WHY HEAD INJURIES LEAD TO AUTOIMMUNITY AND POOR HEALTH
Unlike Phineas Gage above, who had a steel tamping iron "blasted" through his head back in 1848 while working on the railroad, most injuries to this area of the body are much more subtle. According to the most recent statistics from the CDC (Basic Information About Traumatic Brain Injury and Concussion), each year there are a whopping, "2.5 million TBIs occurring either as an isolated injury or along with other injuries." The Brain Trauma Foundation, however, puts that number at nearly 4 million a year --- just for sports. And Brainline.org says that of the people that sustain these injuries, "52,000 die, 275,000 are hospitalized, and 1.365 million are treated and released from an emergency department. The number of people with TBI who are not seen in an emergency department or who receive no care is unknown." The last part of this quote is fascinating in light of what we know about the way this problem has historically been under-reported ---- way under-reported. Some of the most current statistics in the peer-reviewed literature reveal that.........
One of the biggest problems with diagnosing head injuries are the primary tools we use (CT & MRI). The problem is that not only are CT's particularly dangerous (read the link), but rarely are they to provide ER doctors with what I refer to as "ah ha" moments ("Ah ha, Mrs. Smith; I see your problem!"). This is because the tests are looking for VISIBLE PATHOLOGY --- chiefly bleeding / swelling. However, with each passing day, the research reinforces that fact that most TBI damage occurs at the cellular level. Thus, people are told they are fine when they might be anything but. The real problem is that the majority of practicing physicians are not aware of how easily head Injuries and TBI's can open the gate leading to AUTOIMMUNITY (HERE is a list of a few Autoimmune Diseases, although there are thousands of them) and overall ill health.
If you've followed my blog, none of this is new (HERE, HERE, HERE, and even HERE --- Pam Arnold's hellish journey after hitting her head on a gravestone). There is, however, a veritable avalanche of new information on the topic. The study I want to talk about today is not brand new ---- it came out in last March's issue of the French medical journal PLoS One (Human Traumatic Brain Injury Induces Autoantibody Response against Glial Fibrillary Acidic Protein and Its Breakdown Products). It's been sitting in my blog que for months, and today we are going to pick it apart.
Traumatic brain injury (TBI) is a leading cause of death and disability worldwide. The pathogenesis of TBI involves two components: the initial mechanical injury, and subsequent secondary cell death that expands the core lesion. During acute neuronal necrosis [abnormal and early nerve death], calpains [specific proteolytic enzymes] are hyper-activated, while caspases [a different proteolytic ennzyme] are activated in apoptosis [normal or "programmed" cellular death].
When tissue is injured or compromised, the cells that take the brunt of the injury are killed (necrosis). Dead cells rupture their contents, causing a massive ACUTE INFLAMMATORY RESPONSE. Among other things, this response will attract fluid to the area in the form of swelling (edema). Because we know the approximate rate of Cellular Apoptosis --- normal cellular death at the end of a normal life cycle (approximately 60 billion cells per day in a normal adult) ---- there should be a fairly consistent ratio of Caplains to Caspases in the blood. That is, until massive amounts of very specific Caplains are released into the bloodstream following a TBI.
Animal model studies and clinical data both indicate that blood-brain barrier (BBB) breakdown frequently follows head trauma. Cell death within the first day following TBI promotes release of brain proteins and their breakdown products (biomarkers) from injured cells into biofluids such as cerebrospinal fluid (CSF) and blood.
If you've studied LEAKY GUT SYNDROME, you understand how the intestinal barrier becomes hyper-permeable (again, Inflammation), allowing an array of substances into the bloodstream that would ordinarily be kept out. The Blood-Brain Barrier acts in a similar capacity, and is made up of cells called Astrocytes, which are a type of GLIAL CELL. An increase in the permeability of the BBB, coupled with certain kinds of proteins, tissues, and fluids floating around in the blood after a head injury is a bad combination. It's not difficult to understand why.
After TBI and rupture of the BBB, brain proteins released from damaged brain cells enter the bloodstream where they may trigger an immune response. Autoimmunity involves the development of antibodies against self-antigens, or autoantibodies. Depending on subtype, antibodies can be maintained within the bloodstream for years. The role of systemic autoimmunity in human traumatic brain injury (TBI) and other forms of brain injuries is recognized but not well understood. In this study, a systematic investigation was performed to identify serum autoantibody responses to brain-specific proteins after TBI in humans.
