Interviews


The Unlikely Defender of the Subluxation: Interview with Gary Jacob, DC, LAc, MPH, DipMDT
Interviews
Written by TAC Staff   
Wednesday, 25 September 2013 21:01
jacobgaryalan
G
ary Alan Jacob, DC, LAc, MPH, DipMDT completed his baccalaureate studies in Philosophy of Science. He graduated from Los Angeles College of Chiropractic in 1978 and the California Acupuncture College in 1981. He was the first DC and the 12th individual to receive the Diploma in Mechanical Diagnosis and Therapy in 1991 from the McKenzie Institute International. In 2003, he received a Master's in Public Health in Community Health Education and Promotion from UCLA. He is an Elected Enrollee of the Johns Hopkins Delta Omega Honorary Public Health Society. Gary remains in private practice in Pacific Palisades, California. He teaches locally (at SCUHS and acupuncture colleges) and internationally about clinical reasoning, philosophy of chiropractic, biopsychosocial approaches, and the McKenzie Method  model. Dr. Jacob has authored several textbook chapters about the McKenzie approach. 
 
The American Chiroptactor (TAC): What are some of the services and products you provide to chiropractors?
Dr. Gary Alan Jacob (GJ): As an educator, I have attempted to serve the chiropractic profession by promoting the logic and ethics regarding rehab issues. It is my responsibility to make students aware of resources for products geared toward promoting self-efficacy. 
 
Most of the products I employ are produced and distributed by OPTP, a company that was chiropractic-friendly before it was fashionable, and one that has promoted important interdisciplinary links between chiropractic and other disciplines.
 
As an educator, I have attempted to promote critical clinical reasoning regarding chiropractic's most unique attributes, including the following:
  1. That movement of the spine to end-range can have positive health outcomes.
  2. That movement of the spine to end-range in one direction may have a better response than movement to end-range in another direction.
  3. That movement of the spine to end-range in one direction may be deleterious and should be avoided until health is restored to the point of that direction being safe.
Of these three principles, most chiropractors employ the first two in practice, and although most might agree with the third, most do not employ it in practice, which results in adjustments that do not “hold.”
 
TAC: What are your goals in treating patients?
GJ: My goal in treating patients is to promote self-efficacy from the perspective that spinal complaints are of multifactorial origins. In addition to mechanical therapies, the promotion of positive health behaviors is important regarding diet, supplementation, exercise (aerobics, strengthening, relaxation exercises), etc.
 
TAC: How did you develop your treatment protocols?
GJ: After graduating from chiropractic college, I had manipulation skills but no clear way of knowing how to use them except for palpating for sticky joints. 
 
After seven years in practice, I stumbled on the McKenzie Method, an approach developed by a New Zealand physiotherapist that, for me, illuminated my understanding of the subluxation (McKenzie calls it a “derangement”). What the McKenzie Method provided for me was the symptom profile of the subluxation listing; it is my belief that chiropractic has been handicapped historically by ignoring the symptom pattern of the subluxation, i.e. how symptoms behave, in tandem, with mechanical findings. The McKenzie Method identifies patterns of those behaviors permitting a better understanding of which spinal movements should be pursued and which should be avoided in relation to positioning, exercise, or manual therapies. In addition to McKenzie, I have been influenced by others, such as Mulligan, Butler, and Laslett. 
 
My approach for the lower back pain of a 44-year-old would be as follows. After ruling out red flags, I make the assumption that complaints are due to spinal  derangement (subluxation) until proven otherwise. Should evidence for that be lacking, the next consideration would be the sacroiliac, tested via Laslett protocols  requiring three out of five reliable SI tests (iliac distraction, Gaenslen’s, thigh thrust, iliac compression, sacral thrust). Should that fail, the next consideration would be facetogenic pain, keeping in mind that Laslett demonstrated extension rotation pain to be 100% sensitive for facetogenic pain (i.e., if there is no pain with the test, you don’t have it!). My next consideration would be whether short tissue explained complaints, which would require a ROM loss consistent with the muscle believed to be short. Other explanations to be considered, if presenting phenomena cannot be explained as joint or short-muscle based, would be inflammation, clinical instability, nutritional, sensitized nervous system, psychological, etc. The approach I follow is shared by many rehab-oriented chiropractors and has best been formalized by Donald Murphy, DC, DACAN, initially known as  the Diagnosis-Based Clinical Decision Rule and currently called CRISPTM (Clinical Reasoning in Spine Pain).

