Entries by Lori Klink

Effects of individualized directional preference management with advice vs. advice alone for reducible discogenic pain.

Man  Ther  Jun; 2016 This interesting study (secondary analysis of a RCT) assessed whether DP guided management (10 sessions with a PT) and advice was more effective than advice alone (2 sessions) in a group of patients with back & leg pain. The conclusion suggests those with reducible disc lesions are helped more thru 10-weeks […]

Getting into the new patient’s zone (part II)

So practicing ‘charismatic’ attributes and honing the skills needed to ‘close’ a high percentage of new patients are vital for big success. Additionally it seems to me the reason for ultra-high power Lasers (or Lasers of any sort), radiographs, “subluxation-detectors”, “high-tech” adjusting guns, magnetic therapy and all sorts of other “coercive” therapies, tests & supplements […]

Compression demands ‘decompression’….

After a decade in practice I began to think ‘disc’ problems were not responding as I would hope they would. This concern is a major one since a vast majority of our most motivated and disconcerted patients are dealing with a disc hernia or other disc issue. I began to investigate the VAX-D and the […]

Getting into the patient zone (part 1)

Most of us realize head-space is vital for both success and failure, and as Zig Zeigler points out: “if you think you can or you think you can’t you’re probably right”.  The most successful DC ‘closers’ are those who attend to their patient’s head-space needs…they have a knack of getting inside their zone and more-often-than-not […]

Categorizing disc troubles

The simplest and most utilitarian way to categorize disc-issues is with provocative/relieving motion tests and a detailed history. I deduce that there are generally (3) disc types:Herniation g. derangement of the nucleus pressurizing & distorting the outer annulus, either contained or ‘broken-thru’ and either constrained by the PLL or not. This is your “young man/woman’s’ […]

Effect of traction on herniated disc material (CT evaluation)

Sari et al in Physiotherapy Theory Practice (2005) assessed (via CT-scan) 32 patients with HLD during and post-traction treatment and made detailed quantitative measures. The authors discuss that this was the first study to offer detailed analysis and quantitatively evaluate the effects on spinal structures. Their findings include a decrease in size of herniated disc […]

Placebo interventions for all clinical conditions

Cochrane database Jan. 2010Placebo effects are often claimed to substantially improve patient-reported and observer-reported outcomes across many clinical conditions, but most reports are from biased research without controls.This Cochrane database systematic review looked at over 200 trials and discussed the effect and the findings. Many CAM practioners and adherents of alternative ‘medicine’ become, by default […]

Antibiotic treatment in patients with cLBP

Eur Spine J. Apr;22(4). 2013.As has been reported for the last few years, infectionary-processes may account for a substantial percent of cLBP. For instances Stirling et al found 53% of patients were infected with P. Acnes in nuclear tissue removed under sterile conditions. In a cross comparison of patients with herniation vs. scoliosis, fractures and […]

Adding force during decompression (part 2)

If you have ever been tractioned you’ll have recognized that (depending on your size) even small, incremental additions of force can be quickly perceived. Since we have a variable-extension spring-retraction on the Kdt NF we can make subtle adjustments to the ‘retraction-force’ of the sliding lumbar section and allow the perception of the pull (via […]

Adding force during decompression (part 1)

Much discussion centers on the importance of the traction force (tension). Our experience after more than 2 decades of use perhaps seems counterintuitive however we’ve found the amount-of-force is only marginally connected to improved outcome but substantially connected to increased pain or iatrogenic (negative) outcomes. Not that there is a direct analogy to the SAID […]