Just like you can make a horse move by using both the carrot and the stick, humans are motivated by both pain and pleasure. Which one of those two that acts as your primary motivator will have a dramatic impact on the results you achieve and the quality of your life?

     For the most part, humans respond more readily to the stick than they do to carrots. Most people would do more to prevent money being stolen from them than they would to earn the same sum. What moves you more? Carrots or sticks?

     The reality is that life will always give you both carrots and sticks. Tasty pleasures to pursue and painful sticks that will leave bruises and scars. We can, however set up our lives in a way that provides us with MORE carrots (which are also healthy) and as a result reduce how often we need to be hit by sticks.

     Let’s use health as an example. The predominant approach most people take to their health is that they only respond to sticks. When they have pain, symptoms, or a disease they seek a diagnosis and the appropriate treatment to manage the bruises from the stick. The bigger the stick, typically the more extensive the treatment. If the treatment is successful and the blow from the stick is no longer hurting, they go back to normal and wait for the next stick.

     This is how the vast majority of our health care and health insurance system is set up also. Have a problem, get fixed, repeat. While ‘Prevention’ is a wiser approach and definitely a step up, it is still about avoiding the stick and not about earning carrots (getting healthier).

     The healthiest people I know typically don’t spend much time or energy worrying about sticks. They enjoy carrots and focus their efforts on their tasty goodness. Sure, some sticks show up from time to time and they deal with the bruises, but because they are so healthy, they are few and far between and can deal with them much faster when they must.

     Being hit with sticks is not a fun way to live our lives, and as the hits accumulate, we become battered and bloodied. Eating carrots, on the other hand make us stronger, fitter, happier, more energetic, more fun and to some extent immune to stick attacks!

     Ask yourself what it is that you focus on in life? Do you wait for pain in order to act or do you get after the good things in life? Do you move from one health problem to the next, or do you see your level of health improve each year? How about in your finances? How about in your relationships?

     The care we provide at Nexus Chiropractic – believe it or not – is based on getting you carrots. Yes, most people come in bloodied by sticks and some of that must be corrected. Most of our results though, come from IMPROVING the health of the spine and nervous system and helping them to become more AWARE and ADAPTABLE, so that not only are they more functional – they are more able to navigate around the sticks.

     Eat more carrots – they are healthy and taste so good.

In the last article, we looked at the first Proactive approach in the hierarchy of health – Protection. Instead of reacting to problems as they arise, in protection we proactively take steps to prevent problems in the future. The benefit to this approach is that we have fewer costly and inconvenient health crises AND generally our overall health (and perhaps other problems) will improve at the same time.

The limitations of protection are that it is impossible to prevent any and all potential problems from arising (if you want to make God laugh, tell him/her your plans!) and protection does nothing to take you to the next level of health and well-being (it just keeps you where you are).

This leads us to the final rung on the hierarchy of health – Optimization. Optimization is where the healthiest and most vital people spend the majority of their time, focus and energy.

In Optimization, the focus is not on fixing problems (reactive), or even on preventing future problems (protection). The focus of optimization is on increasing our level of health and becoming more resourceful over time. Instead of focusing on what we DON’T want (problems), we shift towards seeking what we DO want (health, energy, vitality, resilience, performance, etc.).

Why does the approach of Optimization produce the healthiest people on the planet? It does so because it is the only approach that has actual health as the outcome!

If you take a pill and your headache goes away, it does not mean you are healthier – in fact you are probably now a bit less healthy. If you correct a structural abnormality and your back pain goes away you are probably somewhat healthier, but for how long? Regular self care to prevent a relapse of pain or disease likely improves overall health levels, but if you are only focused on whether the problem comes back or not, how do you know?

Optimization has the goal of moving forward and getting better. A maestro doesn’t ask ‘how little do I have to practice in order to stay as good as I already am?’ A maestro asks, ‘how can I refine things so that I am a little better today than I was yesterday?’ I have a friend who is a retired concert musician and he told me that even as his physical skills have diminished with age, his discernment and enjoyment of the same music continues to improve.

