Return to Balance Podcast

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Return to Balance Podcast
How to NOT get sick and DIE podcast with Matty Lansdown - Health, Nutrition and Human Optimism


Matty Lansdown asks, “Is there a proper way to move? Walk, run, jump, sit? Ergonomics would suggest that there is a perfect position to be in at all times and that if we all did that we’d be totally safe. However, injuries happen every single day to all types of humans: athletes, children, elderly… the lot! So if there is a perfect way to move why aren’t we all doing it?”

Take a dive into Episode 102 and hear from CEO and Founder, Douglas Bertram, explain how to find balance and avoid injury.


Matty: [00:00:00] You've arrived at episode 102. Today's episode has come at a good time because we're talking with a body movement expert and given the fact we've all been shriveled up on the couch for half a damn year, our bodies need some, well, movement. So if you're starting to feel some new Ils and elles, maybe you've gained yourself some injuries from sitting at your desk chair for 12 hours a day or sitting on the couch for your zoom meetings or even if you're starting to get back into normal life and you find the body isn't quite as mobile or flexible as it used to be, then this episode might explain why and how to get your body back to a place of overall balance. So let's get into it. 

Host: Welcome to the How to Not Get Sick and Die podcast. You've tuned in because you want to start taking your health seriously so you don't get sick and dying here. We talk about all things health, nutrition and human optimization. Let's jump into it with your host and resident scientist, Matty Landsdowne. [00:00:56][19.6]

Matty: [00:00:58] What’s up my healthy friends, I hope you've got a cracking day, it is my mission to crack on with coaching 150 individuals to create the healthy, sustainable life that they truly want before December 2020. Also, if you're loving these episodes and you're really digging what we're putting out and feeling like you want to give back in some way, then while you're listening to today's show. It would be awesome if you could head over and write the episode. Five Stars, Five Stars is perfect. And if you want to give any less than that, look, thank you. I'm grateful, but you can give that to somebody else. And once you've punched in the five stars of review, if you can, too, I love reading about people's biggest takeaways from the show and how this really and this sort of process really helps grow the work that I do and allows me to reach more people that really do need to access and hear this information. So I appreciate your help with that. All right. To today's guests, we've got Doug Bertram. Doug is the CEO of Structural Elements, where they've been trading orthopedic conditions for over 20 years with three locations in the USA. It was founded on the idea that better orthopedic care exists. And instead of treating symptoms alone, they look at the body from the ground up and how it moves and then determine a treatment strategy. Doug is a massage therapist and then went on to complete a master's degree in traditional Chinese medicine. And today he is here to share with us some really cool stuff. So welcome to the show, Doug. How are you? [00:02:19][80.8]

Doug: [00:02:19] I'm doing great. Thanks for having me. [00:02:21][1.6]

Matty: [00:02:21] You are more than welcome. You were just telling me a bit about the way that you do practice and showing me, a little bit as much as I can see from here, around your office. So maybe for the listeners, give us an overview of what you do in the orthopedic space. [00:02:35][13.6]

Doug: [00:02:36] Yeah, absolutely. Well, one of the things that I oftentimes started off with when differentiating what we do is we are a cash based practice. And the reason that I lead off with that is because it's my opinion that especially in the U.S., when you are bound by insurance, you know, regulations and basically having to stick within reimbursable modalities to the diagnostic code, it really limits your viewpoint of the body. And in many therapists, even though they start off with really good intentions of ultimately wanting to put their patients first, they end up playing the insurance reimbursement game. So first and foremost, we have forgone the relationship with the insurance company and entered into a direct contract with our patients, basically, that we owe them the best care for their dollar. And we are going to look at them as a person, as an individual, not a list of complaints. And so specifically, we look at the structural integrity of the body where it's positioned in space. And then we are of both the pelvis school of thought saying that it doesn't all start in the pelvis, but once it's in the pelvis, it's everywhere. And we are of the connective tissue school of thought saying that if the connective tissue has been subjected to abnormal forces, there will be compensatory changes that have to be addressed before you can resolve their issues long term. So, you know, we were not identified by the license of our professionals that work in our clinics. We all practice structural elements. Some of us are acupuncture. Some of us are chiropractors. Some of us are physical therapists, of course, all working within our scope. But we all offer what we call the structural elements experience, and that is looking at the body holistically, identifying where the body is out of alignment, identifying the compensation's that have occurred in the connective tissue we call those focal adhesions. We correct them, we realign them, we strengthen and lengthen them to hold that adjustment. And once somebody is lined up and balanced, we then consider them to be a lifelong relationship of somebody that we help through education and continued maintenance to maintain that balance so that they can enjoy a long, healthy, active lifestyle. I mean, that's what it's all about. [00:04:56][0.8]

