What is Reflexive Antagonism?

Reflexive Antagonism is the phenomenon by which muscles with opposing functions tend to antagonistically inhibit each other. When one muscle is activated, its opposite muscle or muscle group or is reflexively inhibited or deactivated.

The phenomenon is now known to be fleeting, incomplete, and weak. By example, when the triceps brachii is stimulated, the biceps is reflexively inhibited. The incompleteness of the effect is related to postural and functional tone. Also, reflexes in vivo are polysynaptic, with entire muscle groups responding to noxius stimuli (Nociceptive Withdrawal Reflex).

Reflexive antagonism is the basic original notion behind indirect muscle energy techniques. This notion is now understood to be incomplete. As a clinical mechanism, however, Reflexive Antagonism continues to be useful. Reciprocal Inhibition is a synonym.

Techiques that utilize reflexive antagonism, (such as Rapid De-Afferentation Techniques) are manual medicine techniques and protocols that utilize reflexive pathways and the phenomenon of reciprocal inhibition as a means of switching off inflammation, pain, and protective spasm for entire synergistic muscle groups or singular muscles and soft tissue structures.

Suggested reading:
1. Fryer G 2000 Muscle Energy Concepts –A Need for a Change. Journal of Osteopathic Medicine. 3(2): 54 – 59
Fryer G 2006 MET: Efficacy & Research IN: Chaitow L (Ed) Muscle Energy Techniques (3rd edition) Elsevier, Edinburgh

Ruddy T 1961 Osteopathic rhythmic resistive duction therapy. Yearbook of Academy of Applied Osteopathy 1961, Indianapolis, p 58

Solomonow M 2009 Ligaments: A source of musculoskeletal disorders. J Bodywork & Movement Therapies 13(2): IN PRESS

Smith, M., Fryer, G. 2008 A comparison of two muscle energy techniques for increasing flexibility of the hamstring muscle group Journal of Bodywork and Movement Therapies 12 (4), pp. 312-317

McPartland, J.M. 2004 Travel trigger points - Molecular and osteopathic perspectives Journal of the American Osteopathic Association 104 (6), pp. 244-249

Hamilton, L., Boswell, C., Fryer, G. 2007 The effects of high-velocity, low-amplitude manipulation and muscle energy technique on sub occipital tenderness International Journal of Osteopathic Medicine 10 (2-3), pp. 42-49

McFarland, J.M. 2008 The endocannabinoid system: An osteopathic perspective Journal of the American Osteopathic Association 108 (10), pp. 586-600
Magnusson M Simonsen E Aagaard P et al 1996a Mechanical and physiological responses to stretching with and without pre-isometric contraction in human skeletal muscle Archives of Physical Medicine & Rehabilitation 77:373-377

Magnusson M Simonsen E Aagaard P et al 1996b A mechanism for altered flexibility in human skeletal muscle. Journal of Physiology 497(Part 1):293-298

Manual Medicine Integration

An Overview of Selected Manual Medicine Methods
Cranial-Sacral Therapy (CST)
The cranial-sacral system addresses bones and membranes that surround the central nervous system. Restrictions here can strain neural tissues and affect correspondingly innervated somatic areas, organs, or tissues. CST uses light manual techniques aimed at inducing relaxation responses that decrease, unwind, or remove neural tissue strain. CST, while particularly effective for treatment-resistant headaches, also have positive bearing on varied cases of unresolved chronic muscle and joint pain. Case studies show usefulness in helping resolve some digestive and neuro-endocrine disorders. Learning curves, attention spans, and memory retention are often reported improved.

Movement Therapies and Postural Re-alignment
Postural habituation and any form of trauma or sudden mal-positioning are the most common causes of tissue structure / function imbalance. Compensations include often inappropriate tissue lengthening and shortening. Somatic dysfunctions over time build up and bear heavily on joints and their surrounding / supporting structures. Muscle length / strength imbalance identification allows for both prevention and proper resolution of Neuro-myofascial syndromes. Postural and Movement Rehabilitation addresses these imbalances.

Lymphatic Drainage Therapy (LDT) / Manual Lymphatic Drainage
Trauma, physical deconditioning, lack of exercise, myofascial restrictions, and local tissue / area inflammation can cause lymph stagnation. Buildup of cellular debris and inflammatory mediators reinforce the Nociceptive cycle and somatic dysfunctions. LDT can improves circulation and helps resolve edema. Joint and soft tissue swelling can be significantly reduced. Chronic pain syndromes can be improved or partially resolved.

