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Hi, everybody. Happy Thursday. Uh,
Third, Thursday of July. I am your party house for today. Monica Berger here. Um, and we’re going to have a little bit of fun. And so before I get started, uh, pop quiz time, I love to do pop quizzes with those docs that I mentor. So if you’re live right now, I want you to type in, do, do, do, do, do, do, do what you think the top let’s go with, uh, about the top two reasons that kiddos, um, come to see you in your chiropractic office. So if you’re out there and you want to do a pop quiz, guess what are the top two reasons you think kiddos present to a chiropractor for boom, boom, boom, boom, boom. Let’s do it. So, um, let’s, uh, my topic today, I’m going to go to some slides and let’s rock and roll. So today we’re going to present the top reasons kids go to see chiropractors.
Hmm. But I’m going to put a little spin on it, um, because I want you amazing chiropractors out there to think outside the box a little bit, because our goal, our goal is always, how can we best help those that we serve right? To help them live the healthiest, happiest most optimal life. So sometimes we need to take a little spin, change the lens a little bit, um, and look just a little bit further outside the box as to how we can achieve those goals. And if we do that, that’s where the magic happens. Because when you are the one to help your, um, your practice members to help your community, that’s where the magic hits, because you will start in what I call an everlasting practice. You really don’t need to be out there searching for new patients, doing spinal screenings, all that kind of stuff, because you get people well and they stay pay and refer.
So let’s think outside the box a little bit. So let’s Jimmy jam to the next slide here. Thank you, ChiroSecure again, without your amazing, um, support and, um, proactiveness for us to get our word out, our message out. We couldn’t, um, be the awesome practitioners that we are. So again, thank you. Tyra ChiroSecure Matt for giving us this platform. Um, and I want to tell you all those of you that, um, no, my sidekick Elizabeth, she’s not here with me today. Uh, she’s at my home. I’m at my office office, but I just want to assure you that Elizabeth has safe sound and secure and happy and healthy. And she is spending some time with my cat Macy today. So, um, why do they, why do kids seek chiropractors top reasons? 65 ish to 85% are for musculoskeletal purposes, mostly neck and back pain, but we want to throw some growing pains into this mix as well.
Only two to five, 6% are being seen for other, um, other reported issues. Uh, lots of times we will see that as colic allergies, eczema, asthma, and your recess. Those are big ones that we see in our profession, but that’s a very small number. So we want to look, we want to hone in today or what I want to hone in today is how to spend our, um, view of musculoskeletal pain. All right. So boom, let’s do it. One thing I want you to keep in mind, this is a really golden Pearl, 50% of kiddos and adolescents experienced low back pain within a course of a year. But third, a third of these will experience recurring pain. Keep that in mind. Okay. So they present to you initially, but a third there’s a third of your patient base can go on to have recurrent pain.
We’re going to talk about that in a minute. All right. Then low back pain in adolescents seems to track into adulthood. There’s a great presented is higher predictive value that an adolescent presenting with low back pain, it will follow them into adulthood. And guess what guess what is the number one disability in the world is low back pain, all right, headaches and neck pain, also follow adolescents into their adult years. So keep this in mind because what you want to do is you want to give that message to your parents that, Hey, these are common things we see caring in adulthood. Wouldn’t you like to minimize that? Wouldn’t you like to minimize the chance of your child later on suffering from the number one cause of disability in the world, lower back pain or ongoing headaches. So keep this in mind. These are key talking points, which we’re going to talk about how to pap size on these at the end of my little blurb here.
So, um, this, I found very interesting. There’s an overall wellness form. They refer to as this SF 36. And basically, what is this a questionnaire form where they look at pains, you know, what’s your pain factor. Um, how does it interfere with your daily life? How does it interfere socially? How does it interfere emotionally? And they found that chiropractic patients has significantly worse overall health and that chiropractic patients back and neck pain patients, musculoskeletal patients, overall chiropractic patients seem to have poor mental health. And I want you to keep this in mind for a minute because we’re going to tie all this together and how you can use these as talking points in your practice to build that stay, pay, refer everlasting practice and how to look outside the box here. But, um, what was also very interesting was that the health attitudes and belief of chiropractors, um, is, um, parents were overall more satisfied with the care chiropractors and they S their belief systems seem to resonate with chiropractors.
