One thing people should be aware of is that when they see Dr. Josh’s Dog, Roscoe, he actually does live a pretty comfortable and seemingly stress free life despite that depressed look he sports so well. On a more serious note, I wanted to write this blog to give patients and any other readers a more in depth look at some of the ways I take care of patients in a chiropractic office. You may see on my “About Me” introduction that I practice certain techniques such as SOT®, functional blood/brain chemistry, or McKenzie MDT®. While I will dive more deeply into what each of these specialized trainings look like, there is one common denominator to keep in mind; evidence-based care.
Evidence-Based Practice, or EBP, is defined as “the integration of the best research evidence with clinical expertise and patient’s unique values and circumstances.”1 One of the reasons this definition is so powerful is that it takes into account each person’s individual needs AND values and couples those with the best research available that supports the doctor’s own experiences in practice. One of the first things you will notice about Canyon Chiropractic Center is just how much Dr. Craig, Mike and Casey truly exemplify their desire to connect with people first and foremost. The common expression of “patient-centered care” isn’t some lofty ideology in this setting but one that is actually put to practice. The simple ability to just look patient’s in the eyes as they tell their story is a lost art due to the constraints Electronic Medical Records have placed on the healthcare system. The sacred doctor-patient relationship, however, is grounded in this interaction and is one of the many reasons I believe Dr. Craig is so successful at getting people well.
This is one of the main reasons I chose to practice alongside Dr. Pearson. He has a natural way of letting you know that he has your interests at the forefront of his mind. This is my goal as a practitioner as well. As a team, Dr. Pearson and myself take pride in being part of a select few providers in greater Colorado who practice Sacro Occipital Technic™– SOT®. This intricate system of looking at the body as a whole emphasizes using gentle forces to encourage the body back to a state of balance/homeostasis. Tools such as pelvic blocks are used as biomechanical levers to allow the pelvis and sacroiliac joints as a whole to relax into their intended role as a support system for the weight of the entire body above those joints. This method of treatment allows us as practitioners to instill necessary changes without unnecessary force. These blocks are just one of the many ways you will find that we may differ from your typical image of chiropractic care.
More information can be found at https://www.sorsi.com/about/what-is-sot-2/ .
Other specialized training I have received is in functional assessment of blood and brain chemistry. What this training emphasizes is looking deeper into your body’s blood and metabolic processes as a whole to try to get to the root cause of dysfunction. While some patients present with pain or problems stemming from biomechanical origin, others that seem to have symptoms drag on for months to years at a time with no real results from the treatments they have received may have deeper issues with the overall chemistry or metabolic systems. Through in depth testing, we are able to look at lab levels such as red/white blood cell counts, blood sugar, iron saturation, etc. to not just identify what may be pathologically out of range (this is what most laboratory results signify as problematic) but to see patterns of what functionally may be going on. This goes back to treating the patient as a whole rather than just treating symptoms that may emerge.
Additionally, training in McKenzie Method of Mechanical Diagnosis and Therapy® is a method of diagnosis and treatment of the neuromusculoskeletal system that uses ACTIVE patient involvement. Through repeated movements, the resulting change in range of motion and symptom presentation allow the clinician to decide 1 of 3 things:
- Hands on clinician care is needed for a brief trial of care;
- Patient education can be provided on exercises & postures to adopt or avoid so that the patient can “treat their own back” safely;
- Advanced imaging, such as MRI, is needed.
While this form of treatment is used heavily in injuries involving disc derangements (disc bulges, herniations, sequestrations) it can be adopted to every joint in the body. More information can be found at http://www.mckenzieinstitute.org/patients/what-is-the-mckenzie-method/ .
Although throughout the 3.5 years of chiropractic school several specialized techniques and seminars have been learned, our commitment as health care providers to our patients is our responsibility to continuing our education. Along with new evidence that may come out over time and our continual growth in clinical expertise, Dr. Craig and myself will always place your needs and values as patients as our primary concern. At Canyon Chiropractic Center, this connection with our patients begins our journey with them so that The Team (the doctor and patient) can be successful at achieving the ultimate goal; improving your health. Our sincerest hope is that this leads to a lifetime of working together. Thank you.
-Dr. Joshua Luitjohan, DC
Gail Woodbury and Janet Kuhnke, Evidence-based Practice vs. Evidence-informed Practice: What’s the Difference?, Wound Care Canada, Spring 2014.