Matty: [00:04:57] Yeah, absolutely. And I'm really curious. It's interesting talking to people in the US about this, because it's a different structure here in Australia. But do you find with clients working on that cash based model that they have a greater sense of self responsibility to play in the healing and recovery journey rather than, you know, because they've got to part ways with their own cash, you know, and they want to get something for that, because I find, you know, there's lots of things for free or heavily subsidized here in Australia and find that that model in many ways creates a degree of complacency. And the people feel that they deserve to be given things when actually they need to be quite an active part of the process. [00:05:40][43.2]

Doug: [00:05:41] Yeah, 100 percent. I both worked in insurance based models in the past as well as in the States. Workman's compensation is a whole field of that. A lot of therapists work almost exclusively within work comp, and I did that for many many years as well, and either from paying, you know, ridiculous premiums for your health insurance and then paying large co-pays on top of it, there's certainly an entitlement. It's not that people are egotistical or devalue your education or your work or your contribution, but there is certainly a sense of entitlement that this is something that they've already invested in. And therefore, you know, it better work and you should provide the solution for them versus them being an active participant in the solution. And I would say that with the work population that that may be even amplified more so than the private insurance payers. But when somebody chooses, it's a value proposition. When somebody chooses to displace another way to spend a couple hundred bucks and they invested in their health and wellness, whether they follow through or not. Right. There's an accountability to that. You know, and certainly we always say, you know, I laugh a little bit because I say we're not a we're not, you know, a practice that's based on a judgment. Right. There's no guilt associated with any of our interactions. It's simply gathering information. So when I ask people, did you do your exercises? And I say, you know, if you did or you didn't, I'm not trying to judge you for it. Right. I'm not giving you the flossing lecture that your dentist gives you. I'm just simply trying to assess, am I seeing tissue that has been foam rolled daily for two weeks or am I seeing tissue that's been neglected for two weeks? And ultimately taking that approach, people go, yeah, you're right, I'm not getting better because I'm not doing everything you told me to do. I should probably start there, you know, like what else could I be doing? Well they don’t you start with doing the things that we already talked about and then we'll add to it. Patients become, you know, very active in achieving their goals. I think one of the other things that is unique about certainly the way that we practice here is that we also establish an active goal for every patient. The way I normally phrase it, if it weren't for this pain, what would you be doing with an able body? Right. And so instead of the goal being, you know, mitigating the pain or the dysfunction, the goal becomes restoring the activity level that they're missing. Right. So oftentimes we get them back to the activity. The pain went away somewhere in the middle of the process, but that became just an afterthought to getting them to their goal. So if their goal is I want to be able to get back to running a half marathon, great. Let's focus on that and we'll manage that journey versus just the goal being, you know, my my my mission hurts. Right? So that's also a big part of it. And when people are paying out of pocket, they tend to really connect to that goal we establish. [00:08:39][105.8]

Matty: [00:08:40] Yeah, I find exactly the same thing with the clients that I deal with as well. Now, you mentioned a couple of things before, which I'm really curious to learn about your pelvis theory and connective tissue theory. Can you dove into those? I'd love to know what that's all about. [00:08:54][14.1]

