I’d Like to Invite You to Join Me in January

Please join me in Florida in January for Seminar 1 of my 3 part seminar series    Koch Integrated Advanced Chiropractic Techniques.

My next hands-on intensive 3 day seminar is scheduled for January 19-21, 2018. I’d like to invite you to join me.  The focus of Seminar One of the three part series is on the first visit examination and treatment protocols with an emphasis on Balancing the Pelvis. I am really looking forward to it.  The last one was fantastic.  A great learning experience and a lot of fun!

THE KOCH PROTOCOLS

General Course Objectives

To teach you the way I use Advanced Examination and Adjusting Techniques including Instrument Adjusting for Better Results and Happier Patients in a simple model of a Patient Centered Referral Based Cash Practice.

In recent years there have been enormous improvements in the design and technology of hand held chiropractic instruments, as well as in the various technique methods for their use. This has resulted in the opportunity for significantly better, faster results for our patients. It has also resulted in effective treatment options that are much easier on the doctors. In this seminar series I will discuss the benefits of instrument adjusting for patients and doctors and will demonstrate and give one-on-one instruction in the various technique approaches he uses.

I will also teach his own protocols for instrument adjusting using the ArthroStim, VibraCussor and GRT Lite in conjunction with a variety of other techniques including SOT, Gonstead, Creed Neural Integration, Gonzalez Quantum Neurology Rehabilitation, and others to get incredible, quick and lasting results for your patients.

Why Instrument Adjusting?

  • Patients love instrument adjusting. It is gentle and eliminates the joint cracking sounds many find intimidating and offensive. While gentle it can achieve very fast and dramatic results that “wow” the patients.
  • Instrument adjusting allows greater precision and versatility in adjusting the spine and extremities.
  • Instrument adjusting dramatically reduces the stress on the doctor’s body. Too many chiropractors’ careers are cut short by injuries which occur at a rate comparable to professional football players.  Instrument adjusting extends and even saves careers.
  • Instrument adjusting permits adjusting of the full spine or selected areas in a wide range of positions: the usual prone and supine or with patients sitting or standing or even with the patient in motion. In fact, instruments allow for dynamic adjusting of the patient while walking in place, adding a whole new dimension to the corrective process by allowing adjustments to be made in motion and under full weight bearing loads.

Course Outline/Description

  1. Introduce the multiple benefits of Instrument Adjusting.
  2. Introduce a high level of precision and specificity to the corrective process.
  3. Demonstrate and instruct how instruments can be used in a variety of ways and for various specific results.
  4. Demonstrate how instruments allow us to address specific, objective examination findings and make appropriate corrections with a degree of effectiveness that allows the doctor to show immediate functional improvements on post adjustment re-examination. This clearly demonstrates to doctor and patient that his protocol has had a positive effect.
  5. Integrate Instrument Adjusting with Manual Techniques for a complete protocol.
  6. Show you how to get fantastic results quickly and easily using instrument adjusting, SOT categorizing and blocking techniques in conjunction very specific and precise manual adjusting techniques.
  7. Discuss how I have built multiple successful referral based cash practices over the past 50 years by  producing exceptional results and happy patients — and how you can too.

Get excited about chiropractic again. Enjoy your practice more than ever before. Simplify, lower your overhead and get better results for happier patients who help you build a thriving referral practice.  Sign up for a Koch Advanced Technique Seminar.

Each Koch Seminar is three days, approximately 20 hours, of personal, hands on instruction in a small group setting that will allow you to go to work Monday morning and start using what you have learned.

Three days, 20 hours, maximum 10 doctors per class — $250!   Call Kiana at 352-729-2678.

In my next post I will discuss in more detail the first seminar: Balancing the Pelvis.

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The Psoas — The Missing Link in Pelvic Correction

First published in The American Chiropractor Magazine October 2017                                  The Psoas – The Missing Link in Pelvic Correction

The psoas is one of the most frequently neglected yet vitally important muscles in the body.  Its action is that of the major hip flexor.  That seems simple and straight forward enough, but a closer look shows there is more to it than its action as hip flexor would suggest.

A large and powerful pair of muscles, with origins into the transverse processes of T 12 – L5 and the lateral aspects of the discs of L1 – L5, they cross the pubic arches and the sacroiliac joints before inserting into the medial aspect of the lesser trochanters of the femurs.

These powerful hip flexors cross two joints, the sacroiliac and the ileofemural, they are diarticular, and the only muscles joining the axial and appendicular skeleton.

The psoas allows movement mainly in the saggital plane and to a lesser degree in the frontal and horizontal planes.

Another unique feature is that they can become their own antagonist in stabilization between flexion and extension.

Innervation of the psoas is by the L1-L3 nerve roots.

The psoas is a primary fight/flight muscle, reacting to our inner and outer state of consciousness and awareness.  It contracts strongly when we are stressed preparing us to fight or run even when such physical action is not appropriate for the situation.  It is an important part of the sympathetic nervous system’s stress response designed to be engaged for brief periods, meaning for moments, not days, months and years. Prolonged psoas contraction has negative consequences.

Tight psoas can cause lumbar hyperlordosis as well as lumbar body rotation on the same side or spinous rotation on the contra lateral side.  This contributes to the pelvic imbalance that is the root cause of much of the acute and chronic low back pain that chiropractors see in their offices every day.

The question is:  What causes the psoas to become hypertonic, sometimes to the point of spastic contraction, causing difficulty in walking, changing position from sitting to standing or turning over in bed?

Because it is such a large and powerful muscle, it is susceptible to multiple stimuli.  First is the postural stress of sitting.  Sitting has been identified as one of the foremost health liabilities of people living and working in our modern world.  There are multiple liabilities imposed on us by the long periods of sitting that most of us do in the course of our work and leisure activities.

The act of sitting places the long axis of the femur at a 90 degree angle to the lower lumbar spine.  Sitting causes the psoas to shorten in much the same way as the biceps shorten when the forearm is flexed against the upper arm.  Prolonged sitting more than 15 minutes causes a progressive and persistent tightening of the muscle belly and shortening of the tendons. The many hours that most people spend sitting each day cause the psoas to become more or less permanently short and tight unless steps are taken in the course of the day to stand, walk and hopefully do some stretching exercises to elongate it.  The goal is to prevent the fibrous degeneration that a muscle will undergo if chronically shortened when not put through its full range of extension and contraction on a regular basis.

