these are all of the pieces that make us a fantastic healthcare provider for our patients.

Last but not least, I want to thank each every one of you for joining me on these Facebook Lives because nothing means more than the bottom uprising in being active in the community. We are a force together. We can conquer barriers that we’ve been fighting for, for 124 years. And now we’re starting to see the community see us as a fantastic option, especially when we’re suffering with the opioid epidemic, painkillers rampant, and people needing help. So in spite of yourself, use this material and just be proud in October to share all of this chiropractic wellness awareness material with your community.

Look forward to seeing you next month. If you’re not a member of the foundation, don’t worry, we welcome every single professional chiropractor in our group. Just go to F4CP.org/package. See what works for you, and then when you come back to these Facebook Lives, there’s plenty of material that you’ll be able to download and use for your particular month’s theme. We’ll see you in the following month. Thank you, ChiroSecure, for hosting us. I hope you have a blessed October.

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – Vagal Tone & Neurobiology – Drs. Buerger & Haas

Now, here’s today’s host, Dr. Monika Buerger.

Hello everybody. Welcome to ChiroSecure’s “Look to the Children Show.” I’m your host for today, Dr. Monika Buerger, and I am beyond excited once again to have an amazing, amazing guest. I was so pumped for today. It’s unbelievable. I have the amazing Dr. Amy Haas with us. I have secretly deemed her, the Chiro Nerd Mama.

I love it. I love it.

Thank you for being here. Let me tell the audience about…

ChiroSec…

…I was a little late on the trigger reading through your bio and stuff, so I was doing that on the way to the office today and I was like, “Oh my gosh. Okay. She’s got a long list of amazing achievements. She’s got a master’s and a PhD in biochemistry, she’s done postgraduate work at Harvard and she had a position there [inaudible 00:01:50] enzymology, which I was like, “Oh, I got to talk to this woman.” We’ll I am going to talk to this woman, I am talking to this woman”, where she coincidentally was in the same building and where she met her chiropractic introduction. Is that correct?

Yes.

And that was Dr. Steven…

Branson. And there are no coincidence’s in this universe.

No, that’s crazy. She is… likes to put the pieces of puzzle together. So she’s known, we’re going to talk about something she’s known for coming up here in a minute, but her specialty is digging in, finding out the mystery pieces, looking at how we as chiropractors, why we have seen these profound changes all these years and what are the, why can that be happening. She loves to study something that I’ve had a relationship. I joke around that I have a love affair with the vagus nerve, the vestibular system and others. And in fact, years ago I got, I started talking about the vagus nerve about 15 years ago and everybody said, “Oh, that Buerger she just loves to talk about the vagus nerve.” And so now I get to nerd out with my, my Chiro nerd friend here. Anyway, so Dr. [inaudible 00:03:10] she tell you that the microbiome, neuroendocrinology, vagus nerve, heart rate variability. How does that fit into the paradigm of chiropractic? Why do we see it important in chiropractic? She’s a private practice and by the way, happy ninth birthday to your practice.

Thank you.

Had a recent birthday. She has teamed up with Dr. Bruce Steinberg and his lovely bride in something that I’ve got to to check into Chironerds.com. Is that right?

Yep. It’s still in process.

Okay, so it’s in the process so she could maybe elaborate on that a little bit about where she is in the process with that. But anyway, without further ado to the world, Dr, Amy Haas, thank you for being here.

Hi. Thank you for having me.

Did I get your last name right?

Yes. Thank you.

Okay, all right. German?

Yes.

So, see, I knew we have to be sisters from another mother from another lifetime at some point in time.

There you go. It’s funny three years ago today I was actually in Germany.

Oh awesome. Yes.

It’s my first first trip over there.

Yes. Beautiful country, right?

Yes. Very.

Well thank you for hanging out. I was… When I scored you on the show, I was like big win, big win.

I’m super honored to be here. I’ve been looking forward to this.

So you are known for, I guess with a little expression of “We know”, “What we know”. What is it that you know? What’s your expression, I didn’t get that one right. It’s all connected. Even when…

It’s all connected…

Go on.

“It’s all connected in some way, some of which we know and some of what you don’t know”, did I get that right?

Yes. You bet you.

All right, so tell the world what you mean by that.

You can think of the body as individual parts or you can put it together like a puzzle and think of it as the sum of its parts and the sum of its parts is much more intricate and elaborate than each of the parts independently. And they’re all, the parts of the body are connected in ways. Some we know, some we don’t know. We’re finding new science coming forth about number of different topics. There is a paper that was just discussed last week about the possibility that a stress on bone in mice instigates the adrenal stress response, which was fascinating. Just a couple of years ago, we had the discovery of the CNS lymphatic system and the glymphatic system, and all of a sudden it turns out the appendix actually has a function in the body.

Go figure.

So…

I know, right? So all of these different discoveries about human physiology are still happening and we don’t truly understand all of the puzzle pieces of the human body just yet. I’m not sure we will in our lifetimes. And that’s okay. That’s a beautiful puzzle just to kind of observe and say, not can we control it, but how can we empower it?

Oh, beautiful. Beautiful. Because it’s all network, right? It’s all this networking that happens and I have a feeling you’re a lot like me. You find one piece and then it leads you to a rabbit hole, which now it’s four in the morning and you’re like, okay, I’ve got 20 papers open and I just opened up this huge rabbit hole.

We definitely are soul sisters. Oh yeah.

But I have to ask you a question because, again forgive me, I just got to read this on the way to the office today. You talk about there was a paper plopped on your desk like 10 years ago or something when you, was that when you were at Harvard in regards to the, I call the vagus nerve, the big bad Voodoo Daddy.

That’s a good title. I like that. That’s a really good one.

For those out there…

[inaudible 00:07:09]

I think it said it was… Anyway. Was that the one by Kevin Tracey?

I can find out. Hang on.

Because…

Oh, there you go. So tell the world the, the vagus nerve, I call him the big bad Voodoo Daddy because he really, he’s, he is your immune system, I, he is your, vagal tone supports your immune system. He controls a whole [inaudible 00:07:34] anti-inflammatory pathway guys.

Absolutely. Right.

Right. He controls your digestion. He controls your stomach acid balance, your bile, your heart rate. I mean, so this real, this he is really the King of Kahunas.

Can you read that or is it all fuzzy?

I can sort of.

Okay, the sympathetic nerve and integrative interface between two super systems, the brain and the immune system. So interestingly, looking back on this title, the actual problem that I have at the title is that they’re not two separate super systems, they’re one super system, but they have different components that aren’t even mentioned here. This was, oh, this was 19 years ago. This is pharmacology reviews in 2000 and I honestly don’t remember when this landed on my desk, but I know it made me go, wow, I need to look at that and they’re… Rabbit hole.