Doug: [00:08:55] Yeah, absolutely. So by seeing more of the pelvis school of thought, I mean, that inherently creeps some people out when they hear it at face value. But but ultimately, you know, rotations of the pelvis are going to animate the spine. And it doesn't matter who you are and what you do, you want your eyes and ears to be level. We consider that to be a neutral horizon. If you have an imbalance in the pelvis, whether that's a right iliac rotation, its left iliac crest that's hiked up, whether it's some sort of dysfunction in the side joints or mal alignment of the pubic symphysis, it is going to start a motion in the spine all the way up to your eyes and ears to rebalance. So there's going to be compensatory change up the chain. Now, it may very well have started with a hind foot pronation, a sprained ankle, an intelligent gait from a painful osteoarthritis in the knee. But once it has entered the pelvis, there is change everywhere above and below. And I say below as well, because as you have changed your upper body to compensate, you are also going to change your gait pattern to catch and rebalance your upper body. Your center of gravity, if pitched forward, you're going to fall flat on your face unless you widen your stance externally, rotate your feet and pull the pelvis back underneath you. But that all comes at an expense to our efficiency. The big movers in the body are considered prime movers. The large muscles are designed to move the body. And when we ask one of these big muscles, the prime movers, to take on a postural role, there's gross metabolic inefficiency. You have to feed that muscle. It's like driving a school bus to the grocery store. It just is too much power for the job. So as a result, the body doesn't want to keep feeding this muscle all the time. So we tend to form what we call focal adhesions, which are changes in the connective tissue by reaching across the intramuscular septum, reaching across the aisle to a fresh muscle that's more efficient. And stabilizing against that monster, basically choking up on the bat to make the force less on the body, but if we do this in multiple areas and this happens systemically, we end up changing the mechanical stress on the joints and you start changing joint angles, you start changing joint function, you start developing syndromes like fibromyalgia or you start developing increased neural tone. You start developing poor balance and regulation of the autonomic nervous system. Or is this whole cascade that happens because the pelvis is out of whack, the spine starts to change in order to get the eyes and ears back to level and the big muscles start working too hard. And that's where the source of multiple dysfunctions come from. And so it doesn't matter what the chief complaint is, when somebody walks in the door, whether it's headaches or plantar fasciitis, we're going to look at the pelvis as is where does the pelvis sit and how is it contributing to the symptoms that they're experiencing? [00:11:56][163.3]

Matty: [00:11:57] Yeah, well, that makes a lot of sense. And I guess, yeah, the pelvis kind of thing, that central element of the body, that makes sense. The compensation's happening. Either side of that. And I guess a good question to ask right now, with so many people having sat on their couch unexpectedly working from home for the last six months, what are people likely to be experiencing or should prepare themselves for upon the return to normal life? Because, you know, those bodies have been sitting in very odd ergonomic situations and not getting outside, not putting their feet on the earth, not getting fresh air, you know, all those things. What should people be looking for when we begin to get back to normal or even now? [00:12:37][40.2]

Doug: [00:12:38] Yeah, right. Yeah, I think normal is a relative term. So let's start with saying that, you know, we have no idea what that looks like. But but in general, you know, I mean, you know, people should always be looking at that big picture posture and the big picture posture. You know, it doesn't matter if you're doing a 100 burpee a day challenge or if you're doing the challenge of trying to, you know, do eight hours of zoom meetings, you know, sitting on your couch. They both have the mechanical stress that taxes the body and then plays a role. And what we have to manage and counterbalance is the big picture posture. And sometimes it's easier to identify something by what goes wrong versus what goes right. Like when I'm teaching biomechanics, I oftentimes teach people how you would knock somebody down, how versus how you get them to be nice and strong and upright. You look for the weaknesses, know, and sometimes it's easier to see that than to learn how to correct it. But ultimately, we want a long, neutral spine. When you start adding curvature to the spine again, you're going to set off a cascade of compensations. So you're going to internally rotate the shoulders, you're going to externally rotate the hips and you're going to develop compensatory spirals on the extremities. You know, as you deviate from anatomical position with internal shoulder rotation, you also have to deviate at the elbow and at the risk to get back to a functional position. So people, if they're been sitting around and not in their normal situations (remind me to come back to the ergonomics question versus the adaptation conversation at the tail end of my response), but some of it it's any change that you do abruptly and do enough of is going to cause problems. Right. So, you know, the body has to get used to a new environment. So certainly assuming that they've been at home, they've been out of their routine and their habits are worse than they were previously, they are going to have compensations that have started to occur. They're going to have shortened hip flexors. They're going to have weakened glutes from sitting too much. They're going to have tight internal rotators of the shoulder. They're going to have sore upper trapezius and levator scapula and muscles from the head forward as they're staring at screens. And oftentimes what we don't realize is increased stress response as a result. OK, so the autonomic nervous system is regulated in a sympathetic nervous system, which is our which is our stress response, our fight or flight, our get ready to go into battle. Is all located, they’re called the dorsal root ganglia, where they're located in the thoracic spine. And when we have a rounded back and we have tension along the erectors and in that portion of the spine, we're going to have an increased sympathetic response. And when we're sitting and we have compression of sacrum and when our head is forward and we release the occiput to see what we're looking at, we're going to have compression and tension in the suboccipitals. The sacrum in the suboccipitals is where the parasympathetic nervous system is located, which helps to digest function. So right away as we get out of big picture posture and we started to compromise we were going to have a reduced capability of managing our stress response, and so, you know, people may feel more anxiety. They might not be sleeping as well. They might have, you know, some digestive issues. You know, they may have put on, you know, the covid-19. Right. And, you know, and so maybe some of the pressure on the lower back has changed from a little bit more interior loading from putting on a beer and nacho gut. You know, I mean, all that stuff changes a little bit when our behaviors change. So, yeah, but again, you know, on the flip side, other people that we're seeing as we're getting back to work is that people started exercising more than they had been. Right. That a lot of people are you know, they got into doing online challenges for sure and, you know, do one hundred pushups in one hundred days. They started running where they hadn't been running before. You know, like the bike shops, you can't get a bike. But, you know, I mean, they're sold out. Everybody started wanting to be outside because it's the one place that you could really be. So we're also seeing a lot of overuse injuries from people jumping into activity levels that they're not accustomed to. You know, so, again, that that gets into kind of the adaptations. And it doesn't matter what you do. Any rapid change is going to require an adaptation period because connective tissue doesn't just get on board. The connective tissue has to tear and remodel and tear and remodel and tear remodel. And so whether you're sitting more than you're used to or whether you're exercising more than you're used to, you're still going to be going through an adjustment period. [00:17:33][142.6]