The static compressive loading of the spine caused by sitting significantly increases the hydrostatic pressure in the nucleus of the disc.  Asymmetric psoas contraction place lateral pull on the disc exerted at its tendon attachments into the lateral portion of the L1-L5 discs. This has the effect of distorting the disc, reducing its ability to resist compression by altering the geometry of the radial fibers of the annulus fibrosis. The ability of the disc to resist the compressive effects of gravity on the upright spine is based on the structural strength of the fibro cartilage of the disc, which is arranged in the form of 30-60-90 degree triangles.  When the disc distorts or bulges laterally, the vertical or 90 degree angle of the triangle increases.  Each degree beyond 90 reduces the ability of the disc to resist compression and causes it to narrow or loose vertical height.

The psoas is known to be reactive to not only physical and emotional stress, but to deficiency of the B vitamins as well as mineral deficiencies, especially magnesium, calcium and manganese, which should always be considered in cases of chronic psoas contraction.

Most cases of pelvic imbalance will be found to have some degree of unequal psoas contraction.   This is especially true of those involving sacroiliac slippage and separation, which in Sacro Occipital Technique is designated as Category II.

In the majority of these cases, the strongest psoas contraction is on the short leg side designated as Category II PSS right or left.   Category II can cause severely acute one-sided pelvic pain, sometimes accompanied by lateral antalgic spinal incline.  Occasionally there is a combination of lateral and anterior antalgic posture, as a compensatory and protective mechanism designed to transfer weight bearing from the injured to the other side.

Gonstead Technique provides another insight into this condition.  In that system of spinal analysis and correction, the doctor is advised to adjust the PI ileum on the side of lumbar body rotation. The PI ileum in Gonstead analysis is usually found on the short leg side and corresponds to the Category II PSS side in Sacro Occipital Technique analysis.

Quantum Neurology and Gonzalez Rehabilitation Technique provides yet another set of analytical and corrective tools which allow us to make more comprehensive pelvic corrections.

Most techniques ignore the hips or ileo femoral joints because they are either in place or completely dislocated.  Conventional wisdom would indicate that there is nothing of value to be done with them, but Dr. George Gonzalez, the founder of Quantum Neurology® and Gonzalez Rehabilitation Technique, has developed a series of protocols that allow us to identify and correct previously little known mechanisms of dysfunction that commonly occur in the hips.

The hip joints are surrounded by layers of multi-directional bands of ligaments that form the inner and outer joint capsules.   Within these capsules are a network of mechanoceptors and neural relays which carry afferent and efferent proprioceptive information regarding the lower extremity, pelvis and lumbar spine.

In his Lumbar and Hip Fix instructional DVD, Dr Gonzalez demonstrates how easy it is to identify the usually overlooked anterior and posterior femur head dysfunction using specific muscle testing. Once identified, fast, easy and effective correction is done by resetting the mechanoceptors using the ArthroStim electronic adjusting instrument manufactured by Impac Inc.  These Quantum Neurology protocols are important because they free the flexion, extension, abduction and adduction of the hip joints.

When the hip joints are fixated they disrupt the synchronous action of the other five pelvic joints.  Because of their important role in weight bearing and not only mobility but agility, failure of the hips to move freely causes rapid onset of inflammation of the joint capsules.  Because of the network of mechanoceptors and neural network contained in them, many people experience extreme hip and leg pain which is often mistakenly diagnosed as discogenic disease and sciatic neuropathy.

Dr. Gonzalez has also developed the best analysis and correction I have seen for the symphysis pubis.  Pubic joint correction is key to the overall correction of the pelvis.

The symphysis pubis functions in much the same way as the keystone of an architectural arch does in construction. Removal of the keystone of an arch causes it to collapse.  Fixation or even slight malposition of the pubic joint destabilizes pelvic motion and weight bearing balance.  Quantum Neurology gives us an easy way to identify this joint dysfunction.  The ArthroStim instrument gives us the perfect tool to correct this sensitive and important component of the pelvic joint complex.

Good chiropractic techniques complement each other and often serve to cross reference the findings and conclusions of one another.

The observation of lumbar body rotation on the same side as a PI ileum is consistent with unilateral psoas contraction.  Given the attachments into the lateral aspect of the lumbar vertebrae, it is natural for strong psoas contractions to rotate the bodies of the lumbar vertebrae to that same side.

Contraction of the psoas can cause excessive lumbar extension and rotation disturbing the normal lumbo-pelvic balance.  When this happens, the lumbar discs, facet joints, sacroiliac joints, symphysis pubis and hip joints are all potentially affected.

That makes release of psoas contraction a key element and should be considered a prerequisite procedure to be performed before other lumbar or pelvic corrective protocols are employed.

I do not remember where I first learned of the technique I use to release the psoas, I only know that I have made it a standard part of my lumbar and pelvic corrections for more than thirty years.

It is safe to assume that almost everyone who walks into your office will have some degree of psoas tightness.  The very act of sitting in a car to get to your office followed by a few minutes of sitting in your reception room almost guarantees the psoas will be tight.

You will find that when you do a psoas release before proceeding with lower back corrections, you will have reduced the resistance to your correction, making it much easier on you and your patient.

The effort or work necessary to correct the spine can be reduced to the simple physics work formula:  W= D x R (the degree of displacement or misalignment times the resistance holding it).

Integrated Advanced Chiropractic Techniques is the methodology I use that has evolved over the course of my fifty years of practice, study and experience.  I now offer a series of seminars in which I share my methodology and protocols with other chiropractors.  I offer it to the young chiropractors, knowing that it will shorten their learning curve and path to success.  I also offer it to the senior members of the profession who are feeling the toll that many years of “full contact” practice has taken on their bodies. My technique can add many enjoyable and productive years to your career as it has for me.

 

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The Pelvic Imperative

Originally Published in The American Chiropractor June 2017

The Pelvic Imperative

All chiropractic techniques must comply with the laws of physics and principles of biomechanical engineering in order to make successful spinal corrections.

