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Why You Are Not Out Marketing Your Spinal Injury Practice

Why You Are Not Out Marketing Your Spinal Injury Practice

Why aren’t you out marketing your injury practice? I train doctors all over the country. It is called the SmartInjuryDoctors program and one of the things that I am routinely asking doctors when I’m working with them one-on-one is why aren’t you out marketing? They are trying to figure out how to get the PowerPoint. We have PowerPoints that work. They work like a charm. They’re trying to figure out how to redo the PowerPoint or how to fix it up better. Or they have ideas that they have to speak better or maybe they should buy more clothes or better clothes. They got all these reasons and all these reasons are why they’re not out engaged in the market.

Oh, they don’t have a lot of time, yada, yada, yada. I’ve heard them all. Now, I’m going to tell you right now as somebody that has helped coach a lot of practices, the number one reason I found that you are not out marketing your injury practice is because you’re not completely sold on it. I’m going to say that again. The reason why you will not be out marketing your injury practice, talking to attorneys, talking to medical doctors, talking to people at church, talking to patients, talking everywhere about the benefits of your injury practice is because you’re not 100% sold on your injured practice. There’s something about your injury practice that you’re not sold on. Maybe it’s the treatment. Maybe you’re not understanding the treatment. Maybe it’s diagnosis. You’re not understanding how easy it is to be able to diagnose the severity and location of each patient’s injuries and not miss injuries, but maybe you don’t feel that way.

Maybe you feel like, ‘ah, I don’t know’. You have this hesitation inside. Maybe I’m missing a lot of things. Maybe I don’t know how my adjustments help excessive motions, ligament injuries. Maybe I don’t know how that works. Maybe I don’t know how my other treatment really affects this. I don’t know if my guideline procedures are good or if I’m following guidelines. I don’t know if my billing procedures are accurate or good. I don’t know if my coding is. Whatever it is, there’s something, there’s always something when I’m working with a doctor.

If you’re not out marketing your injury practice and you’re not out actually saying “Hey, oh my gosh, nice to meet you. Oh, you’re an attorney? Personal injury attorney? Good. Nice to meet you. My name is Dr. Cronk. I run a chiropractic practice over here. We specialize on spinal ligament injuries. One of the best in the area of actually doing, treating these injuries and one of the things that we’re absolutely stellar at is the documentation so your life as an attorney, a lot easier.”

“The other thing I want to tell you is I’ve got a practice over here that we developed and if you, your son, your daughter, or somebody that you love actually had an injury and they had a ligament injury, which is the number one cause of pain and disability, but let’s say that your son or daughter had a ligament injury and now it’s causing migraine headaches. They had a cranial cervical junction ligament injury now causing migraine headaches. They were in a car accident and now your son or daughter, let’s say they’re a 12 or they’re 14. And now they’re actually having migraine headaches and they’re throwing up as a result of it. They feel like a social outcast at school. Your wife is very concerned about it. Everyone is. You yourself are extremely concerned about it.”

“You as an attorney are not going to be thinking about, well, gosh, I can’t wait. Geez, let’s see how much we can get for this case. That’s not what you’re thinking about at all. What you’re thinking about is, oh my God, as a parent, how do I figure out where do I go? What doctor do I find? Who do I get to help my kid get over this condition? That’s what you’re going to be interested in. That’s what I’ve created over here. Now I’ve created it over here for you, your family or anyone in our community. We’re super good at it and or super good at understanding the documentation requirements that make your life easy. I’d love to do business with you. I know that you represent in your patients and I know that those patients oftentimes are working with doctors where they don’t have an accurate diagnosis, they aren’t making good progress, and generally that’s because it’s not fully understood what they have.”

How hard is that doctors? You’re with a medical doctor? Good. I know you as a medical doctor. Now I’m with the lead care lead doctor at a urgent care center. I know that you guys get a lot of injuries. They get back injuries, neck injuries, auto injuries, work related injuries, domestic violent injury where the patient has injured their spine. The biggest problem with that patient is you get to get them to a doctor that understands the ligament injury.

Ligament injuries are two-fold. You could have a disc herniation, which is part of what you see with imaging with a ligament injury, but the most problematic injury is the one that causes excessive motion that you see in stress radiology with accurate measurements. And that condition causes a spinal instability and that patient must have that diagnosed as quickly as possible and appropriate treatment put on it as quickly as possible or you seriously increase the risk of the patient going chronic. We developed this clinic over here.

Doctors, it becomes very easy, but if you’re not out marketing and you’re sitting in your clinics going, “Okay, what do I got to do? What do I have to do?” I’m telling you that what is behind the “what do I got to do?” Not all of it, but a lot of it can be the fact that there’s something that you’re doing or something that you feel that you should be doing that you’re not doing or results that you should be getting, but you’re not getting, that is what is withholding you from going out and telling the world just how good of a practice that you’ve actually developed and what the purpose of that practice is.

These things are easy to fix. They’re usually easy to fix with education. That’s why I developed this SmartInjuryDoctors program. It was to help doctors to understand very simply the most common thing that they hit with injury patients.

  1. How to accurately diagnose.
  2. How to manage that patient for much better results.
  3. How to document in such a way that the patient has access to any benefits they may be entitled to and trust the attorneys like that. They like great documentation that makes their job of helping the patient access any benefits they’re entitled to in an easier fashion.

