NovoPulse- Where Recovery Meets Performance

We are all familiar with the 80 – 10 – 10 Rule in clinical practice: 80% of our patients meet our recovery expectations, 10% of our patients may meet only a partial recovery, and the other 10% of our patients we may either have referred them out upon detecting a red flag on their examination, or they just did not respond to care. After decades of experience in providing clinical care to patients and talking to other colleagues, overall, these statistics bear out true. 

Recovery Meets Performance with NovoPulse

So, the question becomes this: How do we help the 80% group of patients not only recover from their condition and but also improve their performance in life – and – how do we help the 10% of our "partial-recovery" patients reach a full recovery and hopefully move them more towards a higher level of performance as well?

Helping patients first achieve recovery is a massive step for them – this means they are mostly out of pain and have regained some of the lost functions in their life (i.e., walking, standing, sitting, etc.). But as we know, this doesn't necessarily translate into them achieving previous performance levels in how they may participate in life activities.

Whether you are treating an athlete for a sports injury or a grandparent for a chronic low back complaint, both need the same type of intense focus on striving to achieve recovery first and then optimize performance second to improve their level of participation in meaningful life activities.

How to asses the impact of pain and address recovery.

The World Health Organization's International Classification of Functioning, Disability, and Health (ICF) considers the following concepts are relevant to defining the impact of chronic pain (i.e., pain extending longer than three months):

1. Impairments (physical or structural findings detected upon examination)

2. Activities and Activity limitations (lost function of activities of daily living)

3. Participation and Participation restrictions (inability to engage in participation of meaningful life activity)

Achieving pain reduction by addressing physical and structural findings is a key aspect of helping a patient move towards recovery – which begins with reducing inflammation in the joint and tissues identified as the patient's origin of pain. The patient's clinical diagnosis and degree of severity correlate with the functional and participatory impact on the patient's life and are essential considerations in the care planning process. 

Goal setting with the patient enables both the clinician and the patient to re-engage key functions and meaningful activities that are currently limited but valued in the patient's life. 

Recovery of the patient's condition is marked by making consistent improvements and progress towards these meaningful goals. However, in complex cases, achieving recovery may require more aggressively addressing the inflammatory status of the condition. When bringing the patient through the recovery process, we can often help them through the initial acute pain stage, but their progress stalls in the subacute or rehabilitative phase of recovery.

Reaching a state of maximum therapeutic improvement, which only represents a partial recovery that has fallen short of expectations, causes us as clinicians to consider seeking other treatment strategies for the patient. Although these patients improved from what they were when they first started treatment, they still may not be able to enjoy participating in meaningful activities like they were able to do before. 

Transitioning from Recovery to Performance

For example, I am sure in your practice you have patients that love to play golf. Think of the patient who can only play nine holes when they are used to playing 18 – but cannot because of the pain returning by the time they have played nine holes. What can you do to help them "get over the hump?" In other words, how do we move our patients – who have achieved a maximum therapeutic benefit/recovery to go on from this level of healing to achieve a higher level of performance? 

Improve function and then move towards improving participation in activities.

The clinical questions to ask ourselves are these: "What are some of the barriers our patients may face as they move towards improving their performance?" "Are there objective clinical findings that may be preventing the patient from moving forward to a higher level of performance?"

As mentioned, inflammation can be a key clinical finding as to why the patient cannot move forward with improving performance in activities, restricting them from participating and enjoying life. For example, osteoarthritis is a common underlying problem for patients.

As we know, osteoarthritis is a chronic disorder associated with damage to the articular cartilage and surrounding tissues and is characterized by pain, stiffness, and loss of function. Mediated by inflammation, the natural history of osteoarthritis is manifested by a steady decline of cartilage cellularity, degradation of cartilage matrix and surrounding tissues – leading to chronic pain. We also know that immune cells produce pro-inflammatory cytokines, creating a persistent state of inflammation in the joint. This inflammation modifies the operation of the chondrocytes by blocking mitosis, inhibiting the production of new cartilage, catabolizing extracellular cartilage matrix to produce a 4-5-fold increase in apoptosis.

And if that wasn't enough, this cascade of processes enhances the secretion of the Prostaglandin E2 pain mediator. As a result, this joint inflammation leads to pain and Osteoarthritis, preventing normal cartilage restoration and promoting the destruction of the joint architecture. 