This paragraph is fairly self explanatory. The proteins, fluids, and tissues that are released post-TBI trigger an Autoimmune Response. In other words, even though the tissue is your own, because it's not where is should be, the body may view it as a foreign invader ("antigen") and create Inflammation and Immune System responses against it / them in the form of antibodies. In other words, your body is now making antibodies against itself. And in similar fashion to the the way most people only get Chicken Pox one time in their life (they maintain antibodies to fight it off), so you tend to "maintain" antibodies against these faux foes made up of your own tissues --- probably for the rest of your life. In case you don't realize the implications of having a war raging in your body at all times.........
Multiple sclerosis (MS) is an example of an autoimmune disease that involves a central nervous system (CNS) antigen. Reports have documented brain-directed autoimmunity in neurological and neurodegenerative diseases such as Alzheimer’s disease, stroke, epilepsy, and paraneoplastic syndromes [crazy Immune System responses triggered by Cancer]. Additional studies have reported autoimmune responses in spinal cord injury.
Ask anyone who deals with them (or the people who take care of the people with them); MS, EPILEPSY, and ALZHEIMER'S can be a nightmare. This is a great spot to throw my two cents in about the relationship of Autoimmunity to GLUTEN. For reasons we are just beginning to understand (HERE and HERE), lots of people are having Immune System reactions (making antibodies) against Gluten. Unfortunately, most of these Immune System responses to Gluten are neurological (HERE) ---- even in the absence of full-blown Celiac Disease (HERE). This intimate relationship between Gluten and Autoimmunity is not something brand new, and has been discussed for decades (HERE). In a nutshell, Gluten can act synergistically with various sorts Autoimmune Responses to crush people's health.
The important implication for TBI patients is that GFAP-BDPs [the byproducts of the break down of the Glial Cells that make up the BBB] may persist within degenerating astrocytes in the brain, thus facilitating it becoming a predominant immune target. In addition, we found that anti-GFAP autoantibody can gain entry to live glia cells in culture. This is consistent with previous work showing that anti-nuclear autoantibodies can also enter cells. We further found that incubation with anti-GFAP autoserum causes cytotoxicity [cellular toxicity] in glial cells. Taken together, these data suggest that the presence of autoantibody to GFAP can be potentially pathogenic [potentially causing a wide array of "pathologies"] during the recovery phase of TBI.
Although this sounds really technical, it's easy to follow. GLIAL CELLS break down following a TBI, allowing "stuff" to get into the blood that should not be there (according to Snell's Clinical Neuro-Anatomy, the Glial Cells outnumber neurons by as much as 10 times, comprising half the total volume of both the brain and spinal cord). Unfortunately, the subsequent antibody response is not contained to the blood, but can actually gain entrance into the cells themselves. This is why the ER sending people home after a head injury and telling them they'll be fine in a couple of days, is so misleading. Fortunately........
TBI patients showed an average 3.77 fold increase in anti-GFAP autoantibody levels from early (0–1 days) to late (7–10 days) times post injury. Changes in autoantibody levels were negatively correlated with outcomes measured at 6 months, suggesting that TBI patients with greater anti-GFAP immune-responses had worse outcomes. Due to the long lasting nature of IgG, a test to detect anti-GFAP autoantibodies is likely to prolong the temporal window for assessment of brain damage in human patients. Quantitative detection of these biomarkers in biofluids would support a relatively simple and straightforward means of detecting brain injury. Because TBI diagnosis currently relies primarily on MRI and/or CT scans and neurological assessments, blood-based biomarker tests would represent a valuable new clinical tool.
In other words, there is now a blood test that allows us to see not only if there is cellular damage that has taken place in people with TBI's, but how much damage. But this itself presents a rather significant problem. What to do next?
GREAT; I KNOW WHAT'S WRONG WITH ME
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“The longer the individual has had Fibromyalgia, the greater the gray matter loss, with each year of fibromyalgia being equivalent to 9.5 times the loss in normal aging”. McGill University Centre for Research
Think about this for a moment. Every single year you or someone you love lives with Fibromyalgia (or other Chronic Pain Syndromes), is the equivalent of nearly 10 times the brain loss seen in one year of the normal aging process. Re-read this paragraph until it sinks in! You will never again wonder why people in Chronic Pain age so rapidly.
