Empowering Women in Chiropractic – Building an Aligned Pregnancy and Innate Based Birth Practice!

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Everybody. Welcome to the ChiroSecure. Look to the Children’s show. I am your host, Dr. Monica Buerger, and I have the beautiful, brilliant, uh, the one and only barefoot mama hanging out with you today.

Hey, how are you? It’s so good to see you. I’m living the dream in Dallas area and girl. It’s so good. We’re having a good time here. I just took my babies. We were on the farm this morning. We got all the eggs, I just delivered goat, baby triplets. Um, I just added goat midwife to my resume. I don’t know if you knew that or not, but, uh, we played with some baby goats and then we’re here. It’s a good day. It’s beautiful. No more snow. Thank goodness.

No, we’re running out of snow here too. Thank goodness. So a little bit, a little bit about the beautiful, brilliant Dr. Courtney. We met up a little over a year ago. We ran into each other at that awesome pediatric bootcamp. Um, from that Dr. Barbara Eaton does at Sherman and she, by the way, you guys need to listen up. She’s a 2013 grad of Parker. This amazing woman saved $6,000 from her student loans and have $57 to her name and started her practice. And she is rocking it. She has three kiddos under the age of five. We’ll get to that later on. She has three businesses. She has a grass, a grass fed beef, um, which is phenomenal business. Um, the nest, which she collaborates with other natural practitioners in our area for natural childbirth. And she has a free to be me awesome chiropractic clinic. So this one is bit is Z

To boots.

And to boot, I kind of knew about this before she got to announce it, but don’t tell anybody that I knew she just released an amazing 400 page book called the barefoot mama. And you all need to get on the waiting list to get her copy, actually. And you can just go to WW dot they’re barefoot mama.com. So www barefoot mama.com and get your pre-order for this amazing book, because I know it’s going to be phenomenal. So welcome my friend. We’re going to just hang out.

And guys, that was the nicest introduction. Thank you so much.

Well, you deserve it. You’ve you’ve been, um, you’ve been around the block a little bit. Um,

Yeah, it’s been crazy. It has

You do. Um, and you do a lot for the students at Parker, so thank you for stepping up and, um, helping those students.

And I think we need it to, yeah. And I think this, our prenatal chiropractic needs to stay pure and that’s what we have two to three students in our office every single week. Uh, yesterday we had one and I always put them to work. I’m like, all right, you’re holding babies today. Or you’re playing with kids in our little park out front and I love it. And I’m like really good time to have some extra set of hands in the office. So it’s fun.

It’s a win-win right. And that’s what we should

All be about

And win for everybody. So, um, so you’re doing some pretty amazing work. And, um, and talk a little bit about your retreats. Um, you have the barrel

Speaking to my heart, so I know I’ve always said I’m not made for four walls in business and we have our practice and the nest. And through just a lot of, I don’t know if you know, yet last year was a really hard year for all of us, but it was a hard year for me personally. So through a lot of soul searching, God tapped me on the shoulder and said, write this book. And I was like, it’s time for that. There’s no way I have three kids under five and running these businesses. And I was like, okay, well, I kept feeling the urge kept filling the urge to write this book. And so I would wake up at 5:00 AM and I would start writing. I would practice all day long from nine to six and then six to 12:00 PM. I would write this book.

And, um, through that process, I fell in love with my mission and my mission to reach chiropractors, to bring community together and to also bring the women chiropractors who are mothers, who are growing their business and growing their families at the same time. It’s hard. And so, um, I’ve been teaching yoga in the Caribbean the past seven years and I’ve made a lot of friends, a lot of connections. And then through that, I was like, Hey, why am I not doing this? And so I have set the retreats. Um, we have three next year and at Cabo with, uh, Barbara Eaton, she’s going to be with us and Cabo. And then Christina Stitcher, we’re going to co-teach one in Costa Rica. And then, um, uh, I think that you will be, so we’ll be like dancing on the beach, around the fire and swimming and eating seafood and drinking rum. It’ll be a good time. It will be, it’ll be a business write off to, for chiropractors to come, you know, get some CES and then also heal the healers. You know, I think we kind of need time and space as mothers and as women to reconnect and to our sole purpose.

Absolutely. So they can find those retreats on the barefoot mama.com too.

Yeah. They can sign up for VIP access or the Facebook group, the barefoot mama, Dr. Courtney gallon will be pre releasing, um, retreats in the Facebook group and then the VIP access. So they can go sign up for that.

So let me ask you a personal question. Um, because I think this could help a lot of listeners out there. How in the world do you balance all of this stuff and you have three little kids under the age of five.

Exactly. And we home school. So it’s just, it’s crazy. So

Give a little hope for those. Um, you know, this has been a hard year and let’s face it. It’s been, and it’s, as it goes on, there’s more things to consider in that we’re seeing. Can you give those precious mamas and daddies out there? A little lift, a little Pearl of what has helped you get through this and with all that on your plate?

Yeah. Um, I absolutely can, but I also want you guys to know, I don’t have it figured out. Um, even this morning they were all screaming and I was like, get in the car and get in the car, get in the car. You know, it feels like a juggling act. So I think the biggest thing of just with mothers being real with each other and not scrolling through the highlight reels of Instagram and Facebook of all these women who have it figured out because that messes with your head. Um, so let me be the first to tell you that nobody has it figured out everybody has dirty dishes in the sink. Everybody has a crazy messy house. Um, they just don’t post about it. They don’t post pictures about it. And the philosophy that I’ve adopted for my life is grace over perfection. And so if I can walk in grace for my life and for when I’m walking through motherhood, when I lose my temper or lose my mind or my kids or not, I can’t believe I’m about to tell you this, but I had to go get your coffee this morning. And my almost two year old, it goes on a shoe strike. So I walk into Walmart and I’m holding a baby on my hip. My other two girls are with me and Luna is my little baby. And I was like, and she goes mama down. And so she wants to get down, but she won’t wear shoes. So this morning I was sprinting through Walmart with my two year old, my five-year-old and my three-year-old and my three-year-old wasn’t wearing shoes in Walmart.

So I think honestly, the biggest thing is just don’t hold yourself to the standard of perfection, have a lot of grace and be real with yourself. And whenever your kids see you walking in your purpose, that drives me. I, my kids to know that I love them and have raised them, but they also want to see them that they can chase their dreams because I have three daughters and to be strong women and to be able to step into their purpose that God has called them to. So I think that keeps me going and of just being an example and a leader to inspire my daughters through that, through that stuff.

Yeah. Beautiful. Beautiful. And I think the biggest Pearl there is, I don’t think anybody’s got it all figured out, especially these days. I think, you know, my motto, my hashtag the whole year has been pivot don’t panic and together we rise. So if we put it, we, we don’t, nobody’s got it all figured out, you know? So last time

We need more women supporting women, more mothers supporting mothers because women are strong and they can do anything, but a mama on a mission can change the world. Exactly.

Exactly. So let’s talk about that for a minute. Um, so in, I’m going to put you on a fire now that’s kidding. We’ll bring it on in, in the, in our developing minds program, we work a lot. I, I try to get doctors to think about the three W’s what, um, in the course of neurodevelopment, um, could have been the insult when might it have occurred and where might it left its Mark on the nervous system. Where, and when do you feel that prenatal chiropractic care comes into play?

I think it comes into play in preconception. Um, I think we

Did I get that right?

Oh my gosh. She’s so

Where, because I think that’s, this is a great, that’s a great, great point. We we’re talking about, I think a lot of people in our profession, we think prenatal care has to be when that baby’s in your hands, in, in your office when you’re born. Yeah. But really what do we need to think about where do we need to take that in our train of thought?

I think our train of thought needs to be, I think you talk about this a lot too. It is generational healing. If you’ve ever seen that picture of a mother who is pregnant and she has a baby girl inside of her, the eggs inside that baby girl are her grandchildren. And so the insults, the thoughts, traumas, toxins, and technology, they’re all being transpired into that mother. So if I was pregnant with my daughters, the stresses that I faced and as things that affected my maternal cortisol levels and affecting baby growing, it’s affecting my grandchildren. And so if we start with a mindset now that this generational healing begins with chiropractors, I think the preconception care is definitely important to get ahold of these mothers, especially mothers who have been on birth control since they’re 12 years old and then 10 years. And they’re trying to get pregnant without filling micronutrient, deficiencies, and all the things that birth control depletes itself to hold and sustain a pregnancy. Then I think that if we can start in preconception, it’s wonderful, but if we can have the mindset of a generational healing and generational transformation, I think that’s where we make our big difference.