Just as a strong and level foundation is an absolute requirement for the structural and functional integrity of any building, a strong and balanced pelvis is necessary to provide a stable foundation for biped man walking upright against the force of gravity. This is where the similarity begins and ends, however.

Where the foundation of a building is solid and static, the human pelvis has three sets of paired articulations and one singular midline articulation for a total of seven joints, each with unique freedom of movement. While these seven joints function interactively, they must be evaluated and treated individually.

The most fundamental challenge facing any chiropractic technique is to provide analytical and corrective methodologies that allow the chiropractor to quickly and efficiently begin every correction with a strong and balanced pelvis capable of fulfilling its unique weight bearing and neurophysiologic functions.

It is this foundational joint system that allows a person the strength and stability to lift heavy weights. It also provides us with the flexibility and proprioceptive ability to navigate any terrain ranging from a smooth floor to the most impossibly convoluted and rugged mountain trails.

I have made a lifetime study of the major techniques used in the practice of chiropractic, but have found no single technique that adequately addresses the correction of all seven pelvic joints. Fortunately I have found the necessary individual components among the protocols of several well known and popular techniques.

Through the integration of specific components of several techniques and the use of the ArthroStim® and VibraCussor® hand held electronic adjusting instruments, I have found a high level of accuracy in the individual analysis and correction of the seven joints of the pelvis.

My analysis uses muscle testing and physical indicators to provide objective evidence of the functional state and relative strength of the paired joints.  Just as importantly these same evaluative techniques are then used for post corrective testing.

This constitutes good evidence based chiropractic with the added benefit of clearly demonstrating improved function that the doctor and patient can see and feel through immediate comparison of pre and post correction findings.

These protocols provide a qualitative and quantitative functional analysis of the pelvic joints when performed by a doctor who is trained to evaluate the subtle differences which can be observed in the right and left sides of the paired joints.

It is through the doctor’s careful attention to and observation of the pre and post correction findings that a chiropractor can obtain the highest level of balance and integration of the components of the pelvic joint system.

The detailed evaluation of the seven pelvic joints would be of only academic value if not used in conjunction with corrective procedures that are equally detailed, specific and effective.

The corrective procedures I am advocating constitute a departure from traditional low back side-posture, drop table adjusting and mechanized spinal decompression protocols which constitute the mainstay of the low back and pelvic techniques used by most chiropractors.

While I would never deny the importance of these techniques and procedures in a chiropractor’s arsenal, what I am proposing are technique refinements employing the ArthroStim and VibraCussor handheld electronic adjusting instruments with aspects of Gonstead, SOT, Pettibon Biomechanical Engineering, Thompson, Quantum Neurology®, Gonzalez Rehabilitation Techniques®, Applied Kinesiology and Neuro Kinetic Reintegration Techniques.

While this approach is very technique intensive, once learned it quite easy and quick to implement. And since this approach is totally evidence based and very specific, it provides good medical/ legal justification for each procedure used.

Also, by utilizing the hand held instruments, this technique has the added benefit of being physically easy and comfortable for both the doctor and patient. The gentle and non threatening nature of instrument adjusting without the cracking and crunching sounds associated with most techniques allows for a greater degree of patient relaxation eliminating a primary source of resistance to seeking chiropractic care.

The ultimate correction of the pelvis requires that the seven individual joints function synchronously with normal range of motion and balanced right and left weight bearing.

This can only be accomplished via a technique approach that addresses the individual characteristics and function of joints of different classifications. The major pelvic joints and their classifications are:

  • The 5L- S1 facets are synovial plane diarthrodial joints with opposing cartilage surfaces.
  • The hip joints are multi axial diarthroses.
  • The pubic joint is an ampiarthrosis.
  • The sacroiliacs are weight transferal synovial plane diarthroidal syndesmosies.

The assumption that traditional diversified adjusting techniques will create a domino effect capable of making all of the corrections necessary to balance the seven joints of the pelvis is naïve at best.

Unless the pelvis is balanced, the cervical and lumbar spine will always resubluxate to compensate through the self righting reflex in order to provide the level horizon necessary to satisfy needs of the cranial nerves that provide vision, especially depth perception and   equilibrium.

A balanced pelvis greatly facilitates correction of the full spine while reducing the time and number of visits required to do it.   Let us never forget that results obtained better, faster and more economically is what put chiropractic on the map.

In a future issue of TAC I will fully describe the seven joint examination, analysis and correction of the pelvis.

 

© copyright Dr. William H. Koch all rights reserved

 

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Are You a Two-Percenter?

Ninety eight percent of chiropractors are scratching at the crowded bottom of the ladder for the crumbs thrown out to our profession by insurance companies and Medicare. They either don’t know a broader market exists or they don’t have the confidence to go after it.

There is, however, a marketplace full of people out there who are frustrated with mediocrity, are looking for the exceptional and are willing to pay for it. There is always room at the top of the ladder for those who want to serve by providing exceptional care.

If you have a desire to achieve the extraordinary, if “good enough” is not good enough for you, then you are a “two-percenter.” Come join with me and I will help you to be the best you can be.

Many years ago I asked one of my mentors why all chiropractors were not anxious to learn the advanced techniques he was teaching.  I was excited about it and couldn’t understand why others weren’t.

He told me that in any group there is a small percentage of people who have the desire and drive to be the best they can be.  He called them “The Two Percenters.”  These are the people who are willing to spend the time to do the hard work and perfect their skills in order to provide their patients with the best care possible.

This is the mark of the consummate professional.  Being a professional is not just about being paid for a service that requires specialized training and skills. It is a mindset and unwavering commitment to excellence.

Every doctor enjoys the prestige that goes along with their title.  There is no question that the title “doctor” in front of your name assures some level of deferential treatment in most social venues. The public looks up to doctors as accomplished professionals. Let us do everything we can to live up to the image and performance that professionalism implies.

Professionalism is the pursuit of excellence.  It is a lifelong quest, not a destination. The greatest rewards are not monetary, but come from knowing that you have made a difference in the lives of others. Your sense of accomplishment will be sweetened when you are able to achieve results in cases where other physicians, surgeons and therapists have not been successful.

When you establish a reputation for outstanding results in challenging cases, you will eventually find that referrals will come to you not because you are a chiropractor, but because you are the doctor who gets results when others do not.