That is the huge rabbit hole. I remember doing the work for the second edition of the chiropractic pediatric textbook. Anyway, long story and going down this rabbit hole and I then I stumbled about Kevin Tracey’s paper in 1998 and where he saw that the immune system is really modulated by vagal tone and so as chiro… Can we [inaudible 00:08:54] on that a little bit as chiropractors? Now you have done, you did a a study in, or a clinical trial, correct?

It was not a clinical trial. It was just a retrospective case series. I was noticing, I was playing with HRV because I’m a nerd, I play with things and by experimental systems I do not experiment on my patients. I observe them. There’s a difference…

There’s a difference.

…in terms of, yes, in terms of a, what’s that thing you’re supposed to get a some sort of approval to do that. But I’m a born lab rat. I’m not used to working with humans. I’m used to working with test tubes, so this whole working with human subjects is a whole different ball of wax to me. So, I observe my patients and I notice if there’s a trend that a lot of people are showing up at the same finding or the same improvement. And I was noticing that many of my patients would start with a lower heart rate variability as measured by standard deviation of end to end interval and over time that would progressively improve because we know it’s not one data point that is important to understand the direction of health.

You can’t make a trajectory off of one data point. You need at least three data points to make any kind of align and you really want more than that. So I started tracing the heart rate variability in patients pretty frequently just to see what was happening. And it turned out there was a really beautiful commonality between many of the people who were having their subluxations corrected with just conservative care, is their heart rate variability was improving almost linearly and then plateauing and staying there. So I found that very interesting and that’s what the paper’s about.

Oh, beautiful. Where can people dig into that paper?

Now that’s an interesting question. It’s published in the Chiropractic Journal of Australia and I think, you know, there’s some political stuff going on with that journal. So to actually find the article is a bit challenging at this point. So I’m going to recommend that people go to a different resource. It’s Chiro.org, it’s Frank Painter’s site. He does such a fantastic job of looking for different research and putting it into a form that chiropractors can access easily. And so if you search a Chiro.org and heart rate variability, you’ll find a link to the full paper.

Fabulous. Thank you for that. Thank you. And they thank you for doing that. That work.

So, I had sent Alan a few talking points and so forth and he’s like, okay, maybe not everybody out there listening is as nerdy as you and I. So can we…

Yes.

Could you break down a little bit, let’s give the audience some simple bullet points about heart rate variability, because we want it high not low. So people understand that you want a high heart rate variability, that means you’re adapting better to your stress.

Right.

What else do you want to tell them? Just some bullet points for people that might not have heard of this kind of lingo before, but they’re like, that’s intriguing.

So, the first step is to distinguish heart rate versus heart rate variability. Heart rate is 60 beats per minute. Heart rate variability is, do you have beats that are 0.61 milliseconds, 0.62, 0.59, they should be a little bit different, and the distance between adjacent heartbeats. So if you take a five minute sampling of your heart rhythm, your instantaneous heart rhythm, you should be able to use just a simple mathematical equation to standard deviation, to give you an idea of how variable that heart rhythm is. And it turns out that I’m in about, oh, I don’t know, 30,000 [inaudible 00:12:43] references that the variability in your instantaneous heart rate is a reflection of how well your body is perceiving it’s environment, internal and external. Integrating that information and executing a timely, an appropriate adaptive response. Now those were a bunch of words, but what that really means is the safety pin cycle.

So what we’re looking, sorry, go on.

No, go…, well what I want to break down for a lot of people out there that know that I talk a lot about the sensory motor loop and adapting to our external, internal environment. So our external environment are those five FARs senses, sight, smell, sound, so on and so forth. But to our audience’s internal [inaudible 00:13:32] senses, which I believe is, are so profoundly modulated with chiropractic care, is that a [inaudible 00:13:40] proprioceptive that interoceptive, so I just want to throw that in there so we can tie that together for those guys out there. Interoceptive system or neural visceral system is modulated by the vagus nerve, by vagal tone. So this…

Big time.

So this is how we’re linking everything together for you all. So when Amy was talking about adapting to what we perceive, remember it’s adapting to those senses that those senses. So I just want to interject that. So we tie this all together for them.

Perfect. It… One of the paradigms that I use with my patients is your body will only adapt to what it sees. And I’m using the word see in a more general sense, not specifically see, but perceives. If your body does not accurately perceive anything, whether it’s your balance, whether it’s your blood pressure, if your body does not perceive that, it will not execute an appropriate adaptive response to change because of that. So both ends of those loop are really important. And the most important thing is that thing in the middle, the integration place where I think that’s the brain or something.

Something like that.

Yes. Something like that.

Yes.

Yes, exactly. And so now we also know that there’s… We have these brain regions that [inaudible 00:14:59] it’s like a marriage or relationship, they have to have the chemistry between them and then the constant communication and that communication needs to be, it can’t be one person in the relationship has more say so, more power of a communicator, they have to be communicating, all those regions have to be communicating equally, so that they can perceive their world and respond appropriately in a motor function. So, yes. We could just be here forever right.

I think so. Oh yes. This is awesome.

So, how would we tie this together with the vertebral subluxation with finding, detecting, correcting vertebral subluxations, and what does that have to do with a vagal tone?

I’m going to answer that in a way you don’t expect. So I, do you know Dr. John Chung? He’s in Florida.

Yes, yes, yes. Love him.

Okay. So me too. He and I actually were overlapping at [inaudible 00:15:59] University. He’s part of my brain trust. So basically when John says something, I listen and just today he was talking about a conversation he had with a patient. He posted this on Facebook, that it was a patient returning to care and she wanted to have her vertebral subluxations, her upper cervical subluxation addressed and adjusted and this patient wanted, John said, I think he had a screen show on his overhead computer, something like that. And she said, “Oh, that’s interesting. I wonder what’ll happen when we adjust me.”

So he took a baseline of heart rate variability for this returning patient, did a specific analysis and a specific chiropractic adjustment, and you know John, it’s going to be very specific, it’s [inaudible 00:16:45] and measure the change in heart rate variability afterwards. And there was a very strong trend towards positive improvement. That was instantaneously, it was, there you go for a readout. I mean, and when you look at that in terms of what is heart rate variability, it is perception of the body, integration of information and execution of a response. When that improves, that means that the body is literally adopting better, and when the body is adapting better you can logically conclude that the body will be healthier because lower adaptation is kind of bad.

And that leads to, let’s kind of lay this out by the way John, if you’re listening to this, you’re on my hit list to be on the show. You didn’t know that but…

Good.

…you are now, I’ve got my hit list. So anyway, and for the audience out there, this leads to whole downstream neurophysiological consequences because when we’re not adapting appropriately we… We’re stuck in that HPA axis cranking, cortisols kicking, initially cortisol’s anti-inflammatory then it switches to the pro-inflammatory, but there’s a whole cascade of things that happen. So we just want to tie that in there for you out there listening that this is a big deal. This is…

Big time.