And, and that, and you know, that I love to speak on this stuff. Um, the funny thing is somebody, somebody in my, in my grip pointed this out, um, I actually did a live, I was saw people. I was live somewhere, uh, a couple of weeks ago. Um,

So congrats.

But, um, they were saying, you know, I, I, I had this class that came out called derailed a couple of years ago, and then it was right before this pandemic had. Um, and it just solidified everything that I had already been teaching. You know, now it’s just more magnified. So, um, this, this con this, this premise of preconception care. So really if we can get women, um, under care and get their stress responses, somewhat modulating by chiropractic care before they can see that’s our ultimate goal. So those of you out there, prenatal care actually begins preconception. If you can’t get them there early, you know, if you can’t get them that early, then definitely they should be under care, uh, when, when they’re, when they’re pregnant. Um, so that’s, that’s another Pearl bomb for all of you out there. Switch your mindset as far as what prenatal is.

And I think too, Monica, just, I don’t know if you, I have this goal in my practice to have a generational practice of whenever I’ve only been doing this for seven years, but I think that my goal is to have women get under care, preconception, have a baby, and that baby is under care, their entire life. And then their babies babies are under our care. So I think that’s important for chiropractors to have that generational mindset of their practice for that. Just, I don’t know, that’s what my take is on.

Absolutely. I was in California for the first 18 years of my practice. And I, I would S I saw a lot of families and kids obviously, and then those kids grew up and they got married and you get invited to their weddings and everything. And then they were having kids and it is really, you know, and then, and then, uh, you get to look at yourself in the mirror, go, Oh, I am, I’m older than I am older than 24, but it is really fun to see that you laid that foundation down. And if we do that and we, and we break some of those generational, um, memories and, and the way what we call it, I call it epigenetic. Inheritance are the way we respond to our world. That’s when we can change and foster generations to come. So, so give your spirits. So, um, when it comes to rewiring the next generation, yeah. How, how are we going to make our imprints? We’re going to see that obviously you see mamas early on. What other things do you have that you, that you foster in your practice, where you get? One question I get asked a lot is how do I transition from that mama bringing baby into me, right. When they’re born? How do I transition from that to long-term wellness care and being able to see that baby ongoing? What, what life? Yeah. Give us your, how you handle that in your practice.

So I think the biggest thing within that is whenever people are talking about that transition and moving, and either, Hey, I had a traumatic birth, or there was something in my pregnancy that I was exposed to, the kind of, or the analogy I like to use is when you’re riding in a car, what windshield is bigger, the front windshield or the back, and that they’re always like, well, you know, the front windshield is bigger. And I said, exactly, there’s a reason for that. What’s behind us is the hind us. And what’s moving forward. We have a bigger vision forward. So let’s start moving forward. And I think when we get clear in our communication with mamas and we speak our philosophy, and we start to explain how the nervous system and its impacts on our world and the way the world impacts our nervous system and the importance of care, people understand it.

Whenever we start to communicate them on a mom, to mom, in a heart to heart basis of that connection. So whenever we start to just communicate very simply the effects of our world, and always say the amount of trauma and an amount of stress placed upon baby within their life is any amount of care that they need. And so whenever we’re walking through life, I say, Hey, if we’re doing great, maybe we are transitioning to wellness care, but life is dynamic and healing is dynamic. So if we’re going through a stressful situation, then we’re going to ride that wave of stress. And when you’re going to be in here more often, but we’re going to be here as your co-partner throughout life. Um, I always like to say that there’s three ways to practice chiropractic, um, bone deep bone, deep nerve deep are soul deep. And I think that we’ve kind of,


I think that we have kind of mastered the soul deep practice of the people that we have created in our community. And I think whenever you cry with people, when you hold the people, when you’re authentic with people that they connect with you, and then they start to see those changes in the importance and also how much you care and your passion for them, for their babies to truly be healthy. Because we as chiropractors are truth warriors. We’re the only one talking about vaccines. We’re the only one talking about what type of formula to be giving them. That’s not loaded with crap or the only ones talking about really food introduction and EMS and all these things. What we have surrounded ourselves and set ourselves up with is to be truthful yours. And so whenever we step into our voice and we step into our light of sharing that truth with people, then there’s no other way that they’re getting it for the rest of their life.

That’s beautiful. And I think I love that term truth where I think, um, you know, we’re giving Gavin just for a few minutes before we got on of being just authentic, raw and real, I say wrong meal, don’t take yourself too seriously, but you bring in that, showing them that compassion. And, uh, and there was a study. So let’s, let’s throw this out there. And then let’s, I have something else I want to ask you. They looked at, um, they’ve been they’ve in the, in the research. Um, you know, my brain goes to, I like to stay up.

It’s amazing.

Well, looking at those women that experienced, um, some PTSD and, uh, associated with giving birth, but specifically in the COVID period. Yeah. And, um, one of the biggest causes for them, uh, PTSD birth experience was reported as poor communication. They felt the communication from their healthcare providers while this birthing experience, that was the number one reported, um, cause of PTSD. So I think what you just laid out was a huge Pearl for us with regard to our ability to connect and communicate. So in the chiropractic world, a lot has been focusing around and I, and I do this about connecting, communicating at brain-based or neurological based chiropractic, but we should not neglect what you just brought up. I think connecting and communicating on a soul based emotional platform, uh, is, is, is huge. And if we can take away from that study where mama’s during the birthing process, their number one reason of a PTSD experience was poor communication. They didn’t know why their healthcare providers were doing certain things or what was going to be expected and everything. And so that leads me into my next question. Do you believe that birth trauma either on mama’s side or baby side is solely physical or do you believe there’s another aspect?

I think there’s so many more aspects to it. Um, and then just to kind of add into what you were saying, I always joke around with people that it was lost in translation, that Jesus was a chiropractor and not a carpenter, um, just because of the power of laying of hands. And so we are the only pressure profession that are really laying hands on people. So I just want to kind of add that into there too, because you’ve make up so many great points within that. Um, so I do believe, and I know, and I’ve seen it firsthand, um, just permission to give like my own story of my birth and my experience of my daughter. And I had this beautiful two hour water birth that was just wonderful with my second daughter. And, uh, she had all of these neurological delays in developments and it really, I think that whenever it starts hitting home in a personal level, you start to say, well, we talked about birth trauma and she had a beautiful birth.

She was adjusted right after birth, you know, and then, um, I start thinking about my pregnancy and I start thinking about the emotional stressors that I was under. I was thinking about the physical stressors. Um, mama’s run a business. Ain’t easy whenever you’re doing it, um, with a baby strapped on your back and a baby in your belly. So there’s a lot of support that we need within this life within, uh, running a business and being a mama. But I started reflecting back on that and I started really realizing that birth trauma is not birth trauma per se, physically it’s emotionally, it’s, spiritually it’s toxicity. Um, you know, that human talks to him project that you’ve talked about and that I have started studying really deep. I put a lot of that in my book. Um, we’re more toxic now than we’ve ever been. And how are those neurotoxins that they’re finding in the cord, the cord blood of these babies affecting them neurologically and developmentally, you know, like the pendulum has swung so far away from, we were naturally decided designed to live it’s time to get back, but we need to understand that what we’re doing during pregnancies and preconception, it’s not just all the posters on chiropractic walls that are, Oh, birth trauma pull.

And C-section like, you didn’t get on the neck. Like, that’s what I always taught birth trauma. Was that birth trauma? No, that’s in the wound. That’s like the mind, the body, the soul, you can’t like, you can’t separate those. And so that’s where I do believe in personally have seen birth trauma begins is within the mother.

Absolutely I did. And I, when I was live a few weeks ago, um, and I, I, I think too, um, in, uh, the virtual conference, this last pediatric bootcamp, I like to get chiropractors thinking about this because I think a lots of times they get stuck in the mindset of it’s a physical trauma from the birth experience. And it’s the bone out of place kind of model that we’re used to, but we know that with any of these stress sores, you’re gonna have, um, dysmaturation of the development of the autonomic nervous system and from the get go, that, that means vagal tone. And from the get go, you’re going to have a little fiddle fart, this predisposed to, uh, subluxation patterns because of trauma, toxins, thoughts. I had the fi I have five T’s trauma.