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THE BRAIN LOOP
NORMAL -vs- ABNORMAL
If you have read this far, you are an amateur neurologist and probably know more about the subject than your family doctor. The question now becomes, what can be done about it? I realize that you have already tried just about everything that you thought you could try. It's time for a very different approach. How about increasing the neruroplasticity in the brain and the nervous system!
Brain-Based Therapy concentrates on locating the deficient nerve pathways which are creating the neurological imbalance. The neurological examination is designed to locate imbalances in the cerebellum, brain stem, and cortex. A brain-specific treatment protocol is then created with the goal of strengthening or rebuilding these injured or deficient nerve pathways.
This is done the same way a person learns to ride a bike, or play piano, or speak the Chinese language, or become a better free throw shooter --- by repetition. Only instead of shooting thousands of free throws, frequency of firing is increased by providing Fuel and Activation (we spoke of these things earlier). This comes in the form of Fuel and Activation. These include:
- Pathway-Specific Neurological Activation & Exercises
- Nutritional Therapy and Proper Blood Sugar Levels
- Oxygen Therapy.
THE SECOND PRONG OF BRAIN BASED THERAPY
Functional Neurologists Datis Kharazzian and Ted Carrick have shown that numerous Chronic Conditions can be dramatically improved if the treating physician will simply reset the body's neurology, and balance the body's metabolism. This means that there might be nutritional supplements involved in the process. It also means that depending on how inflamed the brain is, what foods you are sensitive (or allergic) to, and just how well (or poorly) you eat; you may have to modify your diet. We will delve into this subject in more detail shortly.
- FOOD SENSITIVITIES / ALLERGIES: Two of the most common are GLUTEN and DAIRY, although people can be sensitive to virtually anything. There are any number of different tests for this, but I have found that a good old ELIMINATION DIET works as well as anything.
- BLOOD CHEMISTRY READINGS: If you want to understand why this is critical (even though you've probably had all sorts of blood tests in the past, just Google "Functional Blood Test". One of the most common of these is ANEMIA. This is also where you might do a complete THYROID PANEL.
- AUTOIMMUNITY: Failure to deal with underlying AUTOIMMUNITY is a deal-breaker as far as getting well is concerned. It is also important to figure out which part of the Immune System (TH-1 or TH2) is not working properly (HERE).
- GUT INTEGRITY: Do you have INCREASED INTESTINAL PERMEABILITY? If so, all bets are off until you deal with it. Once you realize that 80% of your entire Immune System is found in the Gut, this becomes that much more important.
- DYSBIOSIS: DYSBIOSIS is typically caused by ANTIBIOTICS as well as the ANTIBIOTIC-LIKE effects of virtually all drugs, and then fed by the HIGH CARB LIFESTYLE. Take a look at the bullet point below for the tests. Tons of information in my GUT HEALTH posts. This could mean things like MOLD and CANDIDA --- which many people believe are intimately related to CANCER. It could also be an issue with HYPOCHLORHYDRIA & H. PYLORI.
- PARASITES: All too common HERE in America.
- ADRENAL INSUFFICIENCY: The Adrenal Panel is critical for those who might have Fibromyalgia (aka ADRENAL FATIGUE). This is a saliva test called an ASI.
- HORMONE LEVELS: Although this could mean almost anything, it is most frequently dealing with SEX HORMONES and specifically ESTROGEN DOMINANCE something called .
- WHOLE BODY / BRAIN INFLAMMATION LEVELS: INFLAMMATION is one of those words that everyone throws around, but no one really understands. Figure out what's driving Inflammation in your body and you've just figured out how to get well.
THE ALL-ENCOMPASSING THEORY OF MODERN DISEASE
Some of this information is way oversimplified. Some of it is probably not quite technically correct. And you should be aware that the various steps in this cycle can be in a different order than I've shown, can overlap each other, or can be skipped altogether. Regardless, this model is accurate enough (and hopefully understandable enough) to get you in the ballpark as far as recognizing the roots of chronic illness. Just remember that in the same way that there is no "Universal Cure" for all physical ailments, neither is there a single cause of these ailments. However, this is great information that will give you something to think about if you or a loved one are struggling with chronic health problems.
STEP 1: INFLAMMATION
Although these chemicals are good (even vital) in small amounts; in large amounts they promote a veritable Pandora's Box of health problems, and can be the result of many different things (GLUTEN, MOLD, YEAST, PARASITES, HEAVY METALS, THYROID ISSUES, a wide array of ENDOCRINE PROBLEMS, SUGAR), but at least in the Westernized world, is almost always tied to poor diet choices in some form or fashion. Just be aware that SYSTEMIC INFLAMMATION (large amounts of Inflammatory chemicals coursing through your blood stream) eventually leads to..........
