This course is the most fun, most dynamic, most fast paced, most interactive Cox® Course for certified Cox® doctors. It’s all about what you do every day. It’s all about your cases (if you choose to share!). It’s all about supporting each other. This year we were a small but mighty group. (I know – May is a crazy month with weddings, Mother’s Day, graduations. Hard month to get away for a course!) I did have it recorded and will share it later. For now, here is a summary. I hope I don’t leave out anything big!
We started Friday night - with a little gathering of docs who came in early enough to join – at Connor’s RoofTop that overlooks the Tincaps baseball field. A bit windy but nice and balmy at 83°! Drs. Albano (and Audrey), Drs. George and Pam Joachim, Dr. Kim Lombardy, Dr. Brandon Skiles, Dr. Jeanine Santoro and Julie.
Saturday started with a little Fort Wayne Chiropractic History based on the NICR.org info collected by Dr. Keating. Dr. Cox had started planning this walk down history lane early in the year. People would ask why he stayed in Fort Wayne, It was home...and has a link to chiropractic's past and future as the Cox® Honors course goes on in the present. (His beloved mentor, Dr. Joseph Janse, often shared with young graduates to practice where they want to live. Every community needs a good chiropractor. And so Dr. Cox came home to practice and stayed.) From BJ Palmer’s visit to Fort Wayne to Dr. NC Ross (Ross College of Chiropractic which was in the area of the Tincaps baseball field today which we visited Saturday night!) to Dr. George Oneil (who took over Ross College) which came to be Oneil Ross which Dr. John Rodman (Dr. Cox’s stepfather) practiced in and Dr. Cox joined. A bit of talk about “one boat or two” as Dr. Cox titled his Indiana State Chiropractic Association keynote talk a few years ago as he reflected on his years as an Indiana chiropractor and his 24 years as the Indiana ISCA legislative chairman. What’s old is new again from in-fighting to joining together.
Dr. Kurt Olding has taken the helm of collecting and summarizing the latest research pearls as Dr. Cox had done and presented the top ones from the past month. One was on fatty infiltrate seen on MRI of the multifidus as a pre-surgical indicator of a patient’s surgical outcome.
Dr. George Joachim presented a special topic: welcoming and managing the Ehlers Danlos patient. His 16 year old patient and her dad joined us to demonstrate some of the signs of hypermobility and the challenges of diagnosis. (In honor of May’s being Ehlers Danlos Awareness month, Dr. Joachim presented her with a Zebra gift since the zebra is the mascot of Ehlers Danlos!)
Dr. Kurt Olding presented a talk on the value, challenge, and organization of Practice Based Research Networks that really delve into what is done in the clinical setting to help patients. Despite research really liking the strict randomized controlled trials, a clinical trial lets clinicians do what they do to help the patient as well as noting all they do. He shared how the Cox® study of post-surgical/FBSS patients was PRBN as well as his pilot study on the impact of Cox® Technic on the balance/gait/presentation of lumbar spine stenosis patients which now is the basis of the next level multi-clinic site with a goal of getting 100 patients or more in the study. (PRBNs are great stepping stones!) Dr. Olding shared the force plate that measures patient’s sway and balance pre and post study. That was fun! The force table has built in data to compare a person’s presentation with those of his/her age group!
Dr. Luigi Albano presented a case of back pain and his ultrasound tracking of the patient’s response of Cox® Technic as long-y and range of motion are applied. Very cool! He did a live demo as well. He also shared “extremity adjusting in line with Cox® Technic principles” for knee, hip and shoulder pain. The group practiced on each other.
After lunch, Dr. Andrew Grossbach, neurosurgeon with OSC Wexner Medical Center who specializes in complex spinal surgery, joined us to discuss a case he and Dr. Olding shared of Tarlov Cyst causing pain for which surgery gave relief. His opening slide noted “The best surgery is no surgery. The best fusion is no fusion.” which set a great tone for the whole talk! He further discussed spinal stenosis and shared a couple cases that demonstrated the different approaches depending on the presentations.