People who approach health from the perspective of Optimization are maestros of their health. Success is based on vitality, high energy levels, clear headedness, mental and emotional fulfillment, physical and mental performance, the ability to learn and carry out new things, and having the energy and ability to contribute to others.

It is not that these individuals never have health problems that need to be treated in a reactive way (although they tend to happen much less in these folks). What you do see is that they learn from these crises and often come out the other side better. Optimizers also tend to miraculously get better as they age.

Many of you know that I receive the care I deliver at Nexus Chiropractic on a regular basis from my personal chiropractors in Gatineau. Even though my back hurts sometimes, I don’t go there to get my back pain fixed. I also don’t go there to prevent any future problems. I take the time out of my crazy schedule to make the 5-hour return trip because I literally see each entrainment as an opportunity to improve the efficiency of my nervous system and thereby increasing my level of health. That is what our Optimization programs at Nexus are designed to produce.

The next article will be the final installment in this series. We will summarize the Hierarchy of Health and give you some practical ways to evaluate what outcomes you desire for your health and determine what changes you can make to get there.

In the hierarchy of health, each approach produces a different set of results. The key to success is knowing which set of results you desire and then applying to corresponding strategy.

In the first 2 articles (which can be accessed at Part 1 and Part 2)of the series we looked at Symptom Treatment and Addressing the Cause. While these approaches do produce vastly different outcomes, what they share is that they are both reactive – meaning that they wait for problems to arise before taking any action.

The next two approaches in the Hierarchy of Health make the shift to proactive strategies. In my opinion, this is the most important shift a person can make when it comes to their health and the healthiest people I know spend most of their energy and time being proactive. The reason being proactive is so important is that it is much less costly (in time, energy, stress, and money) than being reactive, and the benefits are exponentially greater.

Most people are familiar with the idea of being proactive when it comes to other areas of their lives. We get oil changes and tune-ups for our automobiles BEFORE problems arise. Why? Because it is a much less costly way to operate AND it gives us the best chance to have a smoothly running ride!

Other examples of being proactive is purchasing insurance for our homes and cars, having a security system, having financial investments, fertilizing and over seeding a healthy lawn, eating healthy food, and regular dental visits, among many others.

The first proactive approach on the Hierarchy of Health is preventative and what we call Protection. Protection typically (but not always) begins after we have had a problem, did the work to Address the Cause, and choose to take regular steps to protect themselves from the problem returning. If I don’t want my car to break down, stranding my family and I on the side of the road until expensive repairs are carried out, I will schedule regular maintenance appointments to prevent such an occurrence.

After a health crisis such as a heart attack or a battle with cancer many people who had been reactive their whole lives will ‘see the light,’ and take steps such as exercising, eating a better diet, and maybe taking up meditation to protect themselves from future issues.

The benefit of Protection is two-fold. First it is WAY more convenient and less painful than dealing with one problem after another. Changing your oil every 6 months is much easier than having your engine replaced. The second benefit is that your overall level of health will improve and stay that way for the long term. You may eat a better diet to prevent a heart attack, but it also enhances your general health and well-being across many domains for a lifetime. In effect, you are raising the standards for your own health and committed to maintaining that standard.

At Nexus Chiropractic, once we have Addressed the Cause during the Initial Phase of Care, we offer a couple of proactive options – one being Protection. While they are completely optional, most people choose one of these plans. Why? They are convenient, easy, and they just make sense.

Take a moment to evaluate where in your life you are reactive and where you are proactive. Where can you shift to becoming even more proactive? How will being more proactive benefit your health and life in both the short and long-term?

A great way to start becoming proactive is to attend one of our special presentations at Nexus. They take place most months and cover a variety of topics to help you take control of your health. See the schedule at Nexus or phone the office for details.

Thorin Gault, D.C.

In the last article we identified a hierarchy of approaches to health. Success leaves clues and if you observe the healthiest people in the world, you see that they approach ‘health care’ much differently from those who struggle.