If you want to be a Two-Percenter, please join me for a Koch Seminar.  Koch Advanced, Integrated Chiropractic Techniques is offering a three part seminar series – Seminar 1 —  May 19, 20, and 21 in Mount Dora, Florida.  Email me at outislanddc@drwilliamhkoch.com or call 352-729-2678.  For more information http://www.kochseminars.com

Spend your time, energy and money on perfecting your skill sets instead of on buying unnecessary equipment.

Class Size Limited to 8 so each attendee can grasp and master the material and techniques. This is a hands-on course and all equipment will be supplied. The fee for each 3 day seminar is $250.

Call today! 352-729-2678   Ask to speak with Kiana.

 

 

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Koch 3 Part Success Seminar

So, I am finally doing a seminar.  And I think it is going to be very special. It certainly is not going to be like anything you have done before.  I am planning to do a three part series.  Each seminar in the series will last 3 days.  I am limiting attendance to 8 participants to maximize the amount of time and attention I can spend with each doctor.  This will be a real “hands on” experience, with each doctor getting to experience the way I work, with plenty of opportunity to practice the Koch protocols as a doctor and also to experience my integrated technique approach as the “patient.” In other words, this is not just a lecture and demonstration seminar.

I am working to create the kind of seminar I myself would have loved to have attended years ago.  And I am very excited about it.

While the seminar series will be focused mainly on doctors relatively new to practice, recent graduates and those about to graduate, anyone interested in attending is welcome.

So, if you are graduating soon and are concerned about what direction your career will take,  or if you are new to practice, and are not getting the results you’d like with your patients, and especially if having low overhead and more time to spend with your patients is important to you, then this is your seminar series!

You Don’t Have To Have:

  • Large Capital for Starting
  • High Overhead
  • Large Staff
  • Lots of Equipment
  • Insurance Woes
  • Lots of Stress
  • Work So Hard You Injure Yourself

You Can Have:

  • A Physician’s Salary
  • A Referral Practice
  • Low Overhead
  • Low Stress
  • The Satisfaction of Providing 5 Star Care
  • The Life You Dreamed About

The Koch 3 Part Success Seminar Series is an advanced technique and practice management course that will cover:

  • How to shorten your learning curve to get consistently great results.
  • How to provide the kind of care you would want if you were sick and in pain.
  • How to create a cash based practice.
  • How to do more with less.
  • How to set yourself up for success.
  • How to use local networking to build your business.

Again, if having a low overhead, lucrative practice that allows you to spend more time with patients and provide superior care with consistently great results is important to you, then this is your seminar series!

Please join us at Seminar 1  on May 19, 20, 21 in Mount Dora, Florida.

Spend your time, energy and money on perfecting your skill sets instead of on buying unnecessary equipment.

The cost of each three day part of this series is only $250!

For more information check out www.KochSeminars.com

Class Size Limited to 8 so each attendee can grasp and master the material and techniques. This is a hands-on course and all equipment will be supplied.

Call today! 352-729-2678   Ask to speak with Kiana.

Next date Januaray 19, 20, 21, 2018

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Are You Ready… To Elevate Your Skills, Practice & Patient’s Lives?

If you answered yes, you are at the right place!

  • Are you graduating soon?
  • Or new to practice?
  • Have you been frustrated with not being able to get patients better fast and NOT complain that their problem comes back as soon as they leave your office or when they simply lifted something light?
  • Are you frustrated with the different practice management companies telling you in order to succeed you will need to see a thousand patients a week and do countless spinal screenings? Does that make your stomach crawl?
  • Do you feel uncomfortable with seeing patients only a few minutes each and then moving on to the next one?
  • Worried about what’s next after graduating?

My name is Dr. Bill Koch and I’ve been in practice for over 50 years and have had several very successful practices in the USA and the Bahamas. During my long career I studied with some of the great teachers, innovators and pioneers in our profession. The knowledge I have accumulated over the past half century has allowed me to develop my own unique technique protocols and to successfully treat patients who have been disappointed with previous chiropractic, medical and surgical care.

My objective in teaching these seminars is to share the knowledge and experience I have acquired and to shorten the learning curve and hasten road to success  for a new generation of chiropractors.

A wise Chinese proverb states: “A smart man learns from his mistakes, a wise man learns from others.”

My mission is to elevate the level of healing consciousness and mindset in each doctor. We must practice each day in pursuit of excellence and our practice must be patient focused and patient centered. We must always remember we are there to take care of them, and we  must do our very best with each patient every time. Each time a patient leaves our office they should feel that our focus was on them and their individual needs and that they were well taken care of.  When we do this for our patients they eagerly tell friends and family about their great doctor. And that is the best, most effective kind of advertising we could hope for.

When you decided to become a doctor, did you picture making a true difference in people’s lives?

Did the thought of seeing miracles excite you?

Do you desire to have your patients trust you and refer to you?

Have you envisioned having a referral practice?

The Koch Advanced Integrated Chiropractic Technologies seminar series will see that you can answer yes to the above questions and more.

Some of the things you will learn in this seminar series are:

  • How to get results that take doctors years to accomplish.
  • How to create a cash based practice successfully.
  • How to do more with less.
  • What you need to do from day 1 to be successful.
  • What you actually need and what you don’t need and why.
  • Who you need to introduce yourself to in order to build your business.
  • How balancing the pelvis is fundamental for the long term health and mobility of a patient.
  • How cranial nerves can be examined and treated to make massive changes in people’s lives

In this 3 part series the curriculum will be as follows:

  1. Seminar 1 will cover the basics of the technique including my approach to the first visit examination, consultation and treatment. I will demonstrate my integrated technique approach which includes many of the techniques I have learned over my years in practice which includes a variety of technique approaches to the use of instrument adjusting.  The main focus of this first seminar will be balancing the pelvis.  To start making remarkable changes in your patients, you must first be sure they have a stable foundation — the pelvis.
  2. Seminar 2 will consist of a brief overview of seminar 1 material again and then we will go over the examination and treatment of the thoracic and cervical spine.
  3. Seminar 3 will be a brief overview of the previous 2 seminars and then we will cover complex cases, additional practice management topics and fine tuning each doctors technique and answering their questions.