So again, I think a good point here to think about is attracting those patient base. That ha that resignate with our values, because that is, um, that is so much less of a stressful type of practice when, when they resonate with your values. So let’s create that practice for you, that, that one that resonates you resonate with your patient base. Um, and you have a stay pay, refer, automatic practice, building a machine where you have fun in your practice. So it was figured out how to do that. So let’s look at those top two, um, musculoskeletal pain, neck back, painless, let’s go there, um, and headaches, and look at them through a little, through a bird’s eye view, a different lens. What’s the definition of insanity, doing the same thing over and over again, and expecting a different result. So what you want to do is you want to spin your approach so that it’s not, if you’re continually adjusting and they’re continually having the same complaints, this doesn’t just go for your pediatric population.
This goes across the board, I’ll get across all ages and stages. What different lens might you want to look through to add, to change, to tweak that might be that thing to put them over threshold. And you’ll actually be oftentimes the only one that has been able to figure them out and to solve their problem. And that’s when you get that constant referral base. Right? Okay. So what do we want to look at? Um, I love this little mouse dude. When I was thinking, after what, as I said, I should’ve put a Lizabeth on a little leaf like that in her diaper, and that would have been a great picture. So I’ll have to remember that for you, because she does miss when she doesn’t get to see off. So let’s build an everlasting practice first about let’s look at a different lens. When you’re thinking about when they’re presenting for these musculoskeletal issues, what’s driving the pain. What’s the underlying roots sports can be one of them. Okay. So we might ask that question about what are their, are they playing sports and they’re getting hurt, but here’s what thing I want you to spin on what I’d love to ask this question. What sports are they playing? Or what sports do they like to play?
And then I also like to ask, are they good at that sport? I don’t ask this in front of the kiddos because you don’t want to shatter their self-esteem if they enjoy a sport, but they’re not necessarily good at that sport. But what I want to know is what sports do they like? Do they like heavy impact sports? The ones that tend to give us more injuries, chronic injuries like football or wrestling, because if they like those heavier impact sports versus a basketball or golf or something like that, that could be telling me that they are seeking, um, proprioceptive input. They want that stimulation to the joints and muscles. Last month, we talked about the power of proprioception, go back and listen to that. They’ll give you some cues on, on what to, what to look for here. So what kind of sports they like?
So again, those are heavier impact sports that lead to more chronic injuries that maybe we can give them some intervening exercises like, um, Superman’s or pastoral promoting exercises that are going to ha enhance their appropriate set their chronic input proprioceptive input to the brain that is more calm for them. They might not seek out behavioral patterns. My second point here is behavioral patterns. Do they like to jump on couches a lot? Do they like to crash into, um, chairs? Do they like to jump on the trampoline? They’re chronically coming into your office because they’re getting hurt because they like these aggressive behaviors. Their brain is seeking out this input. If you can provide that input in a less destructive manner, foster that input to their brain, not only are they going to get that, that propioceptive input into the brain, that input is going to help, um, fire, spinal stabilization, muscles, and joints so that they will hold their adjustment longer.
Bingo. Parents don’t have time these days. They can’t be running all over the place. You we know that people are lacking time. You create a, um, a program, a management plan that helps them foster maintaining that correct of subluxation longer. They don’t have to come in as often. They love you. Now with that said, you also want to look at, Hey, I want to charge a good value for my service, my normal fee for service, because they don’t have to come in as long, but they’re referring all their friends to you because boom, Hey Dr. Joe’s got it going on. Gave me a couple of exercises for Joey to do. They’re holding their adjustment better. Their behavior patterns are better. You got to go see Dr. Joe, because I know you’re having to go five times a week to get your son or daughter adjusted all the time.
And maybe Dr. Joe can help you get a better pattern, a better regimen. Do they have a need for speed? Number three on my list here. Um, are they getting hurt a lot? Are they coming into your office? Because they’re adrenaline seekers, they’re adrenaline junkies. They have to do activities that they’re always jumping off of things. They’re tumbling all the time. They’re doing those dives, they’re spinning around and then they’re fall. Are they, uh, need a general adrenaline junkies that is usually they are seeking sensory input in to their brain in order for them to, um, be able to navigate in their environment. Now there’s a lot of, um, continuing ed courses and higher level courses on all this neurology stuff. Um, and if you want to learn a little bit more that I suggest you seek some of those out, but these are patterns we look for.