We also looked at the first rung on the hierarchy ladder – Symptom Treatment. The value of symptom treatment is that it can buy us some time to get through a crisis so that we can heal and regain our health at a later, safer time. The challenges with symptom treatment are that it does not consider the underlying cause of the problem and very often actually harms our long-term health.

Moving beyond symptom treatment, we come to the next level on the Hierarchy of Health. That approach is Addressing the Cause. An individual with this approach to health may experience the same back pain or headache as someone who just pops a pain killer but will take significantly different actions.

A person who addresses the cause understands that a headache isn’t caused by an Advil deficiency. That a muscle doesn’t just ‘spasm’ for no reason. That high blood pressure is a sign of something deeper going on.

While addressing the cause seems like a great idea to virtually everyone, it is not employed by nearly as many people as you would think. The reason for this is that it takes more work than just treating a symptom. It requires you ask different questions and it typically requires more action over a longer period of time. It is more work to pull out the dandelions by their roots than just chopping off their heads with the lawn mower.

Our office sees many people who first come to us with back pain, neck pain, and headaches. Most of them have spent a significant amount of time merely treating symptoms. After examining their spine and nervous system we often see significant structural distortions and a hyper vigilant nervous system leading to muscle spasms and/or weakness, organic issues, and even shifts in mental/emotional well-being.

Does addressing the abnormalities in the spine and nervous system take more time and effort than treating the individual symptoms? You bet. Is it worth it? I think so.

The added bonus to addressing the underlying cause is that people will usually notice that other, more subtle problems that they may not have even been concerned with start to improve also.  In our office, while most people first come to us with some sort of pain concern they quickly report more energy, better sleep, better athletic performance, faster healing, enhanced digestion, better mood and other conditions resolving. Why? A healthier nervous system leads to a better functioning body.

Unlike symptom treatment, when we address the underlying cause our overall health improves at the same time.

So, if you are not getting the results you desire when it comes to your health, perhaps there are some areas where you can look at addressing the cause, as opposed to – or in addition to – just treating symptoms? How might your health be different if in the past, when faced with a challenge you had taken care of the cause right then and there?

How much better would your lawn look today, had you pulled the dandelions by there roots 5 years ago?

In the next article we will take the next step in the hierarchy of health and look at Prevention.

Thorin Gault, D.C.

Over the next several articles we will be exploring – in detail – the 4 Ways of Healthcare. Each Way has a different approach to how we treat our health, different outcomes or objectives, and different ways to measure success. Above all else, which Way we focus on will certainly determine how healthy we are – or are not.

We all spend at least some time using several of the Ways of healthcare, yet most of us do so unconsciously – unaware of exactly what we are doing and why. The unfortunate, yet all too common, impact of this lack of understanding and awareness is desiring one health related outcome and acting in a way that cannot produce it. This is not due to a lack of discipline or will power – it is due to an ineffective approach.

It is my experience and belief that the major cause of frustration with our own personal health, as well as the ‘healthcare system’ is this lack of understanding. We spend too much time, effort and resources on approaches that cannot create the result we desire.

The purpose of this series of articles is to help you to define PRECISELY what you want in regards to you and your family’s health and then to CONSCIOUSLY choose a Way to get there. Included in this will be some suggested practices and interventions in each of these ways.

Something very important to understand is that each of the  4 Ways are good and appropriate at specific times. Each is effective at producing its own result. I have seen some health ‘gurus’ promote one Way as the only way and I believe this to be folly.

Each has a time, each has a place. The key to great results is to apply the appropriate approach at the appropriate time. The only way to do this is to understand what you want and how to get it.

So without further delay, the 4 Ways of Healthcare are:

Symptom Treatment – This approach seeks relief from pain, symptoms, or crisis. I prefer the term secondary condition over pain or symptom because it more accurately reflects what is actually going on. Pain and symptoms don’t typically exist on their own – they are secondary to something more primary underlying the problem.

The Symptom Treatment Way of healthcare is considered successful if the immediate secondary condition is relieved – by any means possible. If a person with back pain or headache takes a narcotic and feels better, the treatment is deemed successful and we move on our way.