…as well as mental health and we know that one in five kiddos in this country is diagnosed with a mental health issue. So I kind of want to transition there if we can for a minute doc. So, okay, let’s break this down. Research… If I were to say, is there substantial research for us as chiropractors to say, I mean we, we know what we see in our offices, we know that we see these responses. But as far as research, if I were to step in a court of law or whatever, [inaudible 00:18:44] Is there research out there to says we definitely affect the vagus nerve?

Whew. Directly or indirectly?

Let’s go with directly first.

I don’t think there’s adequate research yet. I think it will be very straightforward for us to do there are great model systems to follow and I think it is eminently accomplish, and I think that is something that should be on the high priority list for chiropractic research. I actually think it honestly, it’s like shooting ducks in a barrel.

Yes.

You know, we already know the answer. It’s a matter of how to frame it.

Absolutely. And because that’s always been one of my crazy missions is to, because in your bio, you, I know you’ve done a lot of this work. We have the medical arena looking at vagal nerve stimulators and different modes to stimulate vagal tone and I feel, and I know you’re right there too, I can feel it. We should be on the forefront of being able to tell that to the world and lead that chase and how chiropractic can really modulate vagal tone.

Without question.

Yes, we have all these other entities doing it, you know, and we can innately, we have the power to innately modulate vagal tone and I think, I would just love to see that be the one of the forefronts of where we go.

I would love that and there’s a secondary reason for that. I was thinking about the nature of transcutaneous vagal stem that’s being put forth in the medical device arena these days and you can put an input into the vagus nerve through the trachea’s and you can modulate vagal tone that way and you can measure it. The systems exist to measure what we want to see. But here’s a question for you.

If you decrease sympathetic over activation by sensory input to the vagus nerve, therefore vagus tone is more prevalent, but you have not actually effected parasympathetic. If you’re decreasing sympathetic tone, but, and also you’re not addressing the subluxation, you’re still modulating the system from the outside in. You’re tuning a guitar string the way you think it should be, but that may not actually produce the most harmonious chords.

That’s a beautiful point. Beautiful. Absolutely.

And that’s where we fit, that’s where we have this profound ability at least. Yes, absolutely. So when we talk about little fiddle farts, the little ones, so we know that there’s these critical windows of development. I call it the first thousand days. That’s fetal development, the first two years of life and then the autonomic nervous system. So these critical windows things, there are things we, the nervous system brain expects to happen. They, they need to happen in that time and there’s things that shouldn’t happen. And we know that the autonomic regulation, that vagal tone, heart rate variability comes on board the end of the second try and, and the third try during fetal development. So we need mama to be imbalance and adaptable as best as possible. Where do you see these little fiddle farts fitting into this picture?

Couple of different ways. One is prenatally her mama. Absolutely. And you just reminded me of a friend of mine had a car accident the other day and she’s five months pregnant, so that has some pretty serious implications for making sure that she gets that stress response down for sure. So, prenatally the stress on the mama will be reflected as stress on the baby and that’s literally neurological programming. That’s hard wiring.

Yes.

That’s hard to fight.

Yes.

You can do it. It’s hard to fight. And then early on in childhood development, if children are subjected to ACE’s, adverse childhood events, again that will prime their nervous system to have a trigger happy stress response, and that skews the autonomic nervous system towards “fight or flight”, or as compared to “rest and relaxation”. Or if we were talking about Polyvagal theory, it skews the response of the nervous system towards “fight or flight” or “freeze”. And when that happens, you’re setting off an entire endocrine hormone cascade, and we all know that the hormone cascade of stress impacts human health. So if there’s anything that could help to redirect the balance of the autonomic nervous system after these adverse childhood events, then it would be expected to really help the longterm health prognosis of these kids who are having these events.

Absolutely. And in that study they found that the life expectancy of those that, that had the high ACEs score, the average child experiences, their life expectancies to be down by about 20 years.

And there was a strong correlation…

Strong, strong correlation. Just last week I received a recent research paper on positive childhood experiences that will negate, they played off of it off the ACEs study, and that positive childhood experiences will help minimize the expense, the responses of the adverse.

Of course.

So, of course, so think about if we have these little fiddle farts that have this dis-regulation and these adverse experiences and we get into their lives and we can create a positive environment, meaning a positive perception of their environment and be a part of being able to negate the adverse offense, events. That is, I just…

Beyond profound.

Right. And we know that these… This getting, I call it getting stuck in limbic lock and load mode, it shuts down the frontal lobe and then, but this is so much tied to not just physical consequences, but mental health as well, and I really want to hit home to the audience about what we do as chiropractors has a profound effect across the boards in regards to physical and mental health. So anything you want to add to that?

Vagus, vagus, vagus and vagus, but also maybe vagus and possibly vagus.

You think so? Because what happens in Vegas stays in Vegas.

Shouldn’t stay there. Shouldn’t stay there. Oh, I, dang it. I left my iPad in the sun. It was going to give you a title to a paper. But anyways, the neuro, [inaudible 00:25:36] neurovisceral integration model is a proposed hypothesis, top-down appraisal of how heart rate variability reflects the handling of stress in life, as measured by mental health concerns, depression, anxiety, PTSD in particular. And these studies have shown that higher heart rate variability, not too high, because that’s instability. It’s kind of like blood pressure, you want it not too low, not too high. Right in the Goldilocks zone. So higher heart rate variability was, lower heart rate variability was predictive of someone developing PTSD… (Silence) … suppose predictive of is an interesting word to be able to use in a research study.

Right.

So heart rate variability as modulated by the vagus nerve and really HRV is a readout.

Right.

So we’re looking at vagus function predicting whether someone will end up with a mental health disorder.

And that’s huge. I mean it’s so huge. And again we take it back to our little fiddle farts because this is more of a [inaudible 00:26:46]. But if we start out with this little guy, this little fiddle fart with colloquy, not sleeping, not pooping, right there because that is, so much all the whole GI system’s massively by vagal tone. We’re really getting an outward appearance. I say there a person’s neurological expression, the way they, their outward expression is giving you a window into their neurological integrity. So the [inaudible 00:27:14], non poopy, non sleeping babies after mom has to sit and bounce with them the whole time or whatever. They’re telling us that, “Hey, I’m not being able to adapt to this, this stress that I’m under.”

Absolutely. Yep.

So okay, I can have you here for hours and Alan’s probably like, okay, you guys stop. What is, what is one last, I know you’ve got a million but one last pearl that you want to leave the world with. Not that you’re leaving the world, but leave this audience with?

