In this video, Dr. Justin and Dr. Jeff Fisher discuss various types of disc issues, including bulging and herniations, and how they can be treated using chiropractic exercises and programs, as well as soft tissue and deep tissue therapy.
They also talked about using devices such as traction devices and decompression machines and the potential benefits of diet and supplements, including collagen.
Dr. Justin and Dr. Jeff Fisher also mention stem cell therapy and stem cell injections, hydrostatic pressure, and spinal canal herniations. They also cover signs and symptoms of when surgery may be necessary and natural anti-inflammatory options. Key takeaways from the video include the importance of exercise and therapy in managing disc issues and the potential benefits of supplements and alternative treatments.
Dr. Justin Marchegiani
In this episode, we cover:
00:30 – Introduction to Dr. Jeff Fisher
06:25 – Chiropractic Exercises/Program
15:00 – Decompression and Traction Devices
19:17 – Diet and Supplements
23:00 – Stem Cell Therapy/Stem Cell Injection
26:00 – Spinal Canal Herniations
28:10 – Signs and Symptoms on Getting Surgery
30:20 – Natural Anti-Inflammatory
Dr. Justin Marchegiani: It’s Justin Marchegiani. Welcome back to the show. I have doctor Jeff Fisher here on today's podcast. I found doctor Jeff because I see lots of patients all over the world functional medicine wise and a lot have chronic pain and a lot of that pain can be disc degeneration, disc bulging, disc herniation and Doctor Fisher has some excellent advice and excellent products to kind of interventions to help work get to the root cause of some of these motion. So, we're gonna have a topic. We're gonna have a conversation on this topic and really dive in and look at all the different options. Doctor Jeff, welcome to the show. How are you doing today?
Dr. Jeff Fisher: Great. Thanks for having me.
Dr. Justin Marchegiani: Appreciate it. Excellent. And we'll put links down below to some of the things we're talking about Doctor Jeff’s website, his practice and to get some traction support as well. So how did you come into this space obviously your chiropractor, we talk pre show that you've been doing this for over 30 years, but how did you get specifically into the distraction space? Did you see a gap in conventional chiropractic and you were trying to fill that need, how did that happen?
Dr. Jeff Fisher: So it's kind of a sad story for me, but a great story for my patients. I was a horribly slow football player. I was a slow moving target on the football field back in my day. So I've had a couple of disc herniations in my neck. I'm not even sure you can see my scar here. I've had an anterior discectomy with fusion. So I've got the little titanium plate and the four screws. It's C5 and C6. And I also had a disc removal with a said procedure. Uh, where they went. They went in with a probe, stuck it in, went all the way out the back of my disk, and they sucked out material at C5, C6 and C7 is where I have my fusion. So I was in an incredible agony and I have the large decompression tables in my office, but obviously I couldn't bring those home with me at night, when I couldn't sleep, I could barely eat. I was in an incredible amount of pain, so I just started experimenting with myself and rigging up different apparatuses on a railing on our stairs up upstairs and I had this aha moment like the mother or father of invention is a necessity. I started to create my own home traction unit and Ijust said, wow, you know, I really got something here. As a matter of fact, I was in so much pain, I couldn't sleep. And one night when I had built this prototype, I slept. I was out cold. My wife came up and she looked at me. She was like, Oh my God, he's snoring. So just laid a blanket over me and left me there for about three or four hours. I woke up. I woke up and I was like, Jesus, I actually slept. I got you know, I got something here. So then I brought that into my practice and I started to experiment with my patients. And over the years I developed different prototypes that just became more and more successful, easier and easier for me to use and my patience to use. And finally we evolved into my Fisher traction and I have, you know, primarily we had a cervical unit, but then my wife had a large disc herniation for low back, there's like contagious in our family, these disc herniations. And so I built one for my wife and she got incredible results. We actually had before, during and after MRI's on her lumbar spine and we could see the reduction of her lumbar, discrimination from 7 millimeters to 5 millimeters to three millimeters in a relatively short period of time. So at that point I thought, wow, you know what, there's so much, you know, clinical value and therapeutic value to this that you know I got to do something with it. So. I gotta do something with it. You know, we ended up. Building and creating my official traction as it is today.
