“Dr Levy takes you in 15 minutes where most

doctors won’t take you in 15 visits”

Bernard Musselman, DC, RN, CCSP, CSCS – Long Beach, CA

Peter J. Levy, D.C.

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

1

CHAPTER 1

I would like to start off by congratulating you! Whether you are a student struggling to get

through school or a working professional who has already paid their dues, Thank you for

investing in your talent, your career, and your future! This is exactly what Neuromuscular

Reeducationsm is, an investment in yourself and your potential. You should expect a

considerable return on investment when you join our team.

It all starts with a dream, a dream of being a successful, skilled practitioner, earning

enough to support your desired lifestyle – that might include buying a dream car, having a

family, taking a much­deserved vacation or an exciting hobby. Then finally the BIG day

comes: we graduate with student debt and a heart full of hopes and dreams, then our first

school loan payment kicks in and it all shatters.

Naturally due to the financial crisis of 2008, achieving our dreams of being our own boss

are harder and harder to reach. So plan B kicks in: we will work for someone else and then

when we have the experience, we will start our own business… except that landing our first

job has been harder than we had anticipated...

If you are already a licensed health care professional, be it a chiropractor, an

osteopath, a physiotherapist or a massage therapist, you already know how the

cost of doing business, better known as overhead, can put a stranglehold on your lifestyle

and dreams. Practitioners too often subordinate their personal lives and goals to their

business needs instead of the other way around: having your business support your wants,

needs and dreams.

Don’t give up on your dreams and the new technique you are learning for your practice.

Take fifteen minutes or more and invest in your future by watching the FREE shoulder

protocol videos. Apply the NMRsm protocol to at least 15­20 patients/clients following the

instructions, in the simple e­book format, that are being attached along with the shoulder

protocol and you will find that this may well be the one technique that will, when properly

applied following the directions, take you toward your goals with a little effort on your

part.

2

Once you have mastered the shoulder protocol you may well want to:

1) Purchase the complete ONLINE Level I Level II DVDs to learn how to treat the rest of the

body.

2) Attend a seminar at an upcoming location to further your soft tissue skills.

3) BEST OF ALL: Once you have convinced yourself that this technique is valuable, you

might choose to sign up for one­on­one personal coaching until the goals that you set for

yourself, after a no­charge consultation, have been achieved. It’s truly, and I may be biased,

the best kind of coaching with the most predictable results.

That will be your choice…..make it one that works in your favour and opens up the pleasure

of practicing without stress.

Take the NMRsm Shoulder Protocol challenge! Follow the easy steps I’ll provide you with

and you will wonder how you have made it without Neuromuscular Reeducationsm.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

3

CHAPTER 2

Prerequisite Class Materials

While the following information is meant for delegates to my seminars, it is equallyapplicable to those of you working with the FREE SHOULDER PROTOCOL (or any otherpart of the body). As always, if you have questions, please call me or write me.

You will want to order "TRAIL GUIDE TO THE BODY" by Andrew Biel. This book isthe best­illustrated and written book I’ve seen in a number of years and I have made itand the flashcards a prerequisite to this work. If you’re serious about this work youmight consider purchasing the Musculo­Skeletal flash cards along with the "Trail Guideto the Body" and make it your passionate pursuit until you are an expert in soft tissuework. Order information below.Ordering in the United Stateshttp://booksofdiscovery.com/

Ordering in the United Kingdom, Europe, and Asiahttps://www.booksofdiscovery.com/international­orders.php

Book of Discovery InformationThis website has some great electronic resources even if you already have the book.The price is reasonable and it is a great way to learn if you are in your car a lot.Use code STU15 to receive 15% discount on any Trail Guide to the Body ProductsBooks of DiscoveryCustomer Service: 800­775­9227Email: info@booksofdiscovery.com

Area’s of Study ( for Level I )

NECK : Levator Scapula, Scalenes, SCM & Upper TrapsSHOULDER : Every one of the muscles...impeccably!!!LOW BACK : Erector Spinae (as a group), Quadratus Lumborum, Serratus PosteriorInferior, Psoas (I know it’s a hip flexor) Learn it anyway!HAMSTRINGS : Biceps Femoris, Semi­Membranosus, Semi­TendinosusBUTTOCKS : Gluteus Maximus, PiriformisHIP : Gluteus Medius, Gluteus Minimus, TFL, Psoas, Obturator Internus and ExternusKNEE : Hamstrings, Quadriceps, Gastrocnemius, Sartorius & Gracilis

You do not need to know the deep intrinsic muscles of the neck, low back and buttocks forthis seminar, but you will need to learn them sooner or later when you take Level II, TheExtremities...so why not at least start now?

