ChiroMasterMind

This is a very powerful realization when it comes to persuading people that chiropractic is the right course of action for them. I say persuading because that’s what it is. You are trying to sell someone on why you are the best choice for their health care provider.. The sooner you realize this, the easier it will become.

People rarely make decisions as a product of long deliberation. They may take weeks to announce a decision but often make the decision in minutes, even seconds. People do not gather data to make a decision, they often gather it to JUSTIFY their decision. They are not accumulating understanding; they are seeking comfort and support. Most decisions are made, then justified, rather than the other way around.

One obvious implication: “First impressions are lasting” understates the actual case. The first impression, with startling frequency, is also the final decision! What does that mean for you? Well, how are you dressed (professional or sloppy-even when out of the clinic)? What does your reception area look like?How is your front desk staff (Pleasant or cranky)? Look at everything and ask what is my patient thinking the first time? Your future depends on it!!

Dr. Perry Nickelston, DC
VP Practice Development, K-LaserUSA

www.k-laserusa.com

Clinic Director of the Pain Laser Center, LLC 

www.painlasercenter.com

1-866-595-7749 Ext. 102

pnickelston@k-laserusa.com

Tags: General, Integrative Treatment Strategies, Practice Tips of the Day by Dr. Perry
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There are 5 major nerves that innervate the ear.

1.   Vagus Autonomic is a branch of the PNS

2.   Trigeminal Nerve goes to the facial muscles, nerves and bones

3.   Facial Nerve controls facial m uscles and taste.

4.   Cervical Plexus innervates head, neck and shoulder.

5.   Glossopharyngeal innervates the mouth and throat

Laser auriculartherapy is applied to acupuncture points in the ear and meridian points of the body. It does not focus on the acupuncture meridians but on the use of the ear as a localized reflex technique that modulates the central nervous system and endocrine system.

 Auricular therapy points (AT) emerge only when there is pathology. These AT points correspond to anatomy and neurology. AT points have lower skin resistance and this is helpful in locating points. The ear contains tissue from all 3 germ layers from embryological development; endoderm, ectoderm, and mesoderm.

PRECAUTIONS:

• Do not use laser auriculotherapy on anyone with a seizure disorder.
• Not for use or eradiation around the eyes.
• Photosensitizers-Such as St. John’s Wart, Retin-A, Tetracycline.
• Pregnancy
• Cancer-avoid tumor sites
• Be careful over tattoo sites-Gets very warm

 Pulse Frequency:

Continuous wave is the most common. There has been no clinical evidence that changing frequencies per Nogier’s ear frequency zones increases success rates. However, I have found clients can respond better to a frequency change. Always start with continuous wave first and then try 20Hz if desired.

Power Output:

10-500 mW have been used in the industry. I have found the most successful outputs to be either 150 mW, 200mW or 300 mW for auricular points. It is not recommended to go below 150 mW of power. To get 4 joules per point with a 200mW probe on continuous wave frequency each point is treated for 20 seconds. 300mW probes require only 15 seconds. Great results are also possible with a 150mW probe, but the treatment times are longer.

Wavelength:

Red or infrared is fine. Most addiction therapy lasers use a visible red wavelength in the 600nm range. Research has found more success with wavelengths in the 800-900nm range. We prefer the 800-900nm wavelengths because of the deeper penetration power. Note: Infrared lasers are more costly than red, but you get what you pay for. Don’t go cheap or you will pay with decreased success rates. As a side not I prefer Visible Red lasers for auriculotherapy.

Dr. Perry Nickelston, DC

1-866-595-7749 Ext. 102

www.k-laserusa.com

www.painlasercenter.com

Tags: General by Dr. Perry
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Have you ever met a person and felt an incredible instant connection? It’s almost as if you’ve known this person forever. Your gut tells you this person is someone you can trust and would enjoy getting to know better. Although you can’t consciously make up your mind why you’ve sensed this connection, your subconscious mind has made the decision for you.

People hire professionals they like and trust — in other words, people they feel a bond with and connect with on an emotional level. And since this type of bonding takes place at the subconscious level, you better learn how to access it if they are trying to sell their services too. Amazingly enough, the words that actually come out of a person’s mouth when talking to people don’t have much to do with establishing a bond. While I’m not suggesting that you should say whatever the heck you feel like to prospective clients, you must understand it’s not nearly as important as you might think. In reality, what is important is how you say things to people and your body language. They both work on the subconscious level and that is what establishes the bond between you and your prospect. 

