WEBVTT
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When we think about chronic stress, we tend to focus
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on what we can see. Muscle tension, poor sleep, fatigue, pain,
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elevated heart rate, or a patient who just never seems
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to fully relax. But what if some of these seemingly
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separate complaints are actually different expressions of the same problem?
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A nervous system that has become increasingly stuck in a
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state of high alert. Welcome to the Factor Podcast. where
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we talk about the stuff they didn't teach you in school,
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how to grow your practice, refine your clinical skills, and
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get better results for your patients. We're here to help
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you navigate the real-world challenges of being a healthcare provider,
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from delivering top-notch patient care to running a business that
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doesn't run you into the ground. Whether you're fresh out
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of school or scaling your practice, we're diving into effective,
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cutting-edge treatments to get patients better faster. We'll also talk
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about business strategies and tactics to help you work smarter
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and not harder, and the mindset shifts required to thrive
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as a top performer in your field so you can
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build a career you love without burning out. If you're
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ready to learn what works and what doesn't, from leading experts,
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industry innovators, and respected clinicians across a wide range of specialties,
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you're in the right place, my friend. Let's dive in.
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Welcome back to The Factor Podcast, where we explore the
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latest evidence, emerging technologies, and clinical strategies to help healthcare
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providers deliver better outcomes for their patients. I'm your host,
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Jessica Riddle. Thanks for tuning in today. Over our last
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two episodes, we explored neurofeedback through the lens of athletic performance,
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looking at brain mapping, neuroplasticity, concussion recovery, and the pursuit
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of better cognitive and physical performance. Today, we've invited Dr.
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Kevin Butterfield and Seth Kalin of Hippocampus Labs, a member
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of the Factor Podcast Network, to come back and take
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that conversation in a very different direction. Today, we'll be
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focusing on chronic stress and what happens when the nervous
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system has difficulty shifting out of a persistent fight-or-flight response.
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We'll explore the relationship between sympathetic activation, the HPA axis,
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sensory processing, sleep, pain, muscle tension, and autonomic regulation. And
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consider why some of the symptoms clinicians encounter every day
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might not be as disconnected as they initially appear. You'll
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also hear how Dr. Butterfield uses QEEG and neurofeedback as
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tools for examining and influencing aspects of that stress response system.
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The bigger question, though, extends well beyond any single technology.
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When a patient continues to struggle, despite addressing the obvious
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musculoskeletal pieces, could persistent nervous system dysregulation be part of
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what we're missing? Let's get into it.
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Stuck in fight or flight. I mean, I think we
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can just stop there and say who isn't, right? I mean,
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in this high-tech, fast-paced world, I think everyone has a
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little bit of fight or flight in them. And how
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do you resolve that or how do you help that
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or help get unstuck, right? Besides turning off the TV
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and stop watching the news. So we're going to go
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over that on how we can address the brain, which
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is a software chiropractic and everyone else that does from
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the neck down is more of the hardware stuff. And
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we're going to show you that there's an essential symbiotic
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relationship between the central and peripheral nervous systems. It's a
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very good relationship. Now we have to go over our disclaimer.
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I won't read this. You guys can read it. We're
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not giving you any medical advice. We're not treating you,
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diagnosing you, or doing anything like that. That's what you're
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doctors for. We're just going to have an informative little
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get-together chit-chat, okay? Who are we? Well, I'm on the left.
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I've been a chiropractor for 25 years. I had a
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very high-volume successful career. chiropractic practice for about 25 years.
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I stopped doing that about 10 years ago just to
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focus on the brain and neurofeedback because I wanted to
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help all the kids that came in with their parents
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when they got adjusted. I knew there was something going
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on with them as far as the blank stares or
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the lost look. That's because they were on the medications
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for ADD, ADHD. So I wanted to help those kids.
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My history is I'm the son of a neurosurgeon. So
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brains have always been around in my life since I've
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been growing up. I've advanced on, I've seen everything from
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the spectrum disorders, the concussion detection mitigation stuff, all different
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kinds of conditions. If you can trace it back to
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the brain, I've seen it. Now I do a lot
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of neurofeedback peak performance training for like NASCAR, IndyCar drivers
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and NFL players, pro athletes, because there's a definite need
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for that. They want to have the best brain to
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be on top of their game. But so does little
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Timmy that's suffering with ADHD or he's on the spectrum.
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He needs help too. So that's why I started focusing
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solely on that. I've been doing neurofeedback for 26 years now.
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And Seth, you can go ahead and mention you or
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talk about you and then mention Dan. Yep.
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I love talking about myself.
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I know.
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I know. So you, don't we all.
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My background is in the nutritional lifestyle recommendations. I worked
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with a large whole food supplement company, Standard Process. Many
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of you have heard about before, but holistic health care
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is really just as my focus. What's the non-invasive way
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that we can help support the patient get the best outcome?
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I was a nutritional therapy practitioner, board certified holistic nutrition,
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and I've worked with hundreds of chiropractors, thousands through network,
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but directly with hundreds. And just what works with patients,
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the systems and the processes and the nutrition protocols that
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we were doing for over a decade. And with neurofeedback,
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I've learned so much over the past, since I've met Dr.