Dr. Justin Marchegiani: OK, very cool. So we're kind of talking more today about disc bulging herniation.Um, the disk is essentially popping out. It's either hitting Chipley, that intervertebral foramen where those nerves are going out. And so conventional chiropractic where we're adjusting, we're moving the bones, making sure we have movement in the spine, we're addressing subluxations. Why isn't that not enough sometimes to address these disc issues?
Dr. Jeff Fisher: Well, you know the disks are complex in some ways, but they're actually very simple. And others, you know, are discs, the center of our discs, the nucleus. Functions on its hydrostatic pressure and because the gravity always pushing down, there's that creation of the pressure pushing out and with our adjustments, you know obviously we're working on enhancing the motion at the facet joint level and we are affecting the disk, but when you reverse that pull of gravity on the spine and you elongate it and you stretch it out, then you can create a negative intradiscal pressure. That actually sucks the disc back in and you can suck the herniation of the bulge back in through the annular fibers, which, you know, we can't, we can't quite do with an adjustment by itself. But you know, traction and adjustments, you know, especially in my practice, we do both. We don't do just one or the other, we do both. And you can get incredible success when you combine both of those treatments together. Um.It's a super fortunate situation for a lot of people with disc issues that you know when you combine chiropractic and traction together you can just get amazing results.
Dr. Justin Marchegiani: Right. So with the chiropractic we're getting good movements, good alignment within that spine. Everything's moving better, better alignment, especially if we have upper cervical issues. You're probably applying some level of exercise, right? And I imagine really working on extension muscles, postural muscles, probably just that upper cross or lower cross syndrome issue with the tight hip flexors or the deep cervical flexors. What kind of postural awareness or exercises do you kind of build into your program when you're addressing disk issues?
Dr. Jeff Fisher: So how do I allude to this in my practice because I'm a corrective care chiropractic so I'm looking at restoring normal curves. So if you I I tell my patients this if you think of me.I'm like an orthodontist putting braces on your teeth. So my job is to try and get your spine straight or restore the normal curves in your neck. So I'm like putting braces on your teeth. I've got, you know, physical therapy and traction, which is like brushing and flossing. And we use Pilates, which is like a retainer. So we're helping to strengthen those core muscles. Stabilizing, you know, the muscles that support and control the spine so that they're not 100% reliant solely upon adjustments or entire lives and doing both. They're working on the outer part, while I work on the inner part.
Dr. Justin Marchegiani: If there was just one exercise like lower back disc or cervical disc, is there one thing that you could think of, one kind of movement pattern that will be essential and kind of your program?
Dr. Jeff Fisher: Well, I would say, you know, extension exercises are hugely important like with you, which you touched on is Uppercross syndrome. Yeah, now in the tech world, it's called tech neck. Yeah, people on the computers or on their smartphones, so we have that tendency to lose the normal curve. Not matter of fact, they, you know.When you're a chiropractor, you always have different examples, you know. I'm not sure. Can you see this? So, you know, we have tech neck. You know, this is the tendency of the spine to move forward, which is the opposite of what God intended our neck to be, which is back more in extension or that represents more of a natural curve.
Dr. Justin Marchegiani: There should be a C curve. That C should be there.
Dr. Jeff Fisher: Absolutely. Absolutely. So when you work on these extensor muscles to strengthen and condition them to make sure that they're constantly trying to pull the neck back into its more normal curve. They're essential. And this, you know, this obviously is, you know, the head up here. Here's the occiput and here's the cervical spine but this also applies the lumbar spine too Lumbar spine too, you know, they're they're very similar curves in the lumbar sliding it's anywhere between 20 and 40 degrees is the natural lordosis that we're supposed to have. And in the cervical spine, this natural lordosis, this is supposed to be more towards about 30 degrees. So anything that you can do to help strengthen the condition and enhance those curves going backwards is super, super important.
Dr. Justin Marchegiani: That's good. So what kind of an exercise would you recommend out of the game? Like a pro Cobra or like something like a walling where you're tucking that chin in? Any specific, one exercise you can think of that kind of sticks out?