TAC: What is the most common problem you see new or struggling chiropractors have in treating patients?
GJ: Aside from the economics of practice, the most common problems I see concern both conceptual and physical skills. When confronted with a clinical problem, there is no clear understanding of what to do or when to do it. The erroneous medical assumptions of spasm and inflammation have infected chiropractic thought precluding the willingness or ability to determine and correct subluxations. Curiously, the lack of ability of new graduates to adjust the spine by hand is commensurate with chiropractic institutions being less willing to use the word subluxation. Many new chiropractors lack the motivation, confidence  or ability to adjust the spine, resulting in a fear of moving the spine and the pursuit of non-movement passive therapies. New graduates can tell me more about contraindications for adjusting versus indication for adjusting.
 
TAC: What types of chiropractic techniques do you prefer?
GJ: Prior to attending LACC, I had a chiropractor in Manhattan who was a toggle-recoil HIO instructor for B.J. Palmer. When he heard I was to attend LACC, he went into mourning and then taught me toggle-recoil HIO to his satisfaction prior to my departing for Los Angeles. To that end, I have a MT-125 (MT Tables) toggle-recoil multidirectional headpiece stationary table with thoracic and lumbar drop pieces as well.
 

New graduates can tell me more about contraindications for adjusting versus indications for adjusting.

Of all areas of the spine, it is my opinion that the upper cervical spine perhaps needs more manual assistance than other areas and I find upper cervical drop-piece adjusting to be well suited for that purpose. 
 
As a McKenzie chiropractor (McChiropractor?), I also employ the REPEX II table from Hill Laboratories, which permits continuous passive lumbar extension or flexion motions. 
 
I do not prescribe to any particular chiropractic “technique.” I am a hands-on, diversified adjustor guided by mechanical and symptomatic responses to loading as revealed by patient-generated positioning, movements, and exercises, as well as pre-manipulation mobilization testing. My approach is adjustment, not subluxation-based. The belief of having to determine exactly where the subluxation is so the force can be applied to exactly that spot  may not always be prudent  (research indicates that the cavitation does not always occur where the hand is applied). One can conceive, for whatever reason,of situations wherein a  a subluxation may be best corrected with the force/fulcrum applied above or below the subluxation level. The mechanical and symptomatic responses to the force applied are more relevant than determining where to apply force based on criteria that ignore those responses. 
 
TAC: What patients improve the most significantly with care?
GJ: The patient that improves most significantly with care is the patient for whom the appropriate education is provided. Education/exercise should be preferred to passive coping strategies that prolong the cost of care and reduce outcomes. The manner in which care is framed is very important. If benefit from exercise is explored before manual therapies, the sufferer realizes its efficacy, believes the DC feels it is important, and, therefore, is more likely to comply. If the DC rushes to rescue the patient with passive procedures and teaches exercise later, the outcome/compliance will not be as good.
 
The manner in which interventions are framed is also important. Benefit from an adjustment may be interpreted as meaning that the DC is the way, the truth, and the life, or a different interpretation may be forwarded for a better cognitive-behavioral effect. Benefit from an adjustment can also be diagnostic/educational by the following communication:
  • There was benefit from movement
  • There was benefit from aggressive movement to the end of range.
  • Your spine is, therefore, strong.
  • Your spine is not damaged; it is deconditioned.
  • It has a movement deficiency, especially concerning movements to end-range.
  • Exercises to end-range (similar to adjustments) can be developed to give you similar relief.
  • The avoidance of certain end-ranges will also benefit you.
  • You do not need to fear exercises at home, as the forces involved are less than the adjustment.
The role of chiropractic versus rehab
Chiropractic is the name of a profession, not a procedure or a technique. It is impossible to predict what any particular chiropractor defines his or her “chiropractic” as. Some distinguish what DCs do as “chiropractic” and “physio,” the former meaning adjustments and the latter meaning modalities and, less often, rehab exercise. 
 
It is my hope, (and I believe it is crucial for the survival of the chiropractic profession), that chiropractic will someday be indistinguishable from rehab, thus snuffing out critics of chiropractic that accuse us of promoting passive palliative procedures resulting in dependency and deconditioning.
 
I have referred to the “adjustment” as a diagnostic and educational tool for rehab. Of all the passive therapies, the adjustment has the best evidence-based support and is related to rehab, inasmuch as it is a movement therapy. 
 
Hopefully, chiropractic will have a future if it embraces the principles of rehab. Currently, the chiropractic profession is made of different tribes (techniques) having separate languages and approaches. The failure of the chiropractic profession to account for the symptom profile of the subluxation makes “magical” techniques attractive. It is a Tower of Babel that challenges the argument that the DC profession should be primary care.  
 
The role of chiropractic should be indistinguishable from the role of rehab. For me, it has been the marriage of the McKenzie Method with chiropractic that has permitted that to happen. 
 