It becomes very easy when you have these things to market. If you don’t have those things you need to take a look at how you can enhance yourself so that you can get those things. You are the biggest thing to invest in. You’re the most valuable thing to invest in in your own practice. Your own education, whether it’s education in the form of joining a SmartInjuryDoctors program, or educating yourself with personal injury practice consultants, it doesn’t matter because what you should be continuously doing. You should be continuously educating yourself. Pick a practice manager a year, practice consultant a year to get consulted with. Continuously educate yourself, it pays off big dividends in your practice. It really does.

You definitely want to have an understanding and feel very, very comfortable with exactly what you’re doing and the results that you can get. And when you are, in my experience, you have no problem marketing, you have no problem at all. Plus people will market for you. Patients will market for you, other attorneys will market for you, medical doctors will market for you. Anybody that you’re interacting with will market for you when you get to that state. And that’s a beautiful thing when it gets to that point. Doctors, if you feel like you have a deficit in education, I tell you, check out the SmartInjuryDoctors program. For those of you that are in the program, you know exactly what I’m talking about and you are out there marketing and I so appreciate you.

For more information on Spinal Ligament Injuries please check us out at www.smartinjurydoctor.com or check out our SmartInjuryDoctors® Podcasts on Apple Podcasts, Spotify, Google Play or Stitcher.

For information on spinal ligament testing by board certified medical radiologists go to www.thespinalkinetics.com

Want to learn more about Smartinjurydoctor's Program?

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246 Tierney Drive, Suite 1,
New Richmond, WI 54017

1-800-940-6513, ext 700

contact@smartinjurydoctor.com

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Smart Injury Doctors
701 Richards Ave
Clearwater Florida 33755

labell@biocyberneticsinc.com
Call Lee Ann at 1-800-940-6513, ext 700

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© 2019 Biocybernetics Inc.

Where Should Doctors Spend Their Money

Where Should Doctors Spend Their Money

My friend Grant Cardone taught me the three basics of money.

The first basic is get your money right.

That means, get your house in order, don’t overspend, don’t spend more than what you make.

The second basic is to learn to make a lot more money.

You learn to make a lot more money by getting highly competent at whatever it is that you’re going to do.

You want to become a professional in your area, not an amateur, an actual professional, and you want to get extremely good at it.

An extreme professional in injury work means that your diagnostic acumen is second to none.

You know how to diagnose and determine the severity and location of spinal injuries.

You know how to get great results and you do get great results

You know how to document in a very simple manner so that it is easy for everybody to understand exactly what the patient’s condition is so the patient has access to any benefits that he may be entitled to.

That’s being a highly competent injury doctor.

So my friend Grant Cardone says, “Get your money right. Learn how to make more money and then put your money in a place where you can’t lose it, where the money can make you more money.”

Those are the three things with money.

Now, where should you be putting your money right now?

Doctors that I’ve consulted with will conserve, save, always try to save their money.

The biggest place that you want to put your money while you’re getting your money right and while you’re learning how to make money is on your own education.

You have to invest money in yourself.

That is the place that is the highest return on investment for any doctor.

Think about it doctors, when you invest outside of your own practice, outside of yourself and your education and your enhancement, a lot of times these investments don’t pan out.

You’re always looking to make money here, make money there.

These attempts to make money are on things that are outside of your control instead of enhancing what is in your control.

One of the biggest things that you want to be spending money on is on your own education, your own enhancement.

You should be looking for things that can cut your learning curve.

In the injury market, look for somebody that has been in the injury market with huge success.

Someone that you’re going to work with, that you’re going to get behind, that you’re going to a seriously study what they have to offer.

Someone who spent years sorting it all out and offers to share that information with you to help you to be a professional success.

That is my Smart Injury Doctor Program.

I want you to join this group.  I have knowledge to share and I want you to have it. 

But I want those doctors that want to commit to seriously study this program.

And be willing to study it until he is an expert

You can get through the doctor part of the course easily in a day, but the information in it will change your career.

But I want the best of the best in the program. The doctor who goes through the course and then begins applying it.  The one who might want to go over it five, six, seven times, to re-educate, reapply, realize, “Oh wow,  I didn’t get all of it’s application the first time I read it,” and then apply more and more and more.

Someone who is doing this course as a professional.

When you  hire and work with a consultant, you apply their knowledge and techniques until it becomes a part of you and your practice. They are an expert and now you are too.

You need to be spending your money on education.

Choose an educator that can shorten your learning curve.

Stick with the professional who can change your career and make you the best in your area.

There are so many programs, so may doctors going from one program to the next to the next because  those programs don’t have all that is needed to change the way they practice. 

Education for themselves, their staff, marketing tools and mentorship. 

They come out of a program they dabble from one thing to the next thing, to the next thing, never becoming a pro in their area because if you become a pro in that area, then like my friend Grant Cardone says, “Get your money right, make more money,” when you become a pro in your area, it’s almost impossible not to make really good money.

If you’re in the top 2% of your profession for skill and ability, it’s impossible to not make a lot of money.

Is that worth investing in?

Are you worth investing in?

Yes.

Instead of being an amateur and saying, “Hey, the grass is…”  Go Pro  

Make your grass the greenest grass there is by tending to you and your pasture.