The physical limitations of the inflammation from OA inhibit proper range of motion to occur in a joint, making it difficult to move towards improving the affected region's balance, strength, conditioning, and function. Therein lies our clinical dilemma.

This is what led me to search for different solutions for pain management. I was introduced to a new technology, NovoPulse®, that provides an answer for long-term pain relief and promotes cartilage regeneration while improving function and performance. Two key studies caught my eye.

Studies Supporting PEMF and NovoPulse Technology

Study #1:

Clin Interv Aging. 2013; 8: 1289–1293. Published online 2013 Sep 26. DOI: 10.2147/CIA.S35926. Pulsed electromagnetic field therapy for the management of osteoarthritis-related pain, stiffness and physical function: clinical experience in the elderly Tommaso Iannitti, Gregorio Fistetto, Anna Esposito, Valentina Rottigni, and Beniamino Palmieri

The Iannitti study highlights pulsed electromagnetic field (PEMF) improvement in pain, stiffness, and function in patients with knee osteoarthritis. Clinically significant improvements were made in both pain and function. The VAS was used for pain assessment, and the WOMAC outcome assessment tool was used to provide objective evidence of functional improvement.

Study #2:

Lad D, Karnatzikos G, Gobbi A (2013) Is there any Role for Pulsed Electromagnetic Fields in the Treatment of Early Osteoarthritis of the Knee? J Osteopor Phys Act 1: 106. doi:10.4172/2329-9509.1000106

Clinically significant improvements were made in both pain and function. The VAS was used for pain assessment, and the Tegner outcome assessment tool was used to provide objective evidence of functional improvement at one year and two-year follow-up. At a 2-year follow-up, 80% of patients were satisfied with the results.

Considering the evidence behind this device, the real impact is on an actual patient's experience. Here are a few testimonials I think you will find interesting.

Real Recovery and Performance Stories from NovoPulse Users

Testimonial #1:

"I am a 57-year-old Plastic Surgeon. I sustained a torn rotator cuff (complete tear of the supraspinatus tendon) and underwent surgical repair in early February of 2021. The recovery was very painful, which is typical for this surgery. When I was eight weeks post-op, I still had significant amounts of pain and had minimal shoulder motion. I was doing my stretching exercises daily but was making minimal progress. My physical therapist was very concerned that I was developing a frozen shoulder. This was especially troubling, as I was scheduled to return to work in just another two weeks, including performing surgeries.

At this point, I had the opportunity to try the NovoPulse for my shoulder. I did not know very much about electromagnetic field treatments, but I was willing to try anything to help my shoulder recover function. I began using the NovoPulse for 30 minutes per day, combined with the stretching exercises recommended by my physical therapist. Within one week, I noted less pain in the shoulder and significant improvements in range of motion. These improvements continued steadily, and I was able to resume working and performing surgeries as scheduled. I continued to use the NovoPulse daily for about six weeks, noting steady improvements throughout this period. My Physical Therapist and Orthopedic Surgeon were very impressed with the improvements in function that I developed during this time. I am definitely a fan of the NovoPulse. I believe that this treatment was a major contributor to the successful rehab of my shoulder."

Testimonial #2:

"I'm 66 years old with arthritis in both knees, both hips, and left shoulder. I've had five torn ligaments and five arthroscopic surgeries, starting with my first skiing accident at age 12 in the days of bear-trap bindings.

About six years ago, my knees and hips began to suffer significantly higher levels of pain after strenuous physical activity. With physical activity, my body started protective reactions that caused sharp pain and swelling and made my joints less mobile. The orthopedic surgeon tried cortisone shots without effect and then recommended replacing both knees. The pain was so bad I could seldom sleep for more than an hour without the pain waking me up with painful, stiff, swollen, immobile knees.

I scheduled the knee replacement surgery, and while waiting, I tried a low-carb diet to reduce inflammation. Within about four weeks, the diet helped so much that I canceled the surgery since I could now sleep through the night. Nevertheless, my joints were still less agile than I would have liked, and I was generally in constant pain during the day and had a pronounced limp.

I tried the NovoPulse about nine months ago and got additional significant relief in pain and increased joint agility comparable to what I got from the anti-inflammation diet. I use the NovoPulse every day, generally on both knees, both hips, and sometimes on shoulders and back.

