Empowering Women Chiropractic – Tips for Tiptoers – Monika Buerger

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Now here’s today’s host Dr. Monica Buerger. Hello,

Welcome to our December. Um, ChiroSecure Look to the Children’s show. We are going to have some fun today. We’re going to keep you on your toes as we talk about Tiptoes. So why did I choose this subject? Um, first of all, let me backtrack. Thank you, ChiroSecure once again for giving us this amazing platform and opportunity to share with the world, um, the importance of chiropractic pediatric, uh, for kids and, um, to help other docs out there, um, gain some extra pearls of wisdom during this time. So tiptoes, why did I choose this subject? Because I get a lot of questions on, what does it mean? Why are they still tiptoeing? What do I do? Um, all that and more so let’s dive in and let’s have some fun and talk about it. So again, I want to thank ChiroSecure for, um, always being there for the chiropractic profession, excuse me, my froggy throat.

So tip toes, we tend to see this in little kiddos. Um, and if I slip into my endearing little, um, version of my little fiddle farts, I, I use that as an endearing expression for these kiddos that we work with. So, um, my apologies, if I slip into that, um, we tend to see tiptoes common up until about the age of two, and that is considered, um, fairly normal. But if we see this consistently and beyond that age, what might we need to want to look at what possible differential diagnosis is? What associations? So let’s dig into that a little bit. First. Certainly we want to look at muscle tone, either low tone or hyper tone, and we want to, um, rule out cerebral palsy or multiple dystrophy. So those are two top things you may want to consult. Um, outside of the chiropractic profession, have the pediatrician take a look, et cetera.

So those are two things on the top of the list that you want to make sure that isn’t involved. But what we didn’t know about neuro-development is when we have a hijacked trajectory of development, so to speak that this is one of the possible competence Atari gate mechanisms that we might see with little fiddle parts is a tip toe or altered gait pattern. So autism and ADHD happened to be on the top of that list and alter gait patterns of which one is tiptoeing can be associated with both of those labels. Um, sensory, definitely sensory processing disorder. So that’s SPD sensory processing disorder or processing dysregulation. And we’re going to see how all these kind of tend to tie together actually. So within the sensory processing world, three particular sensory systems have been associated with altered gait patterns. Tiptoe is one of them. The other gait patterns are, would be like a wide based waddle or wide based stance.

And the reason that we might see these altered gait patterns in those with processing disorders is because they’re trying to upregulate sensory input into their world so that they know where they are in space and they can modulator move about safely through space. So the three big systems within that sensory processing realm are vestibular. Um, the, the ability to maintain ourselves upright against gravity and know where we are in space proprioceptive, which we’re going to get that input from our joints and muscle spindles. Um, and actually you get some proprioceptive input from the vestibular labyrinth time and visual. So those are three big sensory systems that three big kahunas that all work together. Um, and they, they are really responsible for us being able to modulator ourselves upright against gravity and have good postural control, postural stability. So if we don’t have that, we will innately, or that the child person, child little foot apart, we’ll try to upregulate that to their CNS.

And by being on their toes, they get more bounce of the world and, and, um, more input coming up, particularly vestibular and proprioceptive. Um, so you’ll see them have that little bit more bounce in their step. Kind of like trying to be Tigger. If we look at our Winnie the Pooh characters. So, um, sensory modulation can be a reason that they are on their toes. Now, likewise, they might be, um, hyper tactile. They don’t like a lot of tactile input, so they might be up on their toes in certain environmental situations. And we’re going to talk about some history and some questions we want to ask parents, um, on the timing and the consistency of this altered gait pattern, but we’ll get there.

Um, neurogenic bladder bowel, and the world of neurology have been tied with altered gait patterns like tiptoe tiptoe in particular. So we want to look at their, um, bladder and bowel control. And in the autism world, gut dysbiosis has been associated with many neuro expressive patterns. One of them is tiptoe. So we want to look at gut dysbiosis. So if we start with, we start other than CP and MD, if we start looking at these next, um, considerations, they all kind of tie together. Okay. Because we know in the world of autism ADHD, um, we can throw in here developmental coordination disorder, a lot of labels, actually, they are often associated with processing disorders. They’re going to have, they are going to have some form, some extent of processing disorders. Those three systems are big key systems, the vestibular visual proprioceptive in regulation that we see dysregulated in this population groups.

Then we often see bladder bowel and dysbiosis issues with these population groups. So you see how I’m just kind of taking you through a journey of looking at the big picture, all those things that might be involved. It’s really not as simple as saying they tip toe because of one thing, it’s usually a systems wide approach. And that’s what I’m trying to walk you through. So in the world of autism, um, tiptoe walking is often associated with gut dysbiosis. Um, and it can lean a little bit more towards reflux because they’re trying to, um, in fact, there is a maneuver that many talk teach to adults about reflux and in the morning, first thing in the morning is drink some water and then kind of bounce on your toes, kind of jump up and down and bounce on your toes to try to pull that. Um, if you especially like have like a hiatal hernia or something, so think gut dysbiosis, but lean towards the side of maybe reflux and GERD issues. So now if we take that next thing in line, when we talk about primitive reflexes, a couple of primitive reflexes in particular have been associated with tiptoe.

And if we look again, if we take you through the journey, say, okay, with developmental considerations, they, these individuals, these little fiddle farts in the autism or ADHD or development or coordination, any label we want to get them oftentimes have processing issues about issues and retain primitive reflexes. A couple in particular, you want to look at, um, tonic. Labyrinthine is one of them that is associated with tiptoe walking. Now, the tonic labyrinthine is kind of considered a, um, a, a dural tube or cranial sacral rhythm associated with cranial sacral rhythm abnormalities. So for us in the chiropractic world, we definitely want to look at, um, the upper cervical, especially the occiput and the sacral areas and looking at neural tube tension and, and addressing, um, not just with adjustments, but maybe some cranial sacral therapy as well, trying to get that dural tube, the tension off the dural tube, the tonic labyrinthine reflex is one of those associated with the craniosacral rhythm as is the symmetrical tonic neck reflex or the STNR.

Um, so I just want you to keep a couple of those things in mind. You also might find it ASA occiput with these kiddos. Um, and when they’re have the ASA occiput and their eyes are looking above the horizon for brain compatibility, for us to be able to process our world and be in sync with our world, all these sensory systems are imperative. Um, and that visual system is, is key. And we want to have our eyes on the horizon. Our eyes want to be parallel to the horizon if we have an occiput, or if we have dural trench in causing that ASR occiput, our eyes are going to be, um, we might have what we call midline shift superior midline shift. Our vision is our eyes are paid attention to above the horizon. And so we want to, we’re not sure where we are in space.

They might not be sure where they are in space or having to navigate through space because of that visual security. And so you might see the tip toe from a biomechanical reason, as well as a visual compensatory reason or processing compensatory reason. So keep that in mind as well. So look at the occiput in particular, the moral reflex can play a role in tip towers because Mara reflex it. Um, Maura is associated with a hyper defensive sensory mode, and when we’re on sensory defensive mode, that is going to shift us to a sympathetic dominant state and, um, keep our cortisol kicking, keep those adrenals pork butt cranking. And when that happens, we might not, we might have trouble with, um, the onboarding, the development, um, of pastoral reflexes and one called the tendon guard reflex. Essentially what happens is the postage courier muscles, especially the posterior leg muscles, um, contract because of all this cortisol kick.

And so that’s, we’re getting shortening of the posterior calf muscles and Achilles tendon. And so they really can’t elongate those ones. This is where this is one thing we have to be mindful of this whole picture, because so many of these kiddos can get scheduled for an Achilles tendon release, which is a huge major sure. Or ordeal, and that may or may not mitigate the problem, but the core, the roots of the problem it’d be a systemic wide approach. So, um, that’s another reason why I wanted to bring you this information. And then the Ben scheme, you do want to look at a retain Babinski, but Bensky, it can be, can be active, um, through the first couple of years of life. And that’s, that’s why maybe toe walking can be seen for the first couple of years of life. The bisky gets integrated by, um, it’s helped to get integrated by a, um, the belly crawling by belly crawling.

And I call it the toe dig when we’re learning to belly crawl, you take, as you’re pushing off on that, back on the, on the leg, that’s propelling you forward that toe digs into the ground. That’s I call it a toe dig and that helps to integrate that, but Minsky reflex. So if they skip belly crawling, um, that can be a factor as well. So keep that in mind. So if you see a little fiddle fart, that’s not going through their motor milestones, um, they’re not rolling. They’re not tummy time rolling. And then belly crawling and doing that toe, dig propelling off their toe, pushing forward. You know, that’s the thing that you want to try to help, um, navigate and employ that they’re doing that. But later on, they may present with this, um, compensatory gait mechanism of toe walking tots, tethered oral tissues, tongue tie.

Again, this is such a complex issue. It’s much more than breastfeeding and speech. So way beyond that, the tongue is considered the, um, Rutter of the city. Okay. It says it’s a tethered restriction, it’s a fascia restriction. And if we have this restriction, it can, it can go from cranium to toes and it can constantly be this anchor pulling us down and it can cause neural tube tension. So we’re right back down to dural tube tension. Um, so you might see a compensatory mechanism and, and by the way, with tots, it’s very much associated with various learning and neurodevelopmental struggles. Um, and with that dysbiosis, neurogenic bladder and bowel and retained primitive reflexes. So once again, you kind of see the whole global picture that we’re talking about here. And definitely we want to look at subluxations again, look at those, look at the cranial sacral regions in particular and that creating neural tube and, um, that ASMR occiput. Okay. Hang on a second. I just have a question here.

Yeah.

And absolutely they can be locked in a flection type pattern because the brain, because of dysregulation of, uh, circuitry due to poor processing problems, they can’t, the brain might not be able to inhibit those Fletcher, the flexor muscles. And so they’re locked down. Um, the vestibular systems big in this whole role-play and the vestibular system is going to activate your extensor muscles. So this is a great question because they can be locked down in a flexor based position because, um, of distortion of sensory input, especially the stipular sensory input that they can’t get there, that they don’t go to the extensive patterns. So it is a very systems wide approach. So thank you for that question. Hopefully I answered that question, um, to your liking. Okay. So we want to look at history because we want to look at the whole picture here. So we’ll go back to that question on step into flux, into flexor pattern.

Tommy, time’s a big issue here. Not only do we want to see Bailey climb, but oftentimes the precursor to that is going to be our tummy time. And if they don’t like tummy time, they might not go to these progressive milestone patterns and thus belly crawling, tell me, time is going to help us, um, activate those extensor muscles and that mystical division. And oftentimes we see kiddos that have labels autism, ADHD in particular. They didn’t like tummy time kiddos with tots, with tether or restrictions. Um, oftentimes don’t like tummy time. Lack of getting through these milestones will pro um, prevent these primitive reflexes from integrating. So again, look at the systems wide approach. Oftentimes those little fiddle parts that don’t like tummy time also have gut dysbiosis reflex is a big one. Okay. So hopefully this shows you that systems wide approach.

So we want to dig into deep history, lots of times with these little kiddo kiddos, our observation and our detailed history is going to give us a lot of the red flags and give us a pathway in which to dive into first. So we do want to look at, um, gestation, what was mom’s stress, stress level right now, this is a big one. Um, and we’ve talked about, we’ve talked, um, I can’t remember which month we did it, but we did talk about prenatal stress. So you can go back and scroll through either, um, our intersect for like educational seminars, Facebook page, or Cairo Securus, Facebook page, and look back a few months when we talked about prenatal stress. Cause this is a huge one. So we want to look at gestation. We want to look at mom’s stress level. Did she have trouble conceiving? Did she need help conceiving, um, what was that birth experience? What was the mechanism of birth? Was it C-section, were there assisted devices such as forceps or section cup assisted devices are associated with things like plagiocephaly and torticollis, which if we add that into the mix and the history, we can see, we can see why there might be a number of these previous associated, um, issues, because we know that with those types of birth experiences and with those assistive devices, there’s a predisposition to pleasure separately and toward a call us and thus developmental considerations.

Um, we know that prenatal stress is associated with dysmaturation of the autonomic nervous system, which is going to go play right into the role of that question of, is there maybe dysregulation in the brain? Can the brain not turn off those flexors because of poor processing and poor neural circuitry? So we know that prenatal stress is, is definitely an issue here. So we want that good history. What is mom’s current stress level? That’s a big one as well, where they, um, preterm. We know that preterm, we know that prenatal stress is also not just associated with dysmaturation of the nervous system, but, um, um, neuromuscular development. So there might be competence, compensatory mechanisms there. What were there, depending on the age of the little fiddle fart. I mean, if they’re coming into you at age five, eight, whatever, and they’re still having this tip toe pattern, what were their early developmental years like?

Did they like tummy time? Did they roll in a corkscrew fashion at the appropriate times? Did they, um, did they belly crawl? Did they creep on all fours? Did they have an injury? Did they fall off a change, a table down the stairs, all those things we need to look at early development and then a past medical history and family history in the ADH literature, they look at idiopathic toe walking. They don’t, there’s no known reason for this toe walking pattern, but they do see it with ADHD that if a family, a family member, um, especially the dad, excuse me, had a history of idiopathic toe walking, excuse me. Um, the little, the little foot apart, the offspring may also have a history of idiopathic idiopathic toe walking. But what we have to take into consideration is oftentimes our ancestors, the way they process their world and respond to the stress in their world gets hammy, doubted it, it goes, it actually kind of, it follows the DNA pattern.