SPEAKING BODY LANGUAGE
So how do you use body language to your advantage when trying to sell services? The best thing to do is to “mirror” the prospect. Never mock your prospect; merely assume the same body language he or she is presenting. If the prospect is the type of person that “talks with his or her hands,” then you should do the same — even if you don’t normally speak with your hands. If the prospect is standing and you are sitting stand up and greet the prospect. You need to have the same body language as the prospect.If you do not use this technique already you’ll be amazed by the results. The connection you will feel with the prospect will be uncanny. More than likely, you’ll be able to find the emotional reason the prospect wants to achieve his or her desired fitness goals. And, since people hire fitness professionals for emotional reasons and not logical ones, they’ll be halfway to closing the sale after about 30 seconds of conversation and bonding with the prospect.How you say things isn’t as important as body language, but it’s still essential to bonding and closing a sale. You need to be a bit of an actor.

Mirroring the prospect’s tonality, sounding like they sound, makes them feel comfortable with who their trainer is. If they talk fast, then you need to talk fast. If they are speaking slowly then you should speak slowly. While this does take a little while to get used to, it’s astoundingly powerful.You can strengthen the bond between the prospect by using the same words they use. As an example, if you prefer the term “physical therapy” and the prospect refers to it as “rehabilitation,” be sure to begin saying “rehabilitation” during your conversation. This might seem insignificant, but the prospect’s subconscious, where bonding takes place, will take notice. And whatever you do don’t use complicated terms your prospect has never heard of. If you ramble on about subluxation and x-ray findings, there’s a good chance the potential patient will glaze over. When that happens, guess what? You’ve destroyed the bond between them and more than likely blown the sale. There’s no need to try and impress them. The prospect thinks you are an expert, otherwise he or she wouldn’t be talking to you in the first place.

These bonding techniques aren’t meant to trick people to pay for something they don’t need. They are powerful methods to help prospective patients discover they need the services of a qualified professional. Yes, the goal is to close the sale. But more important, you have gained a new client. And that means another person has begun the journey that is chiropractic and wellness.

Dr. Perry Nickelston

www.painlasercenter.com

www.k-laserusa.com

pnickelston@k-laserusa.com

1-973-800-6570

1-866-595-7749 Ext. 102

Tags: General, Integrative Treatment Strategies, Practice Tips of the Day by Dr. Perry
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Ok, now it’s time to bring some science and reality back to laser therapy. All sorts of people are out there making claims that lasers can do all these wonderful things, and that’s true. But only, and I say only, if you follow logic, science, application and proper diagnoses. I will leave it up to you to make the final decision on what makes sense after this little blog lesson is over. I am not here to judge or make recommendations. Only to show you the ‘light’. Pun intended.

Fact 1. Wavelength determines penetration. This little fact  is based on the electromagnetic spectrum of light. If you have the wrong wavelength for therapeutic application, no amount of power will make the light penetrate any deeper. The 790-820nm is the deepest penetrating wavelength. Anything lower or higher is more superficial. It’s just the law of science. Saying ‘light is light’ does not change the principle of the response. That’s like saying liquid is liquid.

Research indicates (look on PubMed for studies) that 4J-10J per cm/2 is the recommended laser dosage for deep tissue response and healing.  Dosage applies to the amount of laser energy delivered per surface area. If that’s the case, let’s look at an example of what you would need for adequate response with laser therapy on a lower back. Keep in mind that at least 50% of applied laser dosagewill be lost in the superficial tissue layers before it even reaches the target area.

Simple calculations in treating a lumbar injury dictate an area of 400cm/2. This equates to between an average of 2,500 joules of energy. How much time would that take you with a 5mw laser? Let’s see. Well, with a 5mw laser it will take you 3.3 minutes to deliver 1 joule. So it will take you 8,250 minutes to deliver 2,500 joules. That is 137 hours! How much time do you have? How about at the other end of the spectrum? How long will it take a 10watt laser? Well, you get 600 joules per minute with a 10watt. It will take 4.1 minutes to get 2500 joules. How much time do you have?

I want you to think first before you leap into using a laser and believing everything you hear. Follow the research. I mean read it yourself. Don’t take any at face value. Not even mine. Learn yourself. If you want some of the research I use to substantiate my writing, e-mail me and I will be happy to supply it. We are all here to help patients get well. They deserve to have the most effective and ethical treatment options available.