STEP 2A: THE LEAKIES
I would guess that at least half the American population ---- maybe more, have some degree of this problem, and occurs when the Small Intestine's "tight junctions" --- the gaps between individual cells ---- become loose. In healthy individuals, these tight junctions are just big enough to allow fully digested food particles to get through so they can be absorbed into the blood stream. As Inflammation increases, it destroys the compounds that hold the cells tightly together, allowing the tight junctions between the cells to become looser / larger. This then allows the Small Intestine to become increasingly permeable (leaky) to substances that should never be allowed to get through.
Just remember that this is not only happening in the Gut. Once this junk makes it into the blood stream where your body will invariably recognize them as foreign, it will begin to make antibodies against them. These "foreign invaders" include everything from parasites, to partially-digested or undigested food fragments, to bacteria, to viruses, to yeast, to heavy metals, to chemical toxicity, to medications, etc, etc, etc. The process of getting sick causes even more Inflammation. Do you see the vicious cycle starting to churn? Oh, and just remember this can happen in the lungs, as well as the BBB (Blood Brain Barrier), not to mention the similar layer of epithelium that protects the nerves and spinal cord. There is, however, another aspect of GUT HEALTH. A flip side of the coin if you will....
STEP 2B: DYSBIOSIS
STEP 3: FOOD SENSITIVITIES, INCLUDING GLUTEN
It is absolutely critical to realize that despite most people thinking of Gluten Sensitivity in terms of "Gut Symptoms" (bloating, gas, diarrhea, etc), the majority of the symptoms of Gluten Sensitivitiy will manifest as NEUROLOGICAL problems --- many of which show few (or even no) overt digestive / GUT SYMPTOMS. One of the best examples of this phenomenon is the outlandish number of Americans dealing with THYROID PROBLEMS. As you can see from THIS POST, this part of the process is a well known mechanism for developing.........
STEP 4: AUTOIMMUNITY
"Celiac Disease is what the average doctor thinks of when they think of Gluten Sensitivity. This is not really accurate. Celiac is the manifestation of Gluten Sensitivity as seen in the Small Intestine. But Gluten Sensitivity manifests very differently in other tissues and organs. For instance, in the Brain and Nervous System, Gluten Sensitivity / Toxicity manifests as clusters of symptoms we refer to as Multiple Sclerosis, or ALS, or Parkinson's, or Alzheimer's, or Seizure Disorders, or Neuropathy, as well as Sympathetic Dominance."
In other words, thanks to inflammation and a FREAKED OUT NEURO-IMMUNE SYSTEM, our bodies start picking fights against themselves. Dr. Noseworthy used out-takes from dozens of scientific papers from the most prestigious biomedical journals on the planet to prove his point. To be honest with you, it was shocking seeing so much proof in black and white. And although this idea is certainly not embraced by practicing physicians (yet), it is currently being touted by some of the world's most brilliant doctors ---- particularly the experts in FUNCTIONAL MEDICINE.
Once people's immune systems begin making antibodies to Gluten; for reasons that are not yet clearly understood, these same immune systems begin making antibodies to self (HERE). This is called AUTOIMMUNITY. Unfortunately, once a person is Autoimmune, they are always Autoimmune, although there are some very cool things that can be done to dramatically dampen an overstimulated immune system. Autoimmunity leaves people susceptible to a whole host of ---- you guessed it ----- AUTOIMMUNE DISEASES ---- diseases that tend to travel in packs like wolves. In other words, if you have Psoriasis, you are 'Autoimmune' and will likely end up with many more of the diseases listed in the previous link if you do not get the situation under control.
This is because, as strange as it may sound, your problem is not the disease itself, it's the fact that your body is making antibodies to itself and will likely continue making antibodies to itself until you dry up the source of Inflammation, fix the Leaky Gut, and get the Dysbiosis under control (this includes SIBO as well). Fixing a Leaky Gut will take anywhere from 1-2 months (in some cases longer) and require real effort on your part as far as what foods you eat and supplements you take. HERE is an example of someone who followed our advice to the letter and did it with a condition widely considered "incurable". HERE is a person who successfully addressed five autoimmune diseases and lost 100 lbs in the process, all in about seven months.