I still get sore after vigorous physical activity, but the NovoPulse soothes the nerve pain and restores mobility to my joints. Since I started using NovoPulse, people no longer comment that I am limping. The NovoPulse has been a miracle for me. It hasn't restored me to 16-year-old joints, but it has made it possible to reduce pain and recover joint mobility quickly after strenuous activity. I still feel the need to continue the anti-inflammation diet and my personal training for strength, but the NovoPulse is indispensable for me to continue the kind of activity levels I want to maintain."

Testimonial #3:

"As a 66-year-old male, I had an opportunity recently to use a NovoPulse for 2-3 treatments a week for about eight weeks. I have had lower back pain for twelve years due to degenerative disc disease, scoliosis, and arthritis, among other things. Routine daily activities were not so routine and were painful. I found the therapy very helpful in reducing my overall pain and lessening my reliance on over-the-counter pain medicine. Routine activities were more routine, and pain was minimized. A great outcome!"

Incorporating Research and NovoPulse Into Your Practice.

You may be wondering, "How does this device work?" NovoPulse is the first technology that has been learned through PEMF research to combine electric field with thermal stimulation. It penetrates to a depth of 7 cm, which allows the source of the inflammation to be directly targeted. In addition, it provides a full 360-degree joint coverage. This technology can be adapted to treat either the spine or the extremities. 

Research has also guided the recommended treatment plan. This has been very effective in helping patients achieve the desired meaningful performance in their lives - enjoying their daily lives without the constant constraints of pain.

If your practice has a focus on recovery and performance, click here to learn more about how NovoPulse could benefit your patients as well as your practice. 

5 Tips to Work Smarter, Not Harder with Jane.

Smarter. Faster. We’re Stronger Together.

Jane isn’t just your admin... Jane is a powerhouse. We've compiled 5 of our favorite tips to help you increase the efficiency of your common tasks such as: taking payment, reminding patients about their visits, charting, and more!

For a full list of "how-to" guide documents to put these tips into action, please take a look at our blog post 5 Tips for working smarter, not harder with Jane -- created just for you.

Learn more about Jane today at jane.app/chiro

Learn more and schedule a demo at jane.app/chiro

Ready to take your practice to the next? Use the code ‘evidencebased2021’ for a 30 day grace period as you get started.

The Jane Team

Chiropractic Content Creators Buyers Guide

Choosing cameras, microphones, and lighting when getting started can be challenging. 

Use our chiropractic creators buyers guide to discover the gear that is right for you. Whether you are just getting started, looking to expand your tool kit, or want pro-level video we have you covered! 

• denotes gear I personally use 

GOOD GEAR TO GET STARTED 

Camera 

Canon Rebel T6 $400 Canon's Rebel series remains the best option for affordability, dependability, and quality. 

Microphone

Rode VideoMic Go $67 This affordable mic will blow away the microphone on your camera in terms of audio quality. It's a must have! 

Lighting 

*Viltrox L116T $32 Getting solid lighting at a price point of under forty bucks is tough, but this light delivers. 

Total Cost $500 

For close to $500 you can have a really solid kit that will make your videos look and sound fantastic. This gear is perfect if you are getting started! 

BETTER GEAR TO STEP YOUR GAME UP 

Camera 

*Canon 80D $1000 This camera packs high end features and great image quality into a prosumer price tag. 

Microphone 

*Rode VideoMic Pro $230 Even in locations with high background noise, this microphone provides crystal clear audio. 

Lighting

*Aputure Araman AL-528 $160 Adjustable, clean lighting that can dramatically improve the overall look of your videos. 

Total Cost- $1400 

Coming in close to $1400 this kit is ideal for chiropractors who want high- quality production capabilities without breaking the bank. 

THE BEST GEAR FOR CONTENT PRO'S 

Camera

*Canon EOS 6D Mark II $1600 Unbelievable image quality, a professional feature set, and an uncanny ability to shoot in low light- this camera is simply awesome. 

Microphone

*Rode Wireless Filmmaker $400 Unsurpassed audio quality even when you are far from the camera. This has been a life-saver for me at The Evidence Based Chiropractor and The Smart Chiropractor. 

Lighting 

*Aputure Light Storm 120D with soft box $800 Yes, it's expensive. But this light has made the biggest impact on the quality of my videos over any other piece of gear on this list. 

Total Cost $2800

At $2800, this kit isn't cheap. But for the price you will have some of the best gear to produce the highest quality videos in the chiropractic industry. 