4

How Best to Learn the Material?

Of course the learning process is different for everyone. Some people are visual and love“The Anatomy Coloring Book” by Kapit & Elson. It’s literally a coloring book where youcolor in the name of the muscle and then you color the muscle (it helped me tremendouslyin school). It also gives group actions, which you need to learn anyway.

Some people learn better when they are actually touching the origin as they say it and thentouching the insertion, and then going through the motion that muscle makes.

Some people make a tape recording and play it as the drive around and learn how to do ananatomical drill. One enterprising doctor took a magic marker (water soluble) and markedhis wife up every night for a half hour as he drew the muscles on her.

The simplest course of action I have found is to actually use the flash cards and commit 5­10 muscles a day to memory and then cross­reference them as you are working onpatients/clients with the manual. It’s the best way to just dig in and learn the material. Ifyou have a skeleton you can work with that. It’s truly different for everyone. But please dofind out how you learn best...and then learn!

For Example: If you are learning the Quadratus Lumborum, it’s enough to know that itcomes off the crest of the ilium and attaches onto the 12th rib. Once you have the feel ofwhere a muscle is, what it does, and what other muscles do or help do the same motion theseminar is actually quite easy. Please try not to come to the seminar with a reason as to whyyou could not learn the material...or at least made a bona fide effort. It slows down theclass and seems to irritate people who have taken the time to prepare. I’m sorry to be soblunt...but it’s the truth...and it’s this body of functional knowledge, combined with yourpersonal skills, that makes the technique spectacular.

Check List for the Day of the Seminar

Come prepared ­ Have reviewed the class material – “The Trail Guide to the Body” – ByAndrew Biel

Review the list of muscles on the previous page.

FORMATION OF SCAR TISSUE / ADHESIONS

Scar tissue. Adhesion. Fibrosis. The words are different, but the concepts are the same.This dense, fibrous tissue affects us all and is an underlying factor in many injuries. Scartissue binds up and ties down tissues that need to move freely. As scar tissue builds up,muscles become shorter and weaker. Tension on tendons causes tendinosis. Nerves canbecome trapped. All these problems can cause reduced range of motion, loss of strength,and pain as well as tingling, numbness, and weakness. Scar tissue forms two different ways.

First, if a muscle, tendon, or ligament is torn or crushed, the body creates scar tissue to‘glue’ the torn pieces together. This is a necessary part of the healing process. Second,more common way for scar tissue to form is by soft tissue in the body not receiving enoughoxygen (hypoxia). Hypoxia is more common than one may think. Poor posture, athleticpursuits, repeated use, and sustained pressure (as in sitting) all increase muscle tensionand result in hypoxic conditions. When muscle tension is increased, blood supply to thearea is reduced. A healthy blood flow is so important because blood carries oxygen tomuscles. A reduced blood flow means less oxygen and that means hypoxia.

Hypoxia leads to free radical accumulation in muscles. Unfortunately free radicals attractcells that produce scar tissue. These cells begin lying down scar tissue and over time, scartissue begins affecting surrounding muscles, tendons, ligaments, fascia, and nerves.

5

The following are some of the common effects of scar tissue:

Decreased Muscle LengthScar tissue does not have the same flexibility and elasticity as healthy muscle. Since itdoesn’t lengthen like normal muscle, areas with scar tissue may have limited range ofmotion and an altered joint axis of rotation.

Delayed Lengthening SpeedA muscle with scar tissue may still reach full length, but the time needed to achieve this mayincrease. Since muscles need to work together with precise contraction times, big problemsresult. For example, you kick a soccer ball. The quadriceps (front of your thigh) mustshorten and the hamstrings (back of your thigh) must lengthen. If the quadriceps shortenat their normal speed, but scar tissue in the hamstrings slows down their lengthening time,a tear can result.