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Kevin back almost 10 years ago now, about how the
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brain waves impact the body. And I'm fascinated about how
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we can influence the metabolic portion of the body with
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nutrition and lifestyle, how that can support the brain. And
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now with a tool of neurofeedback, how we can influence
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brain energy and the brain waves to influence the metabolic
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system as well. So the bidirectional relationship there is really
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just how we're going to be continuing to support our
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clinics that implement our system on how to get the
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best results with those two things implemented both. Dan Cort
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was one of my largest accounts with Standard Process in
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New York, nutritional consultant, was extremely successful with nutrition with
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Standard Process, was extremely successful in the past with three
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companies that he start and grew to be able to
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sell to New York Stock Exchange companies and NASDAQ companies.
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And so combining this with Dr. Kevin's experience, with my
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experience with nutrition and with Dan's experience with nutrition and business,
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combining those all together, our goal is to take Nora
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feedback and make it a much more well-known service that
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chiropractors and healthcare practitioners in general implement into their support,
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into their offices, just maximize the results. And we have
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the best of all worlds really is we're supporting chiropractors
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the brain energy, we're supporting the metabolic system, and we're
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supporting the business aspect to make sure you get success
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from all aspects of patient results and clinic results. Because
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if you're not earning more income with this, then you're
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not able to help more people. And our goal is
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to help as many people as possible. So really excited
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about that and just glad to be here. I appreciate
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everybody's time. And I think you're going to get a
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lot out of this tonight.
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Yeah. Before I scroll down, I just want to give
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a little Neurofeedback has been around since the 1950s. Technology
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today can pinpoint more areas of the brain than ever before.
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And everything we're going to show you here, does it
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fit under your scope of practice? And the answer is yes,
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because we're not diagnosing mental health conditions nor treating them. Okay.
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I just want to get that out of the way
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up front. So why it matters now, of course, chronic
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stress is a new subluxation. You know, everyone has that.
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It's invisible. They sense it. It causes a lot of
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muscle spasms. It causes a lot of sleep disturbances. Even
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when I was a chiropractor, there was stress back then.
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You adjust them, the muscles relax. And what do you
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say before you adjust them? Relax. Okay. They relax for
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a second automatically so you can make the adjustment. But
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then when they get up, they feel great. They go home.
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They keep coming back because the stress doesn't go away.
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And that causes them to go back into fight or
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flight mode and the muscles to spasm up and subluxate
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the vertebrae again. So it's like a repetitive cycle, which
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frustrated me when I was a chiropractor. I mean, what
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am I doing wrong here? Why do they keep coming back?
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I love my patients. I didn't want to adopt them.
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I just wanted to get them better and get them
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on their way. But I just didn't focus on the
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neck and that relationship between the sympathetic, parasympathetic and the
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central nervous system peripheral. So this actually causes, this is
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why patients plateau usually. Even if they come in as
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many times as you tell them to come in, there's
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always this part where their stress level doesn't go down.
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The muscle spasms are there and it causes the muscles
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to spasm and pull the bones back out of alignment.
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So they have the chronic muscle tension and you've got
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the sleep. I mean, whether they say they sleep well,
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are they really sleeping well? Does REM sleep, do they
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have enough REM sleep? This perpetuates the pain, sensitivity, and
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the fatigue as well, and the heart rate variability, instability,
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and blood pressure spikes. You definitely see that with the
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baroreflex impairments. and the reduced vagal tone, if you don't
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have the brain functioning as well as it should be.
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And limbic overreactivation, of course, that sustains anxiety, it keeps
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you in a perpetual fight or flight mode. It's like
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your sympathetic nervous system's on overdrive and your foot's on
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the gas pedal, not coming off. You never hit the brakes.
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That causes this repetitive loop where the pain returns between
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the visits, the spasms are still there. These aren't separate
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complaints listed, they're just It's a unified signature of the
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nervous system locked in survival mode. Fight or flight, high alert,
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ready for something bad to happen. It's not, but it's
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just the stress level is way too high. We all
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know this patient here, a professional that comes in with,
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he's stressed out all the time. He's got chronic neck pain.
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He can't get enough sleep, mood swings. His emotional reactivity
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is off the charts and his blood pressure instability is across,
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it goes up and down all the time, mostly up.
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Because when you're stuck in fight or flight, all the
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blood vessels constrict and it leaves you in a bad space.
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And the missing variable here is that the nervous system
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is hardwired into the chronic flight or flight state. And
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if you stay in that state long enough, it eventually
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turns into PTSD. It just does. I don't know the timeframe.
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I don't think they know the timeframe, but just you
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cannot live in a state of fight or flight all
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the time. Like the subluxation, the structural correction, Physical therapy,
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that addresses the hardware, but the neural software, of course,
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is the brain, and we can regulate that to get
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them unstuck out of the fight-or-flight mode. Will neurofeedback get
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rid of stress? No. It will lengthen the fuse if
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you've got a short fuse. It will make you process
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stress a lot better so you can get through the day,
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so things don't bother you as much. That's a fact. Yeah,
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this is sympathetic lock-in. Your sympathetic's overdrive again. Your foot's
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on the gas in the fight-or-flight mode. You're not even...