You know, tethered tissues, which we can put subluxations under that too. So that’s another pro for you guys out there to start shifting your mindset that sub chronic subluxation patterns or quote unquote trauma, we need to, um, we need to define trauma in a different manner, I think.

Yeah. Yeah. So, and then with, yes, I was, I was about to nerd out on something with you. I’ve written a whole chapter in my book about the neurology of birth and the importance of bagel tone during pregnancy and its role during birth and labor. Um, so I know that you teach on the vagus nerve so much. Um, I just was going to add that the importance and the clinical Pearl of, um, definitely stimulating the vagus nerve during labor or during pregnancy and its effect on

Things that they found is, is, is exercise, um, exercises enhances, uh, fetal heart rate variability and bagel tone. So moms need to exercise. We should promote physical movement exercise, especially in that last trimester. Um, and I think there’s two aspects. I think there’s, we need to look at the emotional aspect on baby and on mama, as far as if we want to look at birth trauma kind of thing. Yeah. They say, I don’t know if you saw this study, uh, they, 33%. So one in three moms are reporting, um, postpartum or childbirth related PTSD. This was back from 2010. This was back from a long time ago. So we had the third women, third of the women reported PTSD related to childbirth. And we’re there seeing that kinda on the uprise, but it cool. I’m just going to throw this out. Cause I love this tie this together. So there’s a recent paper that came out about PTSD and the, in general PTSD in general, they did a study with police officers, but what their partying comments, so to speak were that it, and they found that if a person had high, um, integrity of the prefrontal cortex,

I can see you’re going the same place. I, yeah,

I have high integrity. The prefrontal cortex, the ramifications of their traumatic experiences did not lead to a PTSD profile. So their parting comments were the higher resiliency. They actually used this word resiliency within the prefrontal cortex and should be considered to be, um, in early intervention before a PR person experiences a traumatic event that would minimize their PTSD. So they said high resiliency. So think about it. We just were, we just were talking about, yeah, right. So if all, if all mamas were under care during the prenatal period and we enhanced their resiliency of their prefrontal cortex, would that lead to a less traumatic birth experiencing and then a higher rate of bonding and breastfeeding and so forth,

Right? Yeah. It’s a cascade. It starts here in a snowball effect. And I love that quote, that it’s not that healthy people have less stress in their lives. It’s just, they’re more resilient to the stress they’re placed in. And so I think if you take that quote and you transform it into our communication with chiropractors and prenatal care, it’s just not that labor is hard. It’s not that you’re going to have these experiences. It’s that whenever you’re able to adapt to that stress and adapt to that experience and go into birth with zero expectations and a full open heart of surrender, then you’re able to mitigate the postpartum experience with a stronger, more resilient mind.

Beautiful. Oh, stronger, more resilient mind. Good drop. Boom.


Been a little bit of a, of a crazy year, so to speak. Um, how did you pivot your practice? How, what are some things do you anticipate, especially for the younger doctors coming out? Yeah. What are some pearls you can give them in ways to, to pivot, to think about their practice going forward,

What’d you call it? I spoke to the Parker student body on Friday and I addressed them. And I said, you guys, you are going to be the most resilient student body that graduates chiropractic school because you have gone through this, look at it as a huge blessing because you’re going to be able to walk out of school with a pro a set of problem solving skills that no other doctor has come out of. Um, so I think that that’s so important and encouragement for students to know that whenever they come out of school, they’re not gonna have the experience that we had. They’re going to have the experience of a major shift and how to adapt to it. And so they’re having to learn how to adapt to their classes and their labs and how to learn and get the same education through, um, pivoting, you know, so I think that that’s important and an encouragement to them to spin it, um, and take it as a blessing, as a business owner, you’re going to have to find ways to innovate and a ways to shift your practice in Texas.

They, they kind of closed chiropractic down for about a week whenever they figured out who’s essential, who’s not. And so we close for a week and then I was reading through the governor’s order and he said that people can be in parks. And so I was like, we’re going to build a park. Let’s go. And so in the front of my office, I say that me and my husband, till 2:00 AM, and we put turf outside, we built a little, um, uh, I’m looking at it right now. It’s like a huge fence. And we made a mini Magnolia and like chip and Joanna, we put chairs out there. We have bubble machines out there. We have music. And then we’re actually having a little postpartum PJ and I’m bringing my baby goats. Um, so it’s just something that if COVID would have never had it happened, we would have never had this space for mothers and community and stuff like that.

So I think that whenever you’re faced with a problem, my, we can get into a little bit more. But whenever I see a problem, like I’m going to start a business and solve it. But as chiropractors, whenever we see a problem we’re such innovators and entrepreneurs take it as an opportunity to create something amazing within your practice. And don’t clam up and be like, Oh, this was so bad because life is the lens that we look through and the mindset that we have. And so if you look at every negative as an opportunity or a challenge to step into a higher calling or to serve more people, our practice almost doubled during COVID because we were a source of hope. And I will tell you, I had a girl that I’ve been seeing for about two years and she booked an initial consult. And I was like, why did she book an initial consult?

She’s been coming here for so long. And she sat me down and she said, Courtney, if you haven’t had this practice throughout COVID, I wouldn’t have made it. Like, there’s something like, she was just like, ah, you’re the only person who touches me. You’re the only, this is the only place I feel safe. Even my church, I don’t feel like heard or seen or felt. And, and that, when I started this business, I said, if I can change one life, it’ll all be worth it. The student loans, the work, the sweat, the blood, the tears can change one life. It’s worth it. And so students, if you can change one life, think of the impact you can have and take your practice one life at a time.

Beautiful. My favorite, one of my favorite sayings, just see it at the end of all, my PowerPoints is to the world one person, but to one person, you may be the entire world. And then, and then that person feeds is up and talk about pivoting goats and bubble machines.

I’m like, what makes me happy? Bubbles and baby goats. So why would that make everybody else happy? And that’s what

I think that’s what we need to do is that’s a great take home point, especially for you newer docs

Out there, you

Have to figure I, and my old practice in California, um, I had three floods that flooded my building and I had two, not one, but two cars that plowed through my building and wiped it out. No.

And so

I learned how to plant

Yeah. On the flat. Yeah, you totally did.

The second car runs through your office. You’re like, yeah, this isn’t it.

I think God’s telling me we need to go. I was in the middle of

Actually from Idaho to California, from California, Idaho at the time. And, um, I, I just say, I must’ve brought on bad karma. You know, you can’t, you guys can’t give up. Um, and, and Dr. Corny beat seven years out, no eight years out. That’s devil, go ahead. And, and thinking like that, that’s, that’s very, that’s huge. And not only that is, you will, you’ve obviously made the Mark in your community by doing something this, this amazing. Um, and people know that you’re genuine. And, uh, I think you’ve just built a lot of staying power in your community for that.

Yeah, absolutely.

Hurdles. Any, if you are talking to a new grad and they come to you and say, court, Dr. Courtney, one of course,


Is one thing that I should not do when I get out?

I think that so many events try to be something that we’re not. And so you see friends like whenever I graduated, for example, I saw friends taking out 200,000 more in student loans or in business loans to open a shiny, bright practice with a lot of allure. And for me, I knew that that wasn’t who I was. And I think that whenever you start, and I did a lot of personal work in school, I sat at the feet of my mentor and we studied the green books and we, like, we got into the philosophy and we did the personal clearing work. So it’s able to be clear of what I, who I was. And so whenever I graduated, I knew that that’s not what I wanted, but man, did I want that shiny new office? Did I not want to start in the basement of this building?

Yeah, I did, but I listened to my heart and I listened to my intuition. And so many of us can just get a Lord by the world and we forget our purpose. And so stay true to who you are and your purpose and your calling. If that’s a five by 10 by 10 room with a table in your hands, in your heart, do it. If it’s a $2 million clinic with 10 providers do it, like God puts a calling in our heart for a reason. But like whenever you get that calling, you automatically have the way and the Avenue. So trust that tune in to that. Don’t try to be somebody that you’re not, and don’t take yourself too serious.