Decreased StrengthScar tissue acts like glue binding up muscles. Bound muscles have less functional muscleavailable to work. Fewer muscle fibers working simply mean less strength can be produced.Pain or a subluxated joint can also limit strength.

PainNociceptors (pain nerve endings) have been found in scar tissue, so the scar tissue itself canbe painful. Pain also can be felt in the involved tendon attachment or in a structurecompensating for functional changes due to scar tissue.

Nerve EntrapmentNerves are supposed to slide through and around muscles, not stick to them. If a nervehappens to lie next to scar tissue, it can become entrapped. The scar tissue "glues" thenerve to the muscle. Then when you move, the nerve becomes tugged on or tensionedinstead of sliding as it is supposed to. Nerve symptoms are weakness, numbness, tingling,burning, aching, and pins and needles. These are a few of the most notable implications ofscar tissue. Unfortunately the body doesn’t have a natural mechanism to remove scartissue.Neuromuscular Reeducationsm is a highly effective method for reducing and/orminimizing the limiting effects of scar tissue. After reducing scar tissue, preventing itsreturn and further rehabilitation exercises with Proprioceptive Neurological Facilitationand core exercises can help “Reeducate” muscle function and prevent many injuries inthe future.Soft tissue work, the breaking up of adhesions, scar tissue and restricted joints is, inalmost all cases, uncomfortable. Expertly done, however, it will give a patient fasterrelief and your business will grow as a direct result of your learning and marketing thesenew­found skills.When you are given an indication for number of strokes, use your discretion and thepatient’s comfort as your indicators. Learn the pattern to use over the area of concernand then feel for the adhesions. The point is to perform the stroke until you feel that therestriction is breaking up and/or the patient can actually feel a positive change.When you are given instructions to use a two thumb contact, use one thumb and thenback it up with a second thumb contact or use both thumbs together to avoid injuringyour own joints.The key to doing this work is not to hurt your own body, but to use your body weight toleverage your position and to be able to apply specific pressure with the least effort. It ismost effective to have a low and narrow table. Your own body mechanics are critical

6

Keep your elbows against your side and use your body to drive your arms. Do not reachout with your hands to perform these protocols if avoidable.Learn what a patient’s tolerance is and stick to that. No matter what you do, keepchecking with the patient. If the patient indicates they are new, ask every 3rd or 4thstroke, “Is this alright?” until you have a really clear sense of what the patient can andcannot tolerate. Too often patients will hurt themselves trying to please the doctor.While working on the body, particularly the chest, diaphragm and solar plexus; warn thepatient in advance that they may find themselves feeling emotional or crying for noapparent reason and that these feelings might be the result of the current treatment. Asyou release adhesions, you will release tissue memory and emotions may surface whichthe patient was not consciously aware.As you work on any injured area, the patient might literally go back and re­experiencethe pain of the injury. Do not be overly concerned. Be sensitive to what the patient isexperiencing and ask them if they want you to stop for a while. Let the patient dictatewhat you do, always!When working on any sensitive area, particularly the buttocks, groin and breasts, alwaysexplain to the patient what you intend to do. Make certain they are coveredappropriately. Have them hold the towel in place and just work up to their hand to avoidany embarrassing situations.It is advisable to have the patient fill out an informed consent form in advance oftreatment.You can be social with a patient but it dilutes the effect of the treatment for the mostpart. Try to focus on talking out loud about what you are doing. 1) It reminds you of whatyou are doing and what you need to do. 2) It lets the patient know that you are focusingand you really don’t want to be interrupted. 3) It impresses upon the patient theprecision of the technique. 4) It serves as a great topical review.This work is NOT massage. It is neither relaxing nor particularly pleasant. It is simplyeffective. You will find that you can relieve or minimize a problem in a much shortertime. You may well have to “break up” the way in which you have thought about the timeit takes to treat a patient and what should be charged for that time.