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touching the brakes. This activation drives muscle guarding, spasms, vasoconstriction,
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reduced tissue perfusion of the blood for sure, chronic tension.
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And that's sometimes why we can't get people to adjust
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easy or adjust. There's just too much of it, especially
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in the thoracic spine. I have a lot of that.
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I've seen a lot of that. And a limbic lobe overactivation,
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it amplifies the pain sensitization. with the pain tracks that
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go up and down your spinal cord, mood dysregulation, and
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it perpetuates this fight or flight on the edge of
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your seat on high alert all the time. That's a
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bad place to be in. A lot of us have
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been there for a long time. And the prefrontal cortex,
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it's underactivated. Your frontal cortex is the CEO of your brain.
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You need that to function properly. And of course, we
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talked about the barrel reflex suppression also will increase the
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blood pressure. and cause you problems there. Now, if we unpack,
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of course, the critical brain body connection, the somatic inputs,
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postural stress, segmental dysfunction, the subluxation, fascial restriction, they can
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all be from long-term fight or flight status. Okay. They
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send all the afferent signals up to the central nervous
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system and upregulates the limbic tone and driving sympathetic dominance. Again,
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Your body is putting you in that fight or flight
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mode because we didn't hit the brakes on it yet.
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We got to break that loop.
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Before we get into this next portion of it, I
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just wanted to just ask a question about everyone that's
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on the webinar. Do you currently do anything to assess
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adrenal function in your office? The results are 67%.
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Yes.
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33%.
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No. Okay.
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So there's obviously other tests. There's hormone tests. There's many
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different ways that you can assess the adrenals, muscle testing.
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is one of those, but neurofeedback is one of those.
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Brain mapping is one of those that you can assess that.
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So just wanted to talk about that a little bit.
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Hans Salyer's general adaptation syndrome, when people are out of
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gas and they go through these phases of the sympathetic mode,
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as Dr. Kevin mentioned, that's the fight or flight. That's
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the alarm phase that they're ready to run. Sabertooth tigers
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after you, you're just running down the street. resistance phase
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is when there's an elevated amount of stress over long
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periods of time, which is really the chronic state of
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a lot of the world, Americans these days, is there's
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a chronic amount of cortisol and other hormones that are
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in the bloodstream. And the body does not want to
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accept that hormone anymore at such high levels. So it
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becomes less resistant. So over time, there's going to be
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a fatigue markers. People are going to start to have
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more brain fog. People are not going to have as
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much energy throughout the day. They're really in that resistance phase.
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And that exhaustion phase is when they are just burnt out.
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They can't make it through the day. They may have migraines.
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There may be some things that just shut it off
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where they're just completely exhausted. They need to lay in bed.
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They need to recover. And there's this process that you
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go through through this getting out of gas. But what
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is interesting is what the QEEG reveals is we can
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actually pick up some of these processes and what stage
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that they're in with brain mapping. So as an example,
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if there's like an active alarm phase, the hypervigilance, there's
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a lot of high beta that's showing up on the
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brain maps. If there is a cognitive fatigue that they
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can't get throughout the day without maybe taking a nap
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each day, there's excess theta. A lot of times that
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we can pick that up on the brain map. So
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if there's exhaustion, poor recovery, and low resilience, that's the
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alpha collapse where not enough alpha. So these can manifest
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in so many ways. So one, if you are, most
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of you are doing some type of adrenal testing in
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the office, this is just one more tool where you
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can match it up to really just give you further
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data that supports your findings. And for me, when I
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was working functional medicine and just helping with clinicians, adrenals
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is are, it's a go-to. Everyone knows that the adrenals
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are the main output of the hormone production and the,
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as far as like our stress response, us being able
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to get through the day.
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We need energy.
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So that's, we always need adrenals. Our adrenal support in
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our protocols at some point, point through the phases that
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an individual is going through with nutritional therapy, but it
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manifests in many different ways. It's not just adrenal support
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that they need. There may be some GI symptoms. There's
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a lot of chronic stress, inflammation that's impacting the the
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brain access with there's a long-term adrenal exhaustion that's going
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on and inflammation that's not being taken care of. There's
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that cardiovascular reactivity that Dr. Kevin mentioned and respiratory issues
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where there's that tight chest, shallow breathing and heightened arousal
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and just overly on edge all the time where the
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simplest thing which shouldn't make somebody overreact or just start
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yelling all of a sudden just because it was something
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simple that came up. They should have a better stress response.
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And that's what neurofeedback does is it helps dampen down
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our stress response so we don't overreact. Bidirectionally, it will
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help with the adrenals be able to recover because it's
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helping with that feedback loop. So misconception that I not
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necessarily had, but I always would focus on because it's
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the tools that I had available to me at the time.
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was always go to adrenals, go to adrenals, go to
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adrenals and adrenal support. But now with this top-down approach
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of supporting the brain to be able to support the
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HPA access, the stress hormones really come from what that
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initial limbic threat is, what that response is. And that's
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where neurofeedback really is so powerful is because it intervenes
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directly at the source. It helps to retrain the limbic
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system so we can recalibrate how the body and how
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the mind assesses the environment and assesses the situation. So
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that way we can actually reduce the amount of adrenal
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response before it ever starts because our brain is initially
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assessing it and not responding in a hypervigilant way when
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it doesn't need to. The thalamus dysfunction and sensory overload.