So those stress responses follow, uh, we call it inter intergenerational inheritance. So it would stand to reason that if we have a family history of ADHD and toe walking, that the offspring is inheriting their parents load and the response to their processing, the way they process their environment and their stress mechanisms. So that would could potentially to this altered gait pattern as well. So we want to dive in and get a good history. Um, at what age of the toe walking begin, has it been there from when they started to learn how to walk it, did it, um, all of a sudden become an issue? Is it both feet want to get into that, into that gait pattern? Was there an injury? Was there a tipping point? No pun intended. I didn’t, I just did that one in there. Was there a tipping point of Tictail? Um, do they get an infectious load? Did they, um, have an accident? Was there a time point that, that, that, that pattern started? Is it variability of toe walking on certain surfaces only under stressful conditions, only when they’re more tired when they, um, are sick. Is there a pattern to this? Again, if they’re on different surfaces, like grass or sand, they may have a hypersensitivity to tactile input. And so it’s just, it’s not a biomechanical issue. It’s a compensatory issue to that particular environment. So they may be hyper sensory in that tactile system.

Is it going on uneven surfaces up and down stairs where they might have a display of what we call gravitational insecurity, not being self-aware and comfortable in those environmental conditions that may tip you off. I’ve got another, I’m just, I’m just full of them today. Um, that may tip you off that this tip toeing is compensatory to particularly gravitational measurements because of lack of distibular integration processing. So we want to, you know, we want to dig in a little bit, um, how much time are they spending on the tiptoeing? Uh, are they able to get into a flat position? And sometimes that may be when they’re more comfortable, calm environment. Okay. So again, look at these patterns. Are there any associations of, uh, pain? Okay. Is it maybe a biomechanical issue, um, that is resulting in this walking pattern?

So on your examination, we definitely look at muscle tone, hyper or hypo. You want to not only asking your history, but the observe this little fiddle fart, or depending what age are coming in. Do they have language delays? Do they have speech delays? So this is, this is important for a couple of reasons. Are, are, if you have the, uh, are, are they, um, have they been in speech therapy a lot, are kids with tongue ties, oftentimes have ongoing language delays and speech delays. We also know that speech delays are very much associated with, um, poor, fine motor development.

So is this altered gait pattern dune due to number three on here, fine and gross motor delays, which is also associated with poor link with language delays. So you want to look at tethered oral tissue. You want to look at muscle tone. You want to look, what is their fine and gross motor skills, observe them in your office, have them do various finding most finding gross motor tasks. Can they do sequential finger touching? Do they have the pencil grip that should be there by one year of age? Um, what is their gross core control? Can they balance on one leg? And they tandem walk some very simple screening procedures. Can they hold their core stability on a unstable surface? Um, like a, um, a balance pad or something, get a sense of what their finding gross motor skills are. Visual tracking is going to be give you a sense of their fine motor control.

Um, so these are some things we can tie together into the whole picture. Again, again, we want to look at processing dysregulation. You may want to screen for your primitive and postural reflexes. Again, those reflexes in particular that we want to look at, if they’re integrated would be more on tannic labyrinth by and the Bensky depending on the age of the child coming into, have they developed their postural reflexes, posture, reflexes don’t fully develop, um, until that age three or three and a half, but those would be the Oculus head writing when you lean them in one direction, do they does their head right to the midline? Because again, our eyes want to be on the horizontal on horizon. So when we put them in these positions, do their eyes, do their, their eyes compensate right to the midline. Um, do they not, do they have good postural control?

Do they have a tongue tie? Here’s a little caveat. Sometimes it’s hard to, if you’re not, especially if you’re not well versed or are used to that, please be mindful that if you’re in a state where you cannot enter the oral surface or a cavity, keep that in mind. Um, but here’s a general rule of thumb. It’s easy to find a lip tie, just having them lift their lip up and see if they have a lip tie. They’ll have a tongue tie. And so often if you’re not seeing that tongue type, um, visually it’s because it’s a posterior tie and it’s hard to distinguish. So look at the lip tie. Do they have a lip tie that’ll kind of tip you off that, um, look at the range of motion, of course, spine and pelvis. One thing I want you to also think about in your cranial work is look at the speed annoyed as well because the speed annoyed, um, represents, uh, it’s counterpart is the pelvis. So addressing, um, the Spino and can be huge in this cranial sacral rhythm and this dural tube tension. It’s also going to very much help you with, um, the visual system. You’ll find that kiddos with visual processing and especially fine motor visual scanning. If you work that sphenoid, you can get a lot of bang for your buck out of that. So you want to look at the range of motion and hips, knees, ankles the spine.

Um,

I’ll get this question just in a minute here. Um, and spine and pelvis leg, leg, discrepancies, foot deformities, et cetera. So I have a question here. Um,

Okay.

Are there any challenges you can do to better, um, insight into treatments?

Um, let me try to, I don’t have my glasses on here. So, um,

I would say I’m thinking the question is any challenges, any tests

We can look at? Um, okay.

So, um, with regard to Babinski in particular or anything in particular,

Anything

In particular. Okay. So let’s look at, um, let’s look at tonic labyrinthine reflex, tonic, labyrinthine reflex. We’ll go through a few of the reflexes. Tonic labyrinthine reflex is a flection extension reflex of the head. So with you can either have them stand with their feet together and have them close their eyes,

Look down,

Have them hold for 10 seconds and then keep their eyes closed and look up. So you go into flection extension, you can see how well they can hold their core postural control. You can, um, see whether they dig their toes into the, they do this barefoot idealistically. If they dig their toes into the ground to try to maintain their core stability, do they sway? Do they sweat ADP? Do they sway laterally? This gives you an idea of how the integrity, if that tonic labyrinthine reflex is still too active, the other way, if they can’t do that, um, one of the exercises we will do for the little kiddos, the younger population is I call them, um, the, the bird nest and the flying bird. So the bird nest would have be have them supine rolling up and grabbing their knees and wholly with their head flexed and holding that position, rolling up into a ball.

Essentially, I call that the bird nest, um, and hold for 10 to 20 seconds. See if they can hold that position, then flip them over, um, prone and kind of do a modified Superman. I have them put their hands on their shoulders. So these are the bird wings, their feet, their legs are zipped together, they’re together. Um, and so they hold their legs together. There’s zipped together, arms are appear, and they come up into an extension position Superman. So you can use that as another test to test the integrity of the tonic lab and find can they do those? So flying like a bird arms on shoulders, feet zipped together, come up into extension. Can they hold that for 10 to 20 seconds? And then supine, they roll into the ball into the bird’s nest. Now I also do that as an exercise. Okay. So if they have a, I might do the tonic labyrinthine test standing, okay.

Eyes closed. Like we talked about flection extension. They don’t do that. Well, then I have them do the flying bird and the bird nest as an exercise to help integrate that tonic lab with line. The other thing you want to check is you want to check, um, the integrity that the, the, um, other gas drops and the soil is how tight they are. So do a straight leg raise and Dorsey, flex their foot to see if they can, if, how tight they are. Um, so you might also have them doing stretching, have parents do stretching or the kiddo do stretching themselves and try to elongate, um, the gastroc and soleus and stretch those out a little bit. Um, for Morrow, again, we want to look at moral reflex. You can do that standing and do that trust fall gate and see if they have a retain Morrow.

The closer a primitive reflex mimics the infant tile reflux. So the closer that they have that display of impetus more reflects the more engaged it is, the more active it’s staying more cortisol’s kicking out. So if that’s positive, I’m going to look at a couple, again, depending on the age, I am going to look a couple, maybe nutritional Def deficiencies that keep us hypertonic iron zinc, magnesium big ones. And because when they had, when you were on this Morrow kick and in sympathetic shift, we burned through these nutrients faster. So check those out as well. And if they have a positive Morrow, I may have them be, um, doing the, um, I call them and Venus fly traps. I think I’ve heard them also called starfish exercises where they cross the same arm and same foot. So if my right arm’s on top, my right foot would be on top and roll up into a ball and then unroll and uncross.

So that can be good for the Morrow. Um, uh, definitely you can strike the Hill, look at Babinski if they’re older than two, two and a half, um, and to mitigate Babinski, you can do that same kind of brushing. The other thing you can do, I’m going to do this using my hand, cause I can not, I’m not flexible to tip my toes up to the screens to show you what my toes, but if these are my toes, you can put one foot, one finger underneath and have the toes curled over kind of toes latched on here and try to have them keep their toes flexed while you put resistance against them. So that’s another way you can help mitigate Babinski. Okay. Um, does that help with that question? Let me know. So those are some things we can check. Those are things we can do to help mitigate.

If they’re, if they’re there again, you’re going to check your spine, your pelvis, check your speed annoyed, cause that spheroid will mimic the pelvic, um, the, the pelvic alignment. So that’s why craniosacral work is, can be so important. I would check also, um, look at doing, because of that mustard division’s off. I would also look at doing maybe ear poles and seeing if, um, add that with the speed annoyed. And then of course the palate, the hard and soft palate, especially heads, they have tethered oral tissues. Those are going to be really, really important there. Okay. So those are some things I’d like you to look at on examination. And I think we’ve covered any more questions that I’ve got out there. Please bring them on a, wait a second or two. Nope, no more questions. Okay. Well hopefully you enjoy this information. Hopefully it helps you again, looking at the big picture from a neurological standpoint, from a neuro developmental standpoint and from a neuro nutritional standpoint, big things that are deficient in the prenatal period, um, are going to also affect neuro development.

And again, magnesium zinc iron are really, and, uh, chronic muscle contracture, um, and Coleen Coleen is a fun one. Coleen deficiency in a prenatal period is said to, um, is known to disrupt sensory processing development processing, especially processing speed. About 70% of mamas are said to be low on Choline, and this will translate into the neuro-development of the offspring. And, um, so that’s a big one to look at, look at as well as calling you get Coleen from egg yolks and it is essential for a cell wall, membrane, integrity and synthesis. So that’s another big one. That’s a hand-me down during the prenatal period that I would look at, um, possibly as an issue as well. So I’m going to wrap it up and leave it there. And I want to wish all of you an incredible holiday season and thank you again, Kyra secure for, um, always being there and having our backs and those of you out there enjoy may you have a lot of peace and some downtime, some time to regenerate and rejuvenate and, um, take on 2021, like, uh, in a totally different way than we’ve taken on 2020, hopefully.

So until next year I will see you in the new year. So Merry Christmas, happy Hanukkah, happy Kwanza, happy new year, um, and may peace and many blessings be your way. I’ll see you in January the third, Thursday in January and Dr. Erik Kowalke will see the first, the first Thursday in January and, um, blessings to all of you, we’ll see you then

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Empowering Women in Chiropractic – Polyvagal Theory and Kiddos! – Monika Buerger

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.  

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

Hello.

I am Dr. Monica Berger and I am your host today for this incredible ChiroSecure show. Look to the children. So I want to welcome everybody today and I want to thank ChiroSecure for, um, giving us this platform, this incredible platform to share pearls and wisdom, and to come together as a community for the sake of children and chiropractic. So, um, I use ChiroSecure because I know that they’ve got my back when I’m working with these little fiddle farts and, uh, look, help us to look to the future, to, um, sick, excuse me, secure their health and wellbeing. So I want to present to you today. Um, so first of all, I’m going to start out. Why did the turtle cross the road?

Not just to get to the other side, but to, uh, to get to the squirrel? Aha. Okay, look, it’s end of the year. It’s, uh, the end of 2020, we’ve made it thus far to the middle of November. So let’s dig in and let’s have some fun. So the turtle, the turtle crosses the road to get to the squirrel. And why is that important? Because the squirrel is the, uh, the amid doula or the fearmonger in our world that we’re going to present today. I want to go over today. The bagel ladder are a part of what we call the polyvagal theory. This is off of Stephen Porges, his work, and it’s become very well known that in the last probably decade, I started working with vagal tone or looking into bagel tone and understanding this whole concept and the power of the vagus nerve, uh, about 17 years ago, when it first started becoming a splash in our literature and in the neuroscience literature.

So remember the biggest step I call it the big, bad voodoo daddy nerve. It is the, it is the controller of our immune system of our microbiome, of our heart rate of, um, that which keeps our frontal lobe. Actually, we’re going to learn how it’s connected with the frontal lobe, the prefrontal cortex, um, and how he is. I referred to it as a, he, when I don’t know if I should do that, do refer to it as a male or female context. You guys make the call. You guys let me know. Um, maybe I should refer to it as a she, because women are better at multitasking. Oh, the questions we have this morning. So anyway, vagal tone, bagel tone. We, um, it is something that we, as chiropractors should really understand, and we should understand what that looks like in our practice with regard to our general population base, but especially what is the neuro expressive behavior we might see with our little fiddle farts.

So why did the turtle crossroad to get to the squirrel? We, the reason I use these, uh, the gorilla, the squirrel and the turtle is trying to break down a rather complex, but yet simple, um, theory that we can use in our practice to look at our patients and figure out how well their nervous system may or may not be adapting. We should all be moving smoothly within the gorilla, the squirrel and the turtle, and within this complex every day throughout the day. And, and we just dance within it. That’s part of our neuro adaptability, our ability to adapt to our environment to our world, but it should not tap out our nervous system. We should not be fixed into one of these, either the gorilla, the squirrel or the turtle, because when we, when we’re stuck in one of those modes, that’s when our, um, what we call our Alyse static load.

Our, uh, our ability to adapt is maxed out. We can no longer adapt. So what are we talking about here? All right. Let’s start with the squirrel. The squirrel essentially is I’m gonna get my little pen here. Okay. So squirrel squirrel represents our sympathetic dominant state that represents the gas pedal of our nervous system. Squirrel is on defense mode all the time. You know, the squirrel squirrels always, should I cross the road or should I not cross the road? Um, dogs coming and I got to run up a tree and hide. Um, I’ve got Harbor enough food for the winter. Alright. So squirrel’s always on edge, right? All right. Can’t pay, can’t be focused. Can’t pay attention. Think about our kiddos sitting in school, especially right now that trying to sit and focus and concentrate and get labeled with a label like add or ADHD or oppositional defiant disorder or whatever the label might be.