The distinction between traditional approach to management of the human body versus the above, down, inside out perspective, recognizing that the system truly is connected in ways that we don’t understand or fully appreciate yet, that sometimes it’s better to remove anything that is obstructing the system from rebalancing itself, than to try to fiddle with the system from the outside in, not knowing what’s going to happen. And really that’s what we’re doing with the chiropractic adjustment is we are removing obstructions that are preventing the vagus nerve from doing what it does best, which is modulating and… modulating the body and keeping everything in an active dynamic equilibrium.

Beautiful. Beautiful. Now I hope everybody can listen. Listen to that segment, repeat, rewrite, repeat and be able to articulate that to the world. Because that was beautiful.

Thank you.

So I guess we better wrap it up before we get that, the red flag, but thank you so much for sharing your wisdom, your, I mean, your beauty, your talent and your time with all of us out there in Chiro land. And I look forward to nerding out with you more and you, so Chironerd.com, and then your practice is, your practice website or where they can find your brilliant [inaudible 00:29:19]

Pathoflifechiro.com, I named my practice after a [inaudible 00:29:25], “Two paths diverged in the wood and I took the one less traveled”, and it has made all the difference, so I went from the traditional academic, to where I am right now and I love what I do. I’m so honored and thankful to do what it is that I can people’s lives and to be able to share how these neurons fire and create ideas and stuff with other people who can make use of them.

Well that’s amazing. And I, that’s one of my favorite sayings. So I think we were sisters from another, from another life, from something else, but.

I’m getting that totally.

Again, hey doc, thank you so much and I look forward to your, what you’re coming out with and keep us in the loop. We’ll have…

[crosstalk 00:30:10]

We’ll have to do a round two.

I’d love that. And at some point you and I are going to have to sit down and have coffee and just like nerd out until all of our brains are fried.

Sounds like a plan. Hey God bless you. Thank you for everything you do for chiropractic and just thanks for being you and I appreciate your time.

And thank you for having me and thank you for everything you do for chiropractic.

You’re amazing.

Well, we’re all in this together. My mantra now is “Alone we can make a difference, but together we can make change” and that’s where we need to go.

Love it.

So thank you all out there for tuning in. Make sure that you join Dr. Eric Glocky, the first Thursday of every month. He has an amazing [inaudible 00:30:54] show, and again, Chiro Secure, thank you so much from the bottom of our chiropractic hearts for allowing us to bring this information to the masses and to help serve more children and save more children. So until next month, I will see you the third Thursday of next month.

(singing)

Today’s pediatric show “Look to the Children” was brought to you by ChiroSecure and the award winning book series “I am a lovable me”. Make sure you join us next week, right here at the same time. See you next week.

Please subscribe to our YouTube Channel (https://www.youtube.com/c/Chirosecure) Follow us on Instagram (https://www.instagram.com/chirosecure/), LinkedIn (https://www.linkedin.com/in/chiropracticmalpracticeins/) Periscope (https://www.pscp.tv/ChiroSecure). If you have any questions about today’s show or want to know why ChiroSecure is still the fastest growing malpractice carrier for over 27 years, then call us at (866) 802-4476. or find out just how much you can save with ChiroSecure by visiting: https://www.chirosecure.com/quick-quotes/malpractice-quick-quote/.

Empowering Women Chiropractic – Are Your Finances in Order? Dr. Janice Hughes

Welcome to ChiroSecure’s Empowering Women in Chiropractic. The Facebook Live show for successful women by successful women. Proving once again, women make it happen.

Hello and welcome to our show, Growth Without Risk. My name is Dr. Janice Hughes of 2Inspire Women, and I’m really excited today to be your host talking a lot today about financial action steps that you can take for practice growth. We couldn’t bring you a show like this if it wasn’t for our sponsor, ChiroSecure. So I’m really excited that I get the opportunity to work and connect with ChiroSecure regularly, and then to provide interviews like this.

What I want to do today is talk a lot about how your practice growth and your business growth is actually tied to your money mindset. I know that sounds crazy because a lot of times we think, “Well, we could put money on hold,” or, “It’s not about the money.” But what I want you to know is that after coaching thousands of chiropractors, your money mindset is one of the keys to your practice success and growth.

So I want to introduce you to Christopher Koopman, who I have with me today, and I’m going to be asking him a lot of questions from Statera Wealth Solutions. Thank you for joining me, Chris.

Hey, Janice. How are you? It’s great to be here.

Great to have you. So tell us a little bit, just introduce yourself briefly before I start diving into some of the questions that I want to ask you.

Sure. I’m president and founder of Statera Wealth Solutions. I know it’s a tricky name. Statera means balance in Latin. I’ve been in the financial space since 2003 and I concentrate on holistic and vitalistic financial solutions.

Yeah. So tell me about that word because that’s a very conscious word. For chiropractors, we talk about vitalism all the time. But tell us about vitalism and money and the distinction, and I like to call it this financial coaching versus just being, say, a financial planner. So just tell us a little bit about that word vitalism.

Yeah. In my experience, most people are set up quite awkwardly in making financial decisions and it’s really not our fault. It’s more about how the institutions and the media puts us in this position of at different times in our life we meet with different experts or advisors to help us with different areas. So it might be something as simple as I need to purchase real estate and I meet with a mortgage broker and I meet with a investment professional to handle my investments. And when you’re done with this process, you have maybe five to 10 people around you that are having different conversations with you at different times in your life. And so, it’s challenging because you’re having all of these individual conversations all in their own little silos and no one’s talking to one another.

So I think that looks to me, being a patient of chiropractic care for almost 16 years now, that seems very mechanistic to me. And it’s awkward because you can’t make intelligent financial decisions when you don’t think holistically and how all of these interact with each other. So I focus more on a process driven approach rather than a product driven outcome.

Yeah, that’s great. And it’s so key because … I want to give some of our listeners a perspective. As you even said the words about multiple advisers, we really have three different, I’ll call it sort of target groups of chiropractors and practitioners that listen to our show. Number one is startup. Number two is where people are sort of moving from striving to thriving. And then number three is a little bit more the group you’re talking about where now you’ve probably got multiple advisors or you already have multiple products.

But what I want to talk about today is even get your perspective on those three categories. Because not only is it important to define vitalism when it comes to money, but the other thing, and especially the startup docs, but then all through our careers, we often talk about this word debt, or debt versus savings, or debt versus wealth consciousness. And how does that impact, for example, let’s start first with a startup doctor?

Sure. In the beginning, my experience is you come out of chiropractic school and you’re loaded with debt. So I think the biggest mistake right away is to have a poor attitude about that debt. I mean, let’s face it, unless you have a rich grandparent that wrote a check for your school, you need the help of an institution to provide you with dollars to be able to get the education that you need. I think if we first have a mindset that is more about gratitude for that debt, like I literally tell some of my clients when they write that student loan check to write, “I am eternally grateful to pay to the order of.” Because if we approach it with that mindset, it’s not so much of a burden, but it’s something that we’re thankful for. Now, that’s the mindset.