That’s beautiful. Um, and I think that’s the thing is don’t, don’t design your office about what you see on Facebook, please. Don’t please, please. Don’t. Well, I want to thank you so much. I cannot wait for October to loom and keep doing the amazing work and keep firing those newer, uh, chiropractors out there. Cause they need to see those great role models, um, and that we can pivot pivot don’t panic and, um, goats and bubbles. Hell yeah. So much for joining me, taking time out of your practice today and thank you for the most secure. You’re amazing for always backing us up and giving us this platform. And next month, April is autism awareness month. So I’m gonna, I’m gonna, um, just be dropping in and, uh, talking about some things we should be thinking about in the world of chiropractic and autism and, and, uh, how we fit into that world and, uh, how we can pivot our practices. And don’t forget Dr. Erik Kowalki on the first Thursday of the month, and he’s got some pro bombs for you as well. So we’ll see you next month until then you guys keep saving lives, change the world and let’s help us turn that tide. Thanks Dr. Court. You’re welcome. Bye.


Empowering Women in Chiropractic – Building a Milestone Family and Pediatric Practice – Dr. 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.


Thursday. Um, third Thursday in February. I am your host today for the amazing look to the children’s show, um, by a ChiroSecure. So I’m Dr. Monika Buerger, and we’re going to have a little fun today. What I want to do is first of all, I want to thank our secure for always giving us an amazing experience, um, and always having the backs of chiropractors, um, around this amazing country. So thank you ChiroSecure for giving this opportunity to share our story and our information on, um, these little fiddle farts for this show. So today I want to kind of go over how to help you build a milestone, awesome family and pediatric practice. And what I mean by that is really how to foster building generations of, um, family members into your practice and what, what are some simple things we can do from the get-go when you first evaluate that little baby in your office?

A lot of questions I get is okay. I’ve educated my patients on the power and, um, of chiropractic the amazing power chiropractic has they, I see them through their pregnancy. They bring that little fiddle fart into me when they’re first born, um, for their initial well-check. And then how do I educate them? How do I, um, get them to understand that the importance of monitoring that little fiddle fart on a wellness type basis? So let’s cover some of that and then maybe let me give you some, um, other milestone tips as we go. So, first of all, I had to add this to my slides today. Um, so this is what happens when you work with little fiddle parts in your practice. A lot of my practice is dealing with those that have neural developmental challenges and neural developmental delays. Um, so they come initially start care.

They’re non-verbal, they don’t engage in social skills. They don’t have interest in coloring, drawing, things like that. So this happened yesterday in my office, this is a little fiddle fart I’ve been working with, uh, that was at that lower level of function. And now his gained interest in coloring and drawing, which is huge, which actually ties into our topic today of milestones. Um, so he wanted to draw a picture of me. And so this is a picture of me. And the first thing that everybody says is, what do you think? They nailed my hair. He nailed what my hair looks like. So yes, I looked like a peacocks on the times, but, um, this is the fun you can have in your practice when these little ones start coming. Um, and you get to experience these things. So yes, this is a picture of me.

And so I had to take a picture of his picture, which I will keep in my memory bank forever, probably. So again, this is some fun you could have. I just wanted to share that because the hair is definitely spot on. So let’s look at some, I just want to go through four typical milestone patterns that we want to, um, be mindful of. So what’s happening is, um, some really great, amazing things in the chiropractic profession is that a lot of people are looking to chiropractors as their family care, um, physician as their portal of entry. So a lot of families are bringing their little fiddle parts to us, and that’s an endearing term that I use, um, has as their wellness provider, as their main provider with that though comes the responsibility of knowing, um, if that child is progressing on track or if maybe there are maybe some developmental concerns that we want to be mindful of.

So milestones are, um, some things we should be, we should know. And I want to remind you that the milestones you have fine and gross motor skill milestones, as well as social engagement and language milestones. So it’s not just gross motor milestones that we should be mindful of, but that’s what we’re going to kind of hammer today. And I’m just going to go through four key ones. There’s more than that. Um, so one of the ways that I used to explain to my parents when they first bring little baby baby’s born, they bring them to you. They want you to check them after the birthing process. Awesome. Okay. But how do we foster care from there? And how do we explain the importance of that? Well, this is one of the things that I use and I put Elizabeth right there. She’s sitting up for me.

So what I, what I do is I use this marionette puppet kind of graphic or image for them when we have, so the first part of this little show today, what I want to do is to give you some tips of how to communicate with parents. And then we’ll double back and talk about some things that we should know as practitioners. Okay. So what I’ll do with parents is I’ll bring my spine in and I’ll show, you know, that like a marionette puppet, if we have subtle, um, what we call misalignments or subluxations of the spine, where the spine is suddenly a skew, a vertebra, too. What it does is it pulls this abnormal tension, like a marionette puppet on the muscles attendance. And so you might have one side that’s tighter than the other, but what can happen is, as I say, mom or dad, have you ever like had a sore muscle or you, you know, you pulled your muscle and you, when you move a certain way, it’s like, ah, that’s kind of tender that hurts.

So you avoid moving in that pattern, that direction, um, or it just prohibits you from moving that way at all. Well, you’re a little one can have the same type of thing going on. If they have these subtle misalignments in the spine, it may put tension in places where they either cannot get into these positions or they’re uncomfortable. And so they’re going to avoid getting these positions. So what’s the big deal. The thing is these movement positions, what we call movement milestones are significant for actually building exercising areas of their brain. So communication between the body and the brain and the brain to the body. And this is so critical for laying the foundation of neurodevelopment for you, a little one, and these foundations are going to be needed for later on learning attention and behavior. Now, initially I don’t get too much into the neurology behind all this because I don’t want to overwhelm them.

I just want to give them some basics. So we use this marionette puppet. You know, if you’re pulling on one string, you’re pulling on one area, but the other side of the body might not. Um, it had more, it might have more Slack and this becomes an imbalance of the body in balance of the body equals imbalance of the brain. So, so what I will do is I’m going to go to this side right here. So then what I will show them is so every time I move my neck or head or arm on my left side, I am building up and exercising the right side of my brain. And when I move my right side, I’m in exercising the left side of my brain or building that up. So optimally, we want to build a balanced brain, then body and a whole brain functioning so that when the demands that your little one’s going to need, particularly around first or second grade, we start to see more demands needed at school and so forth that now little can, we can operate from a whole balanced brain and body level.

So what I want to look for is I’m checking a look Henley right now, and I’m noticing some stress patterns and strains and what we call subluxations and from the, this could be from being scrunched in utero or from the birthing process, but we’re gonna work to de-stress her body right now, so that as she develops, she can go through these movement patterns. But what I want to do is I set up a whole, um, over, especially the first two years of life. These different movement patterns are very significant because they are going to work different parts of our brain. So what I do is I like to, um, watch them over the years of their development, especially those first two years and check them on a regular basis to make sure that they’re meeting these, what we call motor milestones, that their body can, is comfortable enough and can move in these positions in order for them to carry out these movement patterns that are creating brain development.

So, first one we look at is at rolling. Okay. So I’m very given very simple explanation of why we want to now not just check Kinley right now after the birthing process and make sure we clear out any restrictions or subluxations, but how we want to make sure that as we go month by month by month, so you might create a wellness plan and that may look like twice a month for your office or once a month, depending on your wellness plans. But the reason why we want to create this milestone wellness practice is because you are going to watch for these milestones to come into play again. If they, if they, um, have subluxation patterns and that restricts them from getting there, then we catch them right away. Then I look for any, you know, potentially concerns that she’s not being able to engage in these movement milestones.

And we get, we address them in a preventative mode. So we basically prevent the train from derailing and going off the tracks. Okay. And you set the stage right there. So with that said, we want to look at, and again, we’re just going to go over for today, rolling as one of them between about, about the agent with milestones, with movement, milestone patterns you need to give or take a month or so on. Either side, these aren’t really hard concrete. The other thing to be mindful of is a lot of parents these days, they think faster is better, right? Why aren’t they walking by 10 months? That’s a big question I’ve been getting lately. They’re 10 months old and they’re not walking yet. It’s okay. They shouldn’t be really, really, if we look at decades ago, it around 18 months, if they weren’t walking by 18 months is where the concern became a, it became a concern.

So 10 minutes, we shouldn’t even be there yet. So we need to also explain that to the parents faster is not better. So I want to make sure that Kenley is free of subluxation patterns so that she can also do these movement patterns appropriately because there is a definitely a proper way. We want these movement patterns to roll out, to play out. So Rollings one of them by three months of age, we want them to start to roll from the pelvis app as a corkscrew pattern through, through the trunk, not as a log roll pattern. One of the things that we should understand as primary portal entry docks is that movement patterns, a proper movement patterns are associated with, um, things like neurodevelopment delays and particularly autism and the th the type of movement pattern. So we want to be able to pick up, are they doing these movement patterns and are they doing them properly?