Make it so that others are jumping into your pasture going, “Wow, that’s a green pasture. I’m going to give up my pasture to get in your pasture.”

Make it so that people want to come to work with you because your pasture is so green.

Get to the point where not only your pasture is green, but everyone that’s around you has a green pasture because yours is greener and greener and greener.

You will be creating a lot of money for yourself, your staff, your family.

Another thing that you will experience is you will also begin to create a lot more time for yourself.

First you have to expend money into your own education.

It’s really, really critical.

You the doctor are the best ROI.

You know your strengths and your weaknesses.  Strengthening what you are good at already, investing in that. That is where your power lies.

When you’re buying a service, you want to go to somebody that is at the top of their area.

For me, my strength is spinal ligament injuries, spinal ligament injury diagnostics.

It is working with radiologists, setting up systems.

Knowing how to determine the severity and location of a ligament injury.

Knowing the simple examination procedures that you clinically correlate with a ligament injury.

Knowing what all the guidelines are.

When I say all the guidelines, not every guideline written in the history of guidelines, just guidelines that are pertinent to spinal ligament injuries.

Knowing what the guidelines are for frequency and duration of treatment.

Knowing what the guidelines are for best practices and delivery of services for spinal ligament injuries.

I am a professional and I have made it my business to know and understand about Personal Injury Work 

That is why I am so confident that you can become a Smart Injury Doctor. I have done all the research and I am willing to share it with you.

I don’t spend my time on a person who read a book and now is explaining to me about how something works. You shouldn’t either

I go to the author of that book.

I want to get to the originator of these ideas, no matter what I’m working in.

For example, if I’m looking at marketing, I want to work with a top marketer. That is why I work with Grant Cardone.

Grant Cardone is one of the top marketers in the world. He’s one of the top salespeople in the world. He is the best of the best in his particular area. That is why I want to work with him.  

Another example is I’m building an AI with a group that I consider to be a really top of the line group.

If I’m going to build something or I’m going to promote something, or I’m going to get involved with something, I’m looking for the top of the top.

To educate myself, to take out my learning curve. I don’t have time to waste and neither do you!

One of the key things I want to impart to you is that it’s okay to put yourself in a position to enhance yourself.

To spend the money on your own enhancement, to spend your money getting involved with people that are more advanced than you are. That’s where you want to be.  It is OK to do that.

 

Join our elite group. Become a Smart Injury Doctor today.

For more information on Spinal Ligament Injuries please check us out at https://www.smartinjurydoctor.comor check out our SmartInjuryDoctors® Podcasts on Apple Podcasts, Spotify, Google Play or Stitcher.

For information on spinal ligament testing by board certified medical radiologists go to www.thespinalkinetics.com.

Want to learn more about Smartinjurydoctor's Program?

Reach Us

Want to know more? We are happy to receive a message from you.

246 Tierney Drive, Suite 1,
New Richmond, WI 54017

1-800-940-6513, ext 700

contact@smartinjurydoctor.com

Leave A Message

CONTACT US

Smart Injury Doctors
701 Richards Ave
Clearwater Florida 33755

labell@biocyberneticsinc.com
Call Lee Ann at 1-800-940-6513, ext 700

SEARCH THIS SITE

© 2019 Biocybernetics Inc.

SmartInjuryDoctors are Aligned with Insurance Company Needs

SmartInjuryDoctors are Aligned with Insurance Company Needs

SmartInjuryDoctors are Aligned with Insurance Company Needs

SmartInjuryDoctors are aligned with the insurance company needs. That may sound a little bit interesting, but I train doctors all over the country, with attorney groups and with groups where insurers were present.  The thing that has always baffled me is that the injury market is such an adversarial market. This is because there is so much confusion in the market.  As a trainer of doctors and lawyers on ligament injuries, one of the things that I found fascinating is that my role in this market is to help doctors to identify really significant injuries to the ligaments early so that you can get great outcomes with the patient.

In the personal injury market, everyone is looking at the injuries and the resolution process. And it is an interesting process. I have doctors that approach me in seminars and say, “Well, how do I make attorneys more money so they refer to me?” My answer is “Well gosh, your actual job in the market is to reduce insurance benefits. You’re more aligned with the insurance carrier than you may believe.”

I was in the injury market for a time as a young practitioner and I used to think the insurance companies were hard to deal with or constantly trying to cut my bill even though my bill was legitimate. They are always using independent medical examination and utilization reviews. Then I would have to write a rebuttal.  It was a bit traumatic for me at the time because I didn’t like the paperwork aspect of it.

What I liked was treating patients, diagnosing their condition accurately, and getting great results with them. One day, I had this big ‘aha’ moment.  The thought that came to me was that my purpose and my goals were perfectly aligned with the insurance carriers’ purpose and goals. I’m going to explain that to you really simply.

For example, a patient came into my office and they were in a wheelchair due to a low back injury that they received in a car accident and they couldn’t walk. They went for 4-6 months’ worth of care in my clinic and now they were able to run a 5K, they had no chronic pain, and they had no activity of daily living that was interfered with at all by their trauma. They could do everything they did prior to the trauma and they had no disability of any kind.