Dr. Jeff Fisher: So we call them supermans. Have you ever heard of that?
Dr. Justin Marchegiani: Yeah you come on a Swiss ball sometimes or like yoga mat kind of
Dr. Jeff Fisher: yeah or just yeah you lay, you lay flat on the ground and you and you're just trying to you know extend your body back contracting those muscles in the head and neck and and also a lumbar spine.
Dr. Justin Marchegiani: Got it. So you're putting yourself in that really good extension with your back, an extension with your neck and where does soft tissue come into this? Do you ever do like active release technique or graston or any soft tissue to kind of get some of these muscles that may not be, they may be inhibited and you're trying to facilitate them working again.
Dr. Jeff Fisher: Yeah, So what we do, my practice is we do a lot of neuromuscular reeducation and there there's some incredible techniques that we use for our deep tissue therapist where they're working on relaxing the trigger points, relaxing the muscles and typically what we do in my office is I have all my patients get that deep tissue neuromuscular reeducation work done first before I adjust them.So it's like, it's like marinating them before I go in and I, you know, give him a good strong adjustment to restore that.
Dr. Justin Marchegiani: Yeah, that's very good. That's excellent. Alright, so I want to just put up some visuals here just for some of the listeners. I think it may be helpful. If you're listening to this on podcast, we'll put the YouTube links below so you guys can see. This video was good. This was the one that I think you showed what an actual disc herniation looks like. I'm going to just play it here for the listeners and. Just a visual here.So we have the nerve right here and then here's the disk and essentially overtime that disk is shortening and then we have a little bulge irritating. That nerve right there. So just kind of bringing it down here, this is a really good picture. Can you explain what's happening here when you're doing traction and what's how that's working?
Dr. Jeff Fisher: So what's happening is. I've got a couple of my units here. I'm going to use this one because you might be able to see it a little bit better, but what my invention would I actually created is is a new form of traction and the actual engine or the mechanism of pole is these little discs here with these latex bungees in the middle and over our studies we calculated the amount of strength, the tensile elastic pull strength of the bungees where you see and pulling them apart, and this is our cervical unit. And the cervical unit can apply a maximum of 50 pounds of pull force, which supposedly that's about the maximum of human neck can handle, although we've we've experimented on patients with with even a larger magnitude of pole force and they've been able to handle like big guys can handle a lot more but that pulling, you know, like this, it's pulling in the opposite direction of what gravity does and the great thing about these latex bungees is that they have very similar characteristics to our muscles in that like when you're on a big table and your neck is getting stretch, your body might fight with it and there's not any sensory to relax the traction so your muscles can relax these bungees. What they'll do is just naturally they'll relax if your muscles pull and as your muscles relax. It pulls more uh, which is very good. They actually act like kind of in a symbiotic relationship. This is our standard low back unit and this guy. I uh, OK. I'm pulling as hard as I can as far as I can, that thing's got like about 100 pounds of pull force.
Dr. Justin Marchegiani: That's very cool. Well, when I saw these devices a couple things because I've been recommending various devices. Usually the lower cost ones tend to be more gravity based, whether it's like a kneeling inversion or inversion boots. Obviously those tend to have problems where it just can be a pain in the butt to get into those. And if you're really hot with your disk being inflamed can be a little difficult. And so, and then my concern with a lot of them was when I saw your device, there was an aha moment because what I really was needing from my patients was this ability to decompress and then relax. Decompress and relax. Think of that as you get a rag, you fill up with water, you ring it out and then you have the absorption to clean up the mess and then you bring to a water again and then you rinse it out again. That's how your disk works. It's like a sponge. Now the problem is, I'll just, for the listeners, overtime the discs tend to shorten a little bit, cartilage tends to get weaker and essentially you're disc gets hydrated with imbibition that's essentially the pumping of that that disk and that movement of putting the pressure on letting it pull. Right. Expand the disk, create the negative pressure, suck it in and then relax. That for me created that Aha Mama. That's the inhibition that the disk needed to kind of rehydrate and heal. Can you comment a little more on that?