Neuromuscular Techniques (NMT) / Neuro-myofascial techniques (NMF-T)
Fascial restriction and muscle hypertonus are highly responsive to various NMF techniques. Major techniques include Myofascial Releases, Muscle Energy Techniques (MET), Positional Release Technique (PRT), and Trigger Point-Proprioceptive Therapy.
Reflexive De-Afferentation Techniques (RDTs) have evolved from Neuro-myofascial techniques. Pain cycles easily broken with NMF techniques include headaches, nape and shoulder pain, TMJ pain, knee and foot pain. Mechanical and repetitive strain injuries that may be addressed with NMF-T include mechanical low back pain syndromes, thoracic outlet syndromes, “frozen shoulder,” carpal tunnel syndrome, lateral epicondylitis, and plantar fasciitis. Our suggested term would be “neuromyofacial-endocrine” techniques, given the profundity of effects from working on the fascia.

Articulatory techniques (ART)
Soft tissue injury and cumulative joint trauma result in joint ROM restrictions and / or pain. These techniques involve taking joints through their restrictive and compliant motion cycles. They improve joint range or motion and help ablate joint pain cycles.

Movement with Mobilization
Movement with Mobilization (MWM) is based on Mulligan's work.
His SNAGs = Sustained Natural Apophyseal Glides involve passively (operator) introduced translation that is maintained while the patient goes toward the restricted end-range. The translatory or gliding force is typically maintained while a return to passive neutral is established.

One of the easiest and most useful techniques that can be taught to patients is the one involving a towel drawn against the nape and tugged on forward by the patient via handhold on either side. These have been called self-MWMs.


The Functional Techniques of Osteopathy appear to be the closest analogue.


1) Visceral Manipulation (VM, Ventral OMT techniques)
Trauma, lack of exercise, physical deconditioning, cumulative soft tissue injury, inflammation, surgery, or obesity can displace, restrict, tighten, or scar ligament and fascia that surround, support, or suspend organs. Fascial and ligamentous injury can result in focal strains that cause tissue or organ dysfunction and injury. Pain and inflammation cycles are facilitated. VM uses soft vectoral techniques aimed at re-engaging normal suspension or movement of internal tissues / organs.
The notion of tissue restrictions or compliance to movement extends to the viscera. Organs, fascia, mesentery, and visceral ligaments move along and in relation to each other in much the same way that we know normal fascia-muscle compartments do. This notion of mobility in relation to each other is differentiated from intrinsic organ motility. Organs are mobile in relation to each other and often possess an internal movement or motility. As all fascia moves with breathing, the lungs move as we breathe, the stomach and intestines move in relation to each other during peristalsis, the urinary bladder shifts location somewhat when we piss. Viscera also move around a bit with ambulation. Visceral mobility restrictions are thought to restrict normal fluid, solid, and impulse conduction through individual organs. VM addresses these restrictions.
Musculoskeletal conditions linked to visceral involvement include:
1. Mid to low back pain: The colon’s attachment to the back of the abdominal compartment may be strained. This can lend ligamentous tightness or displacement which, in turn, can inhibit normal spinal movement. These spinal segmental dysfunctions result in their related pain constellations.
2. Neck stiffness and pain: The suspensory ligaments of the lung and the pericardium all attach to cervical vertebrae. Ligamentous involvement here can cause cervical joint compression and flexion cervical somatic dysfunction. A forward head posture may thus actually be more closely related to a lung problem than to a thoracic spine dysfunction.
3. Shoulder restrictions and pain: Most paramedical personnel are familiar with the fact that gallbladder inflammation can result in pain that radiates to the right shoulder. Nerves that supply the suspensory ligaments of the liver stem from the spinal segment that innervates the shoulder. Liver suspensory ligament involvement may thus result in shoulder somatic dysfunctions.
4. Peripheral joint pain: Visceral compartment restrictions can transmit tension via adjacent myofascial trains into the limbs. These tension lines can cause compressive and torsional joint irritation and dysfunction.
5. Comparative Studies have found Visceral Manipulation also Beneficial for:
Somatic-Visceral Interactions
Chronic Spinal Dysfunction
Headaches and Migraine headaches
Carpal Tunnel Syndrome
Hip and Knee Pain
Sciatica
Whiplash
Seatbelt Injuries
Chest or Abdominal Sports Injuries