My role was complete and my role significantly reduced down the future benefits need of the patient. And that’s my role as a doctor. That’s any doctors that are really good at injury work. Our role is to reduce down future benefit needs. That’s our job. Our job is not to take an injury and make the patient so that they need care for the rest of their life. That’s not our job. In some situations, patients can need care for the rest of their life. I am a licensed Doctor of Chiropractic and I believe very much in wellness care, elective care that patients choose to actually help maintain their spines, but that’s significantly different than what the insurer’s responsible for in an injury scenario.

In an injury scenario, that insurance carrier, for the most part for the types of injuries that we deal with spinal soft tissue injuries, patients that don’t fully recover, may need future care. And that future care can be argued and needs to be paid for by the insurance carrier that’s insuring the person that caused the injury in the first place. But the bottom line is, my role as a really good injury doctor is to reduce the benefits need. It’s to reduce the long-term benefit needs. It’s to minimize it significantly. If I can minimize it completely, that’s my job. That’s my role. That’s what I teach our smart injury doctors is their role.

We may be one of the only groups in the country that teaches that. What draws attention to you is that your job as a doctor is to get great patient results. Your job is to do this as efficiently and as cost-effectively as you possibly can. If you can do that, especially in the back and neck injuries and you can minimize the cost significantly, you should be the most sought-after doctor in the market.

Employers will be searching for you. Insurers eventually should be searching for you. Patients should definitely be searching for you and attorneys should be searching for you because your goal as a doctor that actually can accurately diagnose what the patient has and then treat them to a great result, in a relatively short, and when I say relatively short, I consider three to six months to be relatively short, amount of time.

According to research, 50% of patients with significant ligament injuries are going to be chronic. If you can get them not to be chronic and you can do that in a relatively short amount of time and in a cost-effective manner, you become one of the most sought after doctors in the market today.

What is nice about that is that you learn to sleep extremely well because you realize your purpose and your drive are actually aligned with everybody in the market. It’s aligned with exactly what the patient wants. It’s aligned with exactly what the insurer wants. It’s aligned actually exactly what the attorneys want. It’s aligned with what employers would be looking for. It’s aligned with everyone in the market. When you’re aligned with everybody in the market and you’re producing a valuable service that everybody in the market wants, it makes it a whole lot easier.

Now I’m going to tell you a funny story and this is problematic for all of us in the injury market that do really good work. I was asked to speak with a very large defense medical defense firm in Michigan years back. I went and spoke on ligament injuries. I had only an hour. I gave a very good talk and I thought, okay, why would insurers want somebody who points out objectively a patient’s injuries? Why would they want me to speak on ligament injuries? This is the most costly injuries that there are. And then I realized, okay, remember Jeff, your purpose and your goal is very much aligned with what the insurers need.

There were approximately 100-150 people in the room. And I started off the talk with the fact that half of you in the room right now are probably suffering with some form of chronic pain. And the reason why you suffer with it is because you don’t have a doctor that knows how to accurately diagnose it because it’s a ligament condition. If you’re suffering with any kind of back, back-related, neck related problems, you’re suffering with a ligament condition that’s gone undiagnosed. And I gave this talk and I had a lot of case managers and defense firm people and utilization reviewers come up to me afterward and say, “Well, Dr. Cronk, how do I find this kind of doctor?”

A representative from one of the major insurance carriers came up and said, “Well, Dr. Cronk, how do you explain, I’ve got four months’ worth of chiropractic care and a $42,000 bill.” And I said, “Well, okay, I don’t know. That sounds excessive to me. I don’t know anything about the specifics of it. But you have your internal fraud detection procedures that you can use to reduce that. Let me follow up and ask you a question. Why do you treat the good doctors exactly the way that you treat the bad doctors?” I asked a preliminary question, “Are there good doctors?” And she said, “Yes.” And I said, “Well then why do the insurance carriers treat all doctors the same as if they’re all bad? You have to reward the actual good injury work when it is occurring. You have to reward the behavior that you want.”

When I talk about the new injury market, I am referring to the new injury markets that is about innovation. It should be about getting great results with patients right away and not being so inefficient in the market. The medical/chiropractic/osteopathic/physical therapy market needs to become a much more efficient market. It needs to get a lot better results very quickly with these neck and back injuries.

If you get great results in a short amount of time, you are very much aligned with the insurance carrier, so why are you adversarial with them? Now, I realize they do things that are kind of different and they can do things that are adversarial and they can outright attack good doctors. I understand that. But if you’re doing the right things and you’re attacked, you can withstand the attack. It changed me when I started to realize that the insurance carriers themselves were not the enemy.

And take a look today when you’re sitting there and you’re thinking about what I just mentioned, think about this person, he’s in a wheelchair, six months later, he’s running a 10K run and he has no problems. I’ve seriously minimized his long-term insurance benefit needs. And that’s my job as a doctor. That’s your job as a doctor. And again, that’s what I teach in our SmartInjuryDoctor’s program.

For more information on Spinal Ligament Injuries please check us out at https://www.smartinjurydoctor.comor check out our SmartInjuryDoctors® Podcasts on Apple Podcasts, Spotify, Google Play or Stitcher.

For information on spinal ligament testing by board-certified medical radiologists go to www.thespinalkinetics.com

Want to learn more about Smartinjurydoctor's Program?