The McKenzie Method takes a history regarding the effects of end range loadings and performs end-range loading exam procedures; based on that, an exercise program is developed involving the pursuit of certain end ranges and the avoidance of others. If complaints and mechanics recover, the sufferer was taught how to saddle up and ride innate themselves. If there is a partial response, greater forces in the same direction (i.e., an adjustment)  may be employed. 
 
Particular patients
The type of patient that sticks out in my mind the most is the patient that gets significant, albeit short-term relief from chiropractic adjustments, but has never been progressed to an adequate exercise program. The patient presents with a history of medications, injections, and modalities failing with the only significant (temporary) relief being realized with adjustments. 
 
The history of relief with adjustments is a history of relief with movements to end range . It is rare for me to encounter a patient who reports significant short-term relief from adjustments who cannot be liberated from dependence on adjustments if instructed how to perform end-range loading exercises in certain directions (like an adjustment), and if instructed about which movement directions to avoid (so the correction “holds”). 
 
After that, the patient would further benefit from being progressed to an adequate aerobic, strengthening, and relaxation exercise program. All too often, the only exercise given is “stretching” without any evidence of the ROM loss predicted by the muscle purported to be short.  
 
Please visit http://www.garyjacob.com to access educational materials written by Dr. Jacob or to contact him.
 
 
Some Perspective on Soft Tissue: Interview with Warren Hammer, DC
Interviews
Written by TAC Staff   
Sunday, 25 August 2013 19:49
D
r. Warren Hammer has been in practice for 50 years. He graduated from Brooklyn College (BA) in 1955, Lincoln Chiropractic (DC) in 1960; Diplomate, American Board of Chiropractic Orthopedists in 1975; instructor in spinal biomechanics, NYCC; University of Bridgeport (Human Biology-Nutrition, MS) 1979. He is a consultant for Graston Technique©. He attended seminars at Gonstead Clinic (20 X), Cyriax, Nimmo technique, ART, Mulligan, Voyer, Fascial Manipulation®, and others. 
 
hammerwarrendcTAC: What made you become interested in soft tissue methods?
Dr. Warren Hammer (Dr. H): Early on, I realized that spinal and joint manipulation, while extremely important as a treatment modality, was only part of the picture regarding the treatment of musculoskeletal conditions. I wrote years ago about chiropractic tunnel vision regarding “subluxation” and spinal involvement. The spine is a passive structure, moved by muscles and supported by connective tissue. How can you neglect these areas? For me, the big realization about soft tissue began when I noticed that spinal and shoulder adjustments, plus some modalities such as ultrasound, were not the answer to the treatment of most shoulder problems. I might add that this also applies to most other areas of the body.
 
TAC: How do chiropractors respond to your position on the role of chiropractic in health care?
Dr. H: Years ago, I used to receive threatening letters stating that I was not adhering to chiropractic “philosophy,”etc. It may sound like blasphemy to some, but I feel that the future of our profession depends on us departing from some of the original ideas of chiropractic. These ideas have been overemphasized and have slowed down our progress. Have we ever asked ourselves why we are treating the same percentage of the population that we did 50 years ago? In a recent volume of American Chiropractor, outgoing president of NUHS, Dr. James Winterstein was asked about the future of our profession. He stated that the new science called mechano-biology whereby mechanical input can affect human physiology down to the celluar and biomechanical level is very important for our profession. He stated that “when you work on the fascia, these fibrocytes communicate directly with one another, and they invest every organ in the human body.” “What we do biomechanically has an effect that goes far beyond the bones, joints, ligaments, and muscles.” “This has been the basis for the profession since the beginning.” I feel that what we do biomechanically, though, has to include much more than the spinal adjustment. 
 
TAC: What is it about fascia that chiropractors have been overlooking? 
Dr. H: Seems that in the US, except for the Rolfers (Structural Integrationists), up until recently almost everyone has been overlooking fascia. Except possibly in Europe where Fascial Manipulation® has been taught for the past 15 years. The most ubiquitous connective tissue in the body is the fascia. It has been defined as the connective tissue system that permeates the human body, forming a whole-body continuous three-dimensional matrix of structural support. It interpenetrates and surrounds all organs, muscles, bones, and nerve fibers. Every muscle fiber and every muscle belly is surrounded by fascia. It is extremely important because it transmits almost 40% of the force of a muscle contraction and possibly more important, the fascia is a sensory organ that communicates with the CNS. Muscle spindle cells that function to help regulate muscle function are in the fascia. If the fascia is densified and unable to slide over and within muscle, then the spindle cell cannot provide normal feedback to the CNS. There will be an incoordination of muscle function leading to eventual pain and malfunction, and the individual becomes an accident waiting to happen.