Matty: [00:17:33] Yeah, that's a really good point. And I thought that when because we had a break in our lockdown where things kind of went back to normal for two weeks and we went back to the boxing gym and we had the instructor there was like, we're not doing any of our normal stuff because people are going to do injuries really quick and the physios and the acupuncturists will be booked out. So they were getting prepared for that exact issue. [00:17:58][24.5]

Doug: [00:17:58] Yeah, we've seen a lot of it. [00:18:00][1.7]

Matty: [00:18:00] Yeah. Yeah. But yeah, you were saying before the ergonomic versus adaptation thing that you wanted to talk about. So is that the conversation around the idea that your body will just adapt to whatever you put it through type thing versus what's actually fundamentally healthy? [00:18:15][14.7]

Doug: [00:18:16] Yeah, so. So this is a term that I like to rely on for this conversation and I can usually get away with it because nobody's a big enough geek to really understand what I'm talking about. So I can kind of, you know, throw these terms around without being called out on their accuracy. But in music, there's a term called mean tone, which is perfect mathematical harmonics. And most piano tuners are people that understand a thing or two about music will tell you that the mean tone sounds terrible one hundred percent of the time. Right. Meaning that perfect mathematical harmonics don't work in the real world. OK. Yeah. That piano tuners have to tune to what they call temperament and temperament takes into account all of the nuances, the distortion in the room, the hydration of the wood of the instruments, you know, any sort of interference with other background noise. And so they have to tune to temperament. And so within that, you know, people can't expect, if you subject somebody to what is considered perfect ergonomics, you're going to cause problems a hundred percent of the time. And so there is no perfect. People ask me all the time, how should I be sitting? How should I be sleeping, how should I, you know, stand well, you know, waiting in line or how should I walk. And I say it depends, it depends on, you know, who you are, what your strengths are, what your weaknesses are, what you did. You know, from eight a.m. to four p.m., you know you know who you're sleeping with, you know? I mean, all things matter, right? How soft is your mattress? How big is your pillow? Do you have large testicles or particles in your lumbar spine? I mean, all of those things change the dynamics and so it depends. So part of responsible practice is bio individuality. You're not subjecting the same treatment to all patients. You're not giving uniform advice to everybody that has the same diagnosis who is walking in the door. You're learning about the patient and you are fine tuning what that person needs, how they're going to respond best to their environment and what is possible in terms of achieving better alignment. You know, some people are anatomically not capable of perfect alignment. And you're going to hurt them by subjecting them to ideal ergonomics. Right. So, you know, it's a big loaded question. But the ideal is that we change our environment often. Right. That we're not in one position. So if you’re stuck at home, don't sit on the couch for eight hours. Go stand at the kitchen counter, take your laptop in when you're using the loo. Make sure that you're moving around, go outside, go for a walk for a little bit, switch to this device, to that device, put your earbuds in. I mean, it's really about making sure that we're movers were designed to move. And I don't care if you're in a stand up desk or a sit down desk or sitting on a yoga ball, it's all going to cause problems if you do it too much. Right. So it's about making sure that we don't subject ourselves to prolonged periods of stasis and that we make sure that we're moving and actively engaging regions of our body on a frequent basis. So that's something that we talk a lot about in our practice. 