Reach Us

Want to know more? We are happy to receive a message from you.

246 Tierney Drive, Suite 1,
New Richmond, WI 54017

1-800-940-6513, ext 700

contact@smartinjurydoctor.com

Leave A Message

CONTACT US

Smart Injury Doctors
701 Richards Ave
Clearwater Florida 33755

labell@biocyberneticsinc.com
Call Lee Ann at 1-800-940-6513, ext 700

SEARCH THIS SITE

© 2019 Biocybernetics Inc.

Basic Injury Recommendations to Enhance Patient Results

Basic Injury Recommendations to Enhance Patient Results

Basic Injury Recommendations to Enhance Patient Results

I talk a lot about how spinal ligament injuries are the number one cause of chronic pain and disability in the world today because they are.

Spinal instability is the number one cause of lumbar problems, cervical problems. It’s the number one cause of the headaches.

There are basic recommendations that you can do to improve your injury results with these patients.

Communication to your patient is a key factor. These injuries are the primary cause of chronic pain. They must understand that their injury recovery is not to be taken lightly.

Patients that have ligament injuries have a 50% chance of never fully recovering. According to the latest research, 30% of those patients are going to have a significant disability. These ligament injuries are the leading cause of long-term residual complaints. You cannot impress upon the patient enough how serious their injury is.

Educating them that during their recovery time, there are some general things that they could do to help themselves.  You will need their help. Their compliance with your treatment program, their active participation in their own recovery is the key to optimal results.

You are treating them, not an insurance company, or their attorney. Everything you do is geared to assist them with optimal recovery. Let them know that you use state of the art imaging procedures in order to assess these injuries. That’s how significant they are.

Tell them that you use the top board-certified medical radiologists in the world to locate and identify these injuries to assist you with what are called excessive motion tests. Let them know that this treatment plan that you created is individualized to them and to their needs. It is very important to comply with the schedule because you are trying to help them to meet the goal of recovery.

If you’ve got them under a dose schedule care, that dosing of the schedule care is very important,  If they need to change an appointment, they must work it out to come in the amount of times you put in their program.

They need to know that if something on the plan is not consistent with producing results for them, they need to communicate and let you know right away.

They may have need for supportive care. Let them know this at the very beginning while you do your initial exam. When patients have ligament conditions, ligament injuries, they can need ongoing supportive chiropractic spinal care on a regular basis.

Regular basis might be twice a year, it might be once a year, it might be five times a year, might be six times a year. But patients do better long-term with maintaining a spine. This is called supportive care because it maintains the ability to keep the symptom away.

A general and vital recommendation is proper body hydration. Proper hydration is essential in the wound healing stage.

The lack of body hydration will halt cellular migration, decrease oxygenation to blood, and vastly delay the wound treatment process. The majority of patients in the market today are dehydrated. You need to get them to drink more water. Now that sounds really, really simple, but there’s so few doctors that do it. In the Smart Injury Doctors program, we have a thing called the Smart Injury Recommendations. Those recommendations are basic things to the patient’s recovery.

Typically, the body fluctuates from 60 to 70% of the total weight is water. To maintain that positive level of hydration, you need to have no less than 64 ounces of water be consumed on a daily basis. The recommendation is half your body weight in ounces a day. Now, if a person weighs 300 pounds, that’s 150 ounces. If they weighed 400 pounds, it’s 200 ounces. If they weighed 100 pounds, it’s 50 ounces. You must get them to hydrate and be hydrated.

Another recommendation to injury recovery is proper sleep. When patients have a spinal instability, they could have neck pain, lower back pain, shoulder pain, scapular pain, pain radiating down their arms, pain radiating down the legs, numbness, tingling, sense of weakness or heaviness in the legs, numbness or tingling or a sense of weakness or heaviness in the arms, headaches, migraine headaches, facial pain, ear pain, visual disturbances, ringing in the ear, difficulty swallowing, difficulty breathing, bladder or bowel dysfunction, sexual dysfunction, severe fatigue, loss of voice, disturbances in concentration, disturbance in memory.

These are common symptoms. Some are more common than others but they all can cause, especially when we’re talking about pain, to start to reduce their ability to sleep.

Your body needs to sleep because that’s when it repairs. You must work with them to make sure that they are getting good sleep. When your body’s tired, also, it’s usually seeking ways to create more energy. This can lead to cravings for sugary, fatty foods, things that are not good for your body, things that are not good for your sleep cycle, so you got to get them to work on sleep.

When we look at an adult today, it’s recommended by the Mayo Clinic, that optimal sleep for an adult is seven to nine hours a night. If you got a 14 to 17-year-old, it’s eight to 10 hours. If you’ve got a six to 13-year-old, it’s nine to 11. Three to five is 10 to 13. Two years, it’s about a 11 to 12 hours a night, plus one to two-hour afternoon nap. 12 months, about 10 hours at night plus four hours of naps. Newborns, 14 to 17 hours a day. So, you can see as the body is growing it needs more sleep. When the body is in repair it needs more sleep.

The patients should be educated that there are three stages of correction in the body.

Phase one is called the inflammatory phase. That’s first four days, that’s when the injury is pain, painful. There’s a lot of heat, there’s swelling, it draws the healing chemicals to the area.