Visceral Manipulation has been known to improve:
1. Fatigue: Abnormal fascial tension or scarring from at the visceral suspension system may result from inflammation, surgery, and blunt or countercoup trauma. Loss of organ mobility due to restrictions of surrounding and supporting tissues have been linked to general fatigue. By example, lessened fatigue has been reported by whiplash-injured VA patients. Faster recovery rates and lower incidences of depressive symptoms have likewise been reported.
2. GI motility disorders: Ileus, constipation, and irritable bowel syndrome: Abnormal fascial tension or scarring from at the small and large intestinal suspension system may result from inflammation, surgery, or blunt trauma. This causes restrictions that negatively alter bowel motility and function.
3. Hemorrhoids: The venous drainage from the rectum toward the liver is impeded when the hepatoduodenal ligament is abnormally tight. The resultant vascular congestion can cause or aggravate hemorrhoids.
4. Incontinence: Ligament us tightness and muscle hypertonus may limit proper urinary bladder expansion and emptying.
5. Comparative Studies have found Visceral Manipulation Beneficial for:
Digestive Disorders
Bloating and Constipation
Nausea and Acid Reflux
GERD
Swallowing Dysfunctions

Women’s and Men’s Health Issues
Chronic Pelvic Pain
Endometriosis
Fibroids and Cysts
Dysmenorrhea
Bladder Incontinence
Prostate Dysfunction
Referred Testicular Pain
Effects of Menopause Pain Related to
Post-operative Scar Tissue
Post-infection Scar Tissue
Autonomic Mechanisms


Pediatric Issues
Constipation and Gastritis
Persistent Vomiting
Vesicoureteral Reflux
Infant Colic

Emotional Issues
Anxiety and Depression
Post-Traumatic Stress Disorder

Bowen Therapy in the Philippines
Bowen Therapy and RDTs

For someone so used to mind-bogglingly fast functional results with OMT and a synthesis of Manual Medicine, I have recently gained an unexpected new respect for Bowen Work (Bowen Therapy). I have also regained foothold on the concept that, yes, it also matters who you learn your techniques from.

We've had the good fortune of leaning directly from Andrew Zoppos. Andrew learned Bowen's work from "Ozzie" Oswald Rentch, who was charged with spreading the techniques by the man himself, "Tom" Bowen. Having progressed in my Bowen work studies, I can now wholeheartedly agree with Andrew -- Tom Bowen was a genius. That the work came to Tom without osteopathic or mixed manual method training is truly astounding.

Recent findings in fascia research amplify my respect for the work of Tom Bowen. The fascial system is more and more being shown to be linked intimately to the neuroendocrine system. By example, the results of fascial therapy are different when a patient is anesthetized to unconsciousness. They do not hold as well. So, yes -- There really seems to be an intelligence we interact with when we move fascia. Then again, we've always known that the human body is an incredible machine. Kudos to the Brilliance of its Creator. Now, however, we regain a no-holds-barred astonishment at how profoundly complex the human body is.

How Tom knew which points to access in order to talk to the body in the way Bowen Work appears to do is beyond me. Perhaps it truly was a Gift from God. God is closer than most people would accept, anyway.

I can now understand how important it is to learn Bowen work the way it was passed on by Tom Bowen.

Rapid De-Afferentation Techniques, as remarkable as they are, are still evolving. Unlike RDTs, Bowen work appears to have been born fully evolved.

My patients deserve to have someone on their side who knows what he's doing. Plus, I'm a curious fellow. So I'm likely to look at what everyone else is doing. Despite the proliferation of a swarm of personalities offering some form or other of supposed modification or advancement of Bowen Work, however, I'd love to master the unaltered gift first. It's amusing, as I think of it now.. I've grown up in the age that gave us the Photocopier. I love that machine. But I still rarely see a copy as clear, organically detailed and unflawed as the original.

What is Gua-Sha?
Gua Sha / Gua-sha / Guasha is a connective / soft-tissue mobilization technique commonly used in Asia by practitioners of Traditional Chinese Medicine. Gua Sha is used by TCM clinics and practitioners with the most frequent intent of restarting circulation and releasing "Sha," held by many TCM practitioners to reflect blood "trapped" in the peripheral capillaries. Gua-sha would literally translate into "releasing (the) Sha."