ACCESSORIES 

Parrot Teleprompter $99

Transform your smartphone into a professional, lightweight, and mobile teleprompter

Neewer Ring Light $75

Ring lights can provide a warm, soft glow of light to your videos. 

SD Memory Cards $20 

In you’re using a DSLR camera, make sure you stock up on SD memory cards! 

Manfrotto Tripod $75

Having a stable tripod will help you always get the best angles for your videos. 

Manfrotto Desktop Tripod $20

If you record video from your desk, having a a desktop tripod will help you save space. 

Logitech Webcam $100

If you are just starting out, or on a super limited budget a webcam get be a great way to start shooting video. Webcams don’t really replace having a great DSLR camera, but are a great quick go-to for your Zoom meetings, Skype calls, or Facebook Live sessions. 

Elgato StreamDeck  $150

The StreamDeck is an easy to use tool that can optimize your workflow as a content creator. Whether you are just starting out or a seasoned pro- it’s a must have. 

Powerstrips $25

Lights, cameras, and audio gear all require power. Pick up a few extra powerstripas to make sure you always have enough outlets. 

WD Portable External Hard Drive $75

Saving your work is important and video takes up a lot of space on your computer. Having an external hard drive handy will help you free up valuable space on your computer and help it run faster. 

JEFF’S PERSONAL CONTENT CREATORS GEAR LIST

Canon 6D Mark II DSLR Camera $1800

Rode Filmmaker Wireless Lavalier Microphone $400

USB Hub Adapter $25

Elgato StreamDeck $150

Macbook Pro 13” Laptop Computer $1900

Wireless Rechargable Apple Magic Mouse $75

Wireless Rechargable Apple Magic Keyboard $99

HP Ultra Slim Full HD Monitor $200

Logitech C920 HD Webcam $125

Manfrotto Compact Tripod $75

Aputure 120D Video Lighting $800

Aputure Light Dome Mini SoftBox Diffuser $200

Tamron 28-75mm Camera Lens $500 

Aputure AL-F7 Background Light $100

Telling YOUR Story 

While researching and purchasing gear is a lot of fun, remember that your message is the most important aspect of your content. 

Gear provides you with an ability to enhance your message, but a lack of gear should never stop you from speaking your truth and building your audience. 

Being a creator is fun, but it isn’t easy. At The Smart Chiropractor, we solve the two biggest chiropractic marketing challenges, Content and Consistency. We combine an incredible content library with powerful automation tools to supercharge your marketing. 

Click here to discover how we can help you practice grow…automatically. 

5 Chiropractic Email Marketing Tips That'll Keep You Out of the Spam Folder

5 Chiropractic Email Marketing Tips That'll Keep You Out of the Spam Folder

When done correctly, an automated chiropractic email marketing strategy can be a insanely effective way to connect with your patients and attract more business to your practice.

Get a FREE Email Template (That CRUSHES!)

However, most chiropractors are not doing email marketing correctly. The average email 'open rate' for marketing emails in America currently hovers at around 22%.

This means that 78% of all marketing emails are never even being opened by users at all.

If you want to avoid your carefully-crafted communique ending up in the spam folder, make sure to follow these essential email marketing tips at your practice.  

1. Grab Them with a Cliffhanger in the Subject Line

The first thing you should be focusing on in your email marketing campaign is the subject line. This is your once chance to real them in and convince them to open your email, so make it good.

Do not opt for generic subject headers such as "we missed you" or "adjustments only $29!."

Instead, opt for a cliffhanger than intrigues them and leaves them wanting to know more. Something like "the secret to no more back pain..." should be enough to keep them reading.

2. Format to Avoid Spam Filters

A significant chunk of all marketing emails ends up in users' spam folders, meaning that they will likely never be seen. To avoid this, you will need to format your email in a way that doesn't trigger spam filters. (ChiroEmails, built into The Smart Chiropractor has crazy high deliverability rates!)

That means avoiding spelling mistakes and using a recognizable, 'normal' sender name. It also means using a reliable email service provider like Outlook and avoiding sending too many emails to the same person.

When in doubt, test your email by sending it to yourself or a friend.

3. Remember to Write for Mobile Devices

The vast majority of people are going to be reading your emails via their mobile devices. Therefore, you need to make sure that your email is written and formatted so that it is easily readable on the phone.