Then from day four to 21 we call this phase two, it’s called the proliferation phase. That where the damaged tissue is gotten rid of and new temporary tissue is being built and new blood supply lines are also being formed.

Then we have from 21 days to two years, a remodeling phase where permanent tissue is being built, replacing the temporary tissue. All tissue is then remodeled for optimal function. This is what’s occurring. Again, that is why hydration and sleep are so important.

Another recommendation is to educate the patient about an anti-inflammatory diet. Inflammation can cause injuries to be retarded in the repair process and it can cause ongoing chronicity.

What should they eat? More anti-inflammatory fats, like fish oil, flaxseed oil, avocados, fish, mackerel, salmon, sardines, olive oil, mixed nuts, seeds. They should eat fewer pro-inflammatory things like processed foods, high in saturated fat, vegetable oils like corn oil, sunflower oil, safflower oil, soybean oil, foods with trans fats, those are fried foods.

They can eat more pineapple, it has a lot of bromelain in it. They can eat more garlic, they can eat more curcumin or turmeric or curry powder, more cacao, teas and berries. These are things that are in the anti-inflammatory area. Any of your vegetables are anti-inflammatory.

Additionally, they need to eat adequate protein. A balanced diet would be one third fat intake from saturated fat, one third from monounsaturated, and one third from polyunsaturated fat.

Bottom line is you want good fats, you want great vegetables, and you want things that are anti-inflammatory. There is herbs that you can take in order to do that, garlic is one of them, curcumin is one of them, turmeric, curry, cacao.

Educating your patients on these basics things will help and assist in their long term recovery. Because remember, when you’re treating that patient, you’re treating that patient’s future, you want that patient’s future to be the best possible future for them.

There are the three general things. Hydration is excellent. Sleep and anti-inflammatory diet. These are three things that you can add to whatever else you’re doing in your clinic that will significantly improve your results and make your patients healthier.

As a result of that, they’ll get better results, you’ll have better referrals, you’ll have a better reputation These are things that are very, very easy to put into a clinic.

In the Smart Injury Doctors program, we have a form called the Smart Injury Recommendations that go over these three basic recommendations.

 

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https://www.thespinalkinetics.com

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Three Simple Tips for Getting Better Spinal Injury Recoveries

Three Simple Tips for Getting Better Spinal Injury Recoveries

Three Simple Tips for Getting Better Spinal Injury Recoveries

Injury recovery, especially in the spinal ligament injury market is significant because 50% of the patients that received this type of injury will not fully recover, and 30% of them will have a significant amount of problems associated with that type of an injury.

These injuries are not the sexiest injuries in the market, but they are the most common injuries in the market. They cost the most amount of money. They cause the largest amount of personal trauma and trials and tribulations simply because so many people with these types of injuries result in a chronic outcome.  As a matter of fact, if we have 4 million auto accidents or auto injuries in this country, 2 million people every year are going to become chronic as a result of those injuries.

When you are dealing with patients, you want to get the best results.  I’m not going to get into specifics of adjusting for chiropractors or type of modality you’re going to use or anything similar. I’m going to start with some very, very general tips for you. In a Smart Injury Doctor’s Program, we call these Smart Injury Recommendations and they’re just some very, very general recommendations.

We know that when a person has a spinal ligament injury, they need to take this injury quite seriously. Your approach to that patient, your level of professionalism, your level of certainty, your level of handling the patient, will guide their response to their injury and compliance in their care.

Spinal ligament injury conditions can cause them problems. It is a fairly permanent condition. It can cause an unstable segment or segments for a long time to come. The patient needs to take their initial treatment very seriously because that’s where you’re going to try to reduce down their risks for long term residual complaints and get them a great, great result.

One of the first things that you should be discuss is dehydration. When your body is not receiving the amount of fluids and the amount of water that it needs, it takes a toll on injury recovery. It slows it down, making recovery not as swift. Remember, water is the primary way that oxygen and nutrients get delivered directly to a spinal injury. Dehydration is one of the most common reasons why cell function becomes disrupted, no matter what. Essentially if you lack fluids, you’re going to create a delay in recovery and less optimal result of recovery.

Typically the body fluctuates from anywhere to 60% of its total weight is actually water. So how much water do you want the person to consume? About half their body weight in ounces of water every single day. They will improve their injury results if they are hydrated.  If they drink coffee, they need  to offset that cup of coffee with an extra cup of water. You want them drinking water. It’s a very general recommendation that basically hits home. Hydration.

The next Smart Injury Recommendations is proper sleep. Sleep is so misunderstood. But if we look at the course of injuries and how injuries heal successfully, they have to have healthy tissue growth. They have to repair the damaged tissue and now have healthy tissue growth. According to the National Sleep Foundation, growth and repair of tissue occurs in the third and fourth stages of sleep, which after you’ve completed about 70% of your rest, that’s when those stages happen. This means that your patient needs  to get an uninterrupted night of sleep. It’s crucial.

So what’s enough sleep? According to Mayo Clinic, the optimum sleep for adults is 7 to 9 to hours. A teenager, needs 8 to 10 hours. That’s what required in order for optimal healing to occur. Optimal healing and the repair of tissue occurs in the later stages of sleep.