In Gua Sha, a scraping handheld tool is applied to skin, to fascial depth, in longitudinal strokes. This is meant to release the "exterior Sha." A stimulation of movement of lymph and blood flow occurs. This is interpreted as a means of discharging "cold negative energy" via the skin surface. Many TCM practitioners swear by Gua-sha, saying it helps cure many diseases.

In the TCM context, Gua Sha is held to be valuable in the treatment of pain, in the prevention and treatment of acute infectious illness, upper respiratory and digestive problems, and the resolution of many acute or chronic disorders.

Gua Sha is the Traditional Chinese Medicine analogue of today’s Connective Tissue Mobilization Techniques that use tools. In a strictly Manual Medicine analysis of the technique and its results, Gua-sha is a local, direct, tool-enhanced myofascial release. The body of techniques Gua-sha is thus categorized in is more popularly known now as Instrument-Assisted Connective / Soft Tissue Mobilization (IASTM / IASCTM). The more popular of the branded techniques include the Graston Technique and SASTM (Sound-assisted Soft-Tissue Mobilization).

You’ll let us know as soon as you realize you want to learn CTM / IACSTM with us, won’t you?

Stay well, evolve, and prosper.

An Introduction to (Rapid) Reflexive De-Afferentation

An Introduction to (Rapid) Reflexive De-Afferentation

Session Description
I. Ignored Anatomy: What the Medical Community usually fails to check?

Introduction:
Chronic mental stress, fatigue or burnout has been linked to - among other things - gastritis, severe headaches, and heart attack risk.

What if I were to tell you that I could tell how stressed you were by touching just a few spots on your body that most would not have even checked? What if those spots were linked to most headaches and nape pain? What if you could be pain-free without medications? What if the solutions were so simple that they have been strangely overlooked for decades?

Content:
Missed Anatomy: RDT Checkpoints
The Nociceptive Reflex
The Ignored Anatomic Landmarks
RCPM
Myodural Bridge
Nuchal Ligament
Cervico-thoracic junction
Diaphragmatic Insertion
Partially Ignored Anatomy
The Notion of 1) We don't treat what we don't know is there and 2) We don't check what we don't know how to treat

II. The Relaxation Response: Parallel Pathways

This session will explore general mechanisms of entry into the much-coveted state of relaxation. This Parasympathetic (Rest and Recovery) Response has profound mental, emotional, and physiologic effects. The usual ways to reach this state include:

1. Mind to Body = meditation techniques, prayer,
2. Body to Mind = Bodywork of all sorts (Bowen work, certain massage techniques and protocols, post-exercise, etc.)

Integration is proposed, so that both approaches / gateways are used. A powerful synergy is the hoped-for endpoint. Our work in this direction includes the application of Biofeedback techniques, Neurolinguistic Programming (NLP) Techniques, and the Revolutionary new field opened up by Rapid De-Afferentation Techniques. Since a few good breathing techniques will be covered by other speakers, I will not delve deeply into breath-work. Focus will instead be given on starting with calming the body as a rapid means of calming the mind. A Reboot Demonstration will follow.

III. An Introduction to R.D.T.s: Mind-Body Reboot in Seconds

Introduction:
What if you could be Pain-free in Seconds? What if you could reach Mental Clarity in seconds? How would that change the rest of your life?

Precursor Work:
NLP Semantics
Biofeedback without machines

An Introduction to the RDT PROTOCOL
(a synthesis of: Rapid De-Afferentation Techniques + NLP Semantics / Language + Biofeedback)

IV. Missed Assessments and Unavailable Treatments
(What once didn't know how to treat, and therefore hardly checked)

Summary of the theories behind RDT work
Reflexive Inhibition
the Nociceptive Reflex
The Path of Ease
Harmonic Response

On Reflexive Techniques and RDTs
My cat knows how to ask for food. It's simple and it makes sense. She's figured it out, and so have I. Just signals, feedback, and recalibration. If time eventually proves us both wrong, it will not stop me in the meantime from doing what we know from experience to consistently work.
My cat knows that, too. She meows. I get her snacks.

In testament to the soundness of the initial thought behind (let's generalize) reflexive techniques (or attempts at development of such), if you toss the idea around, people will say they've heard about it somewhere. I'm no genius. I'm certain someone else must have figured these things out. Perhaps a tribe somewhere has done just that. Perhaps in the same place JPB first heard of VM from. Perhaps it's just the RCTs that lag.