It could be because they’re pressed too much in the squirrel is squirrel mode. When are our brains can’t distinguish whether a threat is real or not real. Okay. Is it a, is it a perceived threat? Is it a perceived stressor or is it actually real? However, what the brain does? It, it deflects its attention to it threat for survival basis. Thus, we’re like a squirrel always in survival. This puts us in a sympathetic dominant ship. And then there’s a whole dysregulation that happens. We get stuck firing that HPA axis, the hypothalamic pituitary adrenal axis. We start living in adrenal mode and there’s a whole plethora of consequences that happen. Um, hormones, dysregulation, neurotransmitter, dysregulation. This pretty much is the premise of the neurobiology of disease now. And what is so fun. If we look at the neuroscience literature, the neurodevelopmental literature, the sensory modulation literature, the neuropsychiatric literature, just those four categories alone.

What we’re going to talk about today is pretty much the premise that they work in all these different categories with regard to physical and mental wellbeing, especially in the neuropsychiatric realm. So if we live too much in squirrel mode, there’s a doubt domino effect that happens. And this is what’s being recognized. Nice. Now again, with the found date for adds the foundations of dis-ease. So how do we get into squirrel mode? Well, if our percent perception of our environment is dysregulated, we are not safe within our environment. That’s for sure. Always on edge. Okay. And we can’t respond to and appropriately to our environment. So we have our five far census. We talked about this last month, which was October sensory, um, uh, national sensory awareness month. So if you didn’t catch me last month, go back to either my Facebook page, intersect four life educational seminars or Kira Securus.

And there’s a recording of it. So we have our five far senses that come from the outside world. They come from the outside world in, okay, up this, if you want this ladder to kind of represent the spinal column, that’s cool beans. So this information comes up. Cup comes from the outside world up into the CNS. But yeah, we have our internal awareness as well. What we call it? Interoception internal awareness. We have visual sensations. We have sensations for the microbiome, from the immune system. And as chiropractors, we’re particularly interested in proprioceptive and vestibular input. And I put vestibular at the top of the wrong of the, of the ladder, um, because the vestibular system is kind of considered the head honcho the chief regulator of all this incoming sensory input to the CNS. So we have to make sense of our world in order to respond to our world properly.

When this information is coming in dysregulated, we’re unsure of ourselves, we’re living in a stress paradigm. And this, we shift into squirrel because we want to try to maintain safety within our environment. So squirrel gets to kick him. We shipped a sympathetic dominance, what needs to regulate squirrel while it is true, that turtle needs to cross the road to regulate the squirrel, but in an inappropriate manner, neither one of these characters can take over the floor. Okay. We, we there’s times that it’s appropriate for squirrel to be in charge when, when, when there is a true threat, but again, the brain can’t distinguish a true threat from a perceived threat. This is set down. This stage is set down in utero during neuro-development, particularly the end of the second and the third trimester of, um, development, prenatal development. Um, that’s when the ans is its critical window of development, the end of the second and the third trimester, and this is going to be set stage. The stage is going to be set. It’s going to be adopted depending on mom’s stress response mode. So this is cool beans. Cause we can use this graphic to look at our adult population. And especially mom has preconception care and during prenatal care, because this is a lot how babies going to adopt inherit their stress response mechanisms. So, alright, so squirrel, we don’t want to stay here all the time. Only when it’s appropriate.

When we are in red zone in squirrel zone too much, the city and S can just shut down. It’s like, I’m an overload. This is life is too much. And so we can go into turtle mode, turtle, major parasympathetic drive. This is considered when we look at the polyvagal theory of Stephen Porges, this polyvagal theory, this is considered the old or vegetative Vegas it’s. And that’s why we, that’s why I use this turtle as a, uh, demonstrating this arm of the bagel, a bagel ladder. So we look at a three arm to approach, okay. Gorilla squirrel turtle. So turtle that’s our vegetated Vegas. It’s our visceral Vegas is pretty much physiologically. It is from the diaphragm down. Intervates our Besara it’s unmyelinated. It is like the emergency brake of the autonomic nervous system. It’s like a crash pad squirrels out of control. Squirrels taken over turtle is going to put the brakes on the system.

Okay. It is like the little fiddle farts in your office that are, uh, very, very insecure, very scared. It might be that person that’s in a unhealthy relationship, go into their shell. They hide, okay. They’re camouflaging themselves from the world. They don’t want to be seen. Don’t want to be heard because they don’t want to get in trouble. They don’t want to be noticed. They want to stay stealth. But what happens here, this shuts down a lot. It puts us in such a parasympathetic drive that it shuts down a lot of our neurophysiology. This is where we look at little fiddle farts in the ICU units that may be the failure to thrive, or even after we, within the first months of life, those failure to thrive infants, their neurophysiological capacities very much shut down. And it’s because of this dysregulation in the nervous system and um, such sensory dysregulation, they go into a hide mode. So most of our little fiddle farts that are on, especially those on the autism spectrum, bounce back and forth between squirrel and turtle. And you will see that flux. Oftentimes they also get, um, the label of bipolar, right? They’re high, and then they’re low and they’re high. And then they’re low.

The gut wise, they might wax and wane between constipation and diarrhea. When they’re in squirrel mode, GI the microbiome shuts down. We get constipation. We go too far into a parasympathetic drive. We get the loose bowels. So you’ll see these kinds of patterns. Um, if we want to try to heal, it got a regulate poop. We need to look at how they’re, um, bouncing back between these different zones. All right. So this is again, our unmyelinated Vegas from, from diaphragm down, it really just shuts us down. Now we can’t stay here too long. We can’t stay in this deep parasympathetic dive too long because now we’re going to get a suppression of cardiovascular, respiratory rhythm, et cetera, and we can die. So thus in our Nate adaptability, again, the nervous system adapting, this is exactly what this is all about. This is looking at how we adapt, how our nervous system adapts, what it goes through.

So in its innate wisdom, it’ll jump back up and squirrel to increase our vitality. But over time, this physiological burden that happens on the system from continually one end of the spectrum to the other and this physiological adaptation, it can lead to what we call Alice static, overload the wear and tear on our nervous systems. Adaptability finding can’t keep up unless the system bursts, it’s like a spray, it’s like a spring loaded. Okay, how much pressure can you put on a spring? And how much can you load it before it finally busts? And what is the net look like? That looks like the person that gets a label or a diagnosis. Um, whether it’s a neurodevelopmental diagnosis, whether it’s a cancer, whether it’s an auto immune issue, et cetera, et cetera. And so we’re seeing these kiddos get these diagnoses earlier in life that used to be considered old.

People’s older people’s diagnoses, right? Um, auto immune issues, early onset Alzheimer’s we never longer say adults set type two diabetes. We say just type two diabetes. Cause we’re seeing a younger population. This is what it’s looking like in our clinical practices. Okay. So now how are we going to help foster more of a even tone, um, control over this whole bagel system while that’s where gorilla comes in, gorilla higher functioning. This is, um, our, what we consider our smart Vegas or a new ma Vegas. The portion of the Vegas. It is that what’s makes us human. That which gives us a consciousness. This is what we consider our myelinated Vegas or our social engagement arm of this polyvagal theory. This is associated with the prefrontal cortex and for chiropractors. This is what is so darn exciting because so much of our research that we have to date in for neuroscience research is looking at how the chiropractic adjustment affects the prefrontal cortex.

So in other words, how the chiropractic adjustment may affect our gorilla status, our ability for our gorilla to do its work because the, uh, the, uh, the gorilla puts the brakes on the limbic system, our fear-mongering that dang amygdala, which drives us right here to squirrel get it. So they all have to work together in the appropriate time and appropriate context relies on board that our higher conscious wellbeing is onboard our prefrontal cortex. Again, this gives us a conscious, this is what makes us human. This is what helps us feel safe and connected within our world, in our sensory paradigm. It helps us interpret yeah, this world social engagement arm of the vagal system is not just the social engagement. Ida. I contact personal engagement. It helps us to socially be aware of our, our environment to know if we fit in or not, um, how to respond appropriately attired environment.

So we see our individuals, particularly on the, um, Asperger’s level that don’t have great social engagement cues or social engagement mechanisms, um, that they’re this, this gorilla isn’t quite on board in that population group, gorilla acts as the foot brick, the modulator of squirrel. So when times are appropriate, when there’s truly a dog, that’s chasing the squirrel up, the tree gorilla can say, all right, I’m T I’m taking my foot off the brake off my parasympathetic control squirrel. You go to town, you start running. All right, cause there’s a true threat. When that threat, when I can judge my social environment appropriately and that threat is gone. Now, para now gorilla says I can put my brace back on and I got to slow things down a little bit. And again, we do this beautiful. We should be able to do this beautiful dance between gorilla squirrel, internal inappropriate times, this ventral Vegas or the smart mate Vegas bot.

Myelinates the first, during the first 12, six to 12 months of life. Um, and this is really enhanced by social engagement, particularly with mom. And this is why I, I contact, um, verbal engagement with mom and offspring is incredibly important. In fact, they’ve shown that just within the first couple months of life, um, we used to think that the prefrontal cortex really doesn’t come online until later in life. But the, the current neuroscience in neurodevelopmental world is sewing that within the first couple months of life, in fact, first couple of weeks, but definitely within the first couple of months that, that social engagement visual engagement with mom and auditory engagement. So mom, um, what they call infant directed speech, speaking to that little fiddle fart in infantile tone, those two things help the prefrontal cortex. So they’re showing active, they’re actually showing activity of the prefrontal cortex that early in life.

So in other words, gorilla can, um, be fostered that early on in life. So what I like to do is I like to adjust these little fiddle farts, then have moms sit in the room and breastfeed, or do some social engagement right after the adjustment for 15 minutes or so, because with that adjustment, we, we open up that metabolic ability of the brain to reset the tone. So if my, especially if mom’s had a stressful pregnancy, um, and we’re concerned about that autonomic nervous system, not fully developed because of stress at the end of the second third trimester, we can help foster that if we do the adjustment and do some social engagement with mom, cause especially in that first six to 12 months of life. So again, this is, this is where we’re seeing so much of the literature right now in the chiropractic neuroscience world.

Um, and it’s phenomenal. I think that we can help potentially help foster maturation of the gorilla and of the smart Vegas with the adjustment and then with some appropriate social engagement interaction, um, as well on board. So, um, now with that said the imp the neuroscience we have to date, it has been that the research has been done on the adjustment on the adult population. So we can’t necessarily take that in and extrapolate that to the pediatric population, but it lends itself to think that, yes, this is the, the ability we have, um, on human cognition. So, um, hopefully this helps you break down in an easy to understand manner, the importance about bagel tone. Again, we’re going to respond bagel tone is going to respond to how we interpret and perceive our sensory environment. And likewise, the way we are able to modulate our response and interpret our sensory environment is, uh, relied on bagel tone.

So it’s this interactive play. And, um, this is the basis again, of most disorders and diseases that we’re seeing now in, uh, in, uh, in, uh, our physical realm and the mental well, okay, well, if you’re doing heart rate variability in your practices, keep in mind that. So if they’re in squirrel mode, if they’re in squirrel mode, you’re going to see a low heart rate variability, right on your scans and so forth. So that heart rate variability is low. If they’re in, if gorillas on board and doing this job in a mature you’re to see a higher heart rate variability, because this is this PR gorilla particularly, um, is associated with the medial prefrontal cortex and with, um, bagel tone and heart rate variability. So, however, but I want you to keep in mind is the studies we have from, from the, um, sensory modulation world is that we shouldn’t look just at one key factor. Like I eat heart rate variability or cortisol or epidermal responses. We should be looking at a bigger systems wide approach because a person can appear cool, calm and collected and not even perceived stress. You might have adults to say, you know, I feel pretty chill. I, I really don’t feel stressed out. I don’t, I’m pretty good at handling my stress. That’s their subjective finding, but objectively we may see, um, a physiological response. Okay. There may be more physiological like cortisol or heart rate variability or such. So that’s what we need to, um, look at.

Okay. Sorry. I just had to make sure I was, uh, on past care. So we need to see the, we need to look at the physiological manifestations from this inability to adapt within this spacial tone. So don’t rely on subjective complaints. Look at more objective findings. If these, if these, um, if these stressors are, are left as an undertow, the, the symptoms that we see that might be masks, masked org, or, uh, camouflage, or, or the re I should say the manifestations that might be master camouflage are things like high blood pressure, um, gut dysbiosis, and ability to absorb nutrients and break down nutrients, um, be different behaviors. Our kiddos are kiddos that are in squirrel mode are, are add kiddos that can’t sit at circle time or sit in class and pay attention. Well, our kiddos in turtle mode might be that kiddo where you’re constantly going, hello?

Hello, pay attention, get back on task. There’s zoned out. There’s no that in fact, our kiddos in turtle mode might get mislabeled as being, I hate the word, but dumb, um, interested. Un-involved, um, not willing to participate isolated. Okay. Those are some of the labels that we can get if we’re stuck in one of these modes. So what I want you to take back to heart rate variability, what I want you to take into context in your offices when you’re, if you’re measuring heart rate variability, you need to look at, it would be who you to look at your environment. If you’ve got a lot of noise or a lot of light, um, you’ve got stinky smells where you’re, where you’re testing their heart rate variability, especially with the little fiddle farts, because there is such there, they are so sensitive to their sensory environment.

They may be showing up in squirrel mode because they’re naturally in a neuro adaptive phase to their environment. So if they’re, if they’re auditory defensive or, um, light defensive or smell defensive, they may be in an appropriate adaptive mode and showing a lower heart rate variability because their brain is interpreting your environment as a defensive environment and the need to be on defense mode. So thus their heart rate variability is showing low, and you might take that information and extrapolate that to their, um, their total wellbeing to there, to there as, as a constant, when it may not be a constant, it may, that they’re appropriately, they’re adapting to the environment that you’re testing them in, or they just came from school or was it a, or in a fight with their parents or their, whatever that stressor was. And they are behaving in a proper neuro adaptive manner, but you can not take that as again, as their constant state.