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So it's the brain's primary sensory relay as far as
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like what it allows to get through. It's the filtering system.
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So under chronic stress, that filter basically just stops working
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as properly. So it becomes a flood of information where
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it's just too much sensory information coming in. PTSD is
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classic where there's just too much information that's coming in.
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They can't control it at all. So where this is
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overwhelmed and we need to use brain mapping, kind of
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focus in on what we can enhance because there's with
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low alpha power, you see there indicates poor thalamic gaiting.
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so disruptive breast states. When there's high beta activity, that
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reflects the cortical overload and sensory hypersensitivity. So there's classic
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stress signatures that you can see on the brain maps
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and things that you can target with neurofeedback to help
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that stress response overall. And this is just another way
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of talking about really the autonomic nervous system, the polyvagal
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theory the vagal break, the three branches, mainly in my background,
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we would always talk about just sympathetic and parasympathetic. This
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is really focused more on identifying exactly what state an
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individual is in when they are stressed, that ventral or
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not stressed, that they're able to manage stress. So the
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ventral vagal is really just a social engagement.
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You're relaxed.
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You're around your peers or friends or family, and you're
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just in a place where you feel safe, you feel calm,
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and you feel supported. That's sympathetic dominance. That's nervous system.
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That's where the threats are detected. But the dorsal vagal
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is where we're just shutting down, where you have someone
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that you don't want to be around ever, and that
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individual's in your house sometimes, and you just can't even
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function when they're around. And this is that PTSD case
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as well, where they're not able to function when in
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certain environments at all, because they just, they perceive everything
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as a threat. And it's just chronic stress. And it's
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that neuroreception, neuroception, the concept of the term, that it
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kind of pulls in the thalamus, it pulls in the amygdala.
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It's really the concept of the brain is constantly scanning
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the environment, constantly scanning the situation at hand to survey
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if there is stress, if there is danger, if there's threat.
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And that is through that process is it basically puts
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our nervous system into one of these three states. So
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with neurofeedback and brain mapping, we can see when there's
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frontal rhythm that's asymmetric, when there's a high amount of
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electrical activity in one side on the left hemisphere versus
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the right hemisphere or vice versa, that's reliable to see
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if there's some type of reduction in the vagal response,
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in the vagal tone. And when the prefrontal cortex cannot
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generate coherence balance, it decreases the ability on how the
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brain can respond appropriately. So with more feedback, we target
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that and help the body to be able to respond,
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the mind be able to respond more appropriately, which then
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has the downstream effect of decreasing those hormone outputs to
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allow the body to respond more appropriately.
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That wraps up today's conversation on chronic stress, autonomic dysregulation,
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and the relationship between the brain and the body. And
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while neurofeedback was one of the tools discussed throughout today's training,
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I think the more important takeaway is actually much broader.
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As clinicians, it's easy to separate what we see into
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individual problems. Pain over here, muscle tension over there, disrupted sleep, fatigue,
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poor recovery, heightened emotional reactivity. but the nervous system doesn't
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necessarily experience those things in isolation. Persistent stress can influence
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how the brain interprets incoming information, how the autonomic nervous
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system responds, and ultimately how effectively someone is able to
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move between states of activation and recovery. That does not
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mean every patient with persistent pain or poor sleep is
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simply stuck in fight-or-flight. And it certainly doesn't mean there's
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one technology or intervention that solves all of the problems.
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But it does mean that when progress stalls, it may
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be worth asking a bigger question. Are we only treating
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what we're seeing downstream, or have we adequately considered the
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systems influencing the upstream? That's ultimately where conversations like this
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become valuable. As always, we've included some additional resources from
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today's episode in the show notes. So be sure to
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click those links. There's an incredible white paper with some
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research provided by Hippocampus Labs, as well as some visuals
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from the webinar recording that was featured in today's training.
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You can learn more about some of the clinical applications
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of neurofeedback, of course, by visiting the hippocampuslabs.com website. And
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as always, if you enjoyed today's episode and found value
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in this content, please be sure to share it with
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of course, you can do that right there wherever you
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listen to your podcasts in the podcast player. We'll be
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starting a new training next time around focusing on AI
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00:24:18.750 --> 00:24:21.710
and its use in your clinical practice. We'll see you
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next time. Hey guys, if you like what you heard today,
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I encourage you to visit our website at factor-store.com. That's
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00:24:30.609 --> 00:24:37.759
spelled F-A-K-T-R-hyphen-store.com. to find out more information about all that
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we have to offer. We have a variety of online
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to check those out.
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When we think about chronic stress, we tend to focus
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on what we can see. Muscle tension, poor sleep, fatigue, pain,
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elevated heart rate, or a patient who just never seems
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00:00:12.160 --> 00:00:15.800
to fully relax. But what if some of these seemingly
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00:00:15.929 --> 00:00:19.929
separate complaints are actually different expressions of the same problem?