There are many treatments and practitioners who are very good at Symptom Treatment. This is NOT our focus at Nexus Chiropractic.

An easy to understand analogy is that of a lawn covered in dandelions (I kind of like dandelions but my neighbours do NOT). Using the first Way of healthcare we would simply chop the heads of the flowers off with a lawnmower and call it a day. Quick, easy, effective…..until?

The second Way of Healthcare goes a bit deeper than symptom treatment and Addresses the Primary Condition that may have led to the symptom. This is the baseline type of care we provide at Nexus and where most people start with us.

This Way of healthcare may monitor symptoms in the background but does not primarily use symptom relief as a measure of success.

Obviously this second Way of healthcare requires a bit more work than the first and absolutely requires baseline objective indicators (an examination beyond symptoms), a reasonable plan of correction (beyond symptom relief), and an objective follow up to determine whether the primary condition was handled.

To go back to our dandelion analogy, in this Way of healthcare, we have to get down on our hands and knees with a tool and start pulling weeds out by their roots. More work? Yes. More time? Yes. More sustainable and long lasting results? Absolutely.

The third Way of healthcare is Prevention/Adaptability. The focus here shifts away from fixing anything to preventing problems in the future. This includes tuning things up before they get turn into pain or disability as well as helping the body to be more adaptable to future stress and trauma.

At Nexus, people using this third Way of healthcare are what we call our protection patients. We have already done the work to normalize the primary condition and now do regular tune ups to keep things in tip top shape.

Going back to the dandelion story. Prevention may include pulling a few weeds from time to time or feeding the lawn special nutrients twice a year to prevent future dandelion overgrowth.

The fourth and final Way of healthcare is Optimization. Optimization goes beyond correction and prevention and focuses on making things better and more efficient over time. This Way is extremely rare in healthcare today.

The folks who use this Way of healthcare at Nexus are our optimization practice members – different from patients looking to treat or prevent something bad. These people desire continued improvement in spine and nervous system efficiency and evolving levels of health.

In our lawn analogy, the focus now turns on the health and beauty of not only the grass, but the entire grounds. Planning, time, and effort go into making the yard more functional and brilliant every season.

In the upcoming articles we will be digging deeper into each Way of Healthcare, the results they produce, and how you can choose which one is appropriate for you at any given time.

Unlike many of today’s health ‘experts,’ I believe that people truly WANT to be healthy. It is for this reason that ‘health’ products fly off the shelves, many people are members in health clubs, and we are willing – as a society – to pay high taxes in order to fund public ‘health care.’ Eavesdrop on conversations in any coffee shop and it won’t take long to hear people talking about their health.

So, how is it that something we spend a tremendous amount of money, time, energy and worry on be such a source of challenge, pain and suffering for people? Shouldn’t we be a population brimming with energy and vitality?

The truth is that most people are NOT healthy and this lack of health is a major frustration.

I certainly don’t pretend to have all of the answers to this problem, however having observed thousands of people over the years I have noticed a pattern that is central to whether or not a person is successful in creating health in their life. This pattern also seems to be present when a person is successful in other areas of their lives such as their career, personal finances, relationships and hobbies.

The pattern healthy people follow is that when faced with a challenge….They Go Deeper.

     What does this mean? It means that when problems arise (and they always do, btw) healthy people don’t just look to patch up the surface. They recognize that there is likely something underlying the surface problem that needs to be addressed and their primary focus will be on correcting the underlying cause.

How does this look in real life? Let’s say someone is obese – this is now a medical diagnosis in the United States. So the surface problem is that the individual has a Body Mass Index(BMI) that is too high. If the focus is solely on reducing BMI then there are many different ways to address this problem. Liposuction would be one approach that would handle things quickly, as would bariatric surgery(stomach staple). While I don’t wish to judge either of these procedures – they are what they are – you can see where this will lead if they are the only actions taken. Will this person turn out healthier? Is it likely other – perhaps more serious – conditions will be inevitable in the future?