Okay. Likewise, they might be in, in a high heart rate variability and a very high parasympathetic internal mode because they are in a shutdown mode trying to adapt to an environment that’s too crazy for them. That’s too overstimulating for them. So please take this in the context, when you’re looking, it would behoove you to look, get a profile of what their behavior might be at home and at school. And in other environments to see, is, are they just in a neuro adaptive response at that particular time that you’re doing the testing? So hopefully this is helpful. I know it’s a lot to consider, but this is really the crux of health and where a bit wellbeing, physical, mental health, and of neuro development. And again, if mom is under too much stress during the prenatal period, this whole Vago ladder is going to be skewed, and they’re going to be in the state, what we call dysmaturation of the autonomic nervous system, autonomic automatic, we should automatically be able to dance within this ladder without a conscious effort.

Um, and if that autonomic nervous system is dysregulated, there’s dysmaturation within that autonomic nervous system, this is going to be difficult for them to do so. I’m going to leave you with all that fun stuff to ponder. Um, and hopefully this helps you break down and make a little bit of sense out of a big sensory issue of a big sensory story of the gorilla, the squirrel and the turtle. So until next month, um, hopefully you guys have an incredible month that go out there, keep doing what you’re doing. Keep changing lives, keep turning the tide because we are, I’m convinced, especially with what we’re going through now that we are setting the tone, be that to be the truth, the light and the hope for generations to come. So keep being amazing again, thank you to ChiroSecure here for giving us this platform and being able to get this incredible information out to the masses, have a great Thanksgiving, everybody. And I’ll see you in December, and you’ll see Dr. Eric Kowalski the first Thursday in December with many more pearls of wisdom that he has to offer. I’ll see you the third Thursday of December.

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Empowering Women in Chiropractic – Dr. Buerger Spills the Beans on Chiropractic

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

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

Hello, everybody. And happy Tuesday. We’re halfway through October. Ooh. I am your host for this, um, for this time of this incredible look to the children’s show. Thank you, ChiroSecure for always being there for the chiropractic profession and for allowing, um, so many doctors to have this platform to, um, share incredible information about our incredible profession. So, um, today I’m going to talk about October being national sensory awareness month. So what does that mean for your practice for your patients, for you? A little fiddle parts and, um, for us as a profession. So let’s dive in, I’m going to show you a mini PowerPoint. We’re going to bring up that first slide and, um, let’s talk about sensory awareness month. All right. Um, this is a quote from our friend in our research arena, Dr. Heidi, Haavik out of, uh, New Zealand Chiropractic College. And if you don’t know her by now, you should get to know her or get to know her work anyway.

And what’s happening in our profession is absolutely mind blowing. It is so, so exciting because I started working in this realm, um, nearly 30 years ago. And it has now become this massive explosion of information. And what is so incredibly exciting is if you look at the neuroscience arena, not just a chiropractic neuroscience, but we’re going to get to that in a minute. But neuroscience in general, neuro development, neuro psychiatry, the world of neuropsychiatry, the world of sensory modulation disorders, the world of head trauma, whiplash injuries, they’re all looking at how the brain interprets information from its environment and how that is actually being termed as a developmental origins of disease or their neurobiology of disease. This is huge. Just take, just take that concept for two seconds and think about it. What we’re going to talk about today is considered in all these different arenas, these different specialties, the neurobiology of disease.

So Dr. Haavik has shown repeatedly that the chiropractic adjustment affects processing sensory input somatosensory input into the brain, into the part of the brain called the prefrontal cortex. So why is this so important? Because the prefrontal cortex is that which makes us human, which makes us, um, conscious. It gives us a consciousness, which is our executive functioning part of our brain. So the executive functioning part of the brain, it controls impulse control. So I want you to think about this for a minute. This is particularly important when it comes to the label of ADHD. Oftentimes those little fiddle farts being given the label of ADHD have poor impulse control. That’s one of the criteria and, and, uh, and ADHD reasoning, a Billy rational decision making memory and attention. These are key things that we need to be able to do to interpret the sensory and put into our brain to navigate our environment and our personal response to our environment.

This is what’s so key. So years ago when I started venturing upon this work, um, again, nearly 30 years ago, this sensory, um, the sensory work was very much, um, the niche, uh, in the occupational therapy field. And we’re seeing this branch out again into other cat, other fields, including neuropsychiatry and definitely within the chiropractic realm. So let’s dive in a little bit and, um, and explore this a little bit further. What is sensory processing disorder? It really is the ability to take in organized process and integrate this information from our world, from our senses. And we’ll talk about our census here in just a little bit, when we’re able to do this appropriately. When these messages, this information comes into the brain and it talks to each other, it’s a network of systems that, um, that has to be interpreted. We can respond appropriately to our environment and to people within our environment.

This is the basis for all, all of our learning ability, our academic learning, our social learning, our emotional learning and our motor skill learning. Now, if you missed our show in August, I think it was August 17th, but our August show, we went over, um, postural control and postural stability. And those things that can be related with poor postural control, things like add ADHD, dyslexia, autism, scoliosis, go back to our website. We have it on the Cairo secure Facebook page and our intersect for life educational seminars, intersect for life educational seminars, scroll down. You will see the recording of that. That’s, it’s really important to type today’s lecture and that together on postural control. So when we feel safe and secure in our environment, we can respond appropriately. We can learn again, academically, socially, emotionally, and our motor skills. When our motor skills are down, that leads to poor core control, poor, fine, and gross motor movement.

Listen again to that previous section we did in August. So the way this disorganization can result, um, basically they consider three different pathways. The brain doesn’t receive the messages. There’s a disconnect between the body. There’s a disconnect between the brain and the body and the body of the brain. The brain is just not receiving these sensory messages that is going to be your lower functioning child, your lower functioning adult. Um, maybe even your low tone kiddos, the messages are received, but they’re inconsistent. And they can be inconsistent depending on the environment that that little fiddle fart is in at that particular time or on their stress level, the amount of trauma, toxins, thoughts, technology that they have been exposed to in a given time period. So what’s, what’s interesting about this is at sometimes they can appear to navigate their world with, with ease or easier, and they can respond to their environment is your, they can sit still is you’re in class for, at the dinner table.

They can respond when mom or dad asked them to clean their room, et cetera. But when their stress load is up, it can scramble those messages. So they can wax on wax and wane. The other way is sensory. Miss messages are received consistently, but they’re not connected to the other sensory systems. This is a network and all of these systems have to come into the brain land appropriately and talk to each other to make a systems wide network that, that, that results in proper motor output. So the way in which we perceive our world is a way in which we will respond to our world and everything and everybody within our world. Alright, so couple, we just throw a couple of research papers out there. Again, this is from the journal of neuroplasticity. What I want you to keep in mind is that these are high level journals that this, these research papers are getting published, and which is huge for our profession.

Huge. So I’m here, Dr. Haavik states that this is solid scientific evidence that adjusting the spine can change the way the prefrontal cortex of the brain is processing information from the arm. And then she goes on to talk about the prefrontal cortex and the importance of the prefrontal cortex. So in this particular paper, they talk about processing information from the arm and knowing where the arm is in space and how to use the arm, which you might think what’s, what’s the big deal about that. It’s huge because if we don’t know where our arm, our limbs, our core is in space, we cannot navigate ourselves through space. And that’s very scary. That’s very unsettling to the brain, little fiddle, farts, cat, tell you what I feel a little unsettled in my environment. And I’m out to feel a little unsteady on my feet, which kind of gives me the feeling, maybe some vertigo and dizziness, and therefore I’m acting out.

They can’t do that. They act out, and that’s how they’re expressing themselves. Their neuro expressive behavior is a window into their neurological integrity and how they’re processing and interpreting information. So in this paper, they talk about the arm. Well, just let’s just take the arm in and of itself in context. What can that mean? That can mean a poor hand, eye coordination. Being able to reach out and know how to put my hand in space to catch a ball. It may be, um, poor eating skills and maybe poor, fine motor skills for writing. We’re seeing many, many more kids being pulled out for handwriting. Um, an IEP, uh, four or five Oh four is an IEP, um, special education plans in the, in the school environment. We can send them to handwriting camp and writing class till the cows come home. If we don’t fix the connection between the body and the brain and the brain to the body, they it’s going to be so hard for them to interpret where their hand and fingers are in space.

Overcome these blocks. If chiropractic care can help modulate the information coming into the CNS, particularly prefrontal cortex, which is going to have a huge, um, bowl of prediction of movement, uh, fine motor control suppression of movement. So when we’re using one body part, another body part may need to be suppressed, not moving, or we may need to be able to sit still in space and not having to be able to move. This is the prefrontal cortex. So with the chiropractic adjustment, being able to affect processing of sensory of our sensory input into that part of the brain is phenomenal to huge. A more recent study that came out like within the last few weeks month was looking at connections. So all this information has to come into the brain and it has to connect there. They, um, found that this was a study on stroke patients, chronic stroke patients.

And after one chiropractic adjustment, they found increased processing of information within this it’s called the default mode network, a huge network that is being looked at in, um, prenatal development and in utero development. So go back to, um, I think it might’ve been July, June, or July, where we did a class on prenatal stress go on either one of our Facebook pages. You will see these recorded segments, and they’re phenomenal to put this all into context, but this paper showed that there was increased in, um, processing and communication, essentially within this default mode network, which is again, hugely being studied in the world of neuropsychiatric at night neuropsychiatry and the, to re to, um, region one was an area called the, um, the, um, posterior cingulate cortex, which essentially processes information from our internal awareness. We call our interoception our internal awareness between that area and what we call the pair of hippocampus.

Okay. What does that mean? These, these areas are going to be key in visual, spatial interpretation and, um, memory and, um, navigation within our environment. Again, making us more safe and secure within our environment. So we can respond appropriately within our, with given situations and commands. So chiropractically speaking, this is cutting edge phenomenal. Again, if we tie this into the world of neuroscience, neuro development, neuromodulation, neuropsychiatry, we, if we understand our role in a neurological based brain-based chiropractic paradigm, we can, um, commingle, we can connect with these other practitioners within our communities and it, the, the, the results, it can be profound. They will be profound on the future, uh, future generations. So I get a lot of referrals actually from counselors and psychiatrists, where a kiddos have maybe been admitted to psych wards because of, um, concerns about them harming themselves and committing suicide. And this is the context that I look in. So we have five far senses that come from the outside world. Those are called extra ception, and we have these key senses that come from within called interoception inner. And I just want to focus on a couple of key ones, cause we don’t have time to go over this in length, but from a chiropractic standpoint, we really need to look at our influence on the vestibular propioceptive systems. Of course we’re going to, so Maddow sensory input is, um, largely re associated with tactile and appropriately perception.

If we can, if one system is down all systems down. So if only one of these systems, sensory systems have skewed information coming into the CNS, it pulls down scrambles all of the sensory input. So you get the sensory chaos storm in your brain, okay? And you can’t make sense of your world. You can’t make sense if you have a full bladder and half to urinate, or if you’re hungry or not, this is largely regulated by bagel tone, by the way. So we have the outside senses, the inside senses. They come into the sensory portion of the thalamus. Let’s back that up a minute and they hit the amygdala. I call that your fearmonger because you’re middle is your rate limiting factor in life. If this information doesn’t make sense, you’re going to be stuck in a fight or flight or freeze mode. And that’s going to hold the person back.

It’s going to hold a kiddo back from adventuring out to try different things, to maybe play on the playground. And they will shut down when they get into sensory overload. So this regulates the HPA axis and the autonomic nervous system in particular, this is the world that’s being studied with regard to neuropsychiatry and developmental origins of disease. Because when the HPA axis is off, everything’s off hormones, neurotransmitters, you name it. So if we get stuck in this dysregulation, we can be stuck in what I call limbic lock and load mode. You just shut down. Then your prefrontal cortex shuts down. And, and that is our executive functioning. It controls the limbic system, really your limbic drive. Now we know with the chiropractic adjustment, we can affect processing in that cortex. If we can help keep that online and keep us out of this limbic drive and in a balanced autonomic drive again, that’s the motto that is going to, um, regulate pretty much all your systems.

So, um, if we don’t, if we’re stuck in this chronic sympathetic dominant shift, you’re not going to heal the gut. The gut is going to stay chronically inflamed. And we know now the huge, profound connection between the gut and the brain and the brain and the gut. All right. So in order for this to make sense, literally our brain, we need to go through proper neural, developmental milestones and patterns, and we need to be able to integrate our primitive reflexes, build these pasture reflexes. Again, refer back to the August lecture. The talk that we did, the PA pastoral reflexes, our core control, which is huge regulated, hugely regulated by the visual vestibular and proprioceptive systems. And then higher order cognition comes on to board. So a couple of things I want to bring to you, communication is the key to life and in every aspect of life, right?

So if we’re in a relationship, let’s say we want to go out the super single and we want to look for a partner in life. Okay. We want to meet somebody. We might look for that chemistry between somebody does it. Do they give me chemists? Is there chemistry between me and that other person? Okay. The brain needs good chemistry, good neurotransmitters, okay. The body, we need good chemistry happening. And then we need a good chemistry between the brain and the body and the body and the brain that makes a connection. Once we have added chemistry, maybe we can make a connection with that person. And then over time, the relate when you’re in a relationship and it goes on over years, that relationship is going to rely on good communication. One person can’t have the high volume of communication and the other one would be squashed for healthy relationship. You’re equal. You both have this say, so in this relation, you both can communicate properly. And that makes a healthy relationship. It’s the same thing with sensory input.