Peter J. Levy, D.C., Santa Barbara, CA

DISCLAIMER: This is to provide information for hands­on practitioners of the healing artson the subject of functional anatomy and soft tissue protocols. It is not intended to replaceany consultation, diagnosis and treatment by any licensed health care professional. Theapplication of any protocol contained herein is done on the reader’s sole recognizance andliability.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

7

Level I Videos Cover Muscles of the:

Neck

Shoulder

Lower Back

Optional Lumbar Moves

Buttocks/glutes

Hips

Hamstrings

Knees

Level II Videos Cover Muscles of the:

Arm

Forearm

Thumb

Hand

Thigh

Ankle and Toes

Leg

Foot

CHAPTER 3

By now, I hope you've mastered the NMRsm Shoulder Protocols. You know what it takes?

You need to simply learn the 19 muscles with their origins, insertions, actions and

synergistic muscles performing the same action and that’s it ! You learned it in school…you

might as well relearn it and use it and you’ll be delighted with the results.

When you see and your patients/clients feel the RESULTS, I hope you will be excited about

learning how to use NMRsm on the rest of the body.

While I've talked a little bit out the entire NMRsm Online Video Programme in the past

couple of emails, let me quickly tell you what's included:

If you like the results you're getting with the shoulder, I'd invite you to seriously consider

investing in Level I, Level II or both!

I also teach live seminars nationally and internationally. To find out more about these

seminars, visit nmrseminars.com.

8

Just think… with knowledge on how to use NMRsm on most muscle groups in the body,

you'll literally be able to treat the majority of your patient's injuries quickly and efficiently

with NMRsm in your toolkit, you'll experience...

the satisfaction of helping your patients heal in amazingly short time frames;

the increase in income from seeing more patients and charging more for your services.

an increase in your referral base that you never knew was possible.

And don't forget, you can call me anytime for information and to ask questions as you learn

and implement the entire set of protocols into your practice.

What are you waiting for? Go check it out... NMR Online Video Program

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

9

CHAPTER 4

Now that you’ve had a few days to watch the Shoulder Protocol videos and hopefully

received your Trail Guide to the Body book and flash cards (and started reviewing the

shoulder section), it’s time to start practicing.

Who do you practice on? Well, if you’re a student, practice on fellow students and other

friends. If you’re already a professional practitioner, you’ll probably want to stick with

friends and family….please don’t burn out your patients with unpracticed enthusiasm

unless they really trust you and have a high tolerance level.

Click here and watch my short video on The Gold Form and then download the Gold Form

for your own use… on every single patient/client.

As you practice, it’s critical to keep the actual protocol time to 15 minutes max in order to

prepare for working with a higher volume of patients. While the total time the patient is in

the office is more than 15 minutes, the time you take to actually work on one individual

area is 15 minutes or less.

I only work on the area of major complaint that the patient fills out on the GOLD FORM in

a single visit until it is reduced in pain and improved in function to the patient’s

satisfaction. One area and one area only. Otherwise you end up chasing all over the body

following symptoms and can’t really focus on the one area properly with regard to precise

soft tissue work.

Once you feel reasonably comfortable with the protocol, set a day in 10­14 days where you

are committed to working on approximately 15 ­ 20 patients…and their shoulders….and

only their shoulders…and only 1 shoulder…and always, always use a GOLD FORM before

treatment and have them rate their pain and lack of function on a 1 – 10 scale both before

and after the treatment with “10” being on a stretcher and headed for the hospital and “0”

being no pain and full function.

10

TRUST ME... by the end of 15 – 20 shoulders you will have a decent idea of how to work a

shoulder protocol. It doesn’t mean that you’re an expert, but you’ll have more confidence

in your application of NMRsm than before. You can repeat this process with another day of

shoulders or move on to another part of the body….but that’s how you really learn the

technique. Pain and lack of function…..those are generally the two main issues that bring

people to your office. When you have their response/score at the end of treatment,

calculate the percentage improvement and have them acknowledge that improvement.

There are 168 hours in a week and you are only seeing them for maybe 2 visits or 30

minutes out of that time…..and the GOLD FORM helps them stay accountable and aware of

their improvement when they are in your office.