Why are they in an office all the time? Okay. And how can we maybe take a different lens? Give them one or two extra things to think about, hold the adjustment, better, less musculoskeletal pain, bam, hitting a home run. Are they clumsy? Not coordinated? Are they falling all the time? Again? They don’t know where they are in space. They don’t have that sensory input into, into their CNS to know where they are in space of they’re falling down all the time. Okay. Things to think about for musculoskeletal pain. The other thing is when we talk about growing pain, um, oftentimes think about, okay, remember, the long bones are growing. They’re growing fast, the soft tissues can’t adapt fast enough. And that gives us pain. What can help? So support ligamentous and soft tissue growth and repair and inflammation, things like iron zinc, magnesium. These are big key micronutrients that you can add a little bit of that in bam again.
Wow. Dr. Joe, you’re amazing. I took them to the pediatrician. I took them to the acupuncturist and they got a little temporary relief, but I didn’t, that end was golden. Think outside the box. Okay. Um, and a lot of kiddos are being, are coming to our offices for quote unquote growing pains. So those are some things I want you to think about with regard to our musculoskeletal. Again, 65, 85 percentage of kiddos are presenting for musculoskeletal pain to chiropractors. Um, but let’s not, you know, again, um, repeat and expect a different outcome. Let’s maybe think outside the box a little bit. So, but let’s look at headaches for a technology. Of course, technology used in two manners, not just our pasture down on technology, but the visual processing, um, strain can be an issue for headaches. There’s these things called pinhole glasses. There are these, there are these glasses that can put out and they literally looked like somebody took a pen and punched hundreds of pinholes in each lens, but it helps filter out some of the strain from computer use.
I have been using this a lot with kiddos this last year, because they were on computer so much for homeschool for a school in general, because the COVID thing and that decreases some of the strain. Those are for kids with visual processing issues and strain on the eyes. So again, we can adjust them till the cows come home, but if you have one or two golden Pearl nuggets that that help, um, put them over to that next level, it is hands down creating a waiting list. Everlasting practice. I have a year waiting list in my practice, right? Foods is another thing you need to think of foods. I was in migraine supper, all my life, growing up into my thirties, turns out, um, my gut was not so great. And we know, you know, gut is a second brain. So I want you to think about triggers, do a little research.
They come into you, your TBI patients in particular, your post-concussion patients, their threshold is down. Their adaptability threshold is down. So they, you might have to take some of the load off of them. This can, this can hang you up. Lots of times. Um, they, they present more frequently with headaches and we think, oh my gosh, you know, do we need to get another MRI or cat scan or what’s going on to dig a little bit? When do their headaches come on brand? Since I had a patient teen, his, uh, post extreme traumatic injuries, um, one of the worst head injuries I’ve had to manage, he was doing great, but around Christmas time, his headaches started to ramp up. Something is stressed. So we know we went through it and then I sat down with them and ask him it’s Christmas time. What happens around Christmas time, more junk food, more goodies is more cookies and candy and all that stuff.
He was loading up on sugar. And usually when you have the sugar, you’re going to have dyes, dairy, and gluten, all massive triggers for headaches. We, we, less than that, I said for a week, I want you to be on your toes for a week. And let’s see came back the next week, zero headaches during that week. So I want you to think about these things. What does it mean? They don’t need the adjustment? Absolutely not, but it just means that you need to think outside the box, because if they’re coming in repetitively and you’re not getting long-term results, they might hijack you and say, I’m out. Oh, here. Okay. Again, think outside the box. What do most kiddos eat these days? Take a box, Mac and cheese, and look at the ingredients. It’s a chemical crap storm in there. A lot of these chemicals, R M M what have MSG in them, even though they say no MSG MSG, this is a big red flag note for you.
MSG many different names. I encourage you to go to a site called M S G myth, M S G myth, M Y T h.com and pull it down information from there, from there to give us a handout to your practice members of all the different names that MSG can be at is an, a huge headache, trigger allergies, sinuses, um, this time of year. And particularly again, their headaches can go up because they’re, the threshold is down there. Adaptability is down. But some key things to think of is look at things like does their eczema increase ads? Like we should show that two to 6% of kiddish coming in for things like allergies, eczema, and your recess like that cluster of things. Um, but is in that, in that bucket as well, do their, does their increase this time a year, their threshold might be down because of more histamines, more allergies, more mass cells going on.