A healthy person on the other hand would look at the diagnosis of obesity and realize that it is likely secondary to something else. They will look for the deeper cause behind the problem. It may be as simple as a poor lifestyle that needs to be corrected. Perhaps there are some hormonal issues that need to be addressed.

What happens when we look deeper to correct our problems? Two things – first we are much more likely to achieve long-term and sustainable results on the surface problem. Second, we actually improve our overall level of health and, improve performance, correct other secondary conditions, and we may even prevent other secondary conditions from showing up in the future. THIS is where true health comes from!

While many health care practitioners primarily look to address secondary conditions like pain and muscle spasm, at Nexus Chiropractic we focus on addressing Neural Resistance, which can underlie a variety of those conditions.

I will continue this series of articles over the following weeks, looking more deeply at how we can apply GOING DEEPER in a way that can provide solutions to you health and life challenges.

One of the most important determinants of success in any endeavour is focus. We tend to attract what we focus on and the more we focus, the more it grows. Our success requires focus. This is why it is important that the doctors, coaches, advisors and fiduciaries we work will possess a focus that is consistent with the results we are looking to achieve. When what WE want is very different from our doctor’s (or any other advisor) the outcome often leads to frustration, disappointment, and failure.

A few weeks ago I had the opportunity to give a lecture to trainer Tom Irvine of Quest Personal Training Studio’s fitness class at St. Lawrence College. I have been speaking and demonstrating NSA for his classes for years. This time, I chose to speak less about what I do and more about the different approaches in chiropractic and what the differences were. After all, I did not want to turn a potential future chiropractor off of the profession if they were not personally interested in MY focus in practice.

With so many techniques and systems within chiropractic, the best way to break down our differences was where we place most of our focus. I defined 4 distinct groups:

1. Pain and symptom treatment focus. These chiropractors aim to ‘fix’ your pain and symptoms and do so as quickly as possible. Success is defined as the pain going away and treatment is focused on achieving that goal.

2. Pain and symptom prevention focus. These doctors feel that an ounce of prevention is worth a pound of cure so focus more on stopping problems before they happen. This may be in the form of regular ‘maintenance’ care and prescribed exercises. Success is a lower frequency of problems in the future. A doctor in this group may sacrifice the quick ‘fix’ of a symptom to ensure an injury more fully heals to prevent a future flare up.

3. Optimizing function focus. While pain and symptoms may be addressed, the focus is on getting your body functioning at its’ optimum. This may include optimal movement, immune system function, and in the chiropractor’s case definitely optimal nerve function. This doctor recognizes that pain and symptoms can be a part of a well functioning body so will not treat them at the expense of the whole. Often, these chiropractors are “subluxation-based” and recommend regular check-ups to ensure being in tip-top shape.

4. Evolving strategy focused. These doctors recognize that a living human is not a static entity and that there is an opportunity for everyone to develop new strategies for health and life. They know that once function is optimized, there is still another level to go. There is no ceiling to our potential for awareness, adaptability, resourcefulness, vitality, and happiness. The goal of these chiropractors is to help their practice members develop never-ending refinement. They also recognize that new physical strategies can impact our emotional, mental and spiritual lives. These doctors see pain and symptoms as a calling for more awareness and new strategies, not something to do battle with.

Of course, most chiropractors do not fit into only one of these categories. They do, however have one in which they place the most focus. One is not better than the other but they will definitely get different results. In my experience, when you start to take care of optimal function and evolving strategies, the symptoms often take care of themselves.

The great thing is that you get to choose which one fits best for you. A great way to find out what your doctor’s focus is to ask them what their highest vision for you in care. This also applies to any other coach or advisor you employ (a financial advisor focused on getting you out of bankruptcy will get very different results than one focussing on building your legacy for generations to come)!

Make sure your doctor’s focus is consistent with yours. What I look for in any coach is someone who is a little bit beyond me. Someone who will stretch me just beyond my comfort zone and makes sure I am learning something new. If you can identify your health focus above I would encourage you to choose a doctor 1 level past it.

“The more presence and congruence you possess, the less force is required in any endeavour”

–       Dr. Donny Epstein