TAC: Do subluxations affect the fascia?
Dr. H: More likely, densified fascia affects the subluxation. Often after soft tissue treatment there are less spinal fixations palpated. Actually, an adjustment is a type of soft tissue treatment affecting the capsules, associated ligaments and muscles, and probably some local fascia. But due to the global distribution of fascia, the whole fascial system has to be considered along with the articular component.

TAC: Can you in a few words tell us about the Fascial Manipulation (FM) course?
Dr. H: I went to Italy for two separate weeks to learn the work and recently introduced it to the US with Antonio Stecco, MD. FM looks at the entire body from a global perspective based on an anatomical and neurophysiological understanding of the fascial system. Based on FM interpretation of the myofascial kinetic plane, for example, treatment of an old ankle fracture (fascial disruption) finally prevents the recurrent compensatory low back pain.

We must recognize the importance of our total structure and not get stuck on just treating its parts.

TAC: Can you think of one change that a chiropractor can do to significantly impact his or her practice’s growth immediately?
Dr. H: Simple, get people well in a short period of time. Fill your “tool box” with as many healing tools as possible and apply them to the particular patient’s problem. I am not interested in gimmicks that create an immediate growth in practice. We are all in practice for the long haul and creating satisfied, referring patients has always been the key to growth for all types of doctors. I believe in a doctor having a healthy frustration, meaning that you can never be content until all of the patients you accept get well. Since this cannot really happen, allow your “healthy frustration” to continue to find out why you were not able to get them well.

TAC: Where do you see the future of chiropractic headed?
Dr. H: The future of chiropractic depends on how soon our colleges can teach the gestalt of healing. We must recognize the importance of our total structure and not get stuck on just treating its parts. The physical therapists seem to be developing this concept and are now graduating DPTs (doctors of physical therapy). They are teaching spinal and joint manipulation, and while they have not nearly reached our proficiency, they continue to stress a soft tissue paradigm. From what I see, however, they are still weak in the soft tissue arena, but to their credit, they are not stuck on original concepts. Frankly, I worry about our future.

TAC: Any final words for our readers?
Dr. H: The old adage that we should treat patients as we would want ourselves to be treated is truer than ever. I want my doctor to know everything possible about what he treats. I want my doctor to open his or her mind and never be satisfied with his or her state of knowledge. I want my doctor to be interested in getting me well as quickly as possible and not make me a lifelong contributor to his or her financial well-being.

Visit www.warrenhammer.com for more information.
 
Amazing Chiropractor Interview with Dr. Steven M. Horwitz, DC, CCSP, CSCS, CKTP: Sports Injury Practice with a Focus on Injury Prevention
Interviews
Written by TAC Staff   
Thursday, 25 July 2013 20:34
D
r. Steven Horwitz is a graduate of Cornell University and the National College of Chiropractic. He is a certified Chiropractic Sports Physician, Strength and Conditioning Specialist, USA Weightlifting Club Coach, Kettlebell Instructor, USA Track and Field Level 1 Coach, and Sports Nutritionist. In 2010, Dr. Horwitz was named to Washingtonian’s list of top experts in sports medicine. In 2006, he was named to the Guide to America’s Top Chiropractors by the Consumer’s Research Council of America and in 1996 Dr. Horwitz received the Maryland Chiropractic Association’s Outstanding Achievement Award. He is a credentialed Active Release Techniques® practitioner (upper extremities, spine, lower extremities, nerve entrapments, Masters, and Ironman® Provider), certified Graston Technique provider, certified Kinesio Taping Practitioner (CKTP), certified Functional Movement Screen provider, and certified in Dry Needling by the Dry Needling Institute. Dr. Horwitz is Titleist Performance Institute certified.
 
tractiondevicesDr. Horwitz was selected by the United States Olympic Committee as the sole chiropractor on the sports medicine staff of the 1996 Olympic Team and in that same year was appointed by the Governor to the Maryland Advisory Council on Physical Fitness. He served as the Chairman from 2002 to 2004. Dr. Horwitz was elected as the Maryland State Director for the National Strength and Conditioning Association from 2004 – 2010.
 
After 26 years of chiropractic service, Dr. Steven Horwitz’s focus is on sports injury prevention with a special interest in young athletes. “Working with young athletes I see that coaches can offer specific sport-related skills. But every athlete, with the possible exception of swimmers, uses the same skill set: two or three steps forward, backward, to the left, to the right, stopping, jumping, landing, changing direction. I really enjoy working with young athletes to help them learn movement skills which will not only allow them to excel at their chosen sport, but to develop movement patterns and muscle memory which will serve them throughout their life.”
 
“A good analogy for the importance of proper athletic technique,” Dr. Horwitz goes on to explain, “is having your tires properly balanced on your car. Properly balanced tires allow the car to be driven faster, prevent uneven tire wear, permit the slowest rate of tread wear possible, and provide the greatest protection against blowout. The same goes for proper exercise technique and the human musculoskeletal system (bones, joints, muscles, ligaments and tendons).” 
 