Dr. Jeff Fisher: Yeah, that's really the critical component to decompression. Decompression by itself is the desired outcome and one of my proprietary components, Umm, I'm not sure if that's in reverse there, but says crap, so release strap is engaged by the user to go through these periodic resting phases and if you think of the center of the disk, like the substances in baby diapers where the the proteoglycans, they can absorb, you know like 500 times their weight in water. But that lasting phase is critically important because once you draw the water it socks in. It needs to get absorbed in the matrix of those proteoglycans. And that resting phase allows that. So you're literally, you're rehydrating the discs, you're giving the discs life.
Dr. Justin Marchegiani: Totally. That makes sense. And I didn't. I haven't seen a lot of other devices on the market that provide that pumping action. Unless you're going into that, you know, unless you, you know they have the ones over the top with the weights or the blood pressure cup, but then it involves, it's kind of a pain in the butt to kind of off on and off on. Are there any other competitors even close that has that release action?
Dr. Jeff Fisher: Well, they can't because yeah, I have the United States utility patent, so I invented a new form of traction. So it's kind of funny. Matter of fact, we run on Amazon and we've taken down about 40 competitors that tried to steal my idea so that no one else can actually design or make a traction unit like mine, because I invented a new form of traction. It's mine, it's my baby.
Dr. Justin Marchegiani: So it's cost effective too. So that's great. And this is kind of what's happening at the lumbar here, right? This is pulling this apart.This is essentially pulling the hips down. You're anchored up here, so it's creating that disk space versus having to do traction or having to move your body and then you can release it here. Do you have a good image on the website for the cervical spine?
Dr. Jeff Fisher: I do, I do if you well actually, you know what so you know you're funny story. We just sold out right there. There it is right there. If you click on that, you will probably see it. But we literally just sold out of our cervical units. Yeah, it's a positive problem.
Dr. Justin Marchegiani: That's a good problem. That's a quality problem. Yeah. Yeah. OK, that's cool. Alright. Anything else? And with the cervical spine, obviously similar situation. Right. We're just, we're just grabbing, you know the, everything from the neck up versus you grabbing it from the hips down. Where's that image that I just had? Let's see, here where go. I'll try to pull back up here had it was a good image of what was happening there.
Dr. Jeff Fisher: While you're looking for it. Another really important part about how my traction unit is different from most others is that there's studies have been shown that if your spine is in extension in its more natural curve during traction you get better results, so that's another reason why mine is supine. So when you lay down, your neck still maintains that natural curve. What they did was they designed it at an appropriate length so it maintains that 30 degree angle of pull force which enables you to reach over a larger number of disk spaces in the spine. If it's too flat then you're only affecting the upper cervicals, and if it's too far forward where your neck is an extension one that causes damage to the discs the two, then you're only reaching the lower vertebrae, but when you allow it to be in a 30 degree angle you can reach over almost the entire cervical spine all at once.
Dr. Justin Marchegiani: So this angle right here.
Dr. Jeff Fisher: Exactly, exactly.
Dr. Justin Marchegiani: And then typically this is anchored over gonna be like a door jam. Typically,
Dr. Jeff Fisher: Yeah, yeah, you do both. The upper, yeah. Hook it on a doorknob and just you lay down. It's really super easy to use.
Dr. Justin Marchegiani: That's cool. That's excellent, very good. So outside of that, what else would you want to highlight with your programs like this is going to be a part of the program? What else do you see like nutritionally, diet wise, helping them move the needle, whether it's reducing inflammation, kind of a Whole Foods kind of paleo template, certain food allergens, what kind of supplements as well would you want to add in to kind of help reconstitute that disk tissue?