And there’s a paper by an author called title bomb. And he looked at some of these movement patterns. And how later on that child may have been labeled with autism. Now, we don’t want to put that. We don’t want to start there with parents. What we want to do is we want to explain to them that we’re looking and we’re going to create a family wellness protocol for little Kinley so that we can make sure she hits those motor milestones properly. So back to rolling three months of age through the pelvis, through the trunk and around now, let’s think about this from a clinical perspective. If we have lumbar and pelvic subluxations that are restricting movement, another big one are going to be so as muscles, these are areas we really want to keep, um, healthy and subluxation free in order for that little fiddle part to be able to get in that movement pattern.

The other thing I want you to take into consideration with rolling, um, is the speed annoyed is, uh, mimics the pelvis. So don’t just get honed in on the pelvis. Look at the entire spine. Look at dural tension, look at the Spinoza. So three, three to four munches rolling from the pelvis forward through the trunk and a corkscrew pattern about six months, six months, ish, you’re going to, they’re going to go from the shoulders and that’s going to initiate the role and through the pelvis and around. Okay. So again, it’s not just being able to hit that motor stone. It’s the quality of it. Okay. So that’s about, so that’s your three to six month window that I want to look at as a key milestone, then they will get some core trunk stability gain that by tummy time and by rolling, and then they should be able to sit independently starting about six months of age.

Okay. Six to eight months of age. Um, so they should be sitting independently and have that core control. Then they go from that into an all fours pattern. Okay. So they’ll start sitting core control, and then they’ll start that eight months or so they’ll kind of do this lateral shift, putting one arm out, um, and, and being able to brace themselves. And then they go from that and to all fours, that’s going to be about nine to 11 months being on all fours. So again, you’re setting up a wellness paradigm practice protocol in your office, like, okay, we definitely want to make sure that we check little Kinley after the birthing process. And then we want to make sure she’s able to get an extension and tummy time. And then, Oh, definitely. You know, by three months or so, we want to see if she started to even be interested in rolling, and then we’re going to make sure that rolling patterns appropriate from that three to six month window.

And then about six months, we want to make sure we’re seeing her baby will sit appropriately and then getting to the next stage on all fours that gets into play about nine to 11 months, they’d get on all fours. They rock back and forth. We refer to this as the pre crawling reflex. It’s, it’s really integrating what we call the sematic tonic, neck reflex S TNR. So we should see this between nine to 11 months, that needs to happen. It should happen before they get on all fours and start their cross crawl pattern. So again, these are, these are stages that we’d like to look at and we’d like them to be appropriate. And we like to see the little fiddle farts, at least on a monthly basis in order to make sure that they’re subluxation free and can meet these motor milestones in a proper fashion.

Of course, if they’re subluxated, if they have tension like this marionette, they may not be able to get into these proper movement patterns. Couple of key things I want you to think about is other than subluxations, I want you to really think of dural tube, tension, dural tube tension can really, um, play havoc with a couple of these key reflexes here. When baby’s rolling, that’s going to integrate the spinal Galot reflex, which is a key reflex for later learning attention behavior as is this STNR reflex. So dural tension can keep us from getting in those optimum positions, tethered oral tissue or tongue ties, uh, tongue lip bugle ties can restrict movement. Cause it’s a fascia restriction was like Woody here. Our marionette puppet pulling tension from cranium all the way down. Of course, subluxations are going to be there. And we have some trouble with may have some trouble with low tone kids.

So those are some hot button things I want you to think about as to why they can’t get into these positions. So use the marionette puppet as an example, and these tensions muscle and ligament tensions that because of the spine is subluxated putting abnormal tension in balanced tension from right to left imbalanced body is imbalanced brain in balanced brain, imbalanced body from side to side, they can’t carry out these motor milestones as chiropractors. We want to clear restrictions, clear the blocks so that they can get into these positions. And we want to do that by watching them on a regular wellness maintenance basis. This graphic is huge for you to use, um, with regard to showing how, when they move different body parts, it’s actually building brain, okay. Building areas of the brain. A couple of things. Again, you can, if they’re having trouble getting into this corkscrew really position again, especially the lumbar and pelvic spine, don’t forget this be annoyed.

Cause it mimics the pelvis. There’s a little trick you could do. You get them. Um, you can see where I’m putting one hand, basically the top leg is bent and you just gently pull that top like over. I’ll do it so you can see it. So top leg like this, okay. We want them to be able to roll in both directions. Cause ruling in both directions left side, right side of my body left side, right side of my brain getting exercised. So I gently put my hip, uh, my hand on one of, um, one of the, um, ileum that top leg is bent and I’m pulling, I’m just tagging a little bit on that bottom leg to get a little tension and you just hold them there until they will start to roll over one of the things we don’t want to see for the log roll.

Okay. Just a law roll. And then they fly over. We want that corkscrew role to show up. So that’s a little exercise we can give. Um, we can give to parents to do and roll them in both direction. Have the parents do in both directions? This, if they have trouble with dynamic sitting, if they’re getting some low tone or not getting in that position, I want to show you just a quick little video. Okay. So we want to also work on dynamic balance. All right. Um, and this is for any kiddo, but particularly the kiddos that are having trouble learning to their core, to sit on their own. Again, between six and eight months, they should be sitting independently and be okay with that. So we can do a few different things. One is you can start them again, lower on the lap. And again, the more core you support, the more stabilization they have, then you can work to not supporting them and then work their way up the ladder.

So to speak on the knees, again, more stabilization for the core, with the hands last without then you start walking a little bit. Okay. This is again, when we’re looking at those postural reflexes like ocular head writing, the lab and thing had writing, right? Correct. That’s where they tilt the side and the head should correct the Ryzen. So we’ve got to start fostering that because those postural reflexes need to take over those primitive reflexes. So you create a dynamic situation and by rocking and they have to stabilize more on a physio ball, um, do the sun of physio ball and how you support their core when they get to a good point and they can stabilize their own. Maybe you do. You stabilize the Physioball by rocking the physio ball and see how much they can control themselves. So again, we’re working our way up to dynamic sitting positions, um, and destabilizing positions.

So these are some things we can, we can just show parents at home. Again, we’re being active in fostering this optimal development by creating a wellness program for these little fiddle parts of our practice. This is particularly important. If you have family members that have had a little one who already is in a, in a neural delay, delayed situation or on the spectrum. Again, we know that, um, those on the spectrum, um, have been shown to have poor, um, motor we’re. They’re looking at that actually as the indicator in early indicator of a possible label of autism. So parents are concerned if they’ve already had one child that’s delayed now have another baby, you are going to monitor them on a regular basis. And this is going to help you foster, um, creating a brain based wellness program in your offices to where you’re really going to not need to do a lot as far as always getting new patients in because you’re seeing these families for years to come generation after generation.

Um, so those are some things I want to share with you. Um, I didn’t put in here, I met you, sorry. If they have trouble getting on all fours, um, and rocking, you can trap them between, between your legs, okay. Trap them your legs and hold them up a little bit. And that just gives them again, more core control to get on all fours, um, or just have parents hold them and stabilize their pelvis, um, and get them on a floor and then gently rocking back and forth. Uh, so hopefully you can see that, um, the, um, so again, trap, uh, have them on their all fours stabilize their pelvis. Okay. Or like I had them here instead of between my knees here, I’ll have my legs flat. Baby is between my legs to get my legs kind of squeezing them a little bit, to give them some support, to get into that all forced position.

And then by nine to 11 months, that’s when you want them there and gently rocking to help integrate the STNR B flex. This is a ha the other thing that has been really great is those that I mentor, we made, I made a, what I call a quick screen milestone, and here’s your going to gross motor fine motor social and language. Um, just quick screens as you are in the room with these little fiddle farts, I had them for, um, all ages, year one, two, three, four, and five. They’re all separate ones to use as a screening tool. So you have that there in front of you. Okay. Little fiddle part’s coming in. They’re two to three months old. These are some things I want to kind of check real quick to see if they’re hitting those milestones. But the other thing that has been fabulous is using a handout like this, to give to parents and say, okay, mom, dad, what we’re going to do is I have this in Kelly’s file.