Okay.

We have to have, for instance, the vestibular system is going to have some control over our auditory input. So if our vestibular function is down, let’s say we’ve got subluxations, especially of the upper cervical spine. Cause that’s going to be a huge area of input of a stimulator,

Their system subpar, the auditory information is going to sound bigger. It’s going to be recognized more so in the CNS. And there’s this gap in communication between these systems, one system down all systems down. So being able to help regulate the rate, the volume, the timing, the toning of information into the CNS is hands down. That’s critical. And it’s just like a relationship. You have to have good chemistry, good connection, good communication within the sensory systems and within the CNS cool beans. So what can we see? What might we see in our practices? How do we apply this? Let’s just take a quick, pick a peek at the visual vestibular and proprioceptive systems, visual systems. What we might see is our kiddos or adults, teens across the board, constant complaints of headaches, even maybe, um, stomach aches. It can be very creative, very anxious environment.

When this input is disorganized and we’re in sensory chaos. So the anxiety they might write rightfully say, I feeling anxious. I have anxiety, or they might have chronic stomach issues. Again. If sensory dysregulation and sues, the gut is going to shut down. So constipation diarrhea, um, your little fiddle, farts, aren’t expressive. They may not sleep well through the night when you have gut issues. Um, it’s often, often you’ll see that there’s trouble sleeping through the night. They are quote unquote colicky. They’re fussy babies again are older kiddos and adults, frequent headaches, stomach aches, especially after visual world work. The visual system accounts for about 70 to 80% of information we take in, in a given day comes through the eyes. So this is a huge system. They may be clumsy and getting hurt all the time cause they can’t navigate uneven surfaces or stairs. Um, reading, reading comprehension is difficult.

So these are things that they can either outright report to you upon their initial history. Or you might have to dig for this information a little bit to give you some insight as to how are they processing their world. The vestibular system is a big kahuna. He is considered, um, the modulator of all incoming sensory input. He said that like the air traffic controller, he modulates rate timing, tuning volume of sensory input and the CNS. So vestibular systems down, we’ve got a big, um, a big miscommunication within this whole sensory network. Your little fiddle fart say might have history of, um, chronic ear infections have tubes in their ears have hearing deficit. They have characteristics on the autism spectrum. They like to watch things spin. They, um, are tornado kids. I call them tornado kids, tornado alley. They’re just always on the move. They can’t sit still.

They can’t sit still at circle time in school. They can’t sit still at the dinner table. They’re on your, um, your, your exam stools and spinning around. By the way, if you see them draped over your exam, stool on their belly and trying to spin around think poor vestibular system functioning along with gut issues. Again, when they’re in sensory chaos, the gut shuts down, we can’t be in a rest and digest state. The gut is going to shut down and they’re going to have gut consequences. And by the way, the microbiome is one of the key sensory systems. So just keep that in mind, you see this whole rabbit hole that we ended up going down the vestibular system. I want you to think of, um, post traumatic, uh, definitely post traumatic stress disorder, but mechanisms of injury, whiplash falls a little fiddle fart couple of weeks ago was on the trampoline, fell off, slammed his head on the cement.

Okay. Those kind of situations, even falling off the changing tables and so forth. Um, sports injuries, concussions, mild traumatic brain injuries. Any of those is going to tend to distort your vestibular processing system. They might not like car seats being, I’m getting more and more that, um, hits on social media sites. Why these little fiddle farts don’t like being the car seat, think sensory dysregulation. If they have poor vestibular, um, integration and interpretation, they might have a thing called gravitational insecurity. Again, we talked about that in August, not being sure where they are in space, not like in their feet off the ground, they might not be able to jump. Um, they might not like laying inside posture on your table because they don’t like their feet off the ground. They, they are very insecure in those situations. They don’t like roller coasters or merry-go-round.

Now those will be the kiddos that are hypervascular a little bit of input goes a long way that avoid this kind of, these kind of maneuvers are hypo vestibular. They’re not getting enough input. Those are your tornado kids. Those are kids that can’t sit still. So this is key to understand, um, they get labeled a lot where they, where they get labeled as ADHD, oppositional, defiant, you name it. So a couple of key things. I just want you to know the vestibular system is hands down. One of the biggest areas studied with regard to psychiatric disorders, anxiety, depression, um, HPA axis, modulation, uh, direct input to the limbic system. So emotional profile, a lot of things that are associated with the Vista division, including scoliosis. So if we can, ModuLite the system in the younger years, think of all the potential things we can. Um, we can derail the potential labels and scoliosis is a big one.

In fact, scoliosis is associated with increased. Those individuals with scoliosis are, um, have been shown to have increased anxiety and depressive disorders. It all goes together. If we can interpretate our world, we can’t be comfortable in our world. We become anxious. And then the proprioceptive system, the propioceptive system is, um, considered the, um, it re it, it calms down. It helps us screen out other unwanted sensory chaos. It grounds us. These are oftentimes your, what I call your pull, push punch kiddos. They’re more aggressive. They want that deep impact. And that pressure, because you’re getting that proprioceptive input from your joints and muscle spindles, huge from the spine, especially the upper cervical spine. So they don’t like if they don’t have good proprioceptive awareness, they don’t like to do things with their eyes closed. So you may be doing an exam in your offices and have them March with their eyes closed or do activities with their eyes closed.

And they’re like, nah, ain’t going to happen because they don’t know where they are in this space. They don’t know how to use their body in space because they have poor proprioceptive processing. These are your kids that can be labeled as a bully. They oftentimes are really restless sleepers. They like to get out of bed and crawl into mom and dad’s bed and snuggle because they want to know where they are in space when we’re sleeping with more than likely asleep with our eyes closed. So this system needs to be processing our environment all the time and make a spill safe and secure. They don’t feel that when they’re asleep in their own bed. So they get out of bed and go snuggle with mom and dad and mom and dad don’t get a good night’s sleep. And they’re complaining to you because they’re all tired all the time. So these are some of the things that are clumsy. They trip over their own feet. Um, they just don’t know where they are on space.

So again, I’m just

From other journals. Here we go. The cervical spine receptors are important connections to vestibular and visual apparatuses and to the central nervous system, dysfunction of cervical receptors in neck disorders can alter a fair input, changing integrity, timing, and tuning of sensory motor control. This makes sense as to why we see then with the chiropractic adjustment, increased processing of somatosensory input. Cool beans. So very quick here, I want to tell you a story. It’s a true story. This happened, um, the beginning of the year, um, I believe a plane was coming into JFK airport in January when people were still flying. Um, I’m going to get my little pen here. Okay. So here’s how you can take this information and you can talk about it and your practices, and really get to understand it. It’s all about connecting our environment, external and internal body to brain and brain to body.

So this plane was coming in and we’re just gonna for kicks and giggles. I’m going to use some numbers flight seven 22. That’s this plane coming in. All right. So the brain is seeing, Oh, okay. On my radar, I got a plane coming in and radios down, sending information to the body, the brain, sending the information to the body so that it will perform a proper motor response sensory information in proper motor response out brain says flight seven 22, your clerical landing, but stay short of runway five 22. Okay. The body I E the pilot on this plane interprets that information, but interprets it all. Sleep perception, response, input interpretation equals proper output. This pilot says, Roger, that flight seven 22 cleared for landing left out a key important piece of information that he was supposed to stop short of runway five 22. So he lands his motor output. The body stops in the middle of this runway with another plane barreling, right towards him to take off.

This could have been a disaster of Epic proportions with hundreds of lives at stake, hundreds of lives injured or lost two huge planes. These, these were, this was a Delta plane by the way, the one that was landing. So thank goodness the brain picked up what happened and aborted this takeoff right here, but the, the brain, the cell tower, air traffic controller of all the sensory input into the CNS says, Hey, I told you you’re clear for landing, but stop short of runway five 22, and the body made the prizes, Oh, forgot that piece of information.

So essentially what we do, what we help do is we help clear the runway and help make proper connections. When we do an adjustment, we kind of give a cobwebs, so to speak and make a better connection, a communication between the brain and the body and the body and the brain. So that that motor output is prop is appropriate for the given situation. So that person feels safe and secure and comfortable in their environment. And they don’t have to act out. They don’t need to, um, self try to modulator in a maladaptive manner in order to fit into their environment. Meaning I’m not getting enough vestibular input into the brain. The brain can’t send me the right messages down the body. So I’m going to try to make, get some of that information and I’m going to be all over the place. And I’m going to spin it around like crazy.

That is a neuro expressive behavior for a lack of proper sensory input and sensory integration. So this is PR this is profound, profound information for our profession. And it’s exciting because this is what can take us to that next, that next phase and our ability to, to, to spread the word and to connect with these other entities and, and share with them the profound, um, the found effects of chiropractic care. So things you might want evaluate like guys like my fat cat right there. Okay. Let’s see if this is going to show up pair. Yes. Balance. Now it’s important to understand that the vestibular division can still be, um, weak or dysfunctional, even if balance is on track. So don’t just hang your head on balance. Okay. But you don’t have to add a lot of extra stuff to your practices. If you want to start dabbling in this world and screen things out, what core control do your little fiddle parts that have low tone, and they’re not sitting up by their, by the sales by six months, they’re not rolling over.

They’re not want to get up. Um, we’re seeing more, more kiddos wanting to walk on their knees, walk on their needs. These are all maladaptive responses. They’re telling you something. Okay. And that’s usually those things are usually poor core control, poor, low tone. Again, longterm effects are going to be postural instability, which is associated with things we’ve already talked about. Joint position sense. Okay. You can do joint position sense testing on them. You can look at, do they know how to use their hands to right. Do they know how to use their body in space? Okay. Um, eye tracking. Can they cross them in and can they visually track without moving their head? Very key, fast things. You can do take a few minutes. Um, just as a general screening, then those of you that want to learn more and get more into depth there’s programs out there that you can learn to hone in and get more into depth of this.

But these are core things that we should be mindful of. Um, as in a general chiropractic practice, does that little fiddle fart when they come in and they’re plastic bucket, okay. Their seats or whatever they’re called those car seats. Do they fixate on your eyes? If you have a puppet or some toy, can they visited cross the midline? Are you seeing this? When they get older, that’s largely going to be related to, um, the, the frontal lobe there. So some things just to start thinking about, because if you see these that are subpar, I need you to think poor processing of their world, poor processing of their environment. And then tie that into maybe some characteristics you’re seeing, are they labeled? Are they on meds for ADHD or so forth? Are they labeled as being on the spectrum? What is the root cause potentially of that label and start putting some of these together, then you’ll see.

That’s why you see when you do the adjustments and get them under care. You see these labels clearing up, but this is how you can understand, you know, what you’re doing. And you’ll see some of their, you know, their balance gets better. Um, and we need to challenge your balance. We need to be able to not just standing on one leg, but get them on different surfaces and see where they topple over. You know, how, how much can you push them until they can no longer have good core control? So hopefully this is helpful. Um, again, thank you ChhiroSecure. Um, because my practice is focused on treating those little fiddle farts, and ChiroSecure always has my back. And I want to thank ChioSecure for giving me this platform and so many others this platform and make sure you join the awesome Eric Eric Kawalke on the first Thursday of each month. And I will be back next month on the third Thursday. And, um, I think we’re going to talk a little bit about easy ways to understand the bagel tone and the polyvagal theory. So stay tuned again. Thank you very much. And you guys go out there and have an awesome week and save some more lives.

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Empowering Women in Chiropractic – Building Longevity in an ‘Elementary School’ practice!

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Disclaimer: The following is an actual transcript. We do our best to make sure the transcript is as accurate as possible, however, it may contain spelling or grammatical errors.

Now here’s today’s host Dr. Monica Buerger.

Hello everybody. And welcome to ChiroSecure show. Look to the children. Thank you again for Kira secure, allowing to give us this

Platform to share such incredible information. I am your host today, Dr. Monica Buerger from intersect for life. And I am on pins and needles, super excited. My guest today. Um, uh, probably the most thing that I just absolutely adore about this incredible woman is that she allows everybody to be themselves. And she, um, befriended me for just who I am with all my flaws and everything. And she does that to everybody. So while I was preparing for, um, introducing her this morning, I thought I coined another term, a new term. Maybe I did. Maybe I did, but floss, entity. Oh, I said that, right, because she is so authentic and it’s okay if you have flaws and she is going to drop some amazing Pearl bombs, um, just how to build your legacy, how to stand out in your practice in your community and just be amazing because you are amazing. So the, I have the amazing Dr. Krysti Wick with us today. Hello, Krysti.

I’m so excited to be here. I had to write down philosophy. That’s gonna live on for sure. It’s a little bit, but I could give a lot of bit. So Krysti is a chiropractor, a speaker she’s, um, a mentor. She is a practice growth expert. This woman increased her practice over 500% between 2013 and 2018, over 500%. She just I’m salivating because she just moved into an, a beautiful, amazing new office. I’ve seen pictures of it and I haven’t got to see it in person, but I am going to see it in March. And I’m super, super excited, but we met in person. So a lot of speakers when we’re on the road, we hear about each other and we see each other on social media and blah, blah, blah, blah. But a lot of times we don’t get to meet, but laugh about it.

We were talking before we went live. It was about a year ago this weekend, right? Yeah. We, we met up in Oregon at dr. Paul reads, Cairo Fest. And if you’ve never been, unfortunately it got shut down this year because of every hole 2020 has been shut down. Right. Krysti. But I have to tell the story because I got there and I hadn’t checked in yet, um, and gotten my tag and as a speaker and so forth. And you were speaking Friday morning, you were the first Bricker. That’s right. You kicked the vent off. So anyway, I didn’t want to miss her, her her talk. So I ran down and I don’t have my badge or anything, my credentials and I’m at the front door and they have people look, making sure you’re, you’re paying to your member. Right. And so I said, I, I did two women Paul’s assistance at the door.