Now get out there and enjoy practicing the shoulder protocol! And if, by chance, you have

questions, please call or write me…I’m generally available and happy to help you.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

11

CHAPTER 5

While you’re practicing the Shoulder Protocol, and now that you’ve set a date for working

on your first group of shoulder patients, it’s time to get down to the business of recruiting

those patients and setting some financial goals for yourself.

The first thing you need to do is to come up with a list of potential patients.

1. Current and past patients

2. Anyone else you might know what could benefit from shoulder work

3. Facebook or Linked­In advertisements

4. Newspaper Ads

5. Flyers you have distributed at gyms, health/yoga studios

Next, email out the Patient Challenge Letter (download here) to your entire patient

database to get an indication of how many patients may need the new skill you’re learning.

This letter works with any part of the body you may decide to focus on later as well.

Your goal should be to have 15­25 people who respond positively. If you are going to be

treating patients with 15 minute protocols, that’s 4 patients an hour. You might want to

start out with 20­minute protocols to give yourself a little leeway but don’t go over that.

When you send out the email with the Patient Information Letter, also send them a copy of

the attached Muscle and Fitness article with your name, address and phone number in the

lower right corner of the last page.

Let them know that you are interested in resolving their issue and that you were just

trained in a technique that you feel may well be the solution to their symptoms and/or

limitations.

As they answer the questions on the Patient Information Letter, your patients will start to

understand, at some level, that they have been putting up with their issue for way too long

and that your offer is just too good to pass up. The patients who are interested will then

call you. Answer any question they may have and then invite them to come in for a courtesy

consultation and brief exam. Have them do this in open hours where you have no patients

or on a weekend when you have time. No courtesy exam should last more than 10­15

minutes at the most. Ask them to bring any imaging or prior records they have or instruct

them to have any required imaging elsewhere.

While you continue to book patients for your first NMRsm Day, I'm going to invite you to

start looking at the financial pieces involved. This includes both what you will be charging

and the income you’d like to generate from using your new NMRsm skill set. I'll talk with

you about this in the next chapter.

Yours in health and learning,

Peter J. Levy, D.C.PJL: mof

www.nmrseminars.com

c: 805­637­8033Skype: drlevyotg

12

CHAPTER 6

PLAY WITH THESE NUMBERS OR GENERATE YOUR OWN, BUT

UNDERSTAND HOW POWERFUL THIS PROCESS IS IN GOAL SETTING

************************

How much do you want to gross per year? (e.g. $150,000.00)

How many weeks do you want to work per year? (e.g. 47 weeks, leaving you5 weeks a year for vacation.) $150,000 divided by 47 weeks = $3191.00 aweek you need to earn

How many days do you want to work per week? (e.g. 5 days per week) 5days a week x 47 weeks = 282 working days a year

How many hours do you want to work per day? (e.g. 7 hours per day)

Work out how many working hours you have each YEAR:

7 hrs/day x 5 days/week= 35 hours x 47 weeks/year = 1645 hours per year

Now work out what your average hourly rate should be based on your annual target

income:

$150,000 divided by 1645 hours = $91.00 per hour you need to earn to achieve that goal.

Can you see how this works? That’s peanuts! You need to tighten something up: charge

more, take a little less time, work fewer hours, take more vacation, look at all of the

variables you have to work with.

Let's assume that your NMRsm and adjusting appointments will be 20 minutes long, which

means you can see 3 patients per hour. To get your ideal price per treatment, divide your

hourly rate by 3:

$ 91.00 / 3 = $30.00 per treatment & THAT’S TOO LITTLE…

YOU SHOULD BE WORTH A GREAT DEAL MORE THAN THAT.

MAYBE YOU NEED TO SET YOUR ANNUAL GOALS HIGHER

MAYBE YOU NEED TO VALUE YOUR SKILLS MORE HIGHLY

MAYBE YOU JUST NEED TO FEEL THAT YOU’RE WORTH IT

13

HECK: MAYBE YOU NEED TO LEARN THIS TECHNIQUE AND MAKE IT

ALL HAPPEN AND MAKE YOUR BUSINESS SUPPORT YOUR LIFE GOALS

Does this playing with numbers numb you? It did me, until I learned how to

do it and create the kind of practice, the kind of patients, the kind of free

time, the kind of life that I really wanted

For the example above, the minimum you should charge per treatment is $30.00. This

might sound reasonable to you, or it might sound way too high or way too low – I've

worked it out using the figures above, but to get YOUR treatment rate you need to work it

out for yourself. Neuromuscular Reeducationsm is so effective that when you get good

enough to charge top dollar, your patients will be very happy to pay you a premium rate.