At the end of each seminar, you will be ready to go back home and start implementing it with your patients. A seminar is no good if it cannot be applied the next day. These seminars are built upon each other so you have a solid foundation and will be capable of treating the most challenging of cases that walk into your office.

There is NO excuse for not being the best doctor you can be.

Call today because each seminar only has 8 seats available. We are keeping it small to maximize individual  interaction with Dr. Koch with time for each participant to practice what they learn.

For more details look at http://www.kochseminars.com/

Or call me at 352-729-2678.  I will be happy to chat with you.

Or if you prefer email:  outislanddc@drwilliamhkoch.com

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The Pelvis and Emotions — Is There a Connection?

Low Back and Pelvic Pain—- Is There a Connection to Emotional Stress?

Every day chiropractors hear patients tell a story that sound something like this:

“Hey, Doc, all I did was bend over to brush my teeth and it felt like I got kicked by a mule. Now I can’t straighten up, can hardly move, it hurts like heck. And on top of that, I feel like the world is caving in on me and I am all out of control and can’t do anything about anything! I mean, I can usually take it. I’m not a wimp, I can take pain. But I can’t figure out why this thing has me so upset I can hardly think straight, I am an emotional wreck.  What’s going on with me?”

When one of my patients tells me some variation of this scenario, I know that the most important thing I can do is to spend a few minutes with them and explain what has happened and why they are having such a surprising emotional reaction. This is especially important if it happens to be a big macho guy who is embarrassed to death because of the tears in his eyes.

I explain that the low back and pelvis is the foundation of your body. Your strength and ability to walk, run, work and defend yourself is dependent upon the strength of that foundation.

If it is knocked out from under you or even knocked out of balance it can make you emotionally out of balance too. Here’s why:

On a subconscious primitive survival level, when our basic physical foundational support fails us it can cause us to feel weak, helpless and frightened. That translates into anxiety and even depression if it goes on for very long.

When we feel weakened, vulnerable and fearful, it is natural for us to be withdrawn and contracted. We tend to shy away from many of the things we normally can do easily, and totally reject taking on anything new or challenging.

These are common emotional reactions to injury and pain especially of the lower back and pelvis (sacroiliac).  There are many great examples I could tell you about to further illustrate this point, but since this is being published in Gary Scott’s newsletter, he suggested that I write about his recent experience.

Gary is a financial expert, writer and teacher. Although he is physically strong and in good shape and exercises regularly, his profession and lifestyle has not required him to do a lot of strenuous physical work. That is until recently, when he and Merri bought several houses in Mount Dora, Florida, which they plan to keep as rentals.

Since several of the houses needed some sprucing up, Gary pitched in to help his property manager Derek with all kinds of handyman chores, including moving heavy furniture.

Being unused to a steady diet of this kind of work caused Gary to sprain and strain his sacroiliac joints and throw his whole lower back and pelvis out of balance. The pain made him uncomfortable, but it was not terrible. What he did not expect nor did he at first understand was how it affected his emotions.

Gary went from being expansive, enthusiastic and optimistic to withdrawn, pensive and pessimistic. Merri was of course the first to see this change in his personality, followed by Derek who had been working side by side with him.

After putting up with the pain for a few days hoping it would go away, Gary called asking me to see him for an adjustment in my new office in Mount Dora.

I was able to quickly diagnose the problem and make a correction to fix it, but Gary did not mention to me how emotionally down he had been feeling. It wasn’t until the next day when Merri called to tell me how much better Gary was feeling that I found out he had been suffering emotional contraction with his sacroiliac slippage and pelvic imbalance.  Merri reported that Gary’s back and hip pain was gone. No big surprise, they expected me to take care of that. What they didn’t anticipate was the complete turn about that occurred in his emotional picture. Merri told me that after his session with me Gary went from being fearful, depressed and wanting to withdraw the offers he had made on two more houses, right back to being his normal positive “can do” self! Both Merri and Derek saw the immediate change in him. Derek even commented on it to Merri, calling her attention to Gary happily whistling as he painted in the next room.

To see Gary’s comments on this go to www.GaryAScott.com

So, what happened? They wanted to know. They found it all very curious and mysterious.

I explained it to them this way:

There is a correlation between pelvic imbalance resulting from sprain/strain injury and emotional distress. Specifically, when the sacroiliac joint is sprained and strained, there is alteration of the weight bearing ability of that joint and consequently of the overall body balance and stability. The severity of this condition ranges from mildly to severely painful. In its early stage it may only involve the sacroiliac joint, but with time and increased severity it can extend to all seven pelvic joints, causing widespread low back, pelvic and hip and leg pain.

Since the pelvis is the weight bearing foundation of the whole body, any imbalance or failure of this complex joint system will result in an overall loss of strength and stability of the entire musculoskeletal system.

On a primal emotional level this condition is subconsciously perceived as weakness, vulnerability, and an inability to defend and provide for ourselves and those who depend upon us. When this, our most basic support is taken from us, It causes stress on a deep emotional level. If this lasts for too long it can lead to anxiety and depression. Our ability to survive and thrive, in either a primitive or modern environment, is dependent on our strength and mobility.

On a neuro-physiological level, the pain and weakness associated with sacroiliac/pelvic injuries can cause a shift from our normal autonomic “rest and digest” state to the emergency “fight/flight” mode. This is a very uncomfortable state to be in for even a short period of time. But when it is prolonged it produces a severely stressful conflict between our need to protect ourselves and our ability to do so.

The physical pain associated with a sprain/strain injury to the pelvis can be excruciating, sometimes even greater than the pain of a herniated disc. The good news is that when the proper and precise chiropractic correction of the pelvis is made, this condition can be resolved quickly and efficiently.

It is always gratifying to see how quickly a patient can feel better with a renewed sense of well-being when pelvic function is restored. The speed with which this can happen cannot be explained by the reduction of pain alone, but by a shift out of the “fight/flight” mode back to our normal, relaxed, “rest and digest” state where we can look at our world more objectively.

While on this subject, I should point out that this is a two way street. What I have just described is known as a somato-psychic reaction in which our physical state affects our emotional state. Conversely, our emotional state can also have a powerful physical affect known as a psycho somatic reaction.