Dr. Jeff Fisher: Well, you know one of the most simple is water. Water, water, water, water and and and and so many of us, you know like I drink, I drink my coffee. You know like everybody else does but I myself I'm kind of like a test tube or a test.Things out on myself first before I implement my practice. But I've been consciously drinking more water over the last year and honestly, I've virtually only drink water. I drink my coffee and I just drink water.That's it, and I can tell myself that.You know, that's helped in the inflammatory effects. I still run, I still work out, and my knee problems are gone. My feet, my ankles.Uh, you know, along with I take glucosamine with chondroitin MSM. Umm. And uh, you know, nutrition is a huge, huge, you know, part of our health. And, you know, unfortunately, we don't always get that in our diets. So if you're not taking any vitamins, you should take at least a multivitamin to start. But there's so many, as you know, like in functional medicine, there is such an incredible depth of nutrition that can be evaluated properly and you can add it into your life. And honest to God, nutrition can totally change your life. It really, really can.
Dr. Justin Marchegiani: Yeah, so if you're hydrating good clean filtered water, mineral water, you're not, you're not obviously doing a lot of the high fructose corn syrup junkets inflaming your body. What about for like tissue? Like what about collagen peptides or conjoin or any any building block stuff like what's your experience with that?
Dr. Jeff Fisher: So you know that that's a great question because we actually just started looking into that because, you know, as the disks themselves. Here's my little. my little baby here. The outer fibers of our discs are made of type 1 collagen, and just a little bit deeper, they're type 2 collagen. So you know, my wife is much smarter than I am. So she takes all these incredible supplements, but she's been taking collagen. And she notices a difference in her skin, everything and and and I you know honestly I that's not my area of expertise per se. You know more about that than I do but but I think you know collagen is able to maintain its same, you know, compounds even if it as it gets digested and you have extra collagen in your body then it can replace maybe old collagen I mean.That's like a no brainer to me. Yeah, I think, yeah, you can pump that in you, you pump in the good and you pump out the old and your body stays healthier, stays younger.
Dr. Justin Marchegiani: Yeah, I mean your your body tends to know where to lay down these these amino acids and proteins just by lifting weights your body creates the inflammation in the bicep by doing curls and you're going to reconstitute protein there. So I imagine that same kind of response in that dish tissues and the trigger some of that building block and if you’re eating junky food or not digesting and absorbing a lot of nutrients, then that collagen will be helpful. Anything else that you would like, let's say someone's really hot, really inflamed, would you ever add in something like prolotherapy or PRP platelet rich plasma or stem cell injections. What's your experience using an injectable in that area to kind of work alongside it?
Dr. Jeff Fisher: So you know, that's actually a great question. I'm not sure if you're familiar with this, what's happened with stem cell therapy most recently. You know the FDA has stopped us from being able to use that, but we used to do stem cell injections in my office and they were.Oh really? Oh yeah, yeah, incredibly successful. But now they've put a limitation on it because most stem cell injections i's a mixture. And once you start, once you start mixing things, you're creating new drugs. So of course, FDA shut that down.So, we've had to discontinue that in our office, but it was incredibly successful. So there's something there. There's definitely something there.
Dr. Justin Marchegiani: Yeah, I always tell patients too, even if you were to do an injectable, whether it's PRP or stem cell or prolotherapy. It's still not the root cause and maybe accelerating the healing of that tissue, but you still have to fix the underlying mechanism of why that got beaten down. And you still want to bring that disc back in so that annular fibrosis, that outer ring, can heal. Because of that pulposus is still pushing through that ring. It's just not going to heal. It's like ripping a scab off all the time, right?
Dr. Jeff Fisher: Exactly, exactly. And you know, again, that gets back to the rehydration. You know that disk lives on the hydrostatic pressure, so the greater the hydrostatic pressure inside the disc is so incredibly important and I'm not sure if you're aware of this is something I just learned because I do all my continuing education courses every year. I always I'm always looking for disc related material and I came across this.Just most recently that we have these nerves that go into the disc. They surround the disk and they go into the disk OK and I can't remember what the name of the nerves are, but the hydrostatic pressure prevents those nerves from getting deeper into the disc. And now they're talking about discogenic pain. So the deeper those nerves are able to penetrate in, they'll collide with an acid that the nucleus has and it causes pain. So as a disk dehydrates and loses its water those nerves can grow further in and then you have more pain. So maintaining that health of that nucleus by increasing that hydrostatic pressure by decompressing prevents those nerves from getting in, which prevents pain. So it's hugely, hugely important.