6
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A nervous system that has become increasingly stuck in a
7
00:00:24.269 --> 00:00:31.120
state of high alert. Welcome to the Factor Podcast. where
8
00:00:31.140 --> 00:00:33.679
we talk about the stuff they didn't teach you in school,
9
00:00:34.200 --> 00:00:36.780
how to grow your practice, refine your clinical skills, and
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00:00:36.820 --> 00:00:39.979
get better results for your patients. We're here to help
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you navigate the real-world challenges of being a healthcare provider,
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00:00:43.770 --> 00:00:46.890
from delivering top-notch patient care to running a business that
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00:00:47.109 --> 00:00:50.070
doesn't run you into the ground. Whether you're fresh out
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of school or scaling your practice, we're diving into effective,
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00:00:53.409 --> 00:00:57.799
cutting-edge treatments to get patients better faster. We'll also talk
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00:00:57.840 --> 00:01:00.810
about business strategies and tactics to help you work smarter
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and not harder, and the mindset shifts required to thrive
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as a top performer in your field so you can
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build a career you love without burning out. If you're
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ready to learn what works and what doesn't, from leading experts,
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industry innovators, and respected clinicians across a wide range of specialties,
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you're in the right place, my friend. Let's dive in.
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Welcome back to The Factor Podcast, where we explore the
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latest evidence, emerging technologies, and clinical strategies to help healthcare
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providers deliver better outcomes for their patients. I'm your host,
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Jessica Riddle. Thanks for tuning in today. Over our last
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two episodes, we explored neurofeedback through the lens of athletic performance,
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00:02:03.109 --> 00:02:07.680
looking at brain mapping, neuroplasticity, concussion recovery, and the pursuit
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of better cognitive and physical performance. Today, we've invited Dr.
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00:02:12.719 --> 00:02:16.960
Kevin Butterfield and Seth Kalin of Hippocampus Labs, a member
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of the Factor Podcast Network, to come back and take
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that conversation in a very different direction. Today, we'll be
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focusing on chronic stress and what happens when the nervous
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system has difficulty shifting out of a persistent fight-or-flight response.
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We'll explore the relationship between sympathetic activation, the HPA axis,
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sensory processing, sleep, pain, muscle tension, and autonomic regulation. And
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00:02:45.590 --> 00:02:49.050
consider why some of the symptoms clinicians encounter every day
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might not be as disconnected as they initially appear. You'll
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00:02:53.659 --> 00:02:58.979
also hear how Dr. Butterfield uses QEEG and neurofeedback as
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tools for examining and influencing aspects of that stress response system.
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The bigger question, though, extends well beyond any single technology.
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When a patient continues to struggle, despite addressing the obvious
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musculoskeletal pieces, could persistent nervous system dysregulation be part of
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what we're missing? Let's get into it.
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Stuck in fight or flight. I mean, I think we
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can just stop there and say who isn't, right? I mean,
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in this high-tech, fast-paced world, I think everyone has a
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little bit of fight or flight in them. And how
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do you resolve that or how do you help that
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or help get unstuck, right? Besides turning off the TV
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and stop watching the news. So we're going to go
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over that on how we can address the brain, which
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is a software chiropractic and everyone else that does from
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the neck down is more of the hardware stuff. And
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we're going to show you that there's an essential symbiotic
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relationship between the central and peripheral nervous systems. It's a
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very good relationship. Now we have to go over our disclaimer.
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I won't read this. You guys can read it. We're
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not giving you any medical advice. We're not treating you,
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diagnosing you, or doing anything like that. That's what you're
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doctors for. We're just going to have an informative little
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get-together chit-chat, okay? Who are we? Well, I'm on the left.
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I've been a chiropractor for 25 years. I had a
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very high-volume successful career. chiropractic practice for about 25 years.
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I stopped doing that about 10 years ago just to
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focus on the brain and neurofeedback because I wanted to
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help all the kids that came in with their parents
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when they got adjusted. I knew there was something going
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on with them as far as the blank stares or
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the lost look. That's because they were on the medications
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for ADD, ADHD. So I wanted to help those kids.
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My history is I'm the son of a neurosurgeon. So
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brains have always been around in my life since I've
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been growing up. I've advanced on, I've seen everything from
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the spectrum disorders, the concussion detection mitigation stuff, all different
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kinds of conditions. If you can trace it back to
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the brain, I've seen it. Now I do a lot
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of neurofeedback peak performance training for like NASCAR, IndyCar drivers
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and NFL players, pro athletes, because there's a definite need
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for that. They want to have the best brain to
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be on top of their game. But so does little
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Timmy that's suffering with ADHD or he's on the spectrum.
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He needs help too. So that's why I started focusing
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solely on that. I've been doing neurofeedback for 26 years now.
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And Seth, you can go ahead and mention you or
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talk about you and then mention Dan. Yep.
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I love talking about myself.
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I know.
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I know. So you, don't we all.
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My background is in the nutritional lifestyle recommendations. I worked
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with a large whole food supplement company, Standard Process. Many
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of you have heard about before, but holistic health care
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is really just as my focus. What's the non-invasive way
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that we can help support the patient get the best outcome?
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I was a nutritional therapy practitioner, board certified holistic nutrition,
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and I've worked with hundreds of chiropractors, thousands through network,
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but directly with hundreds. And just what works with patients,
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the systems and the processes and the nutrition protocols that
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we were doing for over a decade. And with neurofeedback,
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I've learned so much over the past, since I've met Dr.