That's because patients/clients want, and will pay for, RESULTS above all

else. And guess what? You’ll end up getting people better faster, working

fewer hours, charging more money and having more time for your life…if

that’s what you want.

Finally, some more advice to keep your appointments short (less

than 20 minutes). At the end of each patient’s first visit, you should

know the 4­6 muscles that are primarily involved with the person’s

issue. Given that it takes about one minute per protocol, that means

subsequent visits should take no more than 4­5 minutes, yet the fee

remains unchanged. It’s important to let your patients know this in

advance, particularly in the Informed Consent you have them fill out

and to educate them that you are charging for RESULTS, not

time. As long as they are improving, you are on the right track.

Otherwise go back and do the entire protocol again, carefully, and

find out what muscles you missed.

In the next chapter I’ll be talking about your NMRsm debut day and how to manage the free

consultations you've offered.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

14

CHAPTER 7

Your scheduled NMRsm Debut Day is around the corner and you’re having prospectivepatients /clients come in for their free consultations.

Here’s what you do for each patient:

Have the prospective patient/client come in 15 minutes early to fill out paperwork. Whilein the waiting room, have your patients complete the attached GOLD Symptom Form, theInformed Consent and a brief Patient History which you should already have if they areexisting patients. Read the Informed Consent yourself, CAREFULLY, to see andunderstand what it says about all aspects of Neuromuscular Reeducationsm. Make certainthat the contents apply to you and your style of practice and legal requirements.

Take your time explaining the Informed Consent carefully and the GOLD FORM inparticular as they will be filling it out every single visit before they walk into your treatmentroom.

After they complete the forms, take them into the treatment room and do a thoroughshoulder exam to determine the potential source of their discomfort and to determine ifthey are a good candidate for NMRsm. Maximum time for this exam should be 15 minutes.

If I think a person might need an x­ray I tell them. Sometimes they demure and I say,"Please fill out a form saying you don’t want x­rays taken" and have them sign it. OtherwiseI might say, “ I’ll treat you 2­3 times, but if there isn’t sufficient improvement in a shorttime period, I will insist on x­rays or have to discharge you.” Do whatever falls within theethical and legal standards of patient care you need to observe.

If the person is a good candidate, explain your findings and what you think it will take. Ifthey agree and want to work with you, ask them to go to your front desk to be put on theSchedule for your first NMRsm day and have them schedule a series of 4­6 treatments ifpossible. If they ask why so the number of treatments, explain that their progress, as theywill be evaluating it on each visit on the GOLD FORM, will determine the numberof visits…and don’t blink.

I'll tell you about what to do with your first paying NMRsm patients or clients in the nextchapter.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

15

CHAPTER 8

Your big day has arrived and your first NMRsm patient is in the house! Here’s what’s goingto happen.

Take out the first Gold Form from the consultation and check with them to makesure their numbers are current for pain and loss of function for today. Questionthem about what it is that they want to be able to do with their shoulder when it isworking properly again. If there is no “WHY” there is no “COMPLY” on their part.

Treat them.

After every one or two protocols (individual muscles that you work on), have themstand up and check to see if that muscle is one of the involved muscles. Sooner orlater, throughout the protocol, they will stand up and say something like, “Moreease, less pain. greater range of motion etc." and then you will know that thatparticular muscle you worked on is one of the prime muscles involved in that jointdysfunction.

Please note those muscles down on your treatment sheet for the following sessions.At the end of the first session, have them write down their current numericalevaluation of their pain and lack of function based on the treatment on the GoldForm. If it went from an 8 to a 6, for example, you would say, “That’s about a 25%improvement in one treatment. Does that work for you?” This helps themacknowledge the improvement in each session. If you don’t get them acknowledgingtheir improvement, patients seem to have a remarkably short memory about theirprogress unless it’s in their own handwriting. Once again, you might be seeing themfor 30 minutes (2 sessions) a week) and the other 167.5 hours they are living theirown lives and you have no idea what they are up to.