Dr. Perry Nickelston

1-866-595-7749 Ext. 102

www.k-laserusa.com

Tags: General, Integrative Treatment Strategies by Dr. Perry
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An acidic pH has considerable influence over the majority of weight problems, including Diabetes and Obesity. It seems that a habitually acid pH can directly cause immediate weight gain. Here’s what happens when a system is too acid. A condition known as Insulin Sensitivity or Syndrome X results, which forces too much insulin to be produced, and the body is flooded with insulin so that it won’t waste any calories, it diligently converts every calorie it can into fat.  

It is thought that an acid pH immediately signals the powerful genetic response to an impending famine, directly interacting with the all important and very sensitive, Insulin- Glucagon Axis. This makes the body produce more insulin than usual, and in turn, produce more fat and store it. In general, the more insulin is available to the body, the higher the probability that fat will be produced and stored, rather than used and burned as energy.

Thus, an acid pH will alert the genetic response to famine, directing more insulin to be produced and storing more fat than usual. Conversely, a healthy, slightly alkaline pH, will be more likely to yield normal fat burning metabolic activity, making no demands on the body to overly produce insulin and make fat, allowing fat-weight to be burned and naturally lost. And, with a healthy pH, there’s less likely to be any yo-yo effect, or rebounding from a diet with additional weight gain. As long as nutritional stores are maintained, a healthy, slightly alkaline pH allows fat to burn normally for energy, rather than being hoarded under the mistaken biochemical belief of an impending famine.

With increased pressure to produce insulin under the worst conditions, beta cells lose phase with one another, cellular communication is thwarted and the Immune System begins to over- respond. Stress within the cells increases, making it difficult for them to perform adequately, and further, survive. In a very real sense, they simply burn out!  Acidosis is thus thought an important yet often underestimated precursor to Diabetes Mellitus. Interestingly, before the advent of synthetic insulin, diabetes was treated historically by buffering the system with base or alkaline causing powders.

An acid pH inhibits efficient cellular and body metabolism. Acidosis causes chemical ionic disturbances, interfering with cellular communications and functions. Acidosis reduces Ca (calcium) binding of plasma proteins, reducing the effectiveness of this intracellular signal. Acidosis also leads to a disease of calcium cations (positive Ca) entry through positive Ca channels, resulting in reduction of cardiac contractibility, or the ability of the heart to pump efficiently and rhythmically. 

Also, positive Ca and positive H (Hydrogen) regulate the activity of intracellular proteins and are driven out of cells, because of the “Sodium-Potassium pump” (Na-K pump), which provides a strong incentive for sodium to be driven into cells. There are some 10 times the amount of positive Na in extra cellular fluids than in cells. The Sodium-Potassium pump regulates the amount of sodium and potassium each cell in the body stores, and uses up as much as 25% of our caloric input per day to run. Positive Ca exchanges the positive Na, being forced out of cells, but naturally, the electrochemical gradient for positive Ca favours both positive H and positive Ca entry into cells, as there is less calcium and positive H in cells than in the extra cellular fluids. 

Therefore, in acid solutions, less sodium will be present, slowing down the processing and induction of nutritional items going into cells. (Calcium may become inordinately leached from bone mass, causing osteoporosis.) An acid pH drains us of energy and disallows stored energy reserves to be used. Furthermore calcium may become inordinately leached from bone mass, causing osteoporosis.

 Evaluate your patients with urine pH+ strips and then a comprehensive program to restor the balance.

Dr. Perry Nickelston, DC

1-973-800-6570

www.k-laserusa.com

www.painlasercenter.com

Tags: General, Integrative Treatment Strategies by Dr. Perry
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Increase your Billing. Do and bill for “Neuromuscular Reeducation Code 97112.” *Don’t forget to put on a billing modifier code if you do the NMR with a CMT (adjustment) Neuromuscular Reeducation NMR is “reeducation of movement, balance, coordination, kinesthetic sense, posture, and proprioception,  each 15 minutes.”  These are the things you want to be doing anyway to ultimately reverse a patient’s condition. It’s not just about symptomatic relief, right? 