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Kevin back almost 10 years ago now, about how the
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brain waves impact the body. And I'm fascinated about how
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we can influence the metabolic portion of the body with
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nutrition and lifestyle, how that can support the brain. And
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now with a tool of neurofeedback, how we can influence
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brain energy and the brain waves to influence the metabolic
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system as well. So the bidirectional relationship there is really
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just how we're going to be continuing to support our
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clinics that implement our system on how to get the
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best results with those two things implemented both. Dan Cort
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was one of my largest accounts with Standard Process in
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New York, nutritional consultant, was extremely successful with nutrition with
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Standard Process, was extremely successful in the past with three
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companies that he start and grew to be able to
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sell to New York Stock Exchange companies and NASDAQ companies.
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And so combining this with Dr. Kevin's experience, with my
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experience with nutrition and with Dan's experience with nutrition and business,
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combining those all together, our goal is to take Nora
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feedback and make it a much more well-known service that
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chiropractors and healthcare practitioners in general implement into their support,
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into their offices, just maximize the results. And we have
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the best of all worlds really is we're supporting chiropractors
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the brain energy, we're supporting the metabolic system, and we're
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supporting the business aspect to make sure you get success
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from all aspects of patient results and clinic results. Because
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if you're not earning more income with this, then you're
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not able to help more people. And our goal is
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to help as many people as possible. So really excited
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about that and just glad to be here. I appreciate
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everybody's time. And I think you're going to get a
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lot out of this tonight.
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Yeah. Before I scroll down, I just want to give
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a little Neurofeedback has been around since the 1950s. Technology
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today can pinpoint more areas of the brain than ever before.
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And everything we're going to show you here, does it
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fit under your scope of practice? And the answer is yes,
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because we're not diagnosing mental health conditions nor treating them. Okay.
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I just want to get that out of the way
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up front. So why it matters now, of course, chronic
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stress is a new subluxation. You know, everyone has that.
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It's invisible. They sense it. It causes a lot of
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muscle spasms. It causes a lot of sleep disturbances. Even
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when I was a chiropractor, there was stress back then.
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You adjust them, the muscles relax. And what do you
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say before you adjust them? Relax. Okay. They relax for
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a second automatically so you can make the adjustment. But
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then when they get up, they feel great. They go home.
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They keep coming back because the stress doesn't go away.
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And that causes them to go back into fight or
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flight mode and the muscles to spasm up and subluxate
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the vertebrae again. So it's like a repetitive cycle, which
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frustrated me when I was a chiropractor. I mean, what
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am I doing wrong here? Why do they keep coming back?
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I love my patients. I didn't want to adopt them.
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I just wanted to get them better and get them
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on their way. But I just didn't focus on the
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neck and that relationship between the sympathetic, parasympathetic and the
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central nervous system peripheral. So this actually causes, this is
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why patients plateau usually. Even if they come in as
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many times as you tell them to come in, there's
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always this part where their stress level doesn't go down.
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The muscle spasms are there and it causes the muscles
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to spasm and pull the bones back out of alignment.
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So they have the chronic muscle tension and you've got
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the sleep. I mean, whether they say they sleep well,
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are they really sleeping well? Does REM sleep, do they
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have enough REM sleep? This perpetuates the pain, sensitivity, and
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the fatigue as well, and the heart rate variability, instability,
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and blood pressure spikes. You definitely see that with the
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baroreflex impairments. and the reduced vagal tone, if you don't
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have the brain functioning as well as it should be.
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And limbic overreactivation, of course, that sustains anxiety, it keeps
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you in a perpetual fight or flight mode. It's like
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your sympathetic nervous system's on overdrive and your foot's on
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the gas pedal, not coming off. You never hit the brakes.
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That causes this repetitive loop where the pain returns between
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the visits, the spasms are still there. These aren't separate
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complaints listed, they're just It's a unified signature of the
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nervous system locked in survival mode. Fight or flight, high alert,
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ready for something bad to happen. It's not, but it's
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just the stress level is way too high. We all
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know this patient here, a professional that comes in with,
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he's stressed out all the time. He's got chronic neck pain.
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He can't get enough sleep, mood swings. His emotional reactivity
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is off the charts and his blood pressure instability is across,
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it goes up and down all the time, mostly up.
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Because when you're stuck in fight or flight, all the
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blood vessels constrict and it leaves you in a bad space.
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And the missing variable here is that the nervous system
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is hardwired into the chronic flight or flight state. And
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if you stay in that state long enough, it eventually
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turns into PTSD. It just does. I don't know the timeframe.
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I don't think they know the timeframe, but just you
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cannot live in a state of fight or flight all
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the time. Like the subluxation, the structural correction, Physical therapy,
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that addresses the hardware, but the neural software, of course,
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is the brain, and we can regulate that to get
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them unstuck out of the fight-or-flight mode. Will neurofeedback get
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rid of stress? No. It will lengthen the fuse if
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you've got a short fuse. It will make you process
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stress a lot better so you can get through the day,
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so things don't bother you as much. That's a fact. Yeah,
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this is sympathetic lock-in. Your sympathetic's overdrive again. Your foot's
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on the gas in the fight-or-flight mode. You're not even...