Dr. Justin Marchegiani: So essentially you have that herniation, that video we showed where that disk kind of comes out, hits that IVF intervertebral foramen, those spinal nerves coming out. It's not just that it could not even be hitting that, just there's little nerves around the actual disc, just a little bit of pressure on that could be sending a signal, a pain signal, essentially.
Dr. Jeff Fisher: 100 percent, 100%. Yeah, yeah.
Dr. Justin Marchegiani: Now what about disc herniations into the spinal canal? I think most disc herniations are going to be more IVF just based on the anterior to posterior nature of that where the spinal canal is more interior. How often do you see spinal, spinal canal herniations and would this type of traction still help that?
Dr. Jeff Fisher: They would and you know this one of the reasons why because we have a, you know, all the way in the very back of our of our spine, we have the posterior longitudinal ligament, which is like like a thick piece of leather that goes all the way down our spine and that prevents that that direct posterior disc herniation. But I do a fair amount of injury cases, car accidents. Where, when? When? Instability. Where the bones were able to move forward and backward beyond their normal range of motion. Yeah, that can cause a little bit of elasticity or loosening of that posterior longitudinal ligament were it actually allows a posterior disc herniation to go backwards towards the spinal canal and it doesn't happen that often, but it just depends on the magnitude of injury and force. But when there's instability is going forward and backwards, which you can see on flexion extension films, then you have to look for that also, which you know an MRI of course could show you that.
Dr. Justin Marchegiani: But you find, you still are able to recover patients like that?
Dr. Jeff Fisher: Yeah, we are, you know there's such an incredible power to traction and it's so simple. But the key is really the frequency and the consistency of use and like what we stress what we found is that.If you can use it for 21 consecutive days, 21 days. Use it before you go to bed or when you wake up in the morning, whatever is most convenient for you. But you know if after 21 days, you know, most of our patients are a lot better. If you're not, then you better go check in with an orthopedist because you might be a surgical candidate.
Dr. Justin Marchegiani: Yeah. And at what point do you need surgery? What are the signs or symptoms of what percent of people do you think you're able to save from getting surgery? Do you think 90, 95% and you can avoid and what symptoms you have to look for when you're like OK yeah you really need surgery and then maybe work on this later?
Dr. Jeff Fisher: So like for me, I'm a perfect example.I had an enormous discrimination in my neck and I was starting to get atrophy of my left tricep and part of my pack. So if you're getting atrophy of muscles, you need to consult with the surgeon because that can be a permanent issue. But again if you have numbness and tingling, if you're if your reflexes or sensation are affected when you go in to see you know any healthcare provider may evaluate you. And if those things are progressive, they're getting worse or they just will not go away with any type of conservative treatment.
Dr. Justin Marchegiani: Even interaction as well.
Dr. Jeff Fisher: Even traction. I mean, I wish we could help everybody, we can't, but you know our success rates are over 80% and most studies show that about 80% of people that that take on traction, they get better. But there is, you know, I don't know the exact percentage of people that are just, you know, always going to be surgical candidates or not, but you know, in my office I have a great relationship with the orthopedist who actually did my surgery. So he's incredibly conservative. He knows all about. Chiropractic traction, everything. If I get a really difficult case where my patients just are not progressing, I'll send them over to Nitin N. Bhatia and he'll look at them and many times he goes, you know what, go back to Fisher. Keep doing it. Let's give it another month. Let's give it another month after that
Dr. Justin Marchegiani: That see how much you can retract that this back in and if you're seeing improvement and imagine some people they probably still feel a little bit better on the traction if they have a disk issue. So if you see a little bit of improvement and you can inch away at that like 21 days you said, then you could probably get some momentum. I would assume.
Dr. Jeff Fisher: Exactly and that's the key. It's getting that therapeutic momentum of treatment over and over and over on a consistent basis. And you can draw it back.
Dr. Justin Marchegiani: Any other natural anti inflammatories you would add in? Imagine just getting to the root cause, you're going to be avoiding lots of these dangerous opiate medications that conventional medicines finally getting keen on and their addictive nature not really fixing anything, they're just blocking perception of pain but any other natural anti inflammatories, you wanna add in or you see to be successful with their patients with disc issues?