Now, when you get to the numbers, I see the mistake of trying to eliminate debt at the cost of not taking care of the other critical areas of importance. Literally every dollar going to debt is actually harming you because if you’re not creating that emergency fund, just creating some sense of liquidity, either for an emergency or an opportunity, then you’re cutting yourself short from financial growth. You can always pay off the debt when you’re creating liquidity.

So it’s not about not that we don’t want to get out of debt. We want to do it in a very responsible way because most of the financial decisions we make, they impact the four domains of our financial life, protection, assets, liabilities and cashflow. And so, if we’re only focusing on liabilities, we’re not taking care of these other three domains of critical importance. They’re all connected.

I think that’s really huge because, for example, I was at one of our colleges just 10 days ago teaching a whole day on business and a lot of them wondered why I was taking a whole hour about money and prosperity and little things that they can do. Even some of the startup docs or even some of the docs listening that are still in a little more of that striving, like trying to get things going, things are going pretty well in practice, but now you have no idea how to tackle, say, this whole concept about money. I think you already touched on something that’s critical for them. Understanding those four categories. So maybe even if you could describe the difference where you go from striving to thriving. How does having a look at all four of those categories, how does even the concept of protection, how does that help a doctor go in with that clear mindset?

Well, it actually comes back to your point earlier about coaching, getting back to this setup, this kind of mass prescribed financial setup that we all get caught up into. I like to think of our financial life much like a sports team, an NFL team. There’s the owner of the team who then has the players that are out there playing the game. But a coach is someone that’s telling the players what to do. So in our financial life, we think of the institutions as our players and we’re the owners of this team. But most people lack a coach that tells you how to use these institutions for our advantage. And kind of another analogy might be that if we were to build a house, we need the lumberyard to provide wood to build the house but we don’t hire the lumberyard to build the house. We hire an architect.

So what I do in my process is that we create a financial model that consists of protection, assets, liabilities, and cashflow. Once you start to develop more in your practice and you start to earn more income, a lot of those other domains are going to get filled up. I mean, protection is something as simple as driving your car. You have car insurance. Well, what happens if you get sued? You should have an umbrella policy on top of that. And you start to understand that it doesn’t matter how much money is in my bank account if there’s a risk of someone taking it away from me.

So when you think about how your money works and impacts those four domains, that’s when you get and breakthrough to that next level where you’re starting to make more intelligent financial decisions because your income might be more and you have more on your plate. You need something to help you organize that so that it becomes easier. It’s not cluttered. Because I call that junk drawer planning. Everyone has that junk drawer in the house where I know the scissors in there, but it’s hard to find.

Exactly.

So if things are organized it helps us to approach it in an un-compartmentalized approach.

Yeah, that’s a really great point. I know for a lot of our listeners, where this really shifted for me, it’s not like as I was doing so much, I’ll call it better in practice, like you’re beyond that, “Okay, where’s those next dollars coming from?” or, “How do I only focus on lead generation?” So your practice is getting more established. What I found and you already touched on this, is that it’s like none of my people were talking to each other and I was making the silly decisions because I was almost reactionary versus short of trying to get them all in the same room, I had to become the leader. So with your money, how you get away from being reactionary is doing a whole overview. Bringing a coach, bringing that, again, coach into the scenario that you’re describing with the sports team or the architect in to have a look at things. [crosstalk 00:10:51].

It starts … I didn’t mean to cut you off there. It starts with financial organization. So if we are scattered, that puts us at a disadvantage because right away we don’t have the organization of knowing what we have. And it’s so funny how many people I talk to that really don’t know what they have. They don’t have clarity on how an insurance product they have may work or what type of investment they have, what that consists of. And so, getting clarity is step number one. Number two is financial organization. You have to have some type of model so that we can actually test the financial strategies we’re doing. Much like how a pilot would learn to fly in a simulator. I would much rather learn in that environment then first implement it in real life and then figure out that it’s going to fail. And so, I think stress testing some of what we are doing financially gives us that clarity that allows us to own our financial decisions.

Most people make financial decisions based on the opinions of others. Not coming to full clarity and conclusion. So when you break through that to that next level in practice where you’re now thriving and your practice is growing, you have to take responsibility financially with that and to organize your life so that you have complete clarity on the direction that you’re heading.

Yeah. And I think you’ve already really touched on the key then to move into that third category that I was talking about. So when you kind of go from that striving to thriving and then you start to get yourself more organized, really to move to the next level, beginning to already think through, “What does my estate look like?” I talk to a lot of practitioners about now beginning to create your 10 year exit strategy. What would that look like? You’ve touched on it’s really being able to run models. I know that there’s a lot of people really enamored, everybody says, “Okay, well focus on real estate,” or, “Now is where you expand your investments.” And what’s happening is just your description that it’s like we’re listening to all these other voices. But the power for me personally, came from being able to run those models and have a look at what those things would do for me in the short term, in the midterm, and then more importantly, even for my estate planning.

Yeah. Having that organization gives you the ability to understand the direction you’re heading and if you need to make changes. But when we focus on that kind of exit strategy, now it’s more about how do we produce cashflow to take over from the income that we were producing in our lives? And I find that a lot of financial strategy conversations, they get us to that “retirement age.” But my grandmother last year passed away at 104 years old, so people are living a very long life. So now it’s about how do we take all of the work we’ve done, allow that to transpire into real cashflow and cashflow with the least amount of risk? That comes down to more about strategy, again, than product.

We need the help of institutions to manufacture the products, but if we don’t know how to utilize them to our advantage and not theirs, then we can put ourselves into a corner and it becomes a very risky type of model where we would want to try to relinquish or assign risk to others so that we can live a more fulfilling life. And that’s where that exit strategy planning is so critical, because again, I’d want to help someone test what they’re thinking in their mind so that they get clarity on if that is actually going to work the way they thought it would. You can’t really do that until you do studies and understand how it’s going to play out for the next 30 to 40 years of your retirement. Longevity risk is, today, the biggest risk that we face in retirement. The risk that we may live too long.

Yeah. And I know that sounds crazy for some of the practitioners listening. Here we’re talking about kind of that exit, because you’re still in the early start up. But I think we’ve really touched and really sort of said, “Here’s the three different phases of your career,” or, “Here’s the things, again, that are going to be impacting you.” But let’s go back a little back. So we’ve talked vitalism and this different idea or attitude about about money. For the chiropractors listening, why is this important? Why does it matter that they’re kind of feeling organized about their finances versus stressing and going into practice and having that impact them? So just from a financial person’s perspective, you’re a coach, so what are a couple of the things that people can be doing? And I’ve heard you say this, but I want some clarity around that, like just planning or having someone helping them organize things.