Psycho somatic reactions are often mistakenly thought to be a form of neurotic behavior. It is frequently dismissed as being “All in your head.” But, psycho somatic reactions are very real and should not have a negative connotation.

Here is my favorite example of the power that emotions can exert over the physical body:

One summer afternoon in my Hamptons practice, I got a call from Mrs. G. one of my very wealthy patients. She asked me to make a house call to her ocean front estate to see her children’s Nanny who was incapacitated with severe back pain.

Mrs. G was very unhappy when I told her that I would not be able to get there until about 7:00 that evening when I finished seeing patients at my office.

When I arrived at the 10,000 sq. ft. summer cottage, I was greeted at the door by Mrs. G. who quickly escorted me to the children’s wing of the house where the Nanny’s bedroom was located.

I learned from Mrs. G. that the Nanny whose name was Ava, was 26 years old and had worked for her for about nine months and was a very good employee and loved by her children.

I found Ava lying in her bed and in obvious distress. When I tried to obtain the usual health history about medical conditions, medications, surgery or injuries, she was vague and provided little information as to what might have caused her back pain.

As soon as I began my examination, Ava began to convulse violently. Her eyes rolled back in her head she began sweating profusely as her body shook and her right arm contracted tightly against her body as her hand contracted into a tight fist. She appeared to be having a seizure or possibly worse yet a stroke.

I asked to speak with Mrs. G in the next room explaining that if she could not provide me with a good reason for Ava’s reaction, I would be forced to contact the EMTs and have her taken to the emergency room.

What Mrs. G. told me came right out of left field. She said that on the previous day Ava had returned from her vacation which she spent with her two year old daughter and estranged husband who lived in Israel. She went on to tell me that Ava’s husband is a terrorist living in a very dangerous part of Israel, but in spite of this, he has custody of their child. Ava of course was worried about her daughter and horribly distressed about being separated from her.

I went back to Ava’s bedside and told her that I knew about her daughter and that I understood why she was in such pain and distress. “What can we do to help you feel better?” I asked.

“I want to talk to my baby,” Ava replied in a barely audible whisper.

I then asked Mrs. G if she knew the husbands phone number. “Yes,” she said, “but I’m not waking up a terrorist. It’s the middle of the night in Israel,” she said.   I told her “Don’t worry. I will speak with him first.”

I made the call and woke him up. To my surprise he proved to be a very nice terrorist. Very understanding of the situation and concerned about his wife. “The baby is asleep,” he said. “Let me speak to Ava.”

I gave the phone to Ava and held her hand as they spoke. Soon her tight fist and contracted arm relaxed. Within another few minutes she smiled and was obviously comforted by their conversation.

I was then able to proceed with examining and successfully treating Ava. The next day I visited her again and found her much better. The following day she was able to come to my office for a final treatment, and to wrap up what was one of my most bizarre cases ever.

What I had witnessed was the immobilizing effect of an extreme fight flight reaction triggered by what was for Ava, the overwhelming stress of her fear for her daughter’s safety and her detachment anxiety.

Had I not recognized what was really going on, Ava would have been hospitalized and subjected to a barrage of unnecessary tests and CAT scans which would have shown nothing, but would surely have exacerbated her condition.

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The Social Nervous System: Positing a New Branch of the ANS

Dr. Bill Koch Interviews Dr. Jeff Rockwell

Originally published in The American Chiropractor December 2015

I have known Dr. Jeff Rockwell for several years and have written about him in this magazine and in my book, Conversations with Chiropractic Technique Masters. I have studied his work and use many of his technique protocols in my own practice. A pioneer in the use of instrumentation in neuromuscular therapy, Dr. Rockwell is a passionate advocate for blending neuroscience, contemporary adjusting strategies and vitalistic chiropractic philosophy. He has developed his own unique treatment protocols, authored several books, instruction manuals and DVDs and has taught over 400 seminars. He currently practices in Los Gatos, California and is director of The Institute of Manual Neuroscience.

Dr. Jeff Rockwell

Dr. Jeff Rockwell

In this interview Dr. Jeff Rockwell and I discuss recent developments and current thinking in the field of neuroscience.

What we know of the basic anatomy and physiology of the nervous system is well established. Neuroscience now seeks to understand the functional changes and adaptation that has become necessary to deal with the differences between a primitive survival environment and our complex social environment. Employing our hard wired sympathetic autonomic response of fight/flight is seldom appropriate in most of the stressful situations we encounter in modern life. This has necessitated the development of a functional social branch of the autonomic nervous system that has modified and moderated our stress reactions to a level more appropriate to modern social situations.

KOCH: Jeff, the last time I interviewed you for TAC you talked about your interest in the neuroscience behind chiropractic. With all the new research in the field, I thought it was time to talk to you again and get an update on your current thinking. Has anything new captured your interest?

ROCKWELL: As a matter of fact, Bill, something “old” has grabbed my attention. I am still as passionate as ever about the neuroscience behind the subluxation and its correction, but I am concerned that my patients and students also keenly appreciate the role of philosophy in their lives. I am especially excited about what science has to say these days about our unique philosophy.

KOCH: Have you found that the 33 chiropractic principles have stood the test of time?

ROCKWELL: What a lot of people don’t appreciate is that philosophy, by definition, evolves. It’s like the difference between a “dead” language like Latin or Greek and an ongoing conversation with wisdom itself. Philosophy means the “love of wisdom.” If we love something, we wish for it to evolve to higher levels of expression. No one knew this better than BJ Palmer. Towards the end of his life, he expanded our core principles to a total of 75. He wrote his last 12 books in the last decade of his life. Not only was BJ a revolutionary, but he was also an “evolutionary.”But, yes, to get back to your question, I do feel that the 33 core principles are standing the test of time quite nicely

KOCH: BJ and DD were true visionaries. It took almost a century for science to catch up with them validating two of the most basic concepts that they wrote about in their early books. That healing occurs from above down and inside out is proven to be correct because of the polarity of the spinal cord and peripheral nerves.

The safety pin cycle depicting a direct neuronal connection between individual brain cells and tissue cells was confirmed by the discovery of individual micro nerve filaments making the brain cell/tissue cell connection that BJ described.