Oh, look, she’s doing great. She’s hitting all these milestones now, next month, when she comes in, we’re going to look to make sure that she’s hitting this, this and that in the proper fashion. If she’s not, obviously we’re going to check for subluxations and anything, other red flags that might come up and we’re going to conquer it before it becomes an issue. And I give the parents this handout and they love it because they’re like, they’re engaged in their child’s care and their child’s progress. Um, and we’re on the same page and they can look and then they can say, Oh, she, she did hit this. Or like, Hey doc, I don’t think, you know, she’s getting there, you know, and that may be an indicator for you to say, you know what, we’re going to need to up care for a little bit, maybe for the next month we’re going to up care.

Uh, you know, I want to see her weekly or twice a week for a few weeks until we clear these subluxation patterns. We see these milestones coming on board, and then we can back off again. So you’re being active, they’re being active and it’s really kind of, um, it’s, it’s really keeping them on track to keep their appointments as well. So, um, so we see that, you know, this is ages one through six in this particular hand, it goes up to the first year, and this has been extremely helpful for parents to stay engaged. And, um, they they’re really excited to, to be engaged with you in the of their child. So what I did was I, I got so much great feedback on that handout and it’s become a way for doctors to really foster this wellness, um, milestone family practice, um, and to kind of pivot that message from a pain brace to a brain-based wellness paradigm.

So if you want that handout, I will send it to you actually. Um, as part of my, thank you for listening to me and as my thank you for Kira secure for always supporting us. So just text this number. If you text this number, um, you can, uh, we’ll, we’ll put you in part of our community outreach programs and, um, send you that free handout to give to your practice members as well. So again, I want to thank all of you for being a part of this amazing profession and looking out, um, looking out for the little photo farts you don’t actually have. You can text the word, Whoa. Um, when you text this message, you can text the word wo or text any message you want. You can even text how much you like my hair. Maybe there’s a theme going on here because that initial picture, and now we have this monkey and maybe it’s a hair thing.

So you can text me any, any word you want. But if you text that number, I will know that you want that handout and we will get it to you. We’ll be happy to get it to you again. Hopefully this helps you build a milestone family wellness practice for generations to come. Um, and we move those kiddos forward in the healthiest fashion we can. So, um, until next month, I wish you all an amazing month of changing lives. Changing the future. Again, ChiroSecure, thank you for helping us share our message and get this word out to everybody else. And, um, Erik Kowalke will be with you the first Thursday of next month, and I’ll be back the third Thursday of next month. What a, hopefully a surprise guest. We’ll see you then


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Empowering Women in Chiropractic – Managing Moro Across all Ages & Stages – Monika Buerger

Click here to download the transcript.

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.

Hello, happy Thursday. This is the third Thursday of January. Welcome to the amazing ChiroSecure, uh, platform. Big use of ChiroSecure again for giving us this opportunity to bring you, um, the Look to the Children’s show. So under house, Dr. Monika Buerger, hopefully you’re all doing fantastic. This, um, great, uh, third Thursday of January, 2121. So today I want to hang out a little bit. I’m getting a lot of questions and emails and blasts on social media and et cetera about what can we do for our little fiddle farts that are so stressed out these days. We are, um, we are in a time where not only the kiddos are stressed out with the adults are stressed out. So today I want to talk about how some things that we might see manifesting in our patient population group. And one of those is primitive reflexes.

So we throw this term around a lot, but one thing to keep in mind is this isn’t just for our little ones. This is really across all ages and all stages. And what I mean is, um, we’re going to see this happening in our adult population as well. And why is that so important? Why do you want to talk about that with on a peat based to show because our kiddos are going to feed off of their parents and the adults they’re around. So we have, um, adult stress ramped up anxiety, um, this unsettling, um, future that we’re trying to look at. So the kiddos are going to pick up on that and that’s especially true with during the prenatal period. So those pregnant mom was out there right now that are high stress. The, the, the, the, uh, the child will actually inherit mom’s stress patterns, mom’s stress resolve moms, um, the way she’s going to respond to her environmental stressors.

So I wanted to pick Moro reflex for, uh, this topic. Uh, the Moro I say is kind of the, uh, head honcho of the reflexes or the head honcho of actually of the sensory motor systems. And what I mean by this are primitive reflexes. Each primitive reflex kind of represents the maturation has part to do with the maturation, um, of our sensory motor systems and how we respond to sensory different sensory cues, sensory feelings, and the Morrow really represents maturation of all of our sensory systems. So the, the ability to respond in a good neuro, uh, integrity to all of our sensory environment, vestibular visual, tactile auditory, that moral reflex kind of runs the roost. So it’s a big kahuna. So when we’re in times of stress, when our resiliency goes down, those primitive reflexes can emerge. So a person, a child, a, the Mar reflects in particular integrates it should no longer be active.

So to speak after the age of about four months. However, if our overall, um, neuro adapted to their ability to handle stress is compromised because of infectious of traumas, whatever those re those reflexes, even if they were integrated, can reemerge. And this can be true with our adult population as well. It’s particularly true after, um, concussion, head trauma, et cetera. So, first lesson first take home. Pearl is we can use this information to assess all of our patients across all pages. And especially if you’re working a family practice paradigm, because if mom or dad are ramped up and stressed out, those kiddos are going to follow, um, and all stages of neural integrity. And what I mean by that is I’m going to show you different ways to assess the Moro reflex. Many of you are, um, first on the trust fall way, but I’m going to show you a couple of different ways, and I’m going to talk about different ways to integrate it depending on a person’s neuro functional capacity.

So let’s dive in and let’s have some fun. All right. So again, the more we flex sometimes has been in the past is referred to as the startle reflex, some will, um, there’s, there’s some controversy on that, um, on using it as the, the term, the startle reflex, it is a, it, the precursor to the Mar reflex, um, is called a fear paralysis reflex, and that develops in utero, and it should be integrated in uterus. We shouldn’t be born with it, but those two kind of go tandem together. And we work with them in the same manner, but again, the more reflects should disappear or integrate it at about four months of age. Um, if you see a little fiddle fart that six, eight, nine months a year old at a still very, um, start very easy, one telltale sign is when you try to go lay them down, they might be asleep and calm in the arms, but you’d go to lay them down.

And that head drops a little bit and they, they wake up and they start all, and then they’re inconsolable after that, they won’t go back to sleep. Um, they’re crying. They’re very much, um, dysregulated and disturbed. Okay. So that’s a telltale sign that that’s, that moral may be still too active. Um, if retained, this is very important. The moral tends to drive us in a more sympathetic dominant state, all the primitive reflex as well, right? Because they’re going to drive us back to that. The brainstem, that primitive part of the brain, these are brainstem reflexes. They don’t have cognitive control. It’s a reflux that makes me want to always break out into that song by the clash we flex. I won’t sing on this. So those would be that know me like the dummy in person I like to sing, but it doesn’t work out well, usually.

So anyway, um, so we, we shift, but the Morrow in particular leaves us in this fight or flight pattern. The Morrow is known as the first breath of life in the child. It’s responsible for that first breath of life in the child. When they’re born. I have seen clinically that, um, those little ones that are born, particularly with the cord around their neck or that, um, needed resuscitation afterward, or need oxygen or anything like that, having to deal with breathing that that Morrow tends to linger longer and tends to be more active throughout life. So just keep that in mind, if you’re looking at a history, um, areas that we want to look at from a spinal standpoint is looking at, um, uh, up regulate the parasympathetic nervous system. Since it will lead us into the sympathetic fight or flight shift, um, the respiratory diaphragm working the diaphragm, the rib cage can be huge because little, any individual that has this actively retained a Mar reflex might be breath holding a lot.

Um, they might not be expanding their red page. Um, well, and so we get some, uh, lack of oxygen, good oxygen flow concerns. This, um, also is very much tied with adrenal activity. When the adrenals tank out our immune system can be compromised. Um, we see things like allergies, eczema, asthma, um, and poor immune integrity associated with an active Mar reflex. So keep that in mind. Um, this can also really drive us into that limit, what I call limbic lock and load mode, and, uh, being held hostage by our amygdala, our fearmonger. So we can see anxieties and depressions and so forth associated with this constant Moro reflex, um, and very much, um, high, uh, muscle spasms, muscle spasticity, um, especially at the posterior muscles, the extensor muscles can be hypertonic and stress all the time, the posterior calf muscles. So these individuals, you might have them doing stretching routines as stretching routines, and you’re like, why can’t I get these muscles to relax?