STEP 5: RECOVERY
If you want to begin addressing some of the root causes of your health problems, you can start by reading HOW TO SOLVE JUST ABOUT ANY HEALTH ISSUE. The great thing is that no matter what is wrong with you, there are universal steps that must be taken by everyone in order to dry up their volcano and get well. Fortunately, some of you will be able to do much of this on your own (WE EVEN ADMIT THIS). Be aware, however, that depending on the severity of your particular situation, you may need to see a physician who will help you step out of the box.
If you are honest about it, you have to realize that the new paradigms of health and disease have bypassed the average doctor's office, leaving them in the dust. The problem is that most of them are so far behind the curve that they still think they are in the lead. Most are still using the "Better Living through Pharmacology" model (HERE) because, well, that's what pays the bills. The problem is, this model is not only not helping most of our population's chronically sick people get well (HERE), it is often times a significant contributing factor to the development / propagation of Leaky Gut / Leaky Brain Syndrome. But hey; it makes a heck of a lot of money for a heck of a lot of people. Drugs might mop up the inflammation, but they never turn off the faucet where it's pouring out of (HERE).
There is not another profession on the planet with a wider gap between the scientific research community and the professionals in the field (HERE). These two groups within medicine are often 180 degrees opposite of each other. This blog post should more than alert you to this fact. Just more proof of the myth of EVIDENCE BASED MEDICINE. What does it all mean to you? Only that if you care about your health and the health of your family, you had better do some simple research into what it takes to get healthy and stay healthy! I realize that it's a tough revelation to swallow, but the truth is, it's all up to you, and I've given you a starting point. Nope, it's not a "cure," but a place to start making a plan to get better (HERE).
NEUROPLASTICITY AND THE AMAZING BRAIN
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THE AMAZING BRAIN
The other thing your brain needs in order to function properly is fuel. This fuel comes in the form of a steady supply of Glucose (BLOOD SUGAR), as well as oxygen. Maintaining proper levels of both these things is highly problematic here in America. With 70% of the population either overweight or plain obese, we are obviously not controlling our blood sugar. Weight issues are intimately related to blood sugar via numerous disease processes (INSULIN RESISTANCE, HYPOGLYCEMIA, Metabolic Syndrome X, TYPE II DIABETES). The mind-blowing thing about uncontrolled blood sugar (whether high or low) is that current research is tying it (causally) to almost every conceivable disease process imaginable, including LEAKY GUT SYNDROME, most AUTOIMMUNE DISEASES and INFLAMMATORY CONDITIONS, not to mention virtually all ENDOCRINE PROBLEMS including HYPOTHYROIDISM. Maintaining a proper blood sugar is critical to good health ---- and just remember that the values your doctor says are "normal" can actually be quite liberal (too high or too low).
Your body also needs oxygen. Most people in this country exist in a perpetually oxygen-deprived state. This is due to many factors including OBESITY, improper breathing techniques (shallow breathing or SLEEP APNEA), poor nutrition, and lack of exercise. Trust me, if you are not getting oxygen into your system, you will experience a myriad of health problems, including FIBROMYALGIA (and even CANCER). This is why our Fibromyalgia Program involves using OXYGEN THERAPY. For any chronic disease process that involves the nervous system, oxygen must be a part of the protocol if you expect to have good results, and have them in a timely fashion.
If you couple DYSBIOSIS, with a lack of fuel and activation, you are probably living a nightmare. Are you trying to break free? You do not need learn how to dance like the person in the first video, or stack cups like the person in the second, but you have to do some of the basics. For more information, learn how poor brain function can ruin your life (HERE), and then visit BRAIN-BASED THERAPY, MISSOURI.
SPORTS ILLUSTRATED, SIDNEY
CROSBY, AND DR. CARRICK
When I heard that one of my all-time favorite magazines, Sports Illustrated was going to carry an article on Crosby's Post-Concussion Treatment by world famous Chiropractic Neurologist, and pioneer in Functional Neurology, DR. TED CARRICK, I could hardly wait to read it. Dr. Carrick is one of the most brilliant men on the planet --- period! His creation and development of Functional Neurology is changing the landscape of healthcare --- both alternative and mainstream. The article is short, and could actually be viewed as two separate articles; the first being Crosby's excellent experience with Dr. Carrick's treatment protocol, the second being the medical community's "dogging" both Carrick and Functional Neurology as unscientific.