Brief Announcement: [00:21:46] I hope you're loving this episode, but before we get back into it, I want to let you know all about something that I think you'll be interested to hear. It's free. And each week it brings you informative videos, podcasts and an engaged community that allows your health knowledge to level up. Who doesn't want that, right? What is it? It's my free Facebook group called Intermittent Fasting Burn Fat, Clear Brain Fog, Boost Energy, which is all about, as the name suggests. It's a bit of fasting, but also how nutrition and the right mindset can make your health better from all angles by reducing inflammation, improving gut health, stimulating autophagy, reducing sugar cravings and insulin spikes, and also how to avoid taking a diet culture approach to your body and your health. Basically, if you want your body, health and life to get better, then come and join us. Head down to the show notes below. Click the Facebook link. Be sure to answer the group entry questions so the software will let you in and I will see you on the inside. The name again, intermittent fasting burn fat, clear brain fog, boost energy. The link is in the show notes below. All righty. Let's get back into the episode. [00:23:01][74.7]

Matty: [00:23:03] Yeah, and that makes a lot of sense. It's the same with nutrition and fat loss and stuff like that. And if you know, that could be a hundred different reasons why people have accumulated body fat. And so the dietary mechanisms or protocols that we use to approach resolving those challenges are going to be different, even though, you know, visibly or, you know, metrically on the scale, it might look like the same problem. The treatment option has to be different because the causation was different. [00:23:32][29.0]

Doug: [00:23:32] Absolutely. Yeah. And that's you know, that's one of the reasons why I mean, you know, as you mentioned in the beginning of the show, I started off as a manual therapist and just used my hands to do soft tissue mobilization. And when it came time to choose whether I went to chiropractic school or went to become an osteopath, I knew I was going to be physical medicine. But what made me choose Chinese medicine is that it's really a systems theory, you know, and and the diagnostic tools and looking at people in terms of their constitutional factors and coming up with treatment plans and solutions that are based on what their body condition is, you know, it's like you don't you don't call knee pain, knee pain or osteoarthritis, osteoarthritis. There's like six different categories for what's causing it. Right. And so those differentiating factors really help with some of the supplementary modalities that you introduce in your treatments that will make the difference in outcome. And then most people, you know, this is something I'd like to get to in every show that I'm a part of, because it is kind of one of my soapboxes. Most people think of Chinese medicine as a synonym with acupuncture. And in the United States in particular, we are licensed as acupuncturists, but I mean, that's like calling Thomas Keller of the French Laundry, one of the best restaurants in Napa Valley, It's like calling him a spatula chef. Right? It's like, yeah, that's just a tool in his kitchen. Right. It's not what he does. He's a master of cuisine. And cuisine is dynamic. You don't just take one tool that you use to get a result and label people by their tool. Right. I mean, carpenters aren't hammerists, right? They're carpenters. They have a whole box of tools and, you know, so we study dietetics, we study exercise science, we study manipulations and soft tissue work and we study herbology, the whole deal. It's a complex system of medicine. In the States, I'm not sure how it is in Australia, but when we get a lot of territory wars between the professions, especially with like acupuncture and dry needling and, you know, the the acupuncture don't want chiropractors and physical therapists to dry needle because they say that they're practicing acupuncture without a license. And a lot of the practice acts say acupuncture is a system of energetics and balancing the energetics and the organ systems in the bodies. And, you know, I say that's ridiculous. Acupuncture is the placement of a thin filiform needle into a specific point in the body. Why you're doing it, can range anywhere from a tight muscle belly, connective tissue adhesion to, you know, another ideal as to how the internal organ systems are going to benefit from a facial release at a distal point. So, you know, I'm all for people that are trained not to puncture along and not to stick a needle in the eye, to use the tool, right? So I'm a little bit of an outlier there. But that's one of the soapboxes I stand on, because really it's about making patients better. And, you know, and that's a useful tool in the process. [00:26:59][79.5]