If they don’t have any appreciable results, reschedule a full 15­minute treatment;

Provide a post­treatment sheet about soreness, potential discomfort for a day ortwo, the use of ice, heat and the option of using/buying proteolytic enzymes toreduce the potential inflammatory response from breaking up scar tissue. You canuse any product with a high protease count. All of this is covered in the initialInformed Consent…but as I said, patients have a notoriously short memory abouttheir results.

If by chance they didn’t book more than one session, have them schedule their nextseveral sessions on the way out.

16

A note about billing: I have always run a cash practice for the last 13 years, however, ifneed be and you want to run a cash practice, give them a bill with the appropriate codesmarked and let them do their own billing. Please read my INFORMED CONSENTFORM….and change whatever you need to in order to conform to your legal needs.

Follow through with these patients’ scheduled visits for the duration of the scheduled visitsor until the re­exam. When you’re comfortable with your skills and can see the benefit ofusing a results­driven technique like NMRsm, I’d invite you to upgrade to the entireNeuromuscular Reeducationsm System of on­line DVDs or attend a seminar near you orbetter yet, call me and set up a No­Charge 45 minute consultation to see if you’re agood candidate for one­on­one consulting/coaching to truly accelerate your desiredgrowth.

When you implement the steps I've outlined, you should be reasonably proficient intreating the shoulders. If not, repeat the entire process. By the time you’ve done 20+shoulders, you should have a pretty clear sense of what works and what you need topractice. Then, repeat the process for any other part of the body…necks, low backs, hipsetc. If you have any questions about this feel free to email me at drpjlevy@me.com

Please read the next chapter about monitoring your success rate in a few days.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

17

CHAPTER 9

At the end of your first full NMRsm day, you should have a decent idea of how to do theShoulder Protocol. If you’re thoughtful, you will know what was easy and what needs morepractice. Look at your projected NMRsm income goals and check to see if you’re on trackfor meeting those goals. See if you are generating the income you expected and note what itwill take for you to meet or exceed your projected income from your new NMRsm skills.

Why wouldn’t you want to be the best, most sought­after soft tissue practitioner in yourtown or city? For most practitioners I’ve trained in NMRsm , they find they are making a lotmore money than they have been using standard chiropractic, osteopathic, massage andphysiotherapy soft tissue techniques & methods. If you’re a Chiropractor or Osteopathdon’t forget to do your adjusting at the end of a session. The truth, however, is that whenyou are good you will generate the results your patients/clients came to you for and themoney will follow. Somehow, when you are just chasing the money, it never seems to workas well. Why not, once again, just become that superb that people come to you from milesaround. Please read the following testimonial….it’s less about me rather than what thetechnique allowed a friend of mine to become.

"This message gets to you about 9 1/2 years late. I was able to attend one ofyour seminars back in 2001. I had always been a big advocate of incorporating soft tissuework with adjusting. I just was not sure as to what technique to use, and how toincorporate it into my treatment plans. Well your one seminar changed all that and putme on a path that I can only say thank you for. I live in a small rural area with apopulation of approximately 4,000 people. I work 3 1/2 days a week and seeapproximately 145­150 seeing people form as far away as South Carolina (I live in NewEngland). I also have patients that travel in from the larger cities to come see me as well.My practice sees everyone from new born babies to 90 year old patients. As a result ofmy ability to treat soft tissue injuries I see a large portion of the local athletes, along withmost of the local high school teams as well. So once again, Peter, Thank you. I hope thisemail finds you well.

Martin Streb, DC – Hubbardston Chiropractic

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To learn how to use Neuromuscular Reeducationsm for the rest of the body, check out theNMRsm Online Program or come along to a Level I Seminar or join our team for one­on­one coaching/consulting….that’s where you will truly see acceleration and growth in yourpractice.