Dr. Shay Corbin shared his help for a 62 year old female struggling with hip and leg pain and back pain after back surgery.
Dr. Kurt Olding gave a short review/overview of the value of treating the upper thoracic spine and being aware of the signs and symptoms of the thoracic disc herniation that often are missed. Dr. George Joachim then shared some hands-on demonstration and practice.
Dr. Ralph Kruse then joined us for an update on the status of Cox® related research projects - FBSS, Stenosis, Ultrasound - and cases – migraine (Linn), disc protrusion/radiculopathy (McKee), forces delivered while treating sciatica (Siciliano). And one of the exciting additions to what’s available is the addition of a medical writer who can help doctors write their cases up for publication via Keiser’s Cox® Fund!
Dr. Ted Siciliano shared 5 tips on making The Cox®8 Force Table really work well in clinic!
(different seminar picture - Julie forgot to take a picture!)
Dr George Joachim shared hands-on time with the group on The Cox®8 Force Table, allowing them to check their force application. Challenge: just 2 pounds! Many find that over time they get heavy. Not unusual! A huge bonus of having the Cox®8 Force Table or getting to a seminar occasionally to check.
Dr. Cameron McConville, head of the Chiropractic Australia Research Foundation (CARF) and lead author with Dr. Cox on a paper on spinal gout, presented recent findings that update the paper he and Dr. Cox published in 2020. His current research findings will be in paper format soon! He shared interesting cases that depict spinal gout on imaging using a special program with radiology.
Then we went to the Tincaps baseball game and hung out in the 400 Club. Luckily it was an indoor venue as the temperature dropped and was around 60°! We had our own tables that lined up in the outfield along a view of the centerfielder, pitcher and catcher! So fun! "Cox® Technic" was welcomed over the PA system and on the "big" board!
Sunday morning started with Dr. Shay Corbin sharing a project he has started himself, an amazing example of a practice based research network among he and his colleagues’ offices in Baton Rouge! Using Cox® Technic, David Exercise Equipment, and Laser, he is investigating the effect on patient’s pain and musculature and the fatty infiltrate that is there. (#2)
Dr. Colleen Pomplun presented a case of Degenerative Scoliosis in an 82 year old female who had lost her ability to do what she wanted to do and is able to now function as she wants.
Dr. Brandon Skiles shared a case of severe disc herniation he is currently treating and seeing progress.
Dr. Kim Lombardy shared a case of post-surgical adjacent segment disease eh is caring for in a patient whose surgeon said he could operate again which doesn’t thrill the patient at all! She is happy with the relief she is getting in Dr. Lombardy’s hands.
Dr Dean Greenwood presented a case of a young mother with life-altering back pain on a long journey with no help – who also had fatty infiltrate! He showed a way to address that using the lateral flexion component of the table! (We’ll need to write that up in a case report for publication!)
Dr. Rudy Kachmann, local neurosurgeon who in his retirement advocates for healthier lifestyles to reduce the prevalence of type 2 diabetes and connects the mind/body, recognizing the intimate relationship between the two when it comes to health and illness and recovery from illness and surgery, presented a very animated talk on the value of living a healthy life. He shared several books that are most interesting for the reversal of diabetes mellitis, namely Fork in the Road.
Dr. George Joachim ended the day in connection to a case Dr. Kachmann shared about headache by bringing up Dr. Olding’s talk on Headache which differentiates headache and migraine in treatment approaches: avoid upper cervical for migraine and work the upper thoracic while treating the upper cervical for headache with protocol 2 and working upper thoracic musculature. Dr. Joachim also shared treatment of the celiac plexus, doming of the diaphragm, breathing techniques and benefit of such in reducing stress and regulating the autonomic nervous system per Dr. Cox’s afferentation discussions. (He planned to share the talk but ran out of time! All the slides are in the notes, though. Dr. Cox's recorded version is available.)
The weekend was amazing with such a diverse set of talks and demonstrations that many commented inspired them to get back to practice with increased enthusiasm! Dr. Cox is surely smiling from heaven for that. The Honors Courses were always his favorites!
Join us at the next one. Plan to share your case, too!
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