Dr. Jeff Fisher: You know, I don't know. Because, you know, I'm like a mechanic. You know, I'm, I'm restoring the motion and position of the spine and I tend to refer out. You know, there's a big functional medicine facility that's close to us. And uh, let those experts do what they do. I mean, you might, you know better than I do is, I mean what do you use, is there any?
Dr. Justin Marchegiani: I mean I think out of the gate, you know higher dose fish oil can be excellent. I think different herbs like frankincense or Boswellia or even some topical CBD can be great. I even find systemic enzymes taken away from food. Systemic enzymes that have like seropeptidase, they, they kind of get into the bloodstream and they start breaking up scar tissue, they break up inflammatory cytokines and interleukins and they can help provide more pliability to that tissue. So those are just a couple of things out of the gates I think can be helpful.
Dr. Jeff Fisher: Awesome. Well, you know what we need to collaborate then.
Dr. Justin Marchegiani: Yeah, that's great. That's great. And then can you work with patients that have gone the conventional medicine wrote. Let's say they went in and they got a cortisone injection. OK, the pain is better. Doc, can you still work with those patients while that cortisone takes six months to wear off.
Dr. Jeff Fisher: Absolutely. We do that all the time.
Dr. Justin Marchegiani: And how do you find their limitations? Because now they don't have pain telling them, oh, don't do this. How do you get them to be on top of their limitations when they really can't perceive pain?
Dr. Jeff Fisher: Well, you know, I X-ray everybody, Umm, I do. And unless somebody has films that are, you know, less than six months old, I X-ray, everybody. So I look at them from a structural standpoint where if I'm looking and seeing that they have subluxations, they have a lot of curve or scoliosis or whatever it is. I stay focused on that and I get them to focus on that because even if the pain is not there, their spine is not at their optimum level. So we're always concentrating on the restoration of normal curves. So it helps the patient to get more focused on, hey, if you want to prevent this from coming back, you want to stay healthy, we have to get that curve back to normal.
Dr. Justin Marchegiani: Very good. Excellent, doc. Well, any other last clinical pearls you wanna leave us with your 30 plus years of practice?
Dr. Jeff Fisher: Uh, well, I'd say, you know, I tell my patients this all the time. Motion is life and life is motion. So if you are constantly working towards the restoration of normal motion, your maximum motion, you're gonna live a better life, a healthier life. You're going to be able to experience all the things that you want to do.vacations grandchildren whatever it might be so motion is so key so whatever you can do to help increase your ranges and your functionality and your body. You got to do it, you got to invest the time and effort.
Dr. Justin Marchegiani: Excellent. We'll put links down below guys to access some of Doctor Fisher's patented technology fishertraction.com. We'll put links below in the comments and also Doc sees patients in person over an Irvine CA fisherchiropractic inc.com. I'll put both links if you're in the California area and you want to get support. He's there for you as well. Anything else though, you want to leave the listeners with any other coordinations or social media stuff you want to highlight?
Dr. Jeff Fisher: Well, you know.We actually were coming out with our new boxed units of my Fisher traction. Um, we've got a deal going on right now. You've probably heard of Meyer DC they're one of the largest durable medical devices. So we've got a big deal going on with them. So, we're trying to reach out more to practitioners.Uh, like yourself, where patients need it, you're going to be able to purchase it and have it in your clinics readily, readily available so patients can try it right away. We're going to do some training videos on how you guys can implement it in practices and help your patients with it. So you know we're we go to fishertraction.com. We're always trying to update things and I have my YouTube channel where I've got I don't even know over 100 videos on Chiropractic on traction on, you know virtually anything for health. So uh, it's kind of an exciting journey.
Dr. Justin Marchegiani: That's very good. We'll put links below. We talked about a promo code, maybe Dr. J will work. We'll put it in the description below. We can get that set up after. All right, doc? Well, thanks so much. Amazing chatting with you. Appreciate the information and we'll talk again soon. You take care.
Dr. Jeff Fisher: Alright, brother. Take care. Thanks.
Dr. Justin Marchegiani: Thank you.
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