I said, told him. I said, I swear, I’m legit. Okay. I’m actually speaking tomorrow, but I didn’t get my step yet. And I want to hear dr. Krysti wick. And they’re like, I got, I swear. And they go, okay, what are you speaking on? I told them. So anyway, I made it. And, um, it was amazing, an amazing talk. And then we met after that and she’s just amazing. So she has a program, um, the illuminated squad and they are illuminated, believe me, the, this group, I don’t know. They’re just so authentic and amazing. And they’re doing awesome things in practice and absolutely rave about you as a mentor. And I must admit, I’ve heard a secret that they, um, they can you to Rachel Holly.

Yes. A few people in chiropractic have said that, so,

Okay. But, okay. Confession here, confession time, whatever confession is anyway. So I’m not good with names. So, but I, um, I had to Google Rachel Hollis, but I know the name of her book. Okay. It’s girl, put your makeup on

Girl, wash your face,

Wash your face. Okay. Some close. I’ve heard about the book before I wanted to read it, but I actually, I’ve been doing too many left brain neuroscience readings. I need to switch over to my white brain a little bit, but that is a huge honor for you to be akin to somebody that magnificent and that’s who you are. And I love your background and your wallpaper. And I just loved you so well,

Right back at you. This is like, I love it. So, so, um, but you have

A lot of wisdom to share and I, the reason I wanted you on for many reasons, but one of the things is especially now with this whole paradigm shift that we’re in globally. Um, I think as a profession, we’re kind of in a shift as well with an, with an actually an prime opportunity to share our messages and our story, and maybe rebrand ourselves because I feel more than ever. Now, the world is going to need our message, but I think it’s also important that in practice, so you don’t burn out and so that you really shine. And I think that’s a better energetic exchange with the patient. And well is you, you figure out your niche, you figure out what resonates with you, what fires you up and you had done that. So magnificently, so I’m going to pick your brain.

Well, yeah, well things and I totally agree with that. I think in our profession, we have been inundated a little bit with lookalike syndrome. Um, we see all of, all of these things around us that we, that look really palatable. They look really great. And so we just try on all of these things and oftentimes most of us don’t have the wherewithal to really ask if it fits and to really just spend some time thinking about how we feel trying that practice model on, or trying that niche on if you will. Um, and I can speak about that firsthand because I did that. I did that for a very large percentage of my practice. And while the numbers looked good on paper, like obviously Monica shared what those numbers were. Um, I wasn’t, I wasn’t that ha the numbers left me feeling empty. And, um, it really got to a point where I was so convinced that, you know, these certain types of practices where exactly that was the only way for chiropractic to be, um, that I just kept trying on these things and, and just making them fit when they did it.

And so really looking for your niche, I think is paramount because I’m a firm believer that we’re having however many thousands of chiropractors there are in the U S um, you know, on the planet, whatever it is, that’s how many different versions of practice there should be, in my opinion. Um, there’s certainly going to be systems and procedures and, you know, really specific things that might cross over from office to office, but in last year, making it, you, your practice, your business is a living, breathing thing, in my opinion. And so unless you’re caring for it and truly allowing it to be an extension of you, you are going to get burnt out and your energy is going to be in jeopardy, because what we do is can be energetically, extraordinarily draining. If you aren’t conscious and thoughtful and strategic about who you were put on this planet to serve.

And that’s something that I had to get really clear about. And the beauty now is, you know, I’ve kind of dabbled in it all. You know, I’ve gone through periods of time in my practice where I saw, you know, more of an older population, I’ve gone through periods of time in my practice where, you know, close to half, my practice was neurodevelopment, developmental challenge children. Like it was like, I was inundated with that gone through periods of time where I had mostly prenatal, uh, newborns. So I’ve kind of had it all. And that is what led me to where I am today, which is what I’m really passionate about, which is, you know, creating a group practice. So I have two fantastic associates that are the heart and soul of this place. Um, and we all have certain things that we really love the most, and that allows us to have this beautiful living, breathing family practice with an extra emphasis on loving families.

And so we really love, you know, those elementary kids. And I’m sure a lot of this comes from right now, two of the three of us, you know, our children are in elementary school, so we are living and breathing it. And we market to moms. That’s our number one priority when it comes to marketing. And so we just have found those young families with kids in elementary school are really what we focus on from a marketing aspect. But then with the three of us, you know, we all kind of have different things that we love within that niche as kind of a sub niche. Like, like I firmly believe that every pregnant woman should have care, you know, a preconception obviously all the way through, but to be completely Frank, I don’t like, that’s not my jam. I wouldn’t love to see, you know, prenatal women all day long, but the other two love it. And so, you know, it really just works well for us that we can cover all the bases within that young family elementary school type, um, umbrella niche, and we can live and breathe our true passion and serve that whole family in the process. And that’s beautiful.

And what I think is so great is, um, is recognizing that and being okay with that. I know, I know you and I talked a little bit about it, cause I do see a lot of neurodevelopment challenged children and that’s my gig. But even, even with all those that I mentored always said, please, don’t try to be like me. Don’t base your practice off of mine. Find out, you know, what, what is it inspires you? And not only can we burn out, but our health can suffer too. Um, our physical health conception and our mental health can suffer if we’re constantly stressed out because we’re not living a floss and floss. And ventek

That, one’s a tongue twister,

That’s a tongue twister, but so you, um, so how can you give the audience, like, um, how did you be okay with, or find your niche? Or you said how you found your niche, you went through multiple and we’ve done that. And I love that lookalike syndrome trying on

Different outfits, so to speak. That is great. A great, um, analogy.

Was there anything that you did or you can say how, okay. Now I’m okay with that. I’m okay with that. Um, and we should be as a profession, we should be okay with, if that’s not our BRC, our bag of chips, like, um, I don’t do work comp or PI or things like that. I sit in up the street and I’m totally cool

Leads with that because I feel,

I feel I have enough I’m okay. I’m not, I I’m wealthy enough with that paradigm that I see. Um, so we put you on the spot. How can we help them be okay with being okay?

Yeah. I, this is so huge because as she mentioned, you know, I, it took a lot of trial error for me and I would love to save every young chiropractor on the planet from that trial and error. And I think there’s many ways that you can do that. I think number one, one of the easiest things you can do when you’re young in practice is go immerse yourself in different styles of practice, go shadow as much as you can. This is something that I really wish I would have done in school so that I could see how my energy fit into the energy of that type of niche and just really tune into my body and my intuition and just ask myself how it felt to be there. And I think that is really just, you have all the answers inside if you’re willing to just get quiet and listen.

And that’s really, in my mind, my gift on this world is just helping women remember who they’ve always been. And so for me, it took a lot of trial and error to really remember. And I think if I would have spent some more time in other atmospheres, it would have been much easier for me to laser in on what felt right earlier. So I think that’s number one. And then number two is I think in chiropractic, especially we start to remove who we are personally from who we are professionally. And we really have this pressure in my opinion, to show up and be the doctor and serve the masses, right? It’s our job to give love serve, and, you know, everyone that has a spine needs us. And so we better show up and be that professional who cares for them. And personally, I can tell you that I am so clear about, you know, what type of people fit into my energetic circle.

Like I know who I should be close to and who maybe energetically just doesn’t fit with me. That’s not good or bad. It’s just reality. And so when I started to marry who I am personally with who I am professionally, and really just got clear that like, that’s not two different people, that’s the same, this, the same person. Um, it really just allowed me to show up to practice and be myself and be really okay with knowing if their energy, as a patient fits with my energy, they’re going to get the best chiropractic experience. If their energy does not fit with my energy. If I choose to take that patient on, I’m actually doing chiropractic a disservice in my opinion. And so I just got really clear on how to use that, you know, personal integrity and intuition to my favor in practice. And as you said, you know, Monica just refer them to someone that I feel is going to give them what the best fit is and the best chiropractic experience, because the more we can seek out those energetic connections, the better results the patient’s going to receive.

And now we actually did create a chiropractic advocate. That’s going to go out and spread the message in the right way. Whereas if I would have take on that patient, you know, PI and work comp is a great example of Lanka. Cause we don’t do that either. In fact, right now we don’t even accept any Medicare patients, we just refer them. And so when I, when I have gone against that gut instinct in the past, it’s never been good for the patient. It’s never been good for us as a practice. So, um, I think you just have to give yourself permission to marry those two things together, your personal side and professional side, and just make it easier, just listen to your gut and follow what it’s leading you to. Absolutely. And, and I always say, that’s why I just love you. I mean, you just true. And I think, especially like you mentioned for the young chiropractors, it’s okay to be okay and be yourself. Um,

And that becomes what I kind of refer to it,

The walking billboard that’s how don’t you think?

I think that’s how we build our legacy. That’s how we, the practice will build itself if we’re just

Ventek to what drives it.

And it’s okay. Not to be,

Be an expert or be, you know,

I have, I have docs that I mentor and they are

Amazing with newborns babies and so forth where I see, you know, I see the oldest child when they’re ready to have some developmental struggles

And it’s okay to be where you’re at, but you hit the, I mean, if you are listening to this,

Any phase in your practice, this is a gold mine because personally

Just my personal spin on things, I think with the cupboard crisis that we’re experiencing, um, we’ve all been a little bit more tapped out emotionally and energetically and so forth. And we need to keep ourselves kind of grounded in footage. So we don’t burn out and now going forward and kind of rebranding rebuilding she’s hit the nail on the head. I think that is absolute gold. So if you’re listening to this, by the way, Krysti, what I’m dropping us, yours

Or, um,

Website email, what, where can they find more about your

Sure. Um, my website is the illuminated squad.com and you can find more information there. And then as far as social, um, Instagram is where I prefer to hang out. So just at dr. Krysti, but my name is spelled super goofy. Kry STI. I’m sure you have the same thing. You’re always saying K not C and your name, right? My dear. So yeah, you can always shoot me a message on Instagram. So yeah, the illuminated squad and dr. Kristy K R Y STI. But

Yeah, and if you’re burned out, if you’re starting out and if you’re in the middle of the road, this is incredibly

Important information. Um, and setting up, like you said, a

Overall facility that serves a great population of people, but within that you have different docs that are doing their thing and loving it. Um, so, okay. Picking your brain we’re, we’re, we’re getting information for free hair. You got, um, how then how then did you create a brand so to speak within your community?

Yeah. Um, really when my brand took off, it was because I got really clear on who we were marketing to, and that was moms, um, young moms with kids that are still in the house. So we are always thinking about her, um, you know, different years past, we’ve given her a name we’ve, you know, she’s had a car like all, you know, all the different things about who this person is, but I practiced in a very small community. So my town was only 30,000 people. Um, it’s relatively rural and I really don’t have the luxury of getting too narrow within that mom niche, which a lot of marketers will tell you to do. Um, that’s why I went down that road of giving her a name and she wears this and whatnot. But what I really found was if we could get clear on the different types of moms that exists within our small community, we can truly develop our message to speak to her needs, speak to what she’s experiencing in the world right now, and try to solve that for her.

And so my brand really was established in our practice, um, because we got laser focused on the different needs that moms were having here right here. And I think that is so key for any of you listening. If you practice in West bend Wisconsin, where I practice versus Idaho, where, you know, like versus California, like your demographic is very unique to you and you need to do the work to really figure out the pulse of what happens in your community and then speak to those needs, speak to those requests. Um, really just get in the head of those people that, you know, you were put on this earth to serve and help them see chiropractic as the option for them. Um, and so that’s how we built our brand. We just stopped. We started talking to moms and we never stopped. We just talked to moms and that’s honestly what, what we do in all of our marketing.

Um, and so we are now just, we’re the first choice when someone needs a family chiropractor, when a mom is having stress issues and is looking for natural solutions, our name is brought up in local Facebook groups over and over and over and over again because that’s how we market with our message over and over and over and over again. And we don’t, we don’t choose to beat a different drum that month because it happens to be, you know, such and such awareness month. Like we’re talking to moms about stress every month, every day, every year. So I think consistency is really, you know, clarity on who you’re speaking to and then consistency with continuing to speak to that specific niche, um, is the key to really building a long lasting brand.

So a couple of questions off of that, um, I told you, I’m not going to let you off easy because he’s got too much information to get. Okay. You said getting a pulse on your demographics. So that’s one question. How, how can you give some of these docs, um, some ways to get a pulse on that. And then do you belong to some of these, um, social media groups and, uh, like chime in to conversations or

A question? Good question. Yeah, I will hit it. So the, as far as getting the pulse on your local demographic, you need to be out in the community. And I know that that is such like broad scope advice that you’ve heard forever, but in my life that looked like when I moved to this area, I knew no one, um, I, you know, my husband and I chose this place because it was close to somewhat close to where we both grew up, but we didn’t know a soul. And so I joined nonprofit boards. I did tons of volunteer work. I went into the schools, ended, um, different volunteer, um, pieces. I reached out to all kinds of, you know, companies to go and do talks. Like I was fully immersed in all in, and I haven’t stopped that the entire, nearly 13 years that I’ve been in practice.

And I think that is so imperative that you can’t just live in a place and, you know, decide to start a practice there. You really do need to contribute to the community in order to figure out what the community’s about. And especially if you’re going somewhere that you did not, you weren’t born and raised. This is extra important. In fact, when I first moved to this area, it was, it’s very saturated there. We have a lot of chiropractors for the small place that I live. And one chiropractor specifically said to me, you’ll never be successful here because you didn’t grow up here. And so I think it’s really, really important. Yeah, it’s really important because everyone kind of has their boundaries and their safe zone. You must, um, just throw yourself in the water and do your best to, to create relationships. Um, this is coming from an introvert who doesn’t love doing that, but it’s super important.