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touching the brakes. This activation drives muscle guarding, spasms, vasoconstriction,
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reduced tissue perfusion of the blood for sure, chronic tension.
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And that's sometimes why we can't get people to adjust
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easy or adjust. There's just too much of it, especially
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in the thoracic spine. I have a lot of that.
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I've seen a lot of that. And a limbic lobe overactivation,
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it amplifies the pain sensitization. with the pain tracks that
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go up and down your spinal cord, mood dysregulation, and
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it perpetuates this fight or flight on the edge of
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your seat on high alert all the time. That's a
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bad place to be in. A lot of us have
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been there for a long time. And the prefrontal cortex,
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it's underactivated. Your frontal cortex is the CEO of your brain.
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You need that to function properly. And of course, we
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talked about the barrel reflex suppression also will increase the
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blood pressure. and cause you problems there. Now, if we unpack,
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of course, the critical brain body connection, the somatic inputs,
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postural stress, segmental dysfunction, the subluxation, fascial restriction, they can
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all be from long-term fight or flight status. Okay. They
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send all the afferent signals up to the central nervous
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system and upregulates the limbic tone and driving sympathetic dominance. Again,
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Your body is putting you in that fight or flight
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mode because we didn't hit the brakes on it yet.
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We got to break that loop.
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Before we get into this next portion of it, I
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just wanted to just ask a question about everyone that's
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on the webinar. Do you currently do anything to assess
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adrenal function in your office? The results are 67%.
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Yes.
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33%.
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No. Okay.
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So there's obviously other tests. There's hormone tests. There's many
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different ways that you can assess the adrenals, muscle testing.
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is one of those, but neurofeedback is one of those.
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Brain mapping is one of those that you can assess that.
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So just wanted to talk about that a little bit.
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Hans Salyer's general adaptation syndrome, when people are out of
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gas and they go through these phases of the sympathetic mode,
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as Dr. Kevin mentioned, that's the fight or flight. That's
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the alarm phase that they're ready to run. Sabertooth tigers
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after you, you're just running down the street. resistance phase
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is when there's an elevated amount of stress over long
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periods of time, which is really the chronic state of
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a lot of the world, Americans these days, is there's
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a chronic amount of cortisol and other hormones that are
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in the bloodstream. And the body does not want to
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accept that hormone anymore at such high levels. So it
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becomes less resistant. So over time, there's going to be
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a fatigue markers. People are going to start to have
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more brain fog. People are not going to have as
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much energy throughout the day. They're really in that resistance phase.
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And that exhaustion phase is when they are just burnt out.
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They can't make it through the day. They may have migraines.
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There may be some things that just shut it off
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where they're just completely exhausted. They need to lay in bed.
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They need to recover. And there's this process that you
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go through through this getting out of gas. But what
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is interesting is what the QEEG reveals is we can
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actually pick up some of these processes and what stage
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that they're in with brain mapping. So as an example,
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if there's like an active alarm phase, the hypervigilance, there's
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a lot of high beta that's showing up on the
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brain maps. If there is a cognitive fatigue that they
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can't get throughout the day without maybe taking a nap
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each day, there's excess theta. A lot of times that
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we can pick that up on the brain map. So
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if there's exhaustion, poor recovery, and low resilience, that's the
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alpha collapse where not enough alpha. So these can manifest
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in so many ways. So one, if you are, most
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of you are doing some type of adrenal testing in
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the office, this is just one more tool where you
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can match it up to really just give you further
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data that supports your findings. And for me, when I
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was working functional medicine and just helping with clinicians, adrenals
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is are, it's a go-to. Everyone knows that the adrenals
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are the main output of the hormone production and the,
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as far as like our stress response, us being able
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to get through the day.
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We need energy.
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So that's, we always need adrenals. Our adrenal support in
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our protocols at some point, point through the phases that
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an individual is going through with nutritional therapy, but it
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manifests in many different ways. It's not just adrenal support
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that they need. There may be some GI symptoms. There's
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a lot of chronic stress, inflammation that's impacting the the
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brain access with there's a long-term adrenal exhaustion that's going
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on and inflammation that's not being taken care of. There's
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that cardiovascular reactivity that Dr. Kevin mentioned and respiratory issues
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where there's that tight chest, shallow breathing and heightened arousal
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and just overly on edge all the time where the
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simplest thing which shouldn't make somebody overreact or just start
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yelling all of a sudden just because it was something
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simple that came up. They should have a better stress response.
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And that's what neurofeedback does is it helps dampen down
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our stress response so we don't overreact. Bidirectionally, it will
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help with the adrenals be able to recover because it's
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helping with that feedback loop. So misconception that I not
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necessarily had, but I always would focus on because it's
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the tools that I had available to me at the time.
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was always go to adrenals, go to adrenals, go to
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adrenals and adrenal support. But now with this top-down approach
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of supporting the brain to be able to support the
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HPA access, the stress hormones really come from what that
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initial limbic threat is, what that response is. And that's
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where neurofeedback really is so powerful is because it intervenes
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directly at the source. It helps to retrain the limbic
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system so we can recalibrate how the body and how
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the mind assesses the environment and assesses the situation. So
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that way we can actually reduce the amount of adrenal
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response before it ever starts because our brain is initially
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assessing it and not responding in a hypervigilant way when
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it doesn't need to. The thalamus dysfunction and sensory overload.