Here’s how you do it. Document 3-5 minutes of PNF stretching (Proprioceptive neuromuscular Facilitation) That’s soft tissue work. If you touch the patient you can justify the work. Just name the muscle worked. Purchase a BAP’S BOARD or WOBBLE BOARD and put one in every treatment room or make one room exclusively for this type of rehab. Have the client balance on the board for 2-3 minutes (attended). Your procedure is complete. Three things happened: You dramatically increased your rehabilitation of the patient, you can bill more for a justified procedure and you get fantastic patient retention! I know for a fact that few chiropractors do this procedure. The patients remember it, it’s fun, it’s challenging, and they will always tell you “my other chiropractor never did anything like this.”

Added incentive #1: Keep a supply of the boards in stock because the patients WILL want to purchase one for home use. Name your own price. A simple wood board can be sold for $30-50$.

 Added incentive #2: You can bill the patient for doctor supervised instructions on how to use the equipment at home. Use Code 97535 Self Care/Home Management Training. Examples of notations include, Activities of Daily Living ADL’S and Compensatory Training, Instructions In Use Of Adaptive Equipment. 

*These codes can be used if they purchase other equipment too (back cushions, lumbar belt, wrist splint, anything) Bill for your time! It’s valuable

Dr. Perry Nickelston, DC

www.k-laserusa.com

www.painlasercenter.com

1-866-595-7749 Ext. 102

Tags: General by Dr. Perry
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Self-esteem is the foundation on which everything else is built. When you have positive self-esteem, you can reach your highest potential, regardless of what kinds of opinions others have about you. Patients usually choose doctors who are self-confident and appear to have complete control of their practice. How can you improve your self-esteem? Everything starts with a plan. Yes, a plan. It’s not simply a matter of positive self talk and negative self concept control. Self confidence can’t be bought. You have to develop it inside you. It takes desire commitment and work.

 Here are some ways that you can begin to develop your own self-esteem plan starting today. Remember, just because someone rejects chiropractic care does not mean they are rejecting you!

• Accept yourself as you are. Don’t try to be somebody else. The worse thing you can do is read a “script’ from a book, consultant manual or professional resource verbatim. Make it your own. If it feels awkward to say, believe me it’s more awkward to hear. Change the script to suit you, simply use the overall theme to help you get the desired results.
• Recognize, without judgement, where you need to improve. HOT TIP: Instead of trying to improve on your weak areas (like most doctors), find your stronger areas and MASTER them. Become the absolute best at that strength and make it your uniqueness. You can’t be everything to everybody.
• Appreciate your mind. Appreciate your body. IF you don’t look and act like someone who is health conscious, why in the hell would anybody follow your advice. Walk the talk!
• Be a person of integrity. Once you cross over the line, you can’t come back.
• Keep a running list of your accomplishments. In and out of the clinic.
• Be responsible for your own decisions and actions. BE~DO~HAVE. (More on this later)
• “To become act as if.” Act confident in all situations and you will become confident.
• Look in the mirror every evening and compliment yourself on three things you that day to make a difference. For example, perhaps you smiled at a stranger, someone acknowledged your expertise, you accomplished a near impossible task. Remember something you did allowed positive things to happen.
• Your goal is to plan for, and do more, of those activities. When you do, your self-esteem and your practice will both grow.

Dr.Perry Nickelston

www.k-laserusa.com

1-866-595-7749 Ext. 102 

Tags: General, Practice Tips of the Day by Dr. Perry
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Why are some doctors busy and in demand virtually all the time, while others struggle to get by? Because they have established themselves as leaders in their field-the top doctor in their market. They are in short, gurus –considered so knowledgeable and expert in their field that patients flock to them, while their competitors wonder why and must settle for picking up the leftovers.  Gurus are great at selling and marketing themselves and what they do. What is the easiest way to begin? Write an article in your local community magazine or newspaper. Better yet, think Big Time and submit one to a larger industry magazine. ’Health Magazine’ anyone?

You possess a lot more knowledge than you suspect and can bring your own unique perspective on a topic. Be alert to current events in sports and how you can write an article on the topic. Call the publication editor and ask for an Editorial Calendar.  I recommend researching Bacon’s Publicity Checker from Bacon’s Publishing Co., the bible of the public relations industry. It lists thousands of magazines and newsletters according to business or industry category. Pick a few and submit article ideas. Educational information and not blatant self-promotion is the key. The ‘advertisement’ for you and your service in the article will be your byline and the brief bio of you that runs with the piece.