And then the, as far as the Facebook groups, I, I love this question. I’m so glad you asked this question. Um, I’m a firm believer that you should not expose yourself to something that could potentially drain your energy. And so, yes. So in my particular instance, so again, this is just my opinion, my progress. Um, we specifically have a, a local moms group that is very, very large. Um, this is, you know, one of the biggest places where we’re consistently recommended, but what I found, um, for the short time that I was in that group is, you know, lots of texts, lots of requests, lots of, you know, people want, they want me to be their doctor on Facebook and that’s not going to happen. And I also am so clear about what my practice stands for, how we operate, you know, I’m, I’m a super type, a like all the details are very me that you, I know I can’t control people’s perception.

And so when I did start to see, you know, perceptual things about how we operate and how I choose to run my practice, that’s draining to me. And to be honest, I don’t, I don’t need that. I I’ve, I know what we stand for. I know my team’s heart and soul. I know that we’re always doing our very best for every person that steps through our doors. And so I don’t need to do a bunch of market research by, you know, seeing, you know, potentially Medicaid patients that we no longer serve being upset because, you know, we have a business to run and we have to be at a certain place. And I had to make the business decision that we don’t accept Medicaid. You know, that’s just an example. Um, but there’s a real life example for all of you. I’m truly an open book. And so I am a firm believer if you take on those feelings, if you’re an empath, if you, you know, have some boundaries, you do not need to be in these groups, you do not need to be recommending chiropractic. Like that’s, in my opinion, if I do my job well, I’ve created an army in my community to go out and do that for me. Um, and that’s what I prefer because I need those boundaries to stay healthy myself.

That is huge. I mean, that is gold. You guys, that is so such huge, uh, wisdom right there. I mean, this is all so amazing wisdom because it, it is, especially for you and newer docs, listen to that and listen to it over and over again, what she just said. That’s amazing. So, okay. Um, couple more quick questions because our pick your brain. Hey, what about the Papa’s? Do you see daddy’s and many your practice and B, have you seen any new concerns or questions with this recent Cobin from patients with this recent Kobe crisis we’re in?

Yeah. So, um, I literally have to write them down cause I’ll forget.

Should, um, our answer is, it depends. So we definitely see dads. Um, so 40% of our practice is children. I am going to take a stab and say probably another, you know, 45 ish percent are women. So you know, that small percentage, um, men. Sure. But if we have a dad that, you know, let’s say he just has an acute episode, he’s only interested in resolving that acute episode. We may refer him to another chiropractor. Um, so really we prefer to see those young families that are all in for this is part of their natural health approach. Like they truly want to design their health and their family their way. And so if dad is on board for that and wants to really look at his stress and look at the big picture, yeah. Then we’re all about it. We would love to see him.

Um, but we’re not afraid to say, you know, if, if dad sprains his ankle while he’s running and is literally just looking to resolve an injury, we may refer him to another chiropractor in our town that is about that. Cause that’s not necessarily our, our thing. So it’s super dependent on, um, the dad. Um, and then COVID, Oh my gosh. I feel like, so here’s the thing. If any of you have been listening to anyone in chiropractic that says COBIT has not impacted their practice at all, um, you need to run far away from that person because COBIT has impacted all of us. And I think it is, it’s crazy to say that it hasn’t at least touched something in your practice. Um, I don’t care if you’re the best educator on the planet, you’re still gonna have some people in your practice that are fearful and that’s just the nature of society and communities.

So of course, you know, COVID has impacted our practice. We have a high volume practice, so we have lots of personalities to account for. Um, but honestly I’m at this beautiful place. Of course I’m the same as all of you, I’m over the masks, I’m over the fear, I’m over the loss of free I’m over at all. But I really can lay my head down on my pillow at night and be really grateful for this crisis that we are in because it has provided so much clarity for me. And it has provided, um, such an opportunity for my team to get closer than ever. Like, I really think that we are just more clear than we’ve ever been on what we’re here to do. And we are so confident that it’s okay to educate the people that are ready and it’s not our job to beat our head against the wall with the people that are just going to hold on relentlessly to their fear.

Like, I don’t think it’s my personal job right now to try to go shift everyone’s paradigm because there’s just too much fear. There’s way too much brainstem stuff going on right now for me to try to crack that code. And I mean, I I’m no Monica Berger, so I definitely can’t like throw them the science. Um, so I’m really grateful to COVID, um, for giving us the opportunity to just be like even more ourselves and even more clear than we’ve ever been. Um, and because of that, you know, our practice is breaking records. That August was August just now was a record breaker for us. Um, in every category we have new patients literally just coming out of our ears right now, um, because they’re ready and we’re ready to help those that are ready. So yeah, of course there’s all the normal cleaning and yeah, all the things that all of you are doing too. So,

But see, this is this. If you’re listening to this, this woman has carved out such an amazing road to building the practice of your dreams. I’m not kidding you when you’re authentic and you’re clear and you’re okay with being you and your message. You don’t have to put yourself in this energetic crap storm. I’ll watch my language and be so, um, you know, just so sucked up and your energy taken by these Facebook pages by trying to convince people otherwise, blah, blah, blah,

Blah, blah, blah. Um,

This is really how you’re going to have. This is how you’re going to build longevity. If you want to build longevity and a legacy, this is how you’re going to do it. It really, really is. So I’m going to ask you one more kind of earth question, um, are you see, because you have it, yeah.

Family practice paradigm, you know, are you seeing

More concern or conversation around the big B word? Uh, and especially in relation to the COVID

V right. We, I would say the only patients that have mentioned that particular phenomenon are, are women that are like over 50. So I’m really happy and pleased with our, our little bubble that we have created in our community because the vast majority of our young families are coming in and they are telling us like over my dead body, would I do that? And I think it’s stupid. You know, we certainly still have lots of families in our practice who vaccinate on the schedule. But I think this particular instance, they’re really, really starting to pick up some of those seeds that we’ve planted over the years and put them together, um, for themselves and just say like, Oh, you know, this, the quick nature of this, and obviously the toxic load and whatnot, I think they’re just really they’re thinking for themselves, which is as a provider, like that’s all I ever want. I am not here to tell a patient whether or not to do anything. I think they need to do their own research and make their own decision. And the same goes for this particular instance, I might net lock like their decision, but it’s not my job to judge them and shown them because it might not be mine. So

That is a huge, another huge message. Because when you do go down that rabbit hole, again, our energy gets sucked by trying to visit, and it’s it a million percent evident that you have educated them. Well, you’ve, you’ve built the energy, the belief you’ve educated them along the way, and this is

Of chiropractic or in her practice is a chiropractic dream.

Um, and so, uh, kudos to you and kudos to you for not giving into that, whoever that person was that said, you will never, never build a successful practice because you, you weren’t, uh, you know,

Are you from here? So, um,

So, um, it looks like we might have a little bit more wiggle room time because I’m known for, well, I got to do this fun thing for Krysti’s group on Tuesday. Right. And I always say, I love to over promise under promise over deliver. Anyway. So can you give a quick tidbit about how, um, how to best structure some agreements with associates so you can build that kind of

Sure. Absolutely. Um, from the outside looking in, I would bet that a very large percentage of my practice does not know that I am the owner. So I think really the, yeah, I think the first, yeah, yeah. I mean, some of them do don’t get me wrong. And sometimes I talk about being, being the boss in, like I’m throwing myself under the bus sarcastic way. Um, but I, I really, I did this wrong in initially. So, you know, the first hire I ever did, you know, years ago it didn’t work out because I, I was burnt out. I was frustrated. I was seeing way more than I could. I was desperate. And I just was like, I need a warm body to come in here and give some adjustments. And so really the number one thing to make an associate relationship work is thought and strategy, and like, who do you want to go? This is so hilarious. Who do you want to grow old with? I’m dead serious. Like I like my primary associate, that’s been here for five years. Like I literally joke that like, we’re going to have grapes next to each other.

No, no, no. That’s so weird and creepy, but like, she is like my best friend on the plate. Like we have just created this beautiful, um, working relationship personal really like, so I really think it takes a lot of thought and strategy of who are you as a person who are you as a practitioner? Who are you as a leader? And then what is going to not only compliment that, but amplify that. I mean, she makes me better every day. Um, you know, she’s who I would want my family to see if I was not a provider. In fact, like she is my husband’s primary care. So what I did is then I just recreated that with our second associate. And I actually interviewed 30 people for my third associate over the course of several years, because nobody wants to live in West bend Wisconsin.

Um, so I really just think it takes thought and strategy and intention and being willing to be patient. So, you know, don’t build your practice to a place where you’re desperate, make sure that you see that girls trend and you start putting feelers out ASAP so that you can structure things in a way that’s going to be palatable for both parties. And then as far as the actual structure, um, I’m a big proponent of a base salary plus a bonus percentage. So both of my associates have profit sharing. Um, so basically they’re, intrepreneurs like they have the ability if they work harder, they make more money. Um, and so I am not a big proponent of like strictly commission. We also all see everyone. So that’s a huge in my mind, that’s a huge way to build a long standing group of docs is not have, well, this person has this many patients, this person has this many patients. I’m bonused off of how many people I personally see like that fractures your team right off the bat. Um, we all see everyone and that allows us to take vacation and live our lives and for two of us to be young moms. And so I think it’s really important for you to ask yourself, what would you want if you weren’t the owner and structure in that way?

Yeah. That’s a huge point. And I’m going to add one caveat to that. I think also because I know you, and I think it’s also putting your ego aside and being okay with somebody else being in your space and maybe somebody else teaching you something along the way and be okay with that,

For sure. Because you’re awesome like that. Oh, thank you. It took many years of practice, you know, the first time you’re a longstanding patient asks to be adjusted by your associate. It still hurts. So just still stick and it’s okay because we can’t be all things to all people. No, we have to be okay with that and, and, and look at the things that we are good at and, and be okay with that as well. And I think that’s where you absolutely shine.

And again, if you are listening to this, um, this is, this is such huge, incredible information that, that this woman shared with you today because we should all take note, um, because this is what’s going to build what I say, you know, be the pace,

Oh, not the race card. This gives us a lifelong of being in practice, rather than going, going, going, going, and hurt, getting yourself hurt or burned out. And that’s where you don’t want to be. You want to have that luxury of building a practice where you can be there as long as you want. Yeah.

And, and have this amazing, um, life-giving career over a long period of time. And that’s where he,

You are a girlfriend. Wow. Well, thank you. I’m right back at you. I just think I thank you for doing things to Carol secure

In you, but you’re my one of my top three favorite female docs to just think you rock your lane and you deliver the science. And I just think it’s such a beautiful thing in chiropractic for all of us to own, you know, who we are and what we do. Um, so we can actually serve in a diverse weight. So, so thank you so much for being here. If you guys, they elimination illumination squad nominated, illuminated squat, the illuminated squad. Check it out. Dr. Kristie K R Y S T I, and again, thank you so much. I know you’ve got a crazy busy practice, but, um, just for sharing, I mean, you shared phenomenal gold and, and we really appreciate that. Um, so hopefully we can hang out again sometime down the road and thank you to ChiroSecure. Make sure you check out dr. Erik Kowalke the first, third, Thursday of October of October. Yes. I know where I’m at. Um, and I’m going to be back in October, October is national sensory awareness month. So I’m going to do a little shindig, um, to help you, um, just remember how important chiropractic areas with regard to, um, sensory motor modulation and what that, um, how that can change a person’s life. So catch me on the third, Thursday, and again, Krysti, I love you to pieces and we’ll see everybody next month.

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The Coming Epidemic: Manifestations of Prenatal Stress – Monika Buerger

Click here to download the transcript.

Now here’s, today’s host

Dr. Monica Berger.

Hello everybody out there in Cairo Facebook land. And to those of you that are not chiropractors. Welcome to look to the children’s show. And again, thank you Kira secure for giving us this platform to get our message out and to keep educating the amazing chiropractic profession I wanted to bring to you today. Something that’s very near and dear to my heart and is so incredibly critical that we as professionals in the chiropractic around really need to understand this material. Whether you look at work with families and children at not, this is, um, information that we are going to be needed to be mindful of from here on out, given the paradigm that we are practicing in now and what is going on in the world and the COVID epidemic or pandemic the consequences of what we’re experiencing. Now, in addition to how the world was before this pandemic, the two combined are, um, essentially leading us up to what I’m referring to as a next epidemic.

And what I’m talking about is not a specific disease or diagnosis or label. It is the effects of prenatal stress. So again, whether you work with preconception care, prenatal care, um, pediatrics, if you work with anybody, this information, um, is a must know, and it’s extremely, extremely profound. So what I’m going to try to do is take you, um, set up a PowerPoint. You can see my slides. I’m going to take you kind of through a mini course, um, from prenatal stress and what that’s going to look like down the road or what that does look like down the road. This is information that is bast. It’s profound from the new world of neuroscience. I’m not making this up. I’m not overstating it. I’m not overexaggerating it. And if we look at, in the depths of neuroscience, this is this information that I’m going to talk to you about today is the foundation.

It is the basis for the neurobiology of disease. I want you to sit with this, the basis of the neurobiology of disease, physical disease, and especially mental disease, mental illnesses. So let’s dig in a little bit again, please, please pass this information on to all of our colleagues. This is such profound information that is, is going to set the foundation for generations to come. No joke here. So this paper came out a few weeks ago in regards to prenatal stress. And it specifically how moms are proceeding stress in this particular time look pretty much probably 99.9% of the global population is experiencing some kind of added stress due to the situation we’re in stress. Anxiety, anxiety has gone drastically up during this time. What does this mean for the pregnant mom? And what does this mean for the offspring? It’s huge pregnant moms right now.