Matty: [00:26:59] So, yeah, we've had a good good friend of mine on the show, actually, who is here in Australia. And Dr Peter Mahir on Episode five. He's a TCM doctor and acupuncturist. And unfortunately here in Australia they are very separate fields. And I think this audience on this podcast are very familiar with TCM as a complete medical modality. I'm often banging on about how well sort of how holistic TCM is. And I really think that along with our Arveda in India, those two together are such complete systems in comparison to the Western model that we're exposed to. [00:27:35][35.3]

Doug: [00:27:36] I agree and of course, I'm biased. But even still, I mean, we call ourselves an orthopedic wellness clinic. I mean, we really focus on the balance of the joints. We focus on the balance of the nervous system. We focus on balance as a skill to fall prevention and for development of our young athletes. It's amazing, by the way, how many high school athletes who are playing varsity can't keep their heels on the ground while doing a double leg squat, you know, with their arms out in front of them. How many athletes don't have the basics of movement? And they're just coached as, you know, performing sport specific skills without development of the athlete, without development of the healthy functioning body. So we work with a lot of ballet dancers who work with a lot of high school and college athletes, with several NBA and NFL players, Olympians, and we bring them back to it. Are you balanced as an individual? Let's not just chase the fact that you have habitual hamstring strains and let's just throw all the modalities at loosening up your hamstring. You know, I can put an elbow in the back of anybody's hamstring and it's going to feel better for a little while. But what's the source of the dysfunction? Why does this keep happening to you? Why is this the weak link in the chain? And that gets back to proper assessment and really looking at the body as a system that requires balance. You know, even our logo, it's a tensegrity model and the term tensegrity is basically used in architecture as a balance of compression and tension elements. It's basically if you think of a suspension bridge, right, it's you have to balance the rigid elements to the tensioning elements and in the body, that's the bones and the connective tissue. And so we take care of an engineer approach to looking at balance within the body, you know, and it's important not only for for joint preservation and making sure that there's not increased mechanical load on a joint, which is going to result in early wear and tear, you know, and breakdown of the joints. But it's also I mean, there has to be balance. We have to be balanced in terms of our as I mentioned earlier, our autonomic nervous system and our stress response. Our hormones have to be balanced, our diet. You know, if we're going to go and eat a plate of ribs one day, we probably should eat some greens the next, you know? I mean, you know, it doesn't all have to be perfect, but it has to be balanced. Otherwise, problems are going to occur. [00:30:04][65.5]

Matty: [00:30:05] What do you say to the idea that the terms, balance and moderation used in a way by, I guess, all sorts of people, but they're so vague and subjective, so sort of subjective and how do you apply that? [00:30:21][15.7]

Doug: [00:30:22] So the way that I apply that is, is everything in moderation, including moderation. Right. So ultimately, you know, you want to. Yes. 80 percent of the time moderate yourself so that you're not in a constant state of trying to overcome an extreme state. But the other 20 percent of the time, you have to live your life. Right. You know, I've been an endurance athlete for the last 15 years and I've done some really stupid things. I mean, my buddy Harvey Lewis, he just set the fastest known record for going from the lowest point in the continental US to the highest point in the continental US, which is from Badwater to the peak of Mt. Whitney. It's a hundred and fifty mile journey that he did in thirty seven hours. And nobody would say that that's moderate. You know, that's not the side of the road. That's not good for you. Right. But at the same time, you know, he is a stickler for nutrition. He's a vegan. He lives in a state of not only physical wellness, but he's extremely at peace on an emotional and spiritual level where he draws energy and from from his surroundings. And in that way, you know, I look at balance when you come back to the, you know, moderation versus balance. Balance is where you stand in relation to your environment, right? And balance is really about whether you are at peace internally with your external environment and surroundings. So that could show up as an imbalance in terms of a histamine response as far as allergies. It could show up in terms of not being in the right career and you constantly feel like you're sacrificing yourself. It can be that you don't live in the community that fulfills you. I mean, there are numerous different ways of looking at that. But ultimately, my ultimate definition of balance is harmony between, you know, is above so below harmony between what's inside of you and what's outside of you. And are you living in, you know, continuity with those variables, you know, and if you are, you know, your immune system is going to be strong. Right. You can take every vitamin that you can afford and you're still going to get sick if you're constantly pissed off because you're sitting in traffic and you hate your job and you don't like the person you wake up next to. I mean, it's a dynamic of variables that you have to be in harmony with your surroundings and kind of authentic, you know, to all of those variables, you know, and if if you just work out constantly because you want to wear skinny jeans and look out on the beach, but you're not happy and you're not fulfilled and you're not going out with friends and experiencing laughter and cutting loose every once in a while. Guess what? That's not balanced and you're going to get sick. Right. So it's a whole dynamic. You know, health is not just the way you look. I mean, health is not, you know, the ability to perform. You know, health and balance and wellness are a set of, you know, dynamic events that all have to occur at the same time. [00:33:32][7.5]