Dr. Perry Nickelston, DC

1-866-595-7749 Ext. 102

www.k-laserusa.com

Dr. Perry is VP of Practice Development for K-LaserUSA, leader in Class 4 therapy lasers. He is Clinical Director of The Pain Laser Center, LLC in Ramsey, NJ.

Tags: General, Practice Tips of the Day by Dr. Perry
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Case scenario #1: Patient X presents with chronic left sided trapezius muscle spasm and mid-back pain. Previous chiropractic, physical therapy and massage treatment has given minimal results.

Case scenario #2: Patient Y presents with chronic shoulder pain. Surgery, physical therapy and chiropractic temporarily alleviated symptoms, but it has returned worse than ever.

Case scenario #3: Patient Z presents with chronic cervical pain and radiculopathy into the left upper extremity. MRI results are normal and chiropractic manipulation of the cervical and thoracic spine has not helped.   

How can you help these patients? What are you going to do differently than all the other healthcare providers who treated these people? I’ll tell you. Look outside the proverbial box for a First Rib Fixation Syndrome. A majority of doctors will overlook this syndrome as part of their initial examination and diagnosis. This is unfortunate because an elevated first rib can cause a myriad of symptoms and complications, leaving a patient to suffer unnecessarily for years. 

Possible Symptoms:·      

Trapezius Spasm·      

Neck Pain·      

Headaches·      

Shoulder Pain·      

Radiculopathy·      

Jaw Pain·      

Mid-back Pain·      

Paraesthesia·      

Chest & Sternal Pain 

Anatomy and Mechanics

The primary components of the supraclavicular fossa and muscular attachments to the first rib include: the anterior and medial scalenes, subclavius and serratus anterior. At risk of compression with an elevated first rib are the Sublavian Artery and the three trunks of the Brachial plexus. 

Secondary kinetic movement muscles of the syndrome include: the pectoralis major/minor, sternocleidomastoid, trapezius, infraspinatus, subscapularis, supraspinatus, rhomboid major/minor, serratus posterior superior and the levator scapulae. 

A superior rib develops in a person affected by a muscular imbalance problem known as ‘The Upper Crossed Syndrome.” In this syndrome, the subscapularis and infraspinatus are loaded with trigger points, resulting in weakness and the inability to keep the humeral head externally rotated and inferior. The humeral head translates superior and anterior affecting the acromioclavisular joint and sternoclavicular joint mechanics. The cervical spine becomes kyphotic and the patient has forward head carriage resulting in rounded shoulders and a hyperkyphotic thoracic spine. The scalenes, serratus anterior and sternocleidomastoids over compensate and develop trigger points. Referred pain from these trigger points manifest new symptoms. Due to the attachment of these muscles on the first rib, superior elevation occurs. The trapezius has an instant reflex guarding mechanism and goes into tightness and spasm. Compression of the brachial plexus and subclavian artery may occur leading to Thoracic Outlet Syndrome. 

Evaluation and Treatment 90% of your diagnosis should come from the patient history. Your examination is designed to confirm your diagnosis. During your patient history ask about sleeping habits. Typically, elevated first ribs occur in patients that are stomach sleepers, they may sleep with one arm tucked under their head, or sleep with multiple pillows. Extensive work in front of computers and the use of a mouse may result in micro-trauma to the trapezius muscle. Hyperflexion/hyperextension injuries usually have a rib involvement. First Rib Syndrome is mandatory for evaluation in all athletes, especially tennis players and weight lifters. Almost every athlete is affected by one component of the syndrome. This should be a mainstay of your clinical evaluations. During examination palpate the supraclavicular fossa for tenderness, spasm and edema. A patient will inherently pull away when you touch an elevated first rib. Look for the ‘Jump Sign.” You will find active/latent trigger points in almost all of the muscles listed above, particularly the scalenes, scm, and infraspinatus. X-ray the patient’s cervical spine with AP, lateral, and oblique views to rule out a possible cervical rib involvement.Following are a list of therapies that are effective for treatment. A combination of all gives you greater success in clinical outcomes. 

·       Laser therapy of the supraclavicular notch and all primary trigger points. Recommended dosage of 500 Joules in the notch and 250-500 Joules per trigger point. The cervical spine may need laser for relaxing the mulitifidi stabilizer muscles allowing for a more effective and longer lasting adjustment by reducing the ‘muscle memory splinting’ reaction. 

·       Soft tissue mobilization per your technique (MFR, PNF, ART, TPT, etc) on all the muscles listed above. Pay close attention to the anterior, medial, posterior scalenes and the pectoralis major/minor. 