The third recommendation that our doctors recommend, is they need to eat a healthy diet. You want them to consume a good non-inflammatory diet. One that is reduces inflammation. Consuming more anti-inflammatory fats. These fats are fish, salmon, sardines, olive oil mix and nuts and seeds, avocados, flaxseed oil, fish oil. Staying away from processed foods that are high in saturated fats. Vegetable oils, like corn, safflower, sunflower, soybean oils, or foods with trans fats. Those are high inflammatory foods.  Also include anything that is a leafy green vegetables, highly anti-inflammatory. Anything that’s a vegetable that’s grown above the ground is highly anti-inflammatory.

There are also some spices that are anti-inflammatory, like bromelain from pineapple, garlic, curcumin, turmeric, curry powder, cocoa, tea and berries. They provide anti-inflammatory substance and they also provide a lot of nutrients. They’re nutrient dense, and that’s what the body needs when it’s going to repair.

You don’t just recommend these three, you follow up by asking about it in your re-examinations. Especially if you have a patient that’s not progressing in a manner that you deem to be appropriate for what you normally see under your care.

It is easy to just talk to the patient about better sleep, better hydration, and better diet at least while they are going through your treatment program. If they adopt these habits, you’ve created a healthier patient. You’ve created a much healthier patient. That’s one of the things that as you as an injury provider can significantly help and influence a person to become healthier and now they can also look at long term things that keep their health such as ongoing care, supportive care in your clinic.

All of us have a spine. A spine is like the teeth, if you don’t maintain it, you’re not going to get as much mileage out of it. People should take their spinal health very seriously and you as an injury provider can seriously influence that.

Three simple recommendations.

Hydration

Enough Sleep

Anti-Inflammatory Diet

 

In the Smart Injury Doctors Program, we call these Smart Injury Recommendations. There’s other recommendations that you can give the patient to get better outcomes, but these are three simple things that you want to go over with the patient that will improve your injury results.

 

https://www.smartinjurydoctors.com/
https://www.thespinalkinetics.com

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Clearwater Florida 33755

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Why Don’t Chiropractic Colleges Teach Standard Injury Workup?

Why Don’t Chiropractic Colleges Teach Standard Injury Workup?

Why Don’t Chiropractic Colleges Teach Standard Injury Workup?

My question is why don’t chiropractic schools in this country actually teach their students how to do a standard spinal injury evaluation?  This topic may seem a little bit controversial, but it needs to be addressed.

It not just chiropractic colleges who are remiss, it is also missing in osteopathic colleges and medical colleges. But since chiropractors are the spine specialists and trauma to the spine is the number one cause of chronic pain and disability, the market needs experts in this particular area. So why in the world would the chiropractic colleges not teach standard spinal injury assessments?

Doctors of Chiropractic are not taught how to determine the severity and location of a simple ligament injury.  They are not being taught about the fact that there are two ways to image a ligament injury, depending on what ligament is damaged.

If you have a disc herniation, you’re going to use obviously an MRI. But the fact is, there are 220 specialized ligaments that hold the spine together.

If you have damage to the supporting ligaments around the disc, shear force injuries, they cause excessive motion in the spine. That excessive motion of the spine is how you determine the severity and location of the actual ligament injuries.

If you have a C4/C5 motion unit and you have severe excessive 3.9 millimeters of translation back and forth movement, due to the supporting ligaments now being damaged due to the trauma. And at four and five we know that the fifth cervical nerve exits, we know that that would cause a possible motor problem. We would have possibly a deltoid muscle weakness. We would have the lateral side of the arm, either hyper or hypo sensitive. We want to check that dermatome so we know where the C5 dermatome is. If we knew what muscles are involved and we can test for the particular level.

For an examination procedure, we have a hypersensitivity or a hypo sensitivity at the C5 dermatome and we have a C5 muscle that’s testing weak, then we should immediately want to know, what’s the C4/C5 motion unit like? That’s the main motion unit. Could be the one above or the one below that as well. But is that damaged?

If it’s damaged, the ligaments are damaged and you’re going to see excessive motion. If there’s excessive motion, how much excessive motion is there? Is it mild, moderate or severe?

Because if we have excessive motion that causes a motor sensory or pain problem, we have in the old terms clinically a chiropractic subluxation, which means misalignment or misalignment pattern. The mismotion pattern that causes a nerve condition.

It’s also called a spinal instability in medicine, meaning excessive motion that now causes a motor sensory or pain problem.

And it’s the easiest thing in the world to do a workup on. It’s the easiest thing to image and it’s the easiest thing to standardize in injury practices across the country. But it’s not being done.

The fact is that 90% of the patients out there are in chronic pain, do not have a pathoanatomic cause.

We have experts like William Maurice, the head of the Ohio State Biodynamics Laboratory who is a leading researcher in spinal biomechanics and spinal pressures in the world. His book is called The Working Back System where he’s trying to help solve the problem of low back lumbar spine.  This is the number one cause of disability, lumbar injuries, cervical injuries are the number four and cervical injuries also lead to the number six leading cause of chronic pain and disability, which are headaches.

He cites eight out of nine, or 90% of the patients who have a low back disability, do not have an exact path though anatomic caused identified by doctors that basically are treating the patient, creating a huge expense for employers and Workers Comp., for example

One of the things that is needed in the market itself is the simple understanding of how to determine the severity and location of these ligament injuries that are so expensive to the employers. Employers should be demanding it.  