We have all known about reflexive inhibition and have used it as a tool in clinics for the longest time now.
Has not everyone on these forums used indirect muscle energy techniques, positional releases and lymphatic drainage and vascular restarts? If the monosynaptic reflex is so well described that no one questions its validity, how hard it to imagine that people have tried to utilize it as a treatment mechanism? Isn't that initial notion behind METs?
Do you now think it might be possible to use reflexes as a treatment mechanism?
Let's stretch that notion, then. How often do see a purely monosynaptic reflex in practice?

Programmed reactions occur in response to noxious stimuli. They are never just monosynaptic in the living organism, are they? Stick your finger in fire and watch several muscles fire off automatically. Pull off a great prank to startle someone and a well choreographed set of muscles set off a startle and guard reflex. Several muscles activate in response to one stimulus. Think about it.

Now, what if you could do specific stimuli on purpose, with the intent of reversing or stimulating established reflexes? Could you not then stimulate muscles that reflexively antagonize targeted muscle groups? Could that be a way to reverse guarding and relax even groups of muscles along synergistic patterns?

Most curiously something I say at every sharing session we've ever had is echoed in your boards: "If I have been able to see farther, it was only because I stood on the shoulders of giants."
(Sir Isaac Newton)

I'm trying to remember who said it first, but there is "nothing ever new under the sun - just a new understanding, or a rediscovery of what was lost." (My paraphrasing.)

Has anyone here ever tried to meet with the best minds they could, with the intent of solving something, of doing something better?

What happens when you do that with every single good technique you come across?

"Take what is useful, discard what is not." (Paraphrased from Mas Omaya)

Have you ever had an "a-ha" or "eureka!" moment when it all just suddenly made sense? Could not something new emerge from that moment, from that idea?


This, if anything else, is an invitation to test everything vigorously. Test what you know. Test what you don't know. The blind faith of acceptance is not much different from the blind faith of rejection. These things are so well primed and fueled by fear. Fear of the unknown. Fear of what is unfamiliar. Fear of what could destroy acceptance or the status quo. For us, it has just been a choice:
Do we keep doing what does not work, or what does not work so well? Do we keep doing something for which the evidence is so well stacked against? Do we succumb to fear, or do we choose to see what works?

Do we test everything, or are we fine with the rut we're stuck in?

Do we want better for our patients, or do we just stay in the boat we've always been stuck in?

Depends, doesn't it? Does your boat work?

The best description I’ve heard of insanity stems from the NLP community:
Insanity is when we "keep doing what we've always been doing, and then continually expect different results."


These are just thoughts.

Perhaps that is where evolution starts -- a thought.

My cat meows a certain way, motions to the shower, then to the faucet. I get her a bowl of water. She meows approvingly, assuring me I’ve got it right. I'm well trained. She trained me well. Faster than any teacher and master I’ve ever trained with.

Meow.

The science behind RDTs
You already have the science well studied.
The work of Eyal Lederman and Leon Chaitow is an excellent place to start.
Even in books you already have, there is already a wealth of material on PNFs, METs, reflexes, proprioception, mechanoception, reflexive inhibition, adaptation, facilitation, somatic dysfunctions, and higher center involvement in LMN function.
The science is out there. It’s the approach that is radically different.

There are unfortunately not yet any large-scale randomized controlled double-blinded Meta studies on Rapid De-Afferentation techniques. Mainly because there isn't anyone we've been able to compare results with. The techniques are different. The results are different. Strong multicenter protocols for dissecting this work have not been built.

Next reason is because we're clinicians. We just don't have the time yet to crunch numbers and do all the studies ourselves. If academicians want to come up and do the studies, we're open to that. Meantime, we're too busy to do paperwork explaining to the world the WHY of how we've getting the amazing results that we do get.

We can show you several gigs of info on the science of it all, but wouldn't you rather see results?

What are RDTs?
The entry I deleted From Wikipedia:

'Rapid De-Afferentation Techniques' (R.D.T.s, or RDTs) are a system of soft-tissue rapid-release techniques developed by Sandro Strix S. Toledo, M.D. These techniques have the commonality of being able to quickly break the nociceptive cycle for somatic dysfunctions. Some of the RDT methods bear resemblance to ease techniques of osteopathic manipulation. The reflexive techniques for soft tissue release appear to be unique versus references in the general medical and peer-reviewed manual medicine literature.”