Avoid large, high-resolution images at all costs. Keep your sentences short and concise, with a large font.

Make use of numbers, symbols, and emojis whenever possible. These simple tactics will make your emails more mobile-friendly and more likely to be read.

4. Personalize Every Step of the Way

One of the best email marketing tips you should take is to personalize your email so that your client pays attention and feels like you are speaking directly to them.

Always use a Mail Merge to ensure that your opening line uses the name of each subscriber you are sending an email to. (If you’re a Smart Chiropractor member, we mail merge first names into all of your outgoing emails- done for you!)

Include recommendations for each user by taking advantage of personalization software. Avoid your messaging coming off as generic or cold. 

5. Build Trust

Finally, it is essential to build trust with your subscriber list. This is one of the golden email marketing best practices to take away with you. Do not spam your subscribers with constant communications.

Always respect those who unsubscribe and do not relentlessly attempt to claw them back onto your email list. Avoid using manipulative or overly emotional appeals in your email communications.

All of this will let your subscribers know that they can trust you, making them more likely to engage. 

Get a FREE Email Template (That CRUSHES!)

Email Marketing Tips Can Bring You Closer to the Patients You Want 

With these email marketing tips, you will be able to connect with the clients that you want and generate meaningful leads.

To learn more about how to attract the clients that your practice needs, make sure to consult our Free Resources for all chiropractors looking to bring their business to the next level. 

5 Proven Lead Generation Strategies That'll Guarantee More Chiropractic Patients

When it comes to scouting and bringing in more leads, many chiropractic practices struggle to do it. Here are some great lead generation strategies that get results.

Did you know around 80% of new leads never convert into patients? Did you know that using strong lead generation strategies means you'll attract more new patients than ever?

What is lead generation? Lead generation (or "lead gen") is the process of identifying and attracting leads. A lead is anyone who shows enough interest in your business to give you their contact information.

Only around 20% of leads become sales, but ultimately, that 20% keeps many chiropractors in business. Therefore, it's essential to be proactive about generating leads.

Here are five strong strategies for generating more leads:

1. Benefit Focused Lead Magnets

Knowing how to get more leads means creating attractive opportunities for potential patients to give you their information. You'll need a strong lead magnet to entice them. Lead magnets include any incentive you use to attract leads.

Opt-in opportunities reward leads by giving them something valuable for their information. Valuable opportunities include webinars as well as downloadable brochures and pamphlets. Turn every blog post into an opt-in opportunity, if possible!

2. Gated Content

Gated content is fuel for lead generation because it's off-limits or "locked" until someone submits their information. Once a person gives you their contact info, they're able to access the content. Once again, the best-gated content offers value to consumers.

(Are you spotting a trend here? Good.)

Business owners gate all kinds of content, spanning from ebooks to comprehensive reports. This strategy encourages people to share their email addresses and name. That powerful combination helps you boost email engagement with personalization.

3. Gmail Ads

Smart chiropractors know how to generate leads at their competition's expense. Gmail Ads helps you accomplish this digitally.

Simply use Gmail Ads to create an AdWords campaign that only targets people who receive your competitor's emails. Just sign up for your competitors' email lists, then add the same keywords and phrases they often use in their email copy as your target keywords.

Keywords are your friend for the following strategy:

4. Optimize Your Content with SEO

SEO is crucial to lead generation marketing. After all, any lead you attract through SEO is a warm lead, making your website as SEO-friendly as possible.

Use chiropractic keywords with high search volumes along with less popular search terms. Always use keywords in context/naturally, or else it'll hurt your ranking.

Make sure your website runs fast. Users will abandon a site if it loads too slowly. Plus, it'll hurt your ranking in SERPs (search engine results pages).

5. Use Social Media

Promote your lead magnets on social media to attract more attention to them. Including a link to a lead magnet in your bio makes it even more convenient and enticing. This will improve your chiropractic marketing funnel and conversion rate.

Hashtags are SEO for social media. Use strong and relevant hashtags to target an audience that's looking for a local chiropractor.

Try These Winning Chiropractic Lead Generation Strategies Today

About 72% of Americans use social media today. That's why social media is a powerful tool to use alongside other lead generation strategies.

Successful lead magnets are powerful and original. Always individualize each strategy, even if you learned about it from somewhere/someone else.

Strengthen your chiropractic marketing strategy—check out our free tools now. They'll give you the insights you need to succeed.