If you truly want to leverage your time and energy in your business, consider hiring amassage therapist. They already have the basic training in anatomy that is the minimalrequirement for this job. Be rigorous in your standards for the right person… you can’tafford to be less than demanding. Get them trained by me with the DVDs or consulting one­on­one. It will take a special person…I had a most amazing therapist in my Los Angelesoffice and my practice exploded in 1 year from $ 0.00 to over $200,000. Consider puttingthem under an 18 month contract with the following provisions:

They are paid well per patient/clientIf they leave at any time before the term of the contract expires, they agree to thefollowing: They will pay you two times the cost of the NMRsm Seminar They give you a minimum of 60 days notice so you can train a replacement They will not practice within a 10 mile radius of your office.

It’s called leverage and that principal alone will propel you toward your goals. Are youbeginning to see what NMRsm can do for you? Stay tuned for more information.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

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CHAPTER 10

We all know that word of mouth referrals make the very best patients but mostpractitioners have never put a systematized referral program into effect in their practice.

Here are some great ideas for referral programs and some general tips:

Take a photo of the patients and get either a video or written testimonial. NOTHINGis as powerful as a third party validation. Make sure your patient agrees to yousharing their testimonial (in writing if necessary).Post the Patient Invitation Letter in local gyms/fitness centers and other activity­based centers.

Referral ideas:

Give a free session for every 3 referrals who turn into a paying patientDo a punch card system where they pay for 10 visits up front and get a discount andthen get the 11th visit free.When a patient refers a friend to you, give the friend $10 off their first appointment,and give the patient who sent them $10 off their next appointment. My UK Director,Judith Townshend, uses this method and is getting 3­5 referrals per week as a result.

TRY THIS:

Go to a local newspaper and tell them that you have a special technique for soft tissueinjuries and you would like to demonstrate it on one of their staff at no charge. If thestaff person feels an improvement, ask them if they will write a brief article about thetechnique. Don't ask them if they will write an article about you....count on the fact thatthey will include your name and contact information. The next question is how manynewspapers or local magazines are within a 90 mile radius? People will drive a distanceto get RESULTS.

If you have any questions about this process, please call me by phone or SKYPE(drlevyotg) at my office at 805­637­8033.

Once you can apply this technique to the shoulder, you can apply it to any other part of thebody and, when you feel you are competent, attend a live NMRsm seminar near you to getcertified, receive a diploma and be listed on the website for future referrals. Again, onceyou have convinced yourself that Neuromuscular Reeducationsm can take you to whereyour dreams live, call me, write me, SKYPE me and ask about the one­on­oneconsulting program… there is no more powerful way to accelerate your practice.

Yours in health and learning,

Peter J. Levy, D.C.

PJL: mof

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

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CHAPTER 11

And there you have it. All of the necessary information to get started with the FREESHOULDER PROTOCOL. It’s honestly simple and generally easy if you follow thedirections. If, at any point, you have any questions, please feel free to e­mail or call me tounravel the mysteries of this process.

Possibly the hardest part is educating the patient to the concept of filling out a subjectivereport, the GOLD FORM, on every visit, both before and after the treatment so that theyare aware of their progress…. and letting them know, clearly, that they are paying for aRESULT, NOT FOR YOUR TIME.

It also means that you will be working on the one major area of complaint at a time until itis resolved. Then you move on to the next area. Patients need to understand that you willonly be treating one area at a time until the symptoms are resolved.

Also, please don’t mix the NMRsm protocols up with any other modality so that patients orclients are quite clear that it is the NMRsm that is making the difference. With regard to theReeducation part of the protocol. You can be a brilliant practitioner, but if you don’t havethem doing core exercises or PNF known as Proprioceptive Neurological Facilitationmentioned under the "Articles" section for rehab work for the extremities, then their issueswill most probably reoccur and guess who will be blamed…. the practitioner!

To avoid this possibility I schedule an appointment with the patient, give them theexercises, demonstrate how to do them and the have them come back in a month toevaluate their progress.

If they come back in a month and are complaining about ongoing symptoms, I have themdemonstrate the exercises they were doing to reeducate/rehabilitate the involved area. Onoccasion they will not be duplicating what they were shown and this lets you know that theresponsibility lies with the patient, not with your treatment.

Yours in health and learning,

Peter J. Levy, D.C.

www.nmrseminars.com

c: 805­637­8033

Skype: drlevyotg

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