So for me, organization means, number one, getting all of your data together. And for someone early in practice, their financial model may not be filled yet. You’re in the process of working towards filling your model with all of the financial strategies that are one day going to take over your life. So getting organized means understanding where you are in this present position. That’s number one.

The number two step is having that vision, direction and clarity and having the concurrency within your practice. It’s interesting when I meet with a chiropractor that talks all day long about vitalism and helping their patients with that, and yet I discover what’s going on in their financial life and it’s the complete opposite of that. I chuckle about it but it really brings that awareness to them that that is, look, you have to have that congruency in all aspects of your life. You can’t show up and play hard only in one way. You have to do it in another way too. And if it’s intimidating, then you relinquish control to someone like a coach that can help guide you through that process. That’s where you start to gain that clarity and, again, get that ownership into your financial decisions. And the ownership is important. If I ask someone why they’re doing something financially and they can’t tell me why, they really don’t have clarity and that to me is concerning.

So organization will help you understand where you are. Then putting that together on a model so that you can project into the future what you’re doing to see if it works and to stress test it against things that we can’t change, like tax laws changing and interest rates changing and things out of our control. Like you said earlier, we have to prepare for our future. We can’t guess what’s going to happen, but if we’re prepared then we can handle unforeseen consequences.

Yeah, and it’s interesting. I mean, we could obviously talk for hours on this. Really the whole emphasis of this interview, I’ll call it a first interview because one of the things for myself, I see the number one challenge for chiropractors, for health practitioners is money. It’s concepts about money. It’s establishing their future, a better future for themselves. They’ve invested a lot in school. But what I want to make sure is that we have each of you walking away realizing the power of your own leadership around it. Chris, you said something very important about congruency and how do we help more chiropractors review this, get congruent, have an assessment test of where they’re at? And I know you’ve been really wonderful for that with a number of chiropractors that I’ve worked with over the years, so maybe share with everybody how they can get ahold of you because our interview time is short today, but how can people learn more about this?

Probably the first step is my website, www.staterawealthsolutions.com and Statera is spelt S-T-A-T-E-R-A. That will tell a little about my story, my bio, but more importantly, give you a visual of the financial model that I’m talking about. And there’s actually a video on that under the technology tab where it says Our Technology, where you can play a three minute video and understand how that model can actually help you.

[crosstalk 00:19:31].

[crosstalk 00:19:31] that model, basically, it’s a very interactive model, but it’s kind of like my chiropractic adjusting table only in the financial space. Because it becomes something that I use as a tool to help my clients get financially well. So there’ll be a lot of information on that site that is valuable and I think that’s a good starting place. Of course, if anyone wants to directly get in touch with me, my email christopherkoopman, which is K-O-O-P-M-A-N, @G-L-I-C.com. That’s christopherkoopman@glic.com.

Great. Thanks so much, Chris. And we’ll make sure that we put in the comments the links again, the email, the links. So we will definitely do that after the show. Thank you so much for joining us.

All right, Janice. It’s nice to be with you today.

Great. Well, thank you everybody for listening. You can see that a real area of focus for me, part of my mission is helping chiropractors. Helping chiropractors shift their money mindset, create more abundance and wealth. It’s really critical to how you grow your practice. I know some people might say, “Okay, well that’s over here and not about how to build my practice.” And what I want to share with you is that I have a little formula that says, “Money equals self-worth.” So money is impacting the decisions you make about money and every action you’re taking is determining how you go in and care for people. So you can see it really ultimately is impacting everything about your practice.

We’ll keep on this theme, we’ll talk more about it, but I want to thank you for joining today. I also want to thank ChiroSecure for putting this on, talking about how do we grow practice? I’ve coached a lot of chiropractors, but we want to bring those tools to you, to every one of you in the profession.

So please also join the Growth Without Risk next week. You’re in for a real treat with Dr. Sherry McAllister speaking to you on that date. Thank you again and have a wonderful day.

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Empowering Women Chiropractic – The Postural Neurology Revolution Dr. Lindsey Dr. Burns

Welcome to ChiroSecure’s Empowering Women in Chiropractic. The Facebook Live show for successful women by successful women. Proving once again, women make it happen.

Join us each week as we bring you the best in business growth, practice management, social media marketing, networking, leadership, and lots more. If it’s about women in practice and business, you’ll hear it here.

Now join today’s host, Dr. Nicole Lindsey, as she talks overhead, debt, and creating other sources of income. And now, here’s Dr. Nicole.

Hi, welcome. I’m Dr. Nicole Lindsey, founder of Dominate Chiromarketing, where I teach chiropractors how to build profitable relationships with MDs to grow their practice. I’m your host today.

First of all, before we jump in, I want to thank ChiroSecure for making this all happen. We appreciate them. I want you to show them the love, and make sure you spread the message. Share these shows, and let everybody know how awesome ChiroSecure is.

Today’s guest is Dr. Krista Burns. She’s a chiropractor. She’s an author. She’s a speaker. She’s a certified postural neurologist. Certified posture expert. She is the founder of the American Posture Institute, where she’s helped thousands and thousands of patients achieve better posture. She’s also leading the charge against digital dementia, which I want to ask her about that.

So, today’s topic is the postural neurology revolution. Welcome, Dr. Krista.

Thank you so much for the kind welcome. Thank you to you, to Dominate Chiromarketing, as well as ChiroSecure. It’s such an honor to be here.

Well, I can’t even imagine that you have time to do this with everything on your resume, and everything on your plate, but we appreciate it.

Of course.

Let’s just jump in with postural neurology. What is postural neurology?

Well, thank you for asking. When I graduated school, I had a lot of questions of connecting the dots between neurology and chiropractic. I had actually done advanced training for years, and years, and years, and done thousands of hours of training in neurology. And when I started my practice, I still couldn’t understand how to apply that neurology into daily practice with the patients that I was seeing every day. That presented with tech neck, that presented with headaches, migraines, back pain. You know, our average patients. And so, I went on this mission of understanding more about postural correction, and then really connecting the dots where I feel like there was some gaps in our education. I wanted to bridge that between neurology.

Because we all know that we work with the neurologic system. This is certainly not the first time you’ve heard that, before today’s interview. However, can we fully explain it? Do we really understand why what we do impacts the brain? Do we understand how better inputs to the brain result in better outputs, resulting in better posture? Can we really explain that?

And so, I just went on this mission of understanding more. And then by having these brain-based solutions, assessments and corrections, we had the opportunity of sharing this with more and more practitioners through the American Posture Institute. Seeing the results that they were getting on a daily basis is absolutely life changing. The coolest part about it is that it’s predictable, it’s measurable, where we can see those outcomes pre and post, and have those predictable results every time. So, that’s postural neurology at its core. It’s really the neurology controlling the posture system, but the brain-based approach for assessments and corrections.