TAC: What has really impacted your growth as a chiropractor and that of your practice? 
Dr. Steven Horwitz: My mentors, Dr. Jack Kahn and Dr. Charlie Miller, really shaped my career. They were amazing chiropractors! The Olympics certainly taught me how much athletes appreciate chiropractic care. Continuing to learn is critical. One cannot rest on one’s laurels if you want to succeed in this field. 
 
TAC: What inspired you to become a chiropractor?
SH: I consulted with my parents when I was in college about what to do with my life. They had a revolutionary idea—they went to the library and checked out a book of professions. I had always enjoyed fitness and health, but did not want to go to medical school. Not long after that conversation, I had a frustrating experience with an orthopedic surgeon when I injured my shoulder. The exam lasted two minutes and his treatment plan was aspirin. I thought there must be a better way. My father, wise and plugged in, recommended chiropractic care as a way for me to align my interests in sports with my desire to help people avoid the same kind of shallow and unhelpful clinical experience I had. 
 
I believe a holistic approach is the key to success for athletes young and old. “The function of protecting and developing health must rank even above that of restoring it when it is impaired,” said Hippocrates. This philosophy shapes my practice. Over the years I’ve worked with elite athletes, weekend athletes, and sometimes had the privilege of watching talented, young athletes develop their athletic careers. 

I believe a holistic approach is the key to success for athletes young and old.

 
A few years ago a patient of mine retired from playing professional soccer. She was a perfect example of the balanced tire analogy. We met as she was finishing her college career and I would see her once every few years. Very slowly, over years of  playing, her “tires became unbalanced.” The “wear and tear” progressed gradually. When she retired, she moved back to the area and sought me out because she was in pain. Her lumbar MRI showed two severe herniations at L4-5 and L5-S1. I had been reading about the “Traction on the Move” concept and thought it might make a difference for her. I purchased a Vertetrac for the clinic with her in mind. I started her off using it on a daily basis and afterward using it in combination with the treadmill after using cold laser and performing ART to the appropriate muscles. Over several sessions of care, she improved to the point of being able to coach soccer and live pain-free. She still uses the Vertetrac periodically for maintenance and preventive care while she continues coaching and staying active. I have a few special tools in my arsenal, and the Vertetrac is one I return to often.
 
You can contact Dr. Horwitz at: This e-mail address is being protected from spambots. You need JavaScript enabled to view it  Visit www.DrStevenHorwitz.com or call  214-531-7939
 
Dr. Horwitz refers to Meditrac Products in this conversation. Website : http://meditrac.co.il
 
 
Dr. Dick Versendaal: A Pioneer of Modern Chiropractic Wellness
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Interviews
Written by Ken Murkowski, DC   
Thursday, 25 July 2013 16:22
D
r. Dick Versendaal is one of the last living doctors of chiropractic who studied under Dr. B.J. Palmer. Today, he still practices with the “big idea” in mind. 
 
versendaaldickIn a Q & A session with Dr. Ken Murkowski, Dr. Versendaal talks about his past and present.  Also revealed are some of the interesting beginnings of Contact Reflex Analysis® (CRA), as well as where Dr. Versendaal sees his influence as it relates to the Science, Philosophy and Art of chiropractic.  Join us in reviewing this inspiring history, for Dr. Versendaal's 76th Birthday celebration.
 
Dr. Ken Murkowski (KM): Tell us about your memories of B.J. Palmer.
Dr. Versendaal (Dr. V):  Well, there are so many stories, but he demanded respect for himself and chiropractic, and he was strict about punctuality. If you were not in your seat 15 minutes before class, you were late and he locked the classroom doors.
 
KM: Dr. Versendaal, how did you come up with the concepts and principles of CRA?
Dr. V: Due to my own severe chronic stomach pain I, like so many other chiropractic patients, was desperate for a relief and cure. I sought out different techniques and DC experts. I was willing to try any chiropractic technique to relieve and cure my stomach pain. While attending a Dr. George Goodheart seminar, I was treated for my stomach dis-ease with reflexes in my mouth; these reflexes completely alleviated my problem forever. A chiropractic reflex miracle! I then hypothesized the body had to have other contact reflexes for other dis-eases and pains.
 
KM: Dr. Versendaal, exactly what does CRA stand for?
Dr. V: Today CRA®, Contact Reflex Analysis®, is an established protocol for testing the causes of VSC (dis-ease) and how they are affected by the structural (traumas), emotional (autosuggestion), chemical (toxins), and the VSC and its eight physical and eight chemical components. Of course, once comprehensive CRA testing is done by any DC who knows CRA then they must have the contact reflex adjustment. This, I refer to as the dynamic adjustment in class, for those practitioners licensed to do so today. Then we also do the VSC eight chemical components with the CRA  nutrition for wellness.