·       Manipulation (adjustment) of the first rib. Speed is of utmost important. (See photo)  

·       Adjustments of the cervical and thoracic spine per your preferred technique. 

·       EMS and heat of rhomboids and serratus posterior superior. 

·       Scapular retraction exercises. 3 Sets of 15-20 reps daily with resistance bands. 

·       Self Myofascial Release with Biofoam Rollers on the shoulder posterior capsule and thoracic spine 3x per week. 

·       Stretching of the pectoralis muscles. 

By taking a little extra time to investigate areas outside the focal point of pain you can have a profound impact on a patient’s quality of life. Remember, if you chase pain you will forever be lost.  Now you can be the one physician who gets to the root cause of a problem. Your patient’s will thank you for it. 

Dr. Perry Nickelston is VP of Practice Development for K-Laser,USA and Clinic Director of The Pain Laser Center, LLC in Ramsey, NJ. He may be contacted at www.k-laserusa.com, pnickelston@k-laserusa.com, or 1-866-595-7749 Ext. 102.

Tags: Class 4 Laser Therapy, General, Integrative Treatment Strategies by Dr. Perry
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There are do’s and don’ts for success in laser therapy. Satisfy these Ten Commandments and you will find your clinical success rates increase and patient satisfaction will soar to new heights. Now that is a pretty good deal. Here they are. Short, sweet, and to the point. Oh and if you don’t believe they are all important, try doing all ten and then take one away. Watch what happens. I dare you.

1. Proper Dosage- Yoy must get between 4J/cm2 – 10J/cm2 on tissue to have a therapeutic response. For instance 50cm2 deep tissue area will require up to 750J for proper response.

2. Wavelength-Determines penetration. For deep therapy stay in the IR (Invisible Red) range of 790-1000nm. Most common is the 800nm range. Wavelength is measured in nanometers. VR (visible red) in the 600nm range is too superficial for deep penetration. Don’t believe me, read a physics book. Get the right wavelength or results decrease.

3. Skin on skin-Laser must be in contact with the skin or exposed to skin surface. Adequate dosage cannot be obtained through objects like clothes, furniture, etc. Just use common sense. If it seems stupid, it usually is. Or better yet. Try it on skin and then through clothes. See which works.

4. Power-Higher power decreases treatment time and increases laser photon energy deeper into tissue. 500mW compared to 10,000mW is a big difference in dosage and penetration. Low powered lasers do work, but it takes longer for a session and longer to get results. (In my experience)

5. Proper Diagnosis-No laser in the world will help if you aim it at the wrong spot and simply chase pain. You should have an improvement within 3 visits or you are doing something wrong. Usually too low a dose or wrong diagnosis.

6. Nerve Root-Always treat the nerve root associated with any physical condition. For Example. Tendonitis in the elbow can be caused by nerve root adhesions which shorten the muscle and increase length tension relationships at the origin and insertion resulting in inflammation.

7. Treat Proximal to Distal-Always treat the spine first and then the peripheral area. You need to free up the lymphatics and nerves. This makes for a greater feedback mechanism of laser energy.

8. Treat enough times-Most conditions takes 3-6 visits with a high power laser and as much as 10-20 with a lower power laser. Depends on the dosage they get each session and if the diagnosis is correct. Tell the patient up front what the time frame is for healing.

9. Don’t over treat-Too much laser is just as bad as not enough. Just because you have higher power does not mean you kill the area with joules. Too much will inhibit cellular healing. You may get rid of pain, but ultimate healing is the goal. Follow the dosage rule above and you will be fine. Be wary of too much laser in one session and in one area.

10. Pick a Niche-Master a condition and become known as the “Guru’ of that injury and you will become so busy they will be turned away. For example: Be the ‘Shoulder Pain Laser Doctor’. Specialize or perish! Business 101.

Take time to learn the truth about lasers. Don’t even take my word for it. Research and see who is telling you the truth. Fancy brochures, pictures and sales tactics may make you buy a laser, BUT it will come back to haunt you and your patient’s when the results are poor. Reality speaks for itself by results!!

Dr. Perry Nickelston, DC

VP Practice Development, K-LaserUSA

1-866-595-7749 Ext. 102.

www.k-laserusa.com

Tags: Class 4 Laser Therapy, General, Integrative Treatment Strategies by Dr. Perry
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