ROCKWELL: So much of what has emerged in the sciences, from quantum physics to new biology, was predicted by chiropractic philosophy. We anticipated the mind-body connection decades before anyone else, and were among the first to describe the body’s self-healing properties. Philosophy-based chiropractic preceded the “new” biopsychosocial model of health. Much of what is hot today in science was born out of a series of principles that first appeared on the scene in the early 1900s.

DD Palmer was a very hip and progressive guy. Sometimes he is disdainfully referred to as having been a magnetic healer, when, in fact, magnetic healing was the rage among the elite members of society of his time. He was
street-smart, yet better read than most medical professors of his day.
Many people today, as you know, view chiropractic as a treatment for neck and back pain. There may be a place for that, but our greatness lies, in my opinion, in our interconnected set of core principles that provide us with a way of knowing ourselves and our world in a very deep way.

KOCH: The chiropractic philosophy is vitalistic in every sense of the word. It is a living breathing and dynamic study of the expression of life and health individually and in community. Health is the normal expression of life.
ROCKWELL: Absolutely, Bill. Human beings function in a dynamic state of
holism. What we should be focusing on is not what is wrong with a patient, but on finding and returning them to a state of “normal”.

KOCH: How would one go about finding normal?

ROCKWELL: A couple of ways come to mind. First, “normal” is an expression of health, so we look for and orient to signs of health. The objective of chiropractic care, as I see it at least, is not just to identify and
adjust subluxations, but also to find what is healthy and utilize the biologic fields of health to actively engage a therapeutic process. I believe Network Spinal Analysis has done an excellent job in this area.

Of course, a spine free from subluxation–that is, the perception of separation or lack of connection–is another excellent starting point. The spine is the modulator of perception and consciousness in a human being and we can orient to “normal” by observing the flexibility of one’s control mechanism or autonomic nervous system.

KOCH: Okay, now that’s a mouthful. What exactly do you mean by “flexibility of the autonomic nervous system?”

ROCKWELL: To explain that, I have to briefly discuss the “Polyvagal Theory” which proposes a new way of understanding of the autonomic nervous system.

KOCH: Yes, the work of Dr. Stephen Porges.

ROCKWELL: Right. It uses some recent scientific advances to significantly change the previous accepted view of the ANS. Traditionally the ANS has been described as having two branches, parasympathetic (rest/rebuild) and sympathetic (fight/flight). The Polyvagal Theory, named for the anatomical basis of Porges’ discoveries, changes the picture. Now, the ANS has three branches, not two.

Throughout evolutionary history, survival has been the primary criteria: characteristics that enhance survival are perpetuated in subsequent form and function. In the ANS, the parasympathetic system is the oldest, reflecting the survival needs of a primitive passive feeder.

The sympathetic nervous system is a later development, adding mobilization and a wider range of possible survival responses.

Porges has shown clear evidence of a third, more modern branch of the ANS, with a survival value specific to more sophisticated animals, especially primates. “Social Nervous System” is the proposed term for this third branch of the ANS.

As brain complexity increases, it takes much longer for newborns to become self-sufficient. In humans, many years are necessary before their enhanced survival capabilities are fully operational. Therefore structures evolved to secure safe and nurturing care for this extended time. Certain emotional affects, specifically the love feelings of mother/baby, are part of this survival mechanism.

The “Social Nervous System” exists as a controller over the sympathetic to enable modulation of the more crude “fight or flight” responses. The anatomy of the Social Nervous System consists of tools that bond a newborn to the mother. These include voice, hearing, visual contact and facial expression. Healthy babies feel safe or connected with their caregivers. Betrayal by or alienation from the caregiver feels immediately life-threatening, and justifiably so.

Porges also shows that under stress, the human system tries its newest “equipment” first. If that doesn’t work, older strategies are attempted, and if they don’t work, the oldest resources are employed. Therefore under stress, the human first uses its social/relational tactics, then fight/flight, then immobility to survive.

KOCH: This is very important information because stress is such a dominant factor in the lives of so many of our patients. Understanding the progression of our own and our patients response to stress is of great value to all practicing doctors.

I have had cases in which the patient’s stress was so acute and severe that they went into the immobility reaction to it. It appeared that they were having a seizure or stroke. Had I not recognized it, and quickly figured out how to effectively defuse the situation, the patient would have been hospitalized and subjected to a barrage of expensive and unnecessary medical diagnostics that would have never addressed the underlying stress causing the problem. Helping our colleagues to better understand and deal with the stress they see in their patients would be of great value.

ROCKWELL: Porges describes the use of “portals,” or anatomical components of the ANS which can be physically stimulated. For example, the portal for the parasympathetic, based on anatomy, is the vagus nerve and the upper and lower portions of the spine. For the sympathetic, the muscles of the limbs, and the sympathetic chain along the spine are highlighted. For the Social System, Cranial nerves V, VII, IX, X and XI can be used. My students working with these portals in the past couple of years have found this very promising.

KOCH: I appreciate this introduction to your work in this fascinating new area of neurology. I am sure, based on my own experience working with the cranial nerves and their rehabilitation, that what you are saying is correct.

I believe that the recognition of a social branch of the autonomic nervous system constitutes an important breakthrough in understanding our neuro-physiological responses. It certainly explains the responses that I have seen many times in my patients who were under exceptional stress.

Jeff, do you have any parting thoughts you would like to share with our readers?

ROCKWELL: Yes, I do. First, I want to thank all of the great chiropractors
out there serving their communities with their hands and hearts.

And I would like to finish by asking each of us, if we are not already doing so, to adopt a personal, self-reflective practice and draw upon this level of attention as we provide excellent chiropractic care.
Chiropractic is “consciousness medicine” and our consciousness and intention influences our perceptual abilities and the overall quality of our adjusting. I believe B.J. called it the adjustment with “something extra.”

KOCH: I agree and would add that this is the essence of what is often referred to as the “healing consciousness”. It is the state we are operating in when our intentions and our efforts are focused on the highest good for our patients.

Many traditional chiropractors will resist or be angered by the word medicine being associated with chiropractic, because they equate it with organized AMA/ Big Pharma Medicine that has been the avowed enemy of our profession for more than a century.

I think we should point out that the generic or traditional meaning of the word medicine, as you are using it, is as might be used by native healers whose art is directed at facilitating the body’s innate healing response through natural means.