Matty: [00:33:33] I think you summarized that brilliantly. So just for everybody listening, because you got so many awesome things to say, where can everybody find you online? [00:33:41][7.7]

Doug: [00:33:42] So we're just structural is our URL. And that's both our consumer site as far as our patients find us, again, we are three locations. So at this point we are also a franchise. So there are opportunities for people to open up clinics of their own. We are also a continuing education company allowing for people just to study with us and not only learn the modalities that we do in the treatment room, but also have an opportunity to learn from our business practices of managing a cash based practice benefit from all of the research that we've done, a patient acquisition and social media strategy and all of the above. But our goal, our mission is as simple as this. We know that we help people on a day to day basis and we want to make available to as many people as possible to be more clinically effective so that people can enjoy being active and moving their body. I mean, the number one reason why people perish, but the number one reason why people perish is because their body starts to fail them and they fall and they hurt themselves. And that's the downward spiral. Right. And then they start losing the ability to stay active and systems start to fail. So we want to keep people, you know, balanced and strong and able to do the things that they love, whether that's play with their grandkids or, you know, go to the Olympics, it doesn't matter. But that's ultimately our mission. And we believe that we can help facilitate that by giving practitioners more autonomy, having them be impacted less by the limitations of the insurance model and develop lifelong, meaningful relationships with their patients. And that's what we're all about. [00:35:27][30.4]

Matty: [00:35:28] Awesome. Thank you. And for anybody listening, that's love this episode or enjoyed it or want to share it with a friend, take a screenshot, share it on social media, give us a tag and we'll give you a shout out. And to wrap up, Doug, what is one piece of health information you wish more people knew about? [00:35:42][14.6]

Doug: [00:35:43] Yeah, the power of the breath. So the deep, diagrammatic breath is about as important as breathing itself. And the diaphragm is connected to a whole column of tissue called the mediastinum. It's directly related to our hip flexor tension. It is absolutely central to our ability to achieve neutral alignment, to stabilize our core, to have healthy, you know, mind function, all of it. So if there's one thing you can do it stop numerous times a day and take a good diaphragmatic breath. It costs nothing. It requires no special equipment and will make a bigger difference in your health and just about any gym membership or anything else you can ingest. So, you know, that's the one takeaway I have is pay attention to your breath. [00:36:30][11.0]

Matty: [00:36:30] I love that you said that because I just wrapped up doing a breath work challenge with my online community. So that's perfectly good. 

Doug: Yes, it's where it's at, man. If you're not breathing right, you're not doing much else for. [00:36:41][5.5]

Matty: [00:36:41] It's awesome. Thanks, Doug. I appreciate your time. It's been good hanging out. Absolutely. It's been my pleasure. Thank you so much for having me. We'll catch you soon. Yeah, we look forward to saving. [00:36:50][8.5]

[00:36:53] Thanks for listening to the How to Not Get Sick and Die podcast, if you love this episode and health information is your thing, then please consider subscribing to the show. And when you're done, head over to iTunes, Google podcast or whichever app you use. And we'd be grateful if you could leave us a five star rating and write a review sharing your opinion on the show as it really helps the podcast grow. Thanks so much and I'll see you on the next episode. [00:37:15][22.2]

[00:37:28] While the represented that feature on his podcast endeavored to provide accurate information, it cannot possibly take into account your individual circumstances and therefore the content of this podcast provided by any of the speakers is not intended as a bias in any way for any individual and should not be a replacement for professional medical or health advisory nature. Always seek advice regarding your personal situation for a qualified medical professionals. [00:37:28][0.0]




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