They’re constantly stuck in that cortisol state because that morals fired up too much. So, um, Moro things like Annette, being able to unfold to not focus at one thing at a time, kind of that squirrel mode, okay. Poor impulse control, poor emotional maturity, um, easily distracted and that the poor impulse control and emotional maturity that comes because that prefrontal cortex is usually flipped off when we’re stuck in with these primitive reflexes. Um, so we’re stuck in that primitive part of our brain. So our executive functioning skills are not as great, um, aggressive, hypersensitive, anxious, startles, easy, a big one is having trouble paying visual attention to the center. They tend to pay attention to the periphery there everything’s distractive. So if we take this into the context of trying to sit and study or listen to in class, or as an adult, listen in a large lecture hall, we might be deferring our visual attention to the periphery all the time.

And, and so again, that squirrel attention. So we’re missing a lot of that information coming in. Um, they might crave sugar or caffeine, those stimulants to keep their adrenals driving because they’re, you know, burning out so much with their adrenals, um, things that, um, poor balance and coordination stamina we’ve talked, you know, brief some of this here already, um, blood sugar levels, blood sugar levels could be a big one because they’re constantly that sympathetic dominant shift. And, um, the adrenals are dysregulated, so they can, big times a blood sugar drops are between 10 30 and 1130 in the morning and three and four in the afternoon. So essentially after breakfast and lunch. So watch these individuals again, not just your kiddos, but your adults as well. Do we need to help supplement them with more blood sugar stabilizing snacks? Okay. Um, good proteins, good fats, et cetera.

They may be hypersensitive to light touch, sound, smell, or our sensory system, um, very troubled with adaptability. They want to make sure that they know what’s coming. They want to be the predictable situ in predictable situations. So, because they want to, they don’t change it. Routines is not a great thing because they want to know what’s going to feel like in the situation that they’re going to be presented in. So if they’re familiar, they know they’re going to be walking into their classroom and what that feels like, what it smells like, how loud it is and everything. But we switched that up and them and say open today, you’re going to go to Mrs. Jones class. Instead, they might come become unhinged because they’re always on guard and they don’t know what they’re going to feel like in Mrs. Jones is class. What’s going to fill out like to their brain.

Okay. Um, they can have trouble with hyperactive activity and fatigue. Um, because again, they’re being so drained. Tell me time is going to be a big, big milestone that we need. We need to look at with, um, helping to foster integration of the moral reflex tummy time. And then at about three months of age or so when they roll onto their side and they kind of kind of come together to midline, moral reflex is a core, it’s a core base centering reflex. Um, those of you that if you work on any energy or shock residents, a lot at solar Alexis area. Okay. So let’s go into some ways that we can evaluate the integrity of the Mar reflex. So let’s remember, I always say when I’m teaching, the more a reflex mimics an infantile response, that’s the it, the more active it is in that individual.

So in the, in the infant, we know that, um, they are going to inhale and everything extends. And then the exhale, like a, like a sigh of relief, the exhale, and come in into a flex position. So the Mo when you’re doing these testing patterns is T evaluations. You look for how much do they mimic that infant towel reflux? Okay. So it’s a good idea to get your hands on some little fiddle, farts, some newborns, and test that Mar reflex, you’re holding them. And basically you can drop them and you should see that inhale and then exhale. And they settle and come to come to inflection. The Murray flex was, has, um, been much associate with the vestibular system because of that change. It had movement. However, they’ve done some studies where they, um, basic what has basically shown that it’s very much associated with vestibular and proprioception, especially of the upper cervical spine.

Okay. So it’s an extension based stimulation that we’re looking for, that if it’s still active, we’re going to talk. We’re going to look at a few different ways to, uh, to look at this. One of them is actually in a supine position. You might not get these little fiddle farts that are, um, that have such an active Morrow to want to do the trust, fall maneuver, where they’re standing with feet together. I think I put a little video in here or a picture of that. Um, but that while they’re standing be preferably feet together, good posture. Cause we want to load up the system, especially at proprioception arms would be flexed elbow, slightly up the side, their head extended, and you ask them to fall back and you look, if they can, they do it with ease, do they hesitate? Um, do they, do they do this?

And then come back in. So the more amendments that mimics that infantile response, the more active it is in that individual that you’re evaluate. But I want you also to look at things like, do they flush? Do they have a sympathetic response? Do they get red? Do they get sweaty? Sometimes what I’ll do? Let’s say I’m doing the trust fall on a eight or 10 year old or an adult. Um, just make sure you can. You’re strong enough to match their body size. If you’re going to do the trust fall one. Okay. You can handle them if they, that dead weight comes back at you. Um, but my little fiddle parts I might say did that. And they, I see no action of their arms, no reaction. They just fall straight back. Okay. I will touch their PA. I’ll say, let me feel your hands. I want to feel that, are they breaking out into a sweat? Am I, am I picking up any sympathetic response? And I’ll also ask them, did that, um, how did that make you feel? Did that give you butterflies in your belly?

And some of them say, no, that was fun. Some might say you little, you know, and I’ll say little butterflies, medium, or a lotta meaning. Did that feel? Give them a feeling of being anxious. Okay. So you want to dig a little bit, um, you want to look for the overt signs, but you also want to did, like, is it maybe hanging out a little bit? Another thing you can do is you can walk into a room and you can either come from behind. If, if you feel it’s appropriate, if you know this person or, you know, they’re old enough, you think they can handle it, et cetera. And you can see if you can start a limb boot, um, or you can see, um, when you, some people say is, um, when you run up to somebody and meet them face to face, and if they’re equally to embrace you or they’re like freaking out, okay.

So those are some, some other subtle signs you might look for that is this moral hanging out a little bit, the older person or adult you might ask, how do you do somebody scares you? Or if you are, um, walking in front of the cards and we slammed slams or horn, do you like startle? And it’s hard for you to settle afterwards when Morrow integrates, it’s taken over by what this, what we call the stress reflex, where if I’m sitting here at a cafe, having a nice glass of wine with somebody in relaxing and conversing, and all of a sudden, I hear a loud crash behind me. I should appropriately take a breath in my shoulders. Go up. I turn, I look, I’m available, able to evaluate that I am safe. I’m okay. And I can come back and I can pretty quickly relax and calm down again with the adult, with the oldest child, do they startled?

And they have a hard time coming down and, and, um, self-regulating afterward. So those are some other things we want to look at if looking for an active Mark. So another way to test, we can do that the trust fall, but you can also have the person, the little fiddle part’s supine have, you know, a rolled up. You’re going to see on here, the rule that pillow under her shoulders. So you want the head about four or five inches off the table or the floor, depending where you’re at, put your hands underneath them. Their arms should be out to the side elbow, slightly bent with palms down legs extended and be fairly relaxed. And what you tell them is first of all, do it with the eyes open. Um, when I, as soon as I dropped your head, as soon as I let your head fall, I want you to cross your arms across your chest. First of all, make sure they can do this. Make sure they can, they know, understand the directions and they know how to do this. They can use both arms in a coordinated fashion

To do this. So

You simply hold their head. And at a given point, just drop it down and you see how fast they can react. Do they initially splay out like tomorrow and then come to midline appropriately? Do they hold their breath? Do they grimace? Do they flush? Are they sweaty? How active does that? Their motor pad, their response mimic an active model reflux. So this is another way we can do it. And then there’s also what we call the duck and pigeon walk. So what I’ll do is if I am not sure, or I see a very slight then thinking that’s kind of the slight active model, but I’m not sure I’ll put them in a duck and pigeon walk. And oftentimes you’ll pick it up here. And what that is is you have them stand. You have their elbows bent at a 90, 90 degree. As you see here, her thumbs are pointing inward and then her feet are pointing


And you have them walk about 10 feet forward and 10 feet back up several times. And you see if they can keep that posture. The thing you’ll know is that they’re there, their thumbs or hands want to come out of that position. And, um, and then the pigeon walk, his feet are turned in toe to toe and thumbs are turned out and can again, can they keep that posture as they walk forward and backward? And so this sometimes will bring out that, um, that moral, that you’re not sure if it’s linear in there or not. So I do this on my older kiddos and my adults, if I’m not seeing, if I’m, if I do the trust fall, um, and or the supine, and nothing’s really sh I’m not sure. I’ll see if I can bring it out this way. So those are three ways we can evaluate the moral along with the things that we talked about, of, of, uh, history, questions, and presentation that might be indicating, um, an active Morrow.