If I’m going to use a Doctor of Chiropractic, they need to know how to do a standard examination for these types of injuries.

If I’m going to use a medical doctor, or an osteopath, then they need to be able to understand, and standardly work up these injuries, because it’s the misdiagnosis or the the lack of diagnosis, that creates an environment of substandard.  

Remember, if you’re going to change something, you must get down to the cause of what it is before you’re going to get great results in changing it.

If you don’t know what the injuries are and you were not taught to standardly workup an injury, you were not taught how to determine the severity and location of a simple ligament injury.

It is not and never has been just writing a cervical sprain down on a diagnosis code.

For somebody today to say, “Well, this patient has a cervical or lumbar sprain and that’s their diagnosis.” That’s like somebody having a leg injury and having the doctor say they have a lower extremity sprain.

The first thing anybody should be asking is, “Well, where is the sprain? Where is the ligament injury? How bad is it and where is it?”

If have you had a leg sprain, you’d say, “Well, where in the leg?”

In the knee, how bad is it? Well, it’s a grade three sprain. It’s a grade three ligament problem.

This is how I identified it. This is how we imaged it. This is what we’re doing to treat it.

It is the first step to great injury results. I don’t care if you’re an employer,  a patient, or a doctor,  the first thing that has to occur in order for you to get good results is you have to identify the severity and location of the injuries.

And we have to be able to do that standardly.

Right now there are 60,000, 80,000, 90,000 chiropractors out there, my colleagues, none were trained in a one year, six month program and how to determine the severity and location of a simple ligament injury. That injury that causes the most amount of problems in the market today. So if you’re a student today at a chiropractic college, you should be asking your educators why they’re not teaching you that.

That would be like dentists coming out and not knowing how to locate the severity and location of dental decay. Of course when you go to dental school, you’re going to be able to determine the severity and location of, of dental decay of tooth decay. So why in the world would you be in a health market, in a health care educational program today, and not know how to determine the severity location of a spinal ligament injury?

It just blows my mind that that’s occurring. It occurred for me, I graduated from Palmer College one of the oldest colleges in chiropractic in the country. I graduated in 1988 and I was never trained how to do it.

 I know to this day when I asked students that are coming out of all of the chiropractic colleges and just say, “Okay, simply tell me how to determine if a ligament is damaged in the spine.” Remember the spine is the main thing that Doctors of Chiropractic deal with.

If ligament damage is the number one cause of pain and disability in the world today, how do you determine the severity and location of a patient that’s just injured their ligaments? How do you know where it is and how bad it is?

If you don’t know where and how bad, how are you going to get successful results with it? If you’re getting some successful results with it, think about how much more successful you could be if you knew the severity and location of the condition.

If all doctors were trained in it, that would change the environment in the United States.

Chiropractic, my profession is very small. When groups do research, the research of the markets about a $14 to $15 billion market. It’s a very small market. It’s like a third of 1% of the total healthcare dollars spent are spent in the profession of chiropractic.

It is very, very small. It represents less than a third of 1% of the total healthcare dollars spent. That is 14-15 billion in medicine, back problems, low back problems in 2010 we approximately $253 billion.

Medical doctors in the market today, weren’t trained either on how to determine the severity and location of a simple ligament injury. It is not occurring in the medical market either. And it needs to be occurring with every doctor.

Because the more that you understand, you will be able to accurately and swiftly know the diagnosis. Leading to the use of conservative care procedures that are highly successful for this type condition. Lessening or eliminating patients suffering from long term chronic problems that could have been prevented.

Chronic pain and problems are devastating to injury patients emotionally and financially.

It hinders their ability to work, it hinders their ability to be successful in their family, and to participate in normal activities of daily living.  

It doesn’t have to be that way. We have to get much better. We have to become Smart Injury Doctors and use accurate and objective testing for ligament injuries and diagnosis and treat quickly and with confidence.

Remember, you can’t misalign a spine. You cannot have a hyperlordotic cervical spine or reverse cervical curve, a PLRC5, without ligament damage. Therefore, you must understand about ligament damage

If you’re going to be trading in these things, particularly in the injury market, if you haven’t learned how to determine the severity and location of a simple ligament injury, that is what the Smart Injury Doctors program is for. You go to www.Smartinjurydoctor.com and you become a specialist.

We’re creating a group of doctors, chiropractic doctors, medical doctors, and osteopaths, that fully understand the urgent need for accurate objective testing and swift and accurate diagnosis.

Come in and learn about ligament injuries. We are the leading group of injury specialist.  It is where we are training doctors to have that level of understanding.

You should have been educated in this deep understanding in your basic training, so should’ve I, but unfortunately,  it’s not there.

We must get it outside of our formal education.

Become a Smart Injury Doctor and lead the way into the future of injury care.

Want to learn more about Smartinjurydoctor's Program?

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246 Tierney Drive, Suite 1,
New Richmond, WI 54017

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Smart Injury Doctors
701 Richards Ave
Clearwater Florida 33755

labell@biocyberneticsinc.com
Call Lee Ann at 1-800-940-6513, ext 700

SEARCH THIS SITE

© 2019 Biocybernetics Inc.