What are RDTs (Rapid De-Afferentation Techniques)?

RDTs are manual medicine techniques and protocols that utilize reflexive pathways and the phenomenon of reciprocal inhibition as a means of switching off inflammation, pain, and protective spasm for entire synergistic muscle groups or singular muscles and soft tissue structures.

RDTs are a hands-on method for turning off pain and spasm and for turning on the recovery cycle and an autonomic "reboot." The reboot here is essentially a turning off of the sympathetic overload and a flooding with a good series of parasympathetic signals.

A Still point is often reached at "reboot," as is a theta brain state.

Physical therapists and Doctors

Just if you might be really interested in learning the fastest hands-on means we know to get rid of pain on the spot with long lasting functional gains, we're pre-offering the opportunity to sign up for a limited slot pilot class for Rapid Reflexive De-Afferentation Techniques (RDTs).

We're gearing to do this by August - September 2009.
Temp dates: August 15-16, August 29-30, and September 5-6, 19-20.
Location: Boracay Island
More than the certification, you go home with the chance to correct on the spot structural complaints and to resolve pain that no one else can - faster than NSAIDs, better than opiates.

We invite you to take up this challenge with us.
As soon as you get over arguing with yourself how useful this is for you, your patients, your practice, and your financial well-being, you may signify intent to join us at assist@tuecaremed.com with the subject line "sign me up for RDT training NOW, please!"

Sorry, slots will be limited to maintain heavily hands-on workshop environment.

Until more formal arrangements can be made with regard pre-requisites, we would greatly prefer that you have prior training on functional positional releases and Muscle Energy Techniques. We recommend you sign up for these with Sirs Leomil and Val (UST / SOMATIC).

See you then.

Suggested reading:
1. Fryer G 2000 Muscle Energy Concepts –A Need for a Change. Journal of Osteopathic Medicine. 3(2): 54 – 59
Fryer G 2006 MET: Efficacy & Research IN: Chaitow L (Ed) Muscle Energy Techniques (3rd edition) Elsevier, Edinburgh

Ruddy T 1961 Osteopathic rhythmic resistive duction therapy. Yearbook of Academy of Applied Osteopathy 1961, Indianapolis, p 58

Solomonow M 2009 Ligaments: A source of musculoskeletal disorders. J Bodywork & Movement Therapies 13(2): IN PRESS

Smith, M., Fryer, G. 2008 A comparison of two muscle energy techniques for increasing flexibility of the hamstring muscle group Journal of Bodywork and Movement Therapies 12 (4), pp. 312-317

McPartland, J.M. 2004 Travel trigger points - Molecular and osteopathic perspectives Journal of the American Osteopathic Association 104 (6), pp. 244-249

Hamilton, L., Boswell, C., Fryer, G. 2007 The effects of high-velocity, low-amplitude manipulation and muscle energy technique on sub occipital tenderness International Journal of Osteopathic Medicine 10 (2-3), pp. 42-49

McFarland, J.M. 2008 The endocannabinoid system: An osteopathic perspective Journal of the American Osteopathic Association 108 (10), pp. 586-600
Magnusson M Simonsen E Aagaard P et al 1996a Mechanical and physiological responses to stretching with and without pre-isometric contraction in human skeletal muscle Archives of Physical Medicine & Rehabilitation 77:373-377

Magnusson M Simonsen E Aagaard P et al 1996b A mechanism for altered flexibility in human skeletal muscle. Journal of Physiology 497(Part 1):293-298

The Ultimate Mega Cure-All

Wednesday, July 15, 2009
The Ultimate Mega Cure-All
"Get used to the idea right away that no single system can or should claim to have an exclusive fix on the dynamics of health."
[Mendelsohn M.D.]

It's really funny to have wonderful critics who are still stuck in the box. We're in awe. Their amazing intuition and insight allows them to judge posthaste what they have not seen before. Wow. I wish i could evaluate postural dysfunctions that fast.
[Kat, RDT Practitioner]

We won't claim to have all the answers. In fact, point us in the way of anyone who claims to have all the biostructural fixes in one system, and we'd like to meet that person. Not to shoot him down, but to shoot ourselves down. We'd love to be proven wrong. We'd love to see one thing that works for everything. Especially when everything else has not worked for you, who wouldn't love a one-stop cure-it-all shop?

Point us in that direction. We're going.
I'm bringing a notebook, a recorder, a large Java mocha, and popcorn.