KM: Dr. Versendaal, how did CRA  start? Where did the research funding come from?
Dr. V: Well, I must thank my mom. I was in practice about one year. I had to take my mother to a very famous MD (Dr. Northouse) in Grand Rapids, Michigan. I was sitting in his waiting room and a nurse summoned me to his private office. He said, “Young man, your mother says you are a specialist and you can fix anything. I am a world famous medical doctor, author, and teacher. I am now being forced into early retirement due to years of constant debilitating neck, shoulder, and arm pain. I have tried every known medical treatment and therapy and nothing has worked. I want to try chiropractic today!” The rest, as they say, is history. I did CRA testing and a dynamic adjustment on the doctor and recommended special nutrition. I left the doctor in the hands of “innate” and took my mom home.

Drs. D.D. and B.J. Palmer were light-years ahead!

 
Two weeks later, I was again called to come to the doctor’s office. The doctor said, “I told you that if you helped me that I would help make you famous.” He opened his drawer and handed me the title to an antique car on display in a Grand Rapids museum. Its value was $15,000 in 1959. I later sold the car to a museum in North Carolina.
 
Dr. Northouse established a research foundation in hospitals covering three states (Tri-States Research) dealing with nutrition, the nervous system’s reflexes, and adjustments. We hired MDs and PhDs to do CRA  research with labs and tests. The CRA  research tied in blood tests and urinalysis samples just like B.J. did at the Palmer Clinic.
 
KM:  As one of the last chiropractic icons, where do you see yourself and CRA  in today’s chiropractic society?
Dr. V: Thank you. I never see myself as an “icon,” only as another chiropractor and teacher. We have to look at the entire chiropractic profession today. On the far left, we have DCs legally doing minor surgeries, injections, and wanting to distribute drugs. On the far right, we have DCs only adjusting one bone (HIO) by hand only. It is my belief that I am in the “middle” of all chiropractic and its philosophy, art, and science. CRA  is based on the vertebral subluxation complex (VSC) and its eight physical and eight chemical components, which stem from D.D.’s original teachings that VSC is caused by traumas (structure), autosuggestions (stress), toxins (chemical), and spinal subluxations (TATS). I will tell you that at CRA seminars, I have seen practitioners from the far left and the right who have embraced with CRA  principles, protocols, and teachings.
 
I welcome all practitioners today to “unite” under CRA  no matter what their individual chiropractic philosophy or technique tools are. I am giving all DCs and chiropractic another technique tool to add to their healing toolboxes thus increasing health and wellness in the world today with simple protocols!
 
KM: Do you think you have grown beyond chiropractic?
Dr. V: I believe it’s the exact opposite! I look at myself and CRA as being an evidence-based research teacher and sharing my knowledge based on TATS learned from D.D. and B.J. Palmer. CRA  is in the middle of the chiropractic road. Some of my former students have focused on one or more of the causes of VSC. Dr. Ulan, a former CRA board member and CRA practitioner is now a teacher focusing the majority of his teachings on the VSC chemical components of dis-ease. Two of my students are also focusing heavily on the chemical components of CRA  (Drs. Stuart White and John Dobbins). All three doctors learned the CRA  principles and protocols for wellness. I am happy to have been a teacher to them so they can teach also.
 
When I teach CRA , I reinforce the history of chiropractic in today’s wellness practitioner by utilizing D.D.’s triad of wellness as it applies to our philosophy, art, and science! This includes not only nutrition (toxins), but the structural (traumas) and emotional (autosuggestions) causing dis-ease. CRA  is one of the most holistic modern approaches to total “family wellness” today! CRA  raises the autoimmune systems and increases one's immunity to dis-ease, especially inflammations in our environment today. 
 
KM: Do you view yourself as being light-years ahead of the current wellness movement?
Dr. V: Yes and no. Drs. D.D. and B.J. Palmer were light-years ahead! I don’t know if I am light-years ahead in the wellness movement. I view CRA  research for the last 56 years as the seed of chiropractic wellness care. I am exceptionally happy to see the modern chiropractic profession treating and teaching patients about wellness, and DCs dealing with the issues of traumas, autosuggestions, and toxins, along with the spinal VSC. The only place where I might be light-years ahead would be in the research and development of the 10 natural nutritional products and six essential oils (VerVita®) that we are using today in CRA  because of people’s chemical sensitivities especially with wheat, gluten, sugar, etc.
 