Thanks, Jeff, for another inspiring and thought provoking interview.

ROCKWELL: Thank you, Bill, for all you do for our profession–not only serving your own patients so well, but getting ideas like these out to our community!

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© copyright 2015 Dr. William H. Koch

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Stand Taller, Look Better and Live Longer

Stand Taller, Look Better and Live Longer:  Improve Posture, Flexibility, Core Strength, Upper Body Strength and Aerobic Capacity with Unique Exercise Program developed by Dr. William H. Koch.

Exercise with Dr. Koch every Monday during the month of November at the Parks and Recreation Building at the park on Donnely and 5th in downtown Mount Dora.

Stand Taller – Live Longer

Posture: There’s More to It  Than Meets the Eye

In this four class series offered through the Mount Dora Parks and Recreation Department, Dr. Koch will discuss the importance of good posture and how to achieve it. He will teach how you can use posture exercises as part of a daily exercise and fitness routine – so that you can Stand Taller and Live Longer!

Level one is designed to prepare the spine and body structure for more advanced exercise. The objective is to increase body flexibility and resiliency and to prevent injuries that so often accompany more advanced exercise programs. It is suitable for seniors and people with existing back problems.

Level two is a bit more challenging, but all exercises are done lying down to protect and support the spine.

The Koch Spinal Exercises and Multi- Plane Coupled Motion Exercises were designed to address several of the most important aspects of fitness: Posture, Core Strength, Upper body Strength, Aerobic Capacity, and Flexibility.

  • Classes will be every Monday in November beginning November  2    
  • 1pm to 2pm at the Donnelly Park Building.
  • Fee for the class is $10 for Drop-in or $40 for the month.
  • You will need:
  • An Exercise Mat
  • 2 Hand Weights (3 to 5 pounds depending on your strength level)
  • Pool noodle rolls will be provided by Dr. Koch

 

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FCA National Convention and Palmer College Florida

FCA National Convention and Palmer College Florida

The past two weeks have been very busy and rewarding for me and my wife, Kiana. They were highlighted by the annual FCA Convention and a technique class I presented at Palmer College Florida.

The FCA National Convention

On the last weekend of August I attended the Florida Chiropractic Association’s National Convention in Orlando. It was a huge event attended by more than three thousand Chiropractors and several thousand more family members and staff.

The continuing education classes were great and I attended as many as I could. When not in class I spent all of my time in the exhibition hall at the booth of Impac Inc., the manufacturer of the instruments I use in my practice.

Not only do I use instrument adjusting extensively in my practice; as a writer and teacher I have long been an enthusiastic proponent of their use.

Instrument assisted adjusting allows a much higher level of specificity and precision in the chiropractic correction of subluxations and extremity faults, and facilitates cranial nerve and myotome rehabilitation procedures.

Better chiropractic corrections change the lives of patients. Instrument adjusting opens the door to an expanded population of potential chiropractic patients who would have previously resisted or refused to see a chiropractor because of fear associated with the sounds and sensations of the traditional adjustment. Instrument adjusting eliminates that barrier and defuses the objections and warnings of MDs who tell patients not to let a chiropractor “crack your neck or back”.

Another major benefit of instrument adjusting is that it saves and extends chiropractor’s careers.     The stress on the chiropractor’s body is dramatically reduced or eliminated by switching to instrument assisted adjusting.

My own career was resurrected by it after four years on disability due to practice related compression fractures of my spine. That is why I so enthusiastically advocate it to new and more experienced chiropractors alike.

At the FCA Convention I personally adjusted dozens of chiropractors. All complained of difficulty in getting adequate care in their home towns. Many had seen me at previous FCA conventions, saying such things as, “I was hoping you would be here, the adjustment I got from you last year was the best and longest lasting I ever had.”

This is the same kind of feedback I get from my patients in The Bahamas, many of whom come from all over the world.

It is this kind of feedback that has inspired me to share my 48 years of practice experience, expertise and unique protocols of patient examination, analysis and correction with other members of the profession to help them enjoy better results and patient compliance without injuring themselves as I did.

My Presentation at Palmer College Florida

I am especially interested in reaching out to chiropractic students and doctors new in practice. I want to help them be the best doctors they can and shorten their road to a satisfying and rewarding career.

So I was extremely pleased to receive an invitation to present my work to the senior class at the Palmer College in Port Orange, Florida this past Thursday, September 10.

As an introduction to the class, my wife Kiana talked about our experiences practicing for the past fifteen years as The Out Island Chiropractor in Abaco, Bahamas. Our practice was such fun, so unique and totally portable, we thought the students would enjoy a glimpse of it.

The slide presentation of my Adventures in Practice was posted in this blog on September 13. It shows how you can give great care just about anywhere: on boats, in the bush, on the beach, or just about any place you can imagine. Check it out.

Following that introduction, I discussed my idea of ChiroPractice Made Perfect and demonstrated my unique examination and correction protocols. I did a complete new patient examine and corrections on a real patient, one of the Palmer students who has had a difficult and persistent problem since he was in high school.

My protocols, which are unique, totally patient focused and interactive, engage the patient with every part of the examination and correction. That means the patient “experiences” their examination findings rather than just being told about them. Likewise they immediately experience the effects of my corrective procedures, with instant feedback using before and after muscle testing.

This kind of chiropractic care provides a very positive, meaningful and memorable experience for the patient. It also provides the doctor with the opportunity to very specifically document what he did and the effect it had on the patient, which is very useful to reference during future visits, as well as for medico legal purposes.

I thoroughly enjoyed my time spent with these students, and they seemed to enjoy it too, since many stayed long after the class was officially over. And several indicated interest in spending more time with me in smaller, hands on technique seminars, which Kiana and I are organizing now and hope to begin offering in October.

I am very excited about doing more of this kind of teaching, since I feel that the most important thing I can do at this point in my life and career is to share my knowledge and experience with the younger members of the profession.

If you are interested in attending, please send me an email at outislanddc@drwilliamhkoch.com

 

 

 

 

 

 

 

 

 

 

Posted in Adventures in Practice, Chiropractic Technique, Chiropractice Made Perfect, Events, Instrument Adjusting for Chiropractors | Tagged , , , , , , , | Comments Off on FCA National Convention and Palmer College Florida