Um, and you know, then they can’t tolerate the foods they’ve been eating and their headaches go up. But the other thing to look for besides skin issues is look for bags or dark circles under their eyes. We call those allergic shiners. That is a red flag for you that, okay. They may have some allergies, whether that be seasonal allergies tipped the scale. Seasonal allergies are the only thing you have to worry about or seasonal allergies in associated with food intolerances or food allergies was enough to tip the scales and we have more headaches. Okay. The other thing I throw in here is sleep apnea. We’re having a lot bigger, a lot more prevalent issues with obstructive airway issues and sleep apnea, even in babies, they’re they, they’re putting more babies on CPAP machines. I’m not making it up, not kidding, but things I need you to think about here are GERD or reflux because of gut issues and food allergies and, um, tongue and lip ties, tethered oral tissue tissues.
Those are big ones with sleep apnea, and that is, is highly associated with headaches. So I just want you to think a few things outside the box, um, of it, especially those top kiddos that, that are having to come to you frequently to try to keep their pain and their headaches level. Okay. So again, build your everlasting practice. Look at a little different lens at take a few foods away. Are there, are there headaches coming? Um, every time they have pizza, pizza’s a crap storm, right? You’ve got gluten, you’ve got dairy and you’ve got fake cheese with a lot of yellow dye in it. Is there a pattern to their headaches? Maybe we need to stop those foods. Maybe we need to look at some probiotics. Okay. Think outside the box. Oh, so the other thing I want you to look at is tying this together.
So all the things I just talked about, especially the gut and food stuff is really associated with neurological conditions like ADHD. But this was a cool paper that I just pulled down earlier this week, I think. But how do we take our message from musculoskeletal, from pain to brain? That is the big thing in our profession right now, which is amazing and awesome. But this particular paper, they looked at, um, eight key disorders or diseases, by the way, I’m backtracking I’m I’m, uh, going back a sidebar here. We remember we don’t treat any conditions, right? So with that to the 6% that shown to come in for allergies, eczema, call it in your recess so forth. We do not treat those conditions. Remember that, right? We just, we, not just, but we remove subluxations. We allow the body to process neurological information more efficiently, and thus by the wayside, we see these amazing side effects of their car gets better or whatever we’re talking about.
Okay. So again, we don’t put a condition up on our website that we treat that condition, but, but I want to try to tie this together for you. This paper, it looked at ADHD with eight and these were four key association diseases that was highly associated with ADHD, nervous system diseases. That’s a no brainer, right? ADHD, ADHD is poor processing of your environment, processing of information, um, respiratory issues. Now hold onto that one for just a minute when we get to our last slide, but, but respiratory issues think about, um, subluxation patterns and tight muscles had not been able to expand your rib cage. All right. And musculoskeletal issues are, were associated with ADHD. How can that happen? How can that be? All right. I’m going to try to make this as easy as possible cause my brain can get crazy brain, go down some really crazy rabbit holes.
Here’s the deal guys. We know that poor processing of our sensory input. I just talked about proprioception. I should’ve thrown vestibular information into there too, because those kiddos that are adrenaline junkies and running all the time might have the stipular issues that they’re trying to feed to their brain. That can also really be associate with headaches too, by the way. But those are two key sensory systems that we know feed information to the brain, particularly the important part of our brain called the prefrontal cortex. So here’s your tie in together? Prefrontal cortex from part of your brain up here is highly associated with ADHD, inattentive illness. Okay. That part of the brain is going to fire down information to the small muscles that stabilize the spine. If those aren’t onboard and they’re not sending information down, I’m to have more spinal instability and more musculoskeletal pain.
Okay. We know that chiropractic care has been found to be very beneficial in helping with attention. And then we know from a lot of the neuroscience research, primarily added a New Zealand chiropractic college and Dr. Heidi Hubbuch that when we do an adjustment, we affect prompt sensory motor processing of the prefrontal cortex. All right. So stands to reason, musculoskeletal pain, nervous system dysfunction associated with ADHD, which is associated with that prefrontal cortex, which is associated with fine muscle control and spinal stability stability, which has been shown to enhance processing in that area of the brain with a chiropractic adjustment, boom, learn that lingo pivot your practice from pain. So they might come in with muscle still skeletal pain to start with, but you understand the connection and how we can explain this to our parents. And also that we don’t want, we know that ADHD is hugely carried over into adulthood.