The reason we have it down to 10 nutritional products and six essential oils is because any practitioner today can learn and explain to the patient, the synergistic relationship of how VSC is affected by the triad. The research and development of these formulas is based on the interrelationship of body systems instead of the same old one vitamin deficiency syndrome.
 
versendaaldick2KM: Is CRA easy to learn and reproduce by young practitioners today?
Dr. V: Yes. Young, old, like any other chiropractic mainstream technique, the more you practice the technique principles and protocols, the more proficient you become in Contact Reflex Analysis® and contact reflex adjusting. How long does it take to learn to be perfect in the Gonstead, Thompson, diversified technique, or acupuncture? Remember the Vince Lombardi quote: “Practice doesn’t make perfect. Only perfect practice makes perfect.”
 
KM: Do you have one or two more memorable miracle success stories with CRA ?
Dr. V: For the record, every patient who is helped with CRA®  is a chiropractic success story. In my last 56 years, I estimate by seminar attendance records thousands of CRA  students have tested and taken care of tens of thousands of patients. They have heard the CRA  principles and protocols. One of the CRA  successes that is very dear to my heart is Dr. Bob Hoffman. This great man is one of my closest friends besides being a chiropractic teacher, management pioneer, entrepreneur, and speaker for The Master's Circle.
 
KM: Do you see yourself retiring in the near future?
Dr. V: No, absolutely not. I believe you must walk your talk, and I do that. I am 76 years young. I celebrated my 76th birthday (in March) by teaching. I am just starting on some new research. I have great vitality, but more importantly, my passion  is for helping chiropractic, and people in life by teaching chiropractors CRA, so they can help their patients. My passion for teaching is only surpassed by my burning desire to help every sick person I meet through CRA, and to make the world a healthier place naturally…and spread the words of wellness.
 
Thank you, Dr. V, and Happy 76th Birthday from The American Chiropractor.
 
 
Leading Care through Innovation and Passion
Interviews
Written by TAC Staff   
Saturday, 25 May 2013 12:25
D
r. Kevin Jardine graduated from Canadian Memorial Chiropractic College in 2002 and has been in practice for just over a decade. Dr. Jardine comes from a background in exercise science from the University of New Brunswick. 
 
jardine1Dr. Jardine is the co-creator of SpiderTech which has become a globally recognized brand delivering kinesiology taping products and education. On top of providing the professional health care market with an easier, more standardized approach to kinesiology taping, Dr. Jardine has brought the field of chiropractic to a world stage of credibility with the endless traveling and presenting he does for all health care professions.
 
Dr. Jardine has presented at dozens of chiropractic colleges and association events, as well as written numerous articles showing the world the broad diversity that chiropractic can offer. He has presented to such prestigious schools as UCLA, USC, Stanford, and Penn State, to name a few. 
 
Following his contribution in the building of SpiderTech, Dr. Jardine founded a Toronto-based multidisciplinary clinic called the Urban Athlete which has more than 20 different health care professionals all working together for the benefit of the patient. Dr. Jardine has treated some of the world’s greatest athletes as well as consulted with numerous professional sports teams.
 
As an avid sportsman, Dr. Jardine also contributes to the community by providing complementary services to less fortunate competitive athletes. Dr. Jardine has also volunteered his time to bring the sports chiropractic community together by acting as an advisor for the International Sports Chiropractic Association in its merger with the FICS organization.
 
TAC: Tell us more in-depth about the services and products you offer chiropractors, and how or why you offer them. 
KJ: In addition to creating SpiderTech, Dr. Jardine has developed additional innovation in the health care market by producing leading health and fitness products and mobile technology. Dr. Jardine’s company, Feeling Pretty Remarkable, provides targeted exercise programs to help people overcome and prevent some of the most common musculoskeletal injuries. Chiropractors benefit from using the products by learning more about the role of rehabilitation in patient care. In addition to the educational courses provided, practitioners can purchase DVDs and manuals to sell to patients as a simple way to extend the advantages of active care. 

For me, being a chiropractor is more than eliciting an audible click.

 
With a passion for education, Dr. Jardine also created a continuing education company called Collaborans with Dr. Nick Tsaggarelis, which provides both online and hands-on courses. Collaborans currently operates in 12 different countries and provides leading education around rehab, taping, and movement-based diagnostic skills. Collaborans also provides chiropractors with a platform to help develop their own products and educational ideas so that they can effectively share them with the whole chiropractic community. 
 
TAC: What are your goals in treating patients?
KJ: My goal in treating patients has always been about providing the best resources to help my patients reach their personal health potential. I take a “whole system” approach to patient care and I have always been a believer of the notion of patient empowerment and that physical activity is a fundamental pillar in someone’s approach to leading a healthy life.
 