One of the first problems that I had with the article is that Sports Illustrated chose to use HARRIET HALL of Stephen Barrett's anti-chiropractic / anti-natural health, Quackwatch Site, as one of their so-called medical "ex-spurts". But really, when given an open mic, what did you expect these hand-picked, anti-chiropractic, medical mouthpieces to say? Were they about to admit the doctors in charge had utterly no idea what they were doing over the course of a half year of Crosby's treatment? Not on your life! Wouldn't it have been nice to see them admit the truth for once --- the fact that all they do is evaluate the concussed player, hoping that they improve quickly so they can take credit for returning them back to the ice? But bashing Dr. Carrick as some sort of "unscientific" pseudo-doctor who has somehow mesmerized Crosby, sells more magazines. SI's article should have contained at least a small portion that read a little something like this.....
"For the past eight months we tried everything that we knew to do, but Sid's symptoms did not change. Since there are no medications or surgeries to perform that can help Post-Concussion Syndrome, we continued to carefully analyze his symptoms, performing as many tests as humanly possible, while continuing to give zero amount of effective treatment. Needless to say, we spent countless hours educating Sid on his condition in an attempt to convince him not to seek out other treatment options that could prove to be either dangerous, or more effective than anything we have done for him so far. We warned Sid that according to our profession's most esteemed experts, his choice to go outside of the Penguin's organization for his healthcare was both unscientific and dangerous. Unfortunately, those efforts fell on deaf ears."
Sid personally recruited Dr. Carrick into the case, even though we made every attempt to stop him. We must admit that after starting treatment, and since working with Mr. (er, uh) "Doctor" Carrick, Sid has done remarkably well ----- making us all look like we have absolutely no idea what is going on ----- even though Carrick's treatment obviously had nothing to do with said improvement. Our current protocol for managing this difficult case involves constantly testing Sid, secretly trying to figure out why Dr. Carrick's treatment seems to be light years ahead of anything we have to offer, and trying to save face by saying anything and everything possible to discredit and undermine Dr. Carrick. The truth is, Dr Carrick is a quack, Functional Neurology is whitewashed voodoo, and he uses big words that he made up himself. Of course Sid's recovery was actually due to a coincidentally-timed placebo effect. I.E, he would have gotten better on his own eventually ---- at least that's the message we keep pumping out to other patients like Harry Carson, Dave Duerson, and Jr. Seau.
Would we ever consider referring a patient to a Chiropractic Neurologist in the future ---- even if there was ample research to validate what they are doing? Are you kidding me? We would rather die first!"
Believe me, sometimes you can figure out what is being said by reading carefully between the lines. It's amazing that even though Carrick's completely non-invasive treatment of Sidney Crosby obviously worked, half the article was spent telling readers why it shouldn't have. Wouldn't it have been nice to have seen this article presented with some more information about Carrick and the fact that his specialty is bringing people out of comas (WAKING UP THE BRAIN)?
However, you will not hear Carrick toot his own horn. Dr. Carrick DC, Ph.D, DACAN, DABCN, DACNB, FACCN, is a class act ---- an articulate, yet humble man, who happens to be the chiropractic profession's only "Neurological Fellow". I am not sure that there is another Neurologist on the planet who could keep up with him. The bottom line is results. It's almost embarrassing to listen to the whining from the people who could not get the job done with Crosby's health and career.
THE NEWS CONFERENCE WITH SID & DR. CARRICK
(Dr Carrick Begins Speaking at about the 7:40 Mark)
Dr. Schierling completed four years of Kansas State University's five-year Nutrition / Exercise Physiology Program before deciding on a career in Chiropractic. He graduated from Logan Chiropractic College in 1991, and has run a busy clinic in Mountain View, Missouri ever since. He and his wife Amy have four children (three daughters and a son).
Brain Based Therapy
Can You Help
Cardio Or Strength
Cold Laser Therapy
Death By Medicine
Degenerative Joint Disease
D's Of Chronic Pain
Evidence Based Medicine
Gluten Cross Reactivity
Ice Or Heat
Jacks Fork River
Leaky Gut Syndrome
Number One Health Problem
Platelet Rich Therapy
Post Surgical Scarring
Re Invent Yourself
Rib And Chest Pain
Scar Tissue Removal
Sleeping Pills Kill
Stay Or Go
Stretching Post Treatment
Tensegrity And Fascia
The Big Four
Thoracic Outlet Syndrome
Whole Body Vibration