This came out of, I believe Alberta, Canada, but what they showed is pregnant moms. Um, the prenatal period and the early weeks postnatally that they’re pre COVID stress levels would be reported about 15% in the current paradigm, their depression in regards to depression solely Precoa time, 15% current paradigm about 41% depression anxiety. Their prenatal reporting of anxiety is about 29%. And in the current paradigm is about 71%. These are the vast jumps in pre and pregnant mamas experience, depression and anxiety. Okay. They also looked at, which was very interesting is, um, exercise rates. Okay. Um, prenatal activity rates and about 65% of pregnant women report that their exercise levels has gone down during the COVID period. About 15% of said up at about 21% say it’s been staying stagnant. Okay. What does this mean? Why is it a big deal? Again, this information is hands down where, how we’re going to see generations to come.

The program that the premium programming that’s happening now in utero is bast and profound. We know from the neuroscience literature, that when a mom is stressed, the enzyme, the gene that works too as a barrier protective barrier to the fetus, keeping cortisol out of not being able to pass the placental barrier, that enzyme it’s called, um, hydroxy steroid dehydrogenase too. Don’t worry about the name of it. Bottom line is that enzyme is protective to the fetus and it doesn’t allow more than 15 to 20% of cortisol should not pass up the central barrier. More than that passes a placental barrier, a dynamic cascade of neurophysiological consequences. Cause that fetus is exposed to more cortisol, which is neurotoxic. This is very much associated with preterm birth and low birth weight with which those two factors in the world of neuroscience has been shown to be key in the neurobiology of disease, lifelong disease of offspring, especially mental health and a lot of cardiovascular. Okay. So we need to minimize the stress. Bottom line is we needed to minimize the stress on those mamas.

Um, low protein levels also, um, will inhibit that enzyme. The enzyme needs good proteins to work, um, and, uh, B3, niacin my moral, my story for this lecture or for this presentation, I wanted you to understand that wow, stress is altering fetal development. And one is by cortisol, excess cortisol exposure. That is very neurotoxic. So we need to have these mamas under care to help regulate that stress of which we’ll talk about when we finished it at the end of this little presentation, but I want you to understand that prenatal insults maternal stress is one of the biggest ones, psychosocial stress, psychosocial stress is stressors. We all have, especially these days, right? Worried about your job, paying the bills and going out in public. Just those dynamics that pregnant mamas have extra psychosocial stressors that they report that is the fear of giving birth. The concern about being birthed that is magnified in this particular crisis.

We’re under, are they going to be allowed to have a birth partner in the room or not? They’re having to mask the whole time in why they’re in the hospital. Are they going to be separated from the baby? All these extra things. The number one psychosocial stressors that, um, pregnant mamas report is, or pregnant couples report is giving birth to an offspring with, um, developmental challenges. So they have these extra stressors happening. All right, we know that these premial stressors are leading to, to circuit, uh, developmental circuit changes in the brain, prefrontal cortex, amid Dilla, hippocampus, incredibly profound connections, especially between the limbic system and the frontal lobe, which we know from neuroscience, that connection or that misfire, that misconnection between the limbic system and the prefrontal lobe is the basis of mental illness. Okay. This is from the medical literature. And of course, then we’ll get the labels as a result of this at this prenatal stress.

Now we get the labels down the road, add ADHD, autism, et cetera. So it’s really kind of works like this. We use it, it used to be referred to as a two hit model. Now they’re looking at it as a three hit model. We have genetic factors, which actually are epigenetic factors. Okay? So we have these epigenetic loads that are vast right now hit number two is prenatal stressors, psychosocial stressors, depression, anxiety, everything that is up ramped right now with, I mean, globally, the third head is a subsequent hit that can happen up to 20 years later that finally tips the scales. And this is really the basis of most mental illnesses and individuals in mental institutions. And whether it’s a viral load that is especially if, if mama right now has had, COVID why she’s pregnant. That is a viral load that’s that fetus is exposed to.

So we have stress. It leads to enhanced cortisol, passing the placental barrier neurotoxic insult on the developing fetus and the developing nervous system, other genetic predispositions. And now down the road, another key hit can happen. It can be anything, it can be viral, come back bacterial. It can be from inoculations. It can be a poor bonding with mom and dad, whatever. So we know that prenatal stress also alters the microbiome. The mom, I’m just going to brief over this, but this is incredibly incredibly important for us to understand for supportive measures from mama during pregnancy. So a couple of key strains of bacteria have been known to be altered or, or, um, deficient in pregnant mamas under stress. And these particular strains are also coincide with supportive measures, four key areas, the brain like the Olympic system and the frontal lobe. So more of the story is stress wipes out the microbiome wipes out, excuse me, these critical bacteria, which all can alter function of these key areas of the brain.

Okay. Lactobacillus, rhamnosus, and material to those strains abberant um, or, um, deficient microbiome of mom leads to a deficient microbiome of the vaginal microbiome. So next moral the store on next golden Pearl, it doesn’t matter. A lot of people are concerned about, um, seeding of the microbiome or giving probiotics. If a baby is born via a Syrian section, because they say, well, baby, didn’t get a exposure to mom’s bathroom, microbiome. Hello, newsflash. If Michael biome of mom is poor vaginal microbiome, mom is going to be poor, whether they were born vaginally or not, they could still have a dysbiotic offering. The baby can not have a optimal microbiome, even if they’re born vaginally. So we may still need to help support that after birth, because we know a dysbiotic a, a, a non-sufficient microbiome, well also alter, um, an absorption of key nutrients. And these key nutrients are going to be imperative for metabolic function for metabolic demands on the developing brain.

So stress equals altered. Maybe pre stress is very much related to preterm birth and low birth weight altered microbiome of mom altered vaginal biome of mom altered microbiome, but baby lack of absorption of key nutrients needed for metabolic development, metabolic support of the developing brain key structures of the brain. So we have stress or infectious load. It earned again, it, it alters the maternal microbiome. It alters the microbiome, the baby. It is shown in neuroscience that this will change the trajectory of neurodevelopment of the baby. However, early intervention measures chiropractic care. For sure, especially during the prenatal period, trying to deescalate the stress load on that pregnant mom, deescalation of stress on mama is deescalation of stress on the fetus equals a more optimal chance of neurodevelopment.

When we look at fetal development, we have to look at autonomic nervous system development and bagel tone development, which that critical window of neuro-development is in the end, the second, and into the entire third trimester of birth, absolutely even more critical weeks, 35 on what we’re seeing in this COVID world is an increase of C-sections. Whether that’s because of stress or not, um, an increase around 37 weeks, this is a critical, critical message because we also know that the microbiome of baby, um, if deliberate, if, if born before 37 weeks, um, has a higher chance of what we call this necrotizing enterocolitis, okay. Inflammation in the gut, which is going to be another, um, another factor in their neurodevelopmental trajectory. This is bagel tone. Um, so prenatal stress lowers, heart rate variability and mom and baby mom and baby, which this equals abberant, um, development of the ans autonomic nervous system and bagel tone decreases the function of a culinary trick anti-inflammatory pathway. That is Vegas that’s bagels, baby, that’s his pathway call energetic anti-inflammatory call energetic anti-inflammatory pathway. This is the big kahuna to downregulate inflammation and upregulate the immune system.

When this is down-regulated this thing called zonulin, that that functions it, uh, it controls the, the tight junctions in the gut. Not allowing them to say open and end up with a leaky gut or gut permeability. So you see the, see the picture I’m painting right now. This is incredibly important to understand, because this is the basis of neurodevelopment. We also know that heart rate, variability, vehicle tone, and mom, the baby’s going to mimic the big tone of the mom. Baby is going to be born. It’s called fetal programming with mom’s stress response. The way mom is perceiving her environment, perceiving her stress and adapting, neurally, adapting. We all talk in our, in the chiropractic profession about neural adaptation. The nervous system has to adapt to our stressors the way that mom is perceiving her stress, her environment, and the way she’s responding to it will be Feedly programmed that fetus and that offspring will adopt her stress reactions and her stress patterns. And that will alter their vehicle tone, their heart rate variability and their ability to distress it, to adapt, to stress their ability, to calm their ability to digest their ability to be an eLearning Grossberg. So we also know that prenatal stress is, um, very much so tied to a neuromuscular development.

So it is tied to, um, sensory modulation, how they perceive their world through the 10 sensory systems, sight smell, sound, touch taste from the outside world and our inner interoceptive inner sensations, which are the Stabler proprioceptive, um, sensations coming from the viscera from the immune system, the immune cells and from the microbiome. So all of these can be dysregulated average, sensory modulation or input to the CNS is going to lead to Averitt, neuromuscular output pre and neuromuscular output. Motor output will then alter sensory input. It’s a loop, but we also see that prenatal stress is very much associated with neuromuscular tone and neuromuscular development in the offspring neural muscle motor tone, motor motor control core pastoral control is associated with things like asthma allergies, dyslexia, ADHD, scoliosis.

So what happens prenatally and how that fetus is preprogrammed by mom’s stress response, and mind you that study. I decided that we just got in regards to the COVID crisis, a vast increase in reported depression and anxiety in pregnant mamas. They also reported lower exercise about 65% reported decrease in their exercise regime. We also know from neuroscience literature, that prenatal exercise during the prenatal period enhances a vagal tone in the offspring. So if you look at the entire picture, that dynamic what’s happening right now, we must be mindful. We must be knowledgeable. We must be educated at a little higher level because what we’re going to see downstream, it may be two years in these offspring. It may be in six months, it may be in their twenties. It may be when they start to go to school and they get slapped with the label of ADHD. Cause they can’t sit still because they have poor postural tone. We must understand that what we lay the foundation of as now is going to have a profound effect on generations to come. And we got, we need to be able to acknowledge it to, to be recognized these red flags in practice.

We, we look at. So if you have an older child coming in, you need, you should look at the history. When were they born? What time period, what was the prenatal stress exposure, but also be mindful that if you’re seeing pregnant women, right during this time period, neuroscience research also shows that even if, when, when these stressors have been resolved, they’ve done a lot of work looking at, um, disasters and, and the, the am longterm effects on offspring during Nat, during when moms are experiencing national disaster, like, um, earthquakes, like even the Holocaust, like, um, one big one is called project ice storm. It was regarding an ice storm up at Canada. And the stress that prenatal stress on mom was then, um, nine 11, all these hallmark disasters, floods. They looked at the implications on the ops spring, and they all show a, uh, uh, post traumatic stress disorder, response, higher anxiety, higher depression levels, um, cardio increased risk of cardiovascular disease.

Even if the mom conceived two years after that disaster had dissipated. So my message to you is we need to be mindful of the potential that we’re going to see down the road, preterm natal, prenatal stress, higher risk of preterm births, um, or assisted bursts higher. I’m getting pinged on social media all the time about, um, increased risk of breach presentations. That’s going to happen. Breach presentations, um, are, can be, there’s a tie between thyroid dysfunction and the mom and a breech presentation. When mom is under all the stress and the adrenals are compromised. It’s going to compromise the thyroid. You can’t stabilize a thyroid unless you stabilize adrenal function. So it stands to reason we’re going to see more of these breech presentations. Plus mom is much more physiologically, stressed out, much more tense. Um, so we may see more assisted birth, more [inaudible] section, which we’re tending to see on babies being delivered during this Cub of time.

Um, more assisted deliveries. Maybe I have not that statistic yet in regards to, um, section of forceps, but these all play a huge role in the trajectory of neural development down the road. We’re going to see more. We’re ready. We ready before this cupboard crisis have seen a vast increase in babies presenting with more agitation, colic difficulty with feeding difficulties sleeping. This is the pattern you’re going to start seeing more and more of. Then we lead because their, their nervous system is so tapped out and their immune system is compromised. They can’t nearly adapt increased in infectious load, higher risk of chance of antibiotics early in life. One dose of antibiotics wipes up the microbiome for life. It alters the microbiome for life. It can never reestablish back to its original microbiome. After one dose of antibiotics, we may see hyper or hypo more chances of hypo muscle tone because of the neural muscular, um, mal adaptive development, more developmental motor delays, um, or development delays in general.

And this is going to up even more. So our rates of labels of autism add ADHD, oppositional defiant disorder, developmental coordination disorder, whatever label you want to put forth. So my message to you is early intervention chiropractic care is going to be incredibly important for pregnant mom and that baby. But remember, they’re going to be born into this world are ready with difficulty in neuro adaptation. Less is more for these little fiddle farts children that are born and they’re stressed and they’re colicky and they’re hard to console and so forth. It’s harder to bond. And that, that leads to a less maturation of the social engagement portion of the Vegas. Another story for another time, the microbiome, I understand that many of you may not be comfortable or may not wish to venture in supporting the microbiome, but I can tell you that this is absolutely a critical key, important point that you need to understand.

And if you don’t feel comfortable, maybe reach out to a colleague that feels comfortable helping support that microbiome. The adjustment’s going to do that, but in this day and age, we need to look bigger and deeper. I know we need to understand how to foster optimal sensory motor development, get yourself in a program, take classes, but we need to be able to recognize these red flags because the sooner we can intervene, the better the chances for that little fiddle fart, longterm. And again, I thank you. You know, when we should start thinking about how we’re going to articulate our message, going forward from a pain based, you know, to a brain based model. And hopefully this information helps give you some, some nuggets to think about and to investigate and to further study and learn and understand because we are going to need this information and we’re going to need to get this out to the world because this crisis has changed generations to come that have not even been born yet.

Um, so I’ll leave you with sit with that. Um, here is there’s. I have many classes that you can go to and I have one and one coming soon just on the effects of prenatal stress and what we need to think about. So I’m going to close with that, with that said again, thank you Kira secure for being an amazing vehicle for us to get this information out and more than ever, we are needed, um, to guide the world and help in truth and knowledge and education of how we can change the trajectory for generations to come. Um, I will see you next month with an incredible surprise, amazing guests, um, and you can be with dr. Eric Kowalski the first Thursday of August until then keeping amazing and keep being out there and changing lives.