TAC: How did you develop your treatment protocols?
KJ:  I have always considered myself a lifelong learner, and I have always been very curious about the human body. This has led me on a continuous path of learning and developing my skills. I realized a long time ago while on this journey that there is always something new to be learned. I enjoy collaborating with others and combining both the relevant research with practical experience to find innovative ways to help my patients.
 
TAC: What is the most common problem you see new or struggling chiropractors have in treating patients?
KJ: The most common problem I see chiropractors struggling with is the confidence in what they can help their patients with. For me, being a chiropractor is more than eliciting an audible click. It is about providing insight, context, and actions that patients can benefit from in order to live more fulfilling lives. Too often, I see practitioners focused on the technical side of what they do, or on how difficult it is to function in today’s troubled health-care system. Throughout history, there has never been a more important time to be a chiropractor. This profession puts you on the front lines of the battle of overcoming obesity and other non-communicable diseases that are sweeping the globe such as diabetes and heart disease.
 
lowbackspiderTAC: What type of chiropractic techniques do you prefer?
KJ: I am a diversified practitioner with a broad range of skills that I can draw upon to help my patients. I typically use a combination of soft tissue work, articular adjustments, and physical activity for most conditions I see. In addition to being a medical acupuncturist, I also use nutritional intervention to help promote recovery and health in my patients.
 
TAC: What patients improve the most significantly with care?
KJ: My patients are ones that understand that I am not going to just become a physical aspirin for them and do all the work. They understand they have a role to play, and it is a very important role. This helps me focus on working with patients who want to play an active role in their care rather than become a spectator.
 
TAC: How do you view the role of chiropractic, versus that of Rehab?
KJ: I feel the two go hand-in-hand and the greatest results are achieved when they are combined. I believe in order to provide complete chiropractic care, you need to provide patients with active exercises designed to help them get back to being able to take on the daily challenges without continually having to rely on your adjustments. I’ve actually created a whole brand around providing chiropractors with the tools necessary to learn about and implement active care within their practices. Feeling Pretty Remarkable was created because of a need to build the understanding of the role of exercise in clinical care for chiropractors. It provides clinicians with structured programs targeting the most common musculoskeletal injuries. Programs such as The Knee Program or The Low Back Program are offered as DVDs so chiropractors can continue to provide the best in care for patients while building the success of their practices.
 
TAC: Can you give an example, no names of course, of a patient that sticks out in your mind as having really benefitted from the care you delivered?

I have unfortunately seen, far too many times, patients in their sixties that are more physically deteriorated than my 96-year-old client.


KJ:  I’m very fortunate to have worked on some of the world’s greatest athletes. I’ve worked on professional and Olympic athletes. I love the part of my job that involves reading the success stories of the people I have been able to help. And it doesn’t matter to me if they are someone’s grandmother or a world champion. The last couple of years have been great with being involved with a Tour de France-winning professional cycling team as well as the London Olympics. The case that stands out the most is my 96-year-old patient I see every month. There are two reasons that she stands out. One is because there are many times that I feel I am not able to do anything for her. This bothers me and I constantly ask if she feels that what I am doing is helping. Her reply is always "yes." This teaches me that what I do is more than just the physical act of my technical skills. The other part that strikes a chord with me about working with her is that she is an example of what can happen if you take care of your body and take responsibility for your health. I have unfortunately seen, far too many times, patients in their sixties that are more physically deteriorated than my 96-year-old client. This breaks my heart to see people suffer knowing it didn’t need to be that way. This has fueled my passion to educate and inspire the habit of health in others.
 
TAC: Where do you see the future of Chiropractic and Rehab headed?
KJ: Chiropractic has a dangerous and challenging road ahead. What chiropractors have traditionally felt they have owned, the act of joint manipulation, is now being taught at leading physical therapy schools. And with the introduction of the Doctor of Physical Therapy programs, chiropractors will have an even more challenging time to differentiate the need for their services. In my opinion, chiropractors can make a mark for themselves as experts in health and physical activity. But this takes leadership with a vision for change and a profession that is willing to adapt for the times. Rehab and physical activity will become an even more important skill to have in the coming years and those who possess the tools that help their patients get better faster will lead the way to success.
 
TAC: Any final words for our readers?
KJ: Being a healthcare professional includes a commitment to continual learning, and having the intent to learn from the best suited for the job, not the cheapest. My call to action for you is to commit to leading others who are looking for your expertise and skills by first leading yourself. What is your health like? When is the last time you went for some preventative care? If you were your best client, what would you recommend as the first thing to do for building better, longer lasting health? Asking questions like this can be tough to swallow, but in today’s troubled healthcare system, I’ve often said “the best form of health care, is caring for your own health.”
 
You may contact Dr. Kevin Jardine at:  This e-mail address is being protected from spambots. You need JavaScript enabled to view it  or visit www.Collaborans.com
 
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