I love it. It almost sounds like something that all chiropractic students should be getting this information in school.

One of the comments that I get all the time is, “This is everything I wish I would’ve learned in school.” And that comment means a lot to me because it’s everything that I truly wish I would’ve walked out of school knowing and understanding. It took me years of starting my own practice, doing advanced neurology training and then going back through, even after the seminars, going back through all the neurology textbooks and implementing this stuff. Using my practice as a laboratory of creating these new systems. It wasn’t until almost a decade later, after studying advanced neuroscience for a decade, that I finally had those solutions and those answers.

They say that research is really me-search, meaning that you have these questions, and I was on a mission to find it out. After learning more about the neurology and really that brain-based connection, I had to share it with more people through the American Posture Institute.

Well, thank you for doing that. You know what’s really interesting, too, is that we talk about us being, as chiropractors, being neurology experts. We work on the nervous system. That’s what we’ve kind of been brainwashed to say, but yet we really don’t have a good understanding of how that works. At least I know I didn’t. And I went through chiropractic school. Of course I had PNS and CNS, and all of that. I couldn’t tell you. I don’t remember any of that. So, I love where you have taken this and have made it practical. I think that’s-

Yep. That’s what it’s all about. Because we’re not motivated to sit there and re-memorize our PNS books. The majority of us aren’t, anyway.

We look at Mrs. Jones, who’s scheduled at 9:00 AM on Monday, and we go, “How can we give Mrs. Jones the best care possible?” And I love that about everybody who’s watching today. Like I have your back on that. That’s why I’ve done all the research over here to package it together in practical solutions, so you can just take this information, implement it into practice.

Because it really is about the practical applications. Not just memorizing more neurology. I think it’s fun, but most people become overwhelmed by it. It’s not just about those memorizations, it’s about how can we take this and really apply it with all of our patients who come in on a daily basis. Not just the outlier patients, the ones that come in with back pain. Also the patients who come in with vertigo or seizures, but also Mrs. Jones who has neck pain. Right? How can we make sure that we have practical solutions for everybody?

Yes. And I, as you know, I teach chiropractors how to build relationships with MDs. I did a talk to neurologists, and what was interesting when it comes to posture, my talk to them was all about how headaches can be caused from forward head posture. They were dumbfounded. They really had never heard that before. Never thought about it. So, it’s really interesting that not only us as chiropractors, where there’s gaps in education and connecting the dots, but for healthcare providers as well.

Yeah, absolutely. And what I love about posture is that it’s really easy to communicate. You’re mentioning when it comes to sitting down with medical professionals. We all have a posture. Posture is a structural framework of your body. It’s very simple to communicate, because everybody understands it. This is words that they’re already using in the medical community, that we can also use in the chiropractic community, that make sense to both of us.

And what’s really wonderful about posture is we can show that there’s postural distortion patterns very simply with posture imaging. And then we can show those corrections over time when we monitor that, and we do pre and post posture imaging. Here’s the really great part about it, guys, is that we’re talking specifically about MD referrals, there isn’t a medicine to take to correct posture and digital dementia, which is a whole other topic. There’s no medicine to take for digital dementia. That creates the opportunity for us to be the first line of defense. But it really comes down to understanding it fully and then communicating it clearly.

Absolutely. For our listeners, we have chiropractic students, we have chiropractors, new and old, CAs, office staff listening to this. And when it comes to an assessment, like a protocol for correction, what can you give everybody? A little bit, a little piece, of something they can do now.

Let’s talk about a couple of assessments. Now, when it comes to postural neurology, we call it the eyes, spine, vestibular model for assessment and correction. Eyes, spine, vestibular. The reason we focus on the visual system is because your visual system, it controls your orientation in space. How we see our world is how we orient our bodies upright.

Now, what’s interesting about the visual system is there’s direct connections. There’s descending pathways from our visual system, as well as our vestibular system, that go to our cervical proprioceptors. And so, if we have visual system dysfunction and we see a postural distortion pattern in the cervical spine, we cannot expect that we can have longterm correction of the cervical spine without correcting that visual system.

Let me give you a couple of examples that we can all relate to.

Okay.

If I have poor vision, which is cranial nerve number two, if I’m squinting forward, I’m constantly in forward head posture. Okay? We have these muscles controlling our eyes. When these muscles become fatigued or have dysfunction, and I can’t move my eyes in a certain direction. If I can’t look up into the right, what do I do? I develop a chronic head rotation looking up into the right. If I can’t converge my eyes to look here midline, then I develop a head tilt and a head rotation.

And so, if we don’t clear this out, of course the patient feels better after an adjustment and of course they look straight or as well after the adjustment. But these are the patients who come back in and say, “I felt great, but then it came back.” Well, did we really get to the underlying cause, is my question. So, keep doing what you’re doing. Keep adjusting the cervical spine, of course. But in addition to that, we want to check the visual system and give them at-home exercises.

Now, let me give you a little more background and then we’ll talk about assessments and correction. Now, the same is true with the vestibular system. We know the vestibular system is located within the inner ear and it has nuclei in the brainstem.

Here’s what’s so fascinating about the vestibular system. We know it controls equilibrium. We know that when we have dysfunctional visual or see in the vestibular system, patients can present with motion sickness and vertigo. But here’s what they can also present with, is poor balance and flexor dominant posture.

You guys have seen those patients that have this anterior postural hyperkyphosis. The difference between a postural and a structural hyperkyphosis, a structural hyperkyphosis is changing the structure of the bones. Meaning collapsed vertebrae, for example. That’s the structural cause of a C-shape spinal curvature.

Postural hyperkyphosis is an inability to resist gravity. What does the vestibular system do? It stimulates upright postural extension. Is that not amazing? So, your patients, then they come in, they have forward head posture, they have anterior rolling of their shoulders, they have anterior chest drop, they have this C-shaped spinal curvature. And if we’re not working with the vestibular system, they go, “Oh, thanks doc. I feel so much better.” And they leave. But then the second they get to their workspace, they can’t resist postural collapse because we haven’t worked with that vestibular system.

And so, if we skip the visual system, head posture distortion patterns will continue to get worse over time. If we don’t stimulate the vestibular system, they’ll continue to go into this flexor dominance, and continue to have the C-shaped spinal curvature. And so, in addition to the adjustments, which everybody’s already doing, and that’s why it’s eyes, spine, vestibular. We don’t leave out the spine. Of course we address the spine, right? But in addition to the spine, we have to stimulate the visual and vestibular systems.

Here’s an easy check that you guys can do. Number one for the visual system, all you have to do is take a pen, or even just your finger, and you’re going to hold it in front of the patient. I’m going to turn to the side a little bit, so you can see. You’re going to slowly bring it in. What you’re watching for is that the patient’s watching the tip of the pen. You’re watching for their ability to bring their eyes to midline. Okay? It’s called convergence. So, it looks just like this. It’s super simple, guys. It takes literally 20 seconds. You bring the pen in, and you watch for their ability to converge their eyes to midline.