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So it's the brain's primary sensory relay as far as
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like what it allows to get through. It's the filtering system.
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So under chronic stress, that filter basically just stops working
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as properly. So it becomes a flood of information where
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it's just too much sensory information coming in. PTSD is
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classic where there's just too much information that's coming in.
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They can't control it at all. So where this is
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overwhelmed and we need to use brain mapping, kind of
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focus in on what we can enhance because there's with
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low alpha power, you see there indicates poor thalamic gaiting.
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so disruptive breast states. When there's high beta activity, that
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reflects the cortical overload and sensory hypersensitivity. So there's classic
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stress signatures that you can see on the brain maps
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and things that you can target with neurofeedback to help
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that stress response overall. And this is just another way
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of talking about really the autonomic nervous system, the polyvagal
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theory the vagal break, the three branches, mainly in my background,
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we would always talk about just sympathetic and parasympathetic. This
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is really focused more on identifying exactly what state an
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individual is in when they are stressed, that ventral or
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not stressed, that they're able to manage stress. So the
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ventral vagal is really just a social engagement.
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You're relaxed.
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You're around your peers or friends or family, and you're
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just in a place where you feel safe, you feel calm,
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and you feel supported. That's sympathetic dominance. That's nervous system.
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That's where the threats are detected. But the dorsal vagal
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is where we're just shutting down, where you have someone
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that you don't want to be around ever, and that
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individual's in your house sometimes, and you just can't even
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function when they're around. And this is that PTSD case
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as well, where they're not able to function when in
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certain environments at all, because they just, they perceive everything
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as a threat. And it's just chronic stress. And it's
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that neuroreception, neuroception, the concept of the term, that it
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kind of pulls in the thalamus, it pulls in the amygdala.
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It's really the concept of the brain is constantly scanning
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the environment, constantly scanning the situation at hand to survey
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if there is stress, if there is danger, if there's threat.
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And that is through that process is it basically puts
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our nervous system into one of these three states. So
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with neurofeedback and brain mapping, we can see when there's
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frontal rhythm that's asymmetric, when there's a high amount of
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electrical activity in one side on the left hemisphere versus
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the right hemisphere or vice versa, that's reliable to see
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if there's some type of reduction in the vagal response,
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in the vagal tone. And when the prefrontal cortex cannot
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generate coherence balance, it decreases the ability on how the
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brain can respond appropriately. So with more feedback, we target
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that and help the body to be able to respond,
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the mind be able to respond more appropriately, which then
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has the downstream effect of decreasing those hormone outputs to
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allow the body to respond more appropriately.
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That wraps up today's conversation on chronic stress, autonomic dysregulation,
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and the relationship between the brain and the body. And
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while neurofeedback was one of the tools discussed throughout today's training,
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I think the more important takeaway is actually much broader.
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As clinicians, it's easy to separate what we see into
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individual problems. Pain over here, muscle tension over there, disrupted sleep, fatigue,
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poor recovery, heightened emotional reactivity. but the nervous system doesn't
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necessarily experience those things in isolation. Persistent stress can influence
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how the brain interprets incoming information, how the autonomic nervous
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system responds, and ultimately how effectively someone is able to
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move between states of activation and recovery. That does not
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mean every patient with persistent pain or poor sleep is
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simply stuck in fight-or-flight. And it certainly doesn't mean there's
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one technology or intervention that solves all of the problems.
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But it does mean that when progress stalls, it may
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be worth asking a bigger question. Are we only treating
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what we're seeing downstream, or have we adequately considered the
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systems influencing the upstream? That's ultimately where conversations like this
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become valuable. As always, we've included some additional resources from
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today's episode in the show notes. So be sure to
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click those links. There's an incredible white paper with some
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research provided by Hippocampus Labs, as well as some visuals
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from the webinar recording that was featured in today's training.
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You can learn more about some of the clinical applications
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of neurofeedback, of course, by visiting the hippocampuslabs.com website. And
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as always, if you enjoyed today's episode and found value
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in this content, please be sure to share it with
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a colleague, friend, or classmate. And visit our website at factorpodcast.com
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to leave us a review or a five-star rating. Or
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of course, you can do that right there wherever you
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listen to your podcasts in the podcast player. We'll be
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starting a new training next time around focusing on AI
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00:24:18.750 --> 00:24:21.710
and its use in your clinical practice. We'll see you
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next time. Hey guys, if you like what you heard today,
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I encourage you to visit our website at factor-store.com. That's
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00:24:30.609 --> 00:24:37.759
spelled F-A-K-T-R-hyphen-store.com. to find out more information about all that
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we have to offer. We have a variety of online
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offerings as well as our hands-on factor rehab system course
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scheduled in cities around the globe. Be sure to also
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check out our event calendar and bookmark any of these
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so you can join us live. And of course, the
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biggest compliment we can receive is for you to help
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You'll find all the important links as well as info
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