We know now you just learned a few minutes ago that musculoskeletal pain is carried over into adulthood. Those two links make that’s a big connection for you right there. So how can we educate our, um, practice base? Let’s talk about that. We can do, I call them patient prompting questions. So I just did a kind of a sample here for you. Um, I have these, you can put these amazing graphics and these questions on a beautiful eight and a half by 11 piece of paper. Um, make them make them pretty pretty and put them up around your office. I put them on the back of my treatment door. So as they’re walking out, they see them on the back of the bath or front and back of your bathroom door in a display, um, a document display at your front desk. So you have a campaign for a month or a week or whatever you want to do.
And you have these different questions around your office to prompt your compactors community, to ask you, what are you talking about, doc? So this one is, did you know that many musculoskeletal findings have been reported in children with ADHD, including postural anomalies, chronic fatigue and widespread musculoskeletal pain, let’s go still to pain. Well, I know my kiddo has a hard time paying attention in school and, and he carries his backpack. That’s heavy and he’s always complaining that his back hurts. Hey, could that, do you think you could help me? There’s your, there’s your door? There’s your, there is your educational Dorin. Shoo-in whatever you call it. She went to the door and whatever. Okay. So what I’m saying is let’s pivot your, um, practice and the way you present and get them thinking outside of the box. Yeah. Most schools still go to issues. And does your kid on the computer like that all the time and was your kiddo at home during COVID humped over a computer all the time.
Yeah. So get him in front of just check them out. Let’s see. Let’s see if there could be an issue here. All right. So another one we might think of as we, as we’re changing the conversation in our office, um, would be, um, a nice, again, a nice graphic. All right. And you can have either one message, one question a week or a month, or you can have multiple ones on the same topic. Um, but just different questions. Depends what floats your boat, right? So did you know that low back pain and adolescent seems to track into adulthood and as a predictor for later, low back pain and low back pain is a number one cause of disability in the world. People don’t want their kiddos predisposed to the number one disability to late on not being able to ha ha hold down a job, let them know that you can offshoot on this.
And maybe a subsequent message. A subsequent did, you know, was focused on painkillers. Tylenol. Tylenol is horrible. Tylenol wipes out a thing. Our master axon antioxidant called Lumify on which leads to a whole host of issues, which is associated with asthma and autism. So see what I’m saying is you can take a message like this, and you don’t want kiddos on pain pills all the time on opioids. Let’s get them checked. And then you, you set them on a schedule. Maybe it’s whatever your maintenance wellness is. Once a month, twice a month, once every six weeks, depending on the kiddo, you give them some exercises for spinal stability and enhanced proprioception, maybe check their balance. Is there a vestibular system struggling? And we need to add some balance in. So they’re not spinning around getting hurt all the time or clumsy and falling over. You tweak a little bit.
You teach them about some food. Bam, you get that child over the threshold, stay, pay, refer. You’re going to build a practice. They’re going to be busier than ever get these messages into your office. Change your tune, change your tone, get that true chiropractic message out to your audience. Um, so hopefully this was helpful for you and, um, make the connection. So then to wrap it up here, this was from Dr. Heidi, Haavik her website’s there. Okay. So I just want to acknowledge that this is her graphic. She allows me to use them, but I also would encourage you to go to her website, tons of information there, but look at this, making the connections. If for some reason you develop a bad habit, a poor posture, you or your kiddo, it can inevitably affect your breathing patterns. So here’s a trick you can do.
You tell your, your parents, your kiddos, your teachers go to a classroom and do this. I want you to slump down like you’re at a computer and try to take a deep breath in everybody. You guys do it right now. Try to expand your rib. Cage is slumped over. You can’t expand. Okay? But if you sit up tall and you try to take a deep breath, you can expand your rib cage and get good air and oxygen to the brain. You need that to concentrate. All right, you need it to learn for learning attention behavior. Make those connections, have those graphics up in your office. Use those graphics on your social media, pivot your practice, create an everlasting practice. And most importantly, change a life. Change their function. Get them to the optimal wellbeing. So, boom. Hopefully you got some good pearls out of this.
I’m leaving it there again. Thank you ChiroSecure for giving us this platform, getting our message out. Erik Kowalke will be with you. Oh my gosh. We’re going to be in August already. Holy cow. Um, Eric walkie will be with you the first Thursday in August. I’ll be with you the third Thursday. And you know what? I think we’re going to tackle the car seat, colic and chiropractic car seat, collagen chiropractic. I’ll try to have Elizabeth with me then until then you guys have an amazing summer keep changing lives. And um, God bless you. All
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