If they cannot do this, or maybe they can do it just with one eye, and you see one eye goes out to the side, this is called your divergent eye. Converged, diverged. Converged, diverged. Converged, diverged. If it cannot converge to midline, this means that they can develop a head tilt and/or a head rotation.

And so, a super simple exercise that they can do, it’s going to take them one minute at home and it’s going to perfectly supplement that adjustment that you’re doing to the cervical spine, is they’re going to do near and far exercises? Okay? So many patients are just working at their computer. So, what are they doing? They’re just looking near, right? We need them looking far. What we’re going to do is near and far exercises. They just hold the pen tip here. They look here, converge, they look in the distance. Here, converge and hold for 10 seconds. Then look in the distance, and then repeat. Okay? Repeat that five times. Near and far. Okay? It’s going to take 30 seconds. I recommend they do it morning and afternoon. Okay?

Does that make sense?

Yes.

So, let me know at this point if that makes sense. And this is super simple to implement. To hold that adjustment longer, and really have longterm postural correction results. Okay?

And then number two is with the vestibular system. So, two quick checks. First of all, I highly recommend everybody does posture imaging. Guys, I don’t even sell posture imaging software. There’s great ones out there that I just highly recommend everybody utilizes. For many reasons including communication, objective results, but specifically for the vestibular system. If you look at that posture image and you see postural hyperkyphosis, which is anterior rolling of the shoulders, C-shaped spinal curvature, this is an indication that we have vestibular system dysfunction. Okay? So, that’s your first check.

Number two is called one leg balance. It’s just like it sounds. It’s super simple. The patient stands on one leg, they have their hands by their side, they look straight forward. We want to see can they balance upright? Now, what you’re going to watch for is the side of initial postural sway. Initial postural sway. Initial postural sway. What tends to happen is they’ll shift slightly and then re-correct, and may shift further to the other side.

With initial postural sway, we lean towards the side of vestibular dysfunction. Okay? This gives us an indication that we need to stimulate the vestibular system, at least on that side. You can stimulate the vestibular system overall. But this gives us indication that we have vestibular system dysfunction if they can’t be on one leg with proper posture for 30 seconds. Is that easy?

Yeah, very easy.

So, we’re looking at a great posture image and we’re doing one leg balance. Okay?

Now if we want to rehab that in addition, again, to doing adjustments of the thoracic spine, which you guys are already experts at. In addition to that, I want them doing these two exercises at home.

Number one is one leg balance. This is where the assessment becomes a therapy, right? We want to make sure that they can balance upright on one leg for 30 seconds, proper posture. They need to do this at least twice per day. Both legs. Okay? As they can do this, have them progress and continue to challenge the vestibular system. How we continue to challenge them is with an instable surface. By closing their eyes and eliminating the visual field of gaze. Okay? So, make it more difficult. Perform it on whole body vibrations and other great progression. Okay? So, continue to progress them. They’re doing this for 30 seconds in the morning, 30 seconds in the evening.

In addition to that, Superman exercise. Okay? You guys have already learned Superman. Now it’s about implementing and knowing why we’re implementing, right? If the patient is going into flexor dominance, we need to stimulate upright postural extension. We have the vestibulospinal tract. Goes from the vestibular nuclei in the brainstem down to the thoracic spine, and it stimulates upright postural extension. So, when you’re have the patient lying on the ground and then they go up into a Superman, we’re reversing that flexor dominance and we’re going into extension. Okay?

It’s better to do less repetitions and hold this one. If they can hold for 30 seconds, which some of them we’ll have to work up to based upon their current level of fitness. We’ll work up to holding that for 30 seconds. And then from there, 45 seconds. And then from there, a minute. This is going to help build that extension to prevent more flexor dominance, because all of our habits are flexor dominant. Okay?

When it comes to exercises for the visual system, we’re doing near and far. For the vestibular system, one leg balance and Superman exercise. And if I can give one more lifestyle habit… Is this too much or is it-

No. I can’t wait to rewatch this and take notes. Because it’s so practical.

It’s super easy, right? Like these are things that are so simple to implement with what we’re already doing.

Absolutely.

You don’t have to buy all this new equipment. You don’t change your practice completely. Keep doing what you’re doing, and then add these neurologic exercises to supplement the great results that you’re getting to make it more predictable and help the patient keep it longer. Right? That’s what we’re going for here.

Right.

My other recommendation for a lifestyle habit change is to sit on the posture cushion. Okay? Posture cushions are great for structural postural correction, but here’s why I love it for vestibular activation. When I am seated on a normal chair, it does not matter what posture I have. I can’t fall out of the chair. Literally, I can be hunched over. You watch people at a coffee shop, they’re in the worst postures you’ve ever seen. You go to the airport and it’s frightening, right? You see people hunched over their devices in this posture. That’s because they don’t fall out of their chair. Our world allows us to have the worst postures possible without falling over. Okay?

Our vestibular system resists gravity. And so, if we’re seated on an instable surface, if I start to kind of get lazy with my posture and I’m on an instable surface, guess what happens? I might fall off. The reason this is so beneficial is because I might fall off, my vestibular system activates and it brings me back to center. Okay? So, now I’m forced, I’m literally required to use my neurology, and use my posture system to stay upright. Which is what we should be doing, right?

Absolutely.

But our modern world, we don’t have to. I can literally be hunched over like this and not fall over because of my environment. So, if I’m on an instable surface throughout the day, not only am I moving more, which is great for my disc health, which is great for mobility of the joints, but in addition to that, I’m using my neurology. I’m stimulating my vestibular system every time I move, and change my body position in relation to gravity. Okay? In addition to those exercises, give them a posture cushion as part of their posture kit.

And number one, this is a great product to have in your practice, but number two, they need it. Because the chair they’re sitting on, I can already guarantee you is not ergonomically designed to stimulate their neurology. And therefore, their posture is declining at the speed of technology.

Yes, and that’s a whole ‘nother topic. We’ll have to have you back, so we can talk about that. Because I watched your TED talk and I think it was amazing and I want to know more.

Thank you.

Thank you so much for sharing such great gems with us today. Things that we can implement right now. I know you have a certification course for us, for chiropractors, and other healthcare providers as well. As you can see, Dr. Krista knows her stuff. If you want to become certified, get with her. Pick her brain. Ask her questions.

But thank you so much for doing what you do for our profession, Dr. Krista. I really appreciate it.

Of course. It’s a pleasure.

And thank you all for watching today. Make sure you tune in next week to our show. We’ll keep delivering great information to our profession and to everybody out there. Thank you so much for joining us.

Thank you.

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