And then look again at your history. Are they complaining of anxiety? Are they complaining of inattention, um, sleep issues, blood sugar dysregulation, look at those as well. So tie those into the picture. So how are some ways? So this is a pretty, um, standard exercise to help integrate Morrow. But again, we want to bring this across all ages and all stages. Not everybody can do this, right? So I’m going to hold your breath. Don’t hold your breath because it’s part of Morrow. Um, I’m going to show you some ways we can modify things to help those, those individuals, depending on their age and their functional integrity, how we can modify this. So I have this little one in, in a chair. You can do this either supine, or you can do it in a chair depending on their capability. And we, I call this the Venus fly trap.

It’s like that plant, right? That you drop something into and it eats it up. So I call it the Venus fly trap. I think some people call it the star flower. Okay. So you’re gonna see it called different things, but this little one’s in a chair everything’s extended. Okay. Palms facing outward. And then the first thing is they cross one leg. They cross the same arm on that side, and then they roll up. Now what I tell, because you also want that head to come into flexing and what their whole body to come in into flection. Okay. So what I tell them, as I tell them, um, cause you want the pump when they’re doing this, you want the Palm space in their face. So I tell them that pretend your hands are like butterflies. And that they’re always facing the butterflies are, are, are facing you.

Okay? And they’re flying right here because I want those palms open. And as a side note, sometimes you’ll see individuals that have an active, retained Morrow. They they’re fisted they’re there. They don’t relax their fists open. So palms open facing you. All right. Um, and then as they they’re going to cross and they’re going to roll and they’re going to kind of take the butterfly wing to their nose and then the unroll uncross. Okay. Um, and the reason I liked that I like having their eyes on their hands as well, because you’re now you’re getting some hand eye coordination built into this. Um, so it’s, it’s kind of killing multiple birds with multiple stones. So you have them do one side first and then unroll and uncross. And then the other side crosses over and they roll up. Now again, I start them out with these basic movements because that’s all they may be able to do.

And then I can add breathing with it. So as they extend the inhale as a flex, the exhale, and it’s great to do like a five count breath with that. So as a extend five count, inhale as a flex five-pack five count by point. Exhale. Okay. How many do you do on each side? It depends on the, on the person. Do they cook out? Do they get kooky brain after three? You don’t want to push the goat. So to speak on these because you don’t want to drive them into a sympathetic state where they don’t like doing these, especially with their kiddos, their excuse will be, Oh, this is dumb. This is stupid. This is too easy. When actually it’s really hard on our brain. So, um, you might be able to get three on each side for the first week and then they can do five and then they can do 10. You need to step them up as tolerable. Okay. Because who wants to feel cookie? Now I want to show you over. This will play okay. On the child that can’t do this. How can we start laying the foundation to help them do this?

Can you do this? Maybe your right leg comes over to your left. Okay. And then do you remember your right hand? CO’s over on top, but your left. Okay. And can you roll up into a ball or you can do a roll, everything up and the head comes up too. There we go. Awesome. Okay. Unroll and unfold unfold. And now the left side comes on. Talk. Is it like paper? Kind of, can you put the website on the top? The left hand on top. Okay. Remember it’s like, butterflies are looking at you. It’s like your hands are butterflies because you want always the palms to be facing the face. Okay. Okay. So that gives you just again, how do we modify these things? Right? How do we make it applicable? The other thing I call it’s called clamps again, Morrow is a centering. It’s a core reflex.

So I use, um, hold on. If you’re out there. Okay. I’m going to show you actually with little babies to how to do this. Okay. We’re going to modify it for the little, little, little, little ones. Okay. But clams are, um, I use either, you’re going to see two different versions here. You’re going to see me using a deflated plated physio ball. And you’re going to see me using a beanbag chair B back because we want to mimic, we want to get an action that they can carry out that gets them into that center. All right. So this is kind of fun. The boys, especially like it. Um, so I’m going to show you. Okay. Ready, buddy. Okay. Everything comes up and squeezes it. Here we go.

Beautiful. Beautiful. Ready to go again? I think I have it ready. Okay. So you want their arms and their legs to kind of come up, see how the end phases here has legs. There’s those bits spread apart. You want them that kind of squeezing that whole, the upper and lower extremities. And then you’ll see this guy. Awesome job three, because especially this, the second one that I showed you, that little guy would, can not figure out right. Left more reflex. It’s going to be, uh, uh, uh, right left body, right. Left brain, upper lower body, upper lower brain brainstem to frontal lobe. Okay. So they can’t figure a lot of this. These kids can’t figure this stuff out, so we’re helping them and we’re playing a game at the same time and they love it. Um, so how do we modify this with the baby? Okay.

Okay. So with the infant, with a positive Mara, we can do the same type of things that we did with the older child. We’ll just modify it. So we saw that video clip where we had the little toddler and we had mom had him sitting in at her lap and we put the ball and we call it the clam. So what we can do with the little ones is get the small step in and we’ll okay. We have our quality

And we just use that boom. And we just modify ends up squeeze. Okay. And then maybe get her attention and then, and roll up and squeeze. Okay. So we’ll do that three to five times, and then we can do a model

Venus flytrap as well, where just like you saw in the video with the older child where we’ll just

Do the, um, maneuvers for them

And then roll them up and roll and I’m cross. And you can have the parents do at home again, three to five times on each side with the little ones it’s really easy to do for just one person, because they are so small, so modifications depending on functional capacity, age and size. So there’s some tips for the Morrow, with the iPad.

Jeez, gotta love that hair in that video. Hi, wild hair day there. Um, now what I want to say is, um, you saw me do the clams with that older child. The other way I’ve had them like, like a three-year-old where I’ve had them, where sit in mom’s lap and they’re facing out. And we just use a big step down, a big Teddy bear when they’re step animals or a big physio ball or whatever. Okay. And you just kinda put it into their core. And mom, um, mom would help them maybe squeeze with the arms and dad or me depending where they’re at would help him curl up with their legs. So they’re the comfort of mom’s lap. The object is coming out to their core and they help them squeeze. And what I found, especially with my autistic kiddos is they end up really liking this.

And sometimes they’ll end up dragging that step down and what’s mom or dad, or the physio ball. And, and they want this done because with some of them, it’s very calming actually. Um, I’ll give you one more thing. The other thing you can do with the older individual is you can have them in this position. So again, they, the unused arm is out the side, Palm up, you have the arm and the leg at a 90 90 position. You want them in a 90, 90 position. And you’re simply again, in, in the picture here on the left, I’m pushing into their core and they need to resist me. You’re not using more than 20, 25% of your body strength. Okay? You don’t want them overpowering you. And a lot of the kiddos will try to overpower you because it’s harder for them to do more of an isometric push.

So you’re pushing, you’re, you’re re having them resist as you’re pushing in. And then on the other picture, you see I’m Abby, I’m pushing out a wave from their core, and they’re supposed to try to maintain that position. So not easy to do. Um, and so what I do is I’ve done some cheat sheets for y’all. I, what they like to do is like this little dude, how he likes to rest his he’s resting his hand on his head. They like to cheat. Okay. When we’re in the sympathetic dominant shift, it really shuts up our prefrontal cortex and motor control and motor strength is off. So I I’ve used these little plates where they have to try to entice them to keep that position. I’ll show you this real quick. Right.

Keep that one bent. So we bounce a little bit like this there and bounce that place. Okay. That goes, this goes

Up. Okay. Bounce that plate. Okay. Right. Push in. Where do you push outward? So don’t let those plates drop. Oh, you’ve got to keep up. Awesome. Okay. So that gives the older kiddo a challenge. I’ve also used slink from, for the little kids slink from toy story. It was a perfect stuffed animal to, to rest on their leg. And then I said, don’t let slink flaw fall. Okay. So these are just ways again, to have some fun modify things, to get where you want to get with the little kiddos. And so again, you start with the easy stages and work your way up to harder, do harder maneuvers. So I think we had a pretty good fun time for you enjoyed this. Um, please reach out to me if you have any questions, this is going to be a big one right now because people are in, um, again, second a spider flight mode.

And, um, we want to help to be able to, uh, pull out all the red stops in addition to adjusting them, getting lifestyle management, diet regulation, blood sugar regulation. Um, look at that more reflects in a little bit can go a long way. So again, thank you again, ChiroSecure. You’ve been amazing for the chiropractic profession. Um, what would we do without you? Thank you for letting me share this information and be sure to check in on the first Tuesday in February with the amazing Erik Kowalke and his amazing information. And I’ll be back the third Thursday of February until then keep changing lives, keep changing the future.

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Empowering Women Chiropractic – Tips for Tiptoers – 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. 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.


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.


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,


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,


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.


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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