Vertigo Types, Causes & Solutions

00:06-02:16Introduction to Vertigo 
02:29-06:36The Types of Vertigo 
06:40-13:39Benign Paroxysmal Positional Vertigo EXPLAINED! 
14:02 – 17:31Cervicogenic Vertigo EXPLAINED! 
17:56-27:49Chiropractic management of VERTIGO EXPLAINED!
29:17- 31:12Supplement of the Month: Bergamot! 

Introduction to Vertigo 

Dr. Clayton Roach: [00:00:06] All right, so here we go with Vertical. Yeah. So tonight we’re doing vertigo.

Dr. Ben Boudreau: [00:00:14] So if you’ve ever suffered a head.

Dr. Clayton Roach: [00:00:15] Not fun, not fun.

Dr. Ben Boudreau: [00:00:17] If you’ve ever suffered a head or neck trauma from an injury accident or even from prolonged poor posture. You may have experienced a bout of vertigo or dizziness before. Vertigo is more common among the elderly. It can affect all ages equally and is often an early symptom of an inner ear or a neurological problem. The dizziness that you experience is a little bit different and vertigo than that of common dizziness. It’s very important when you’re describing your dizziness that it be in accordance to what vertigo actually is.

Dizziness is just a blanket term for symptoms like vertigo, unsteadiness, nausea, sweating, fatigues or headaches and light-headedness. When you have vertigo, it feels like the world is spinning around you instead of in dizziness, where you feel like you’re spinning out of place. Vertigo is a little different. Your environment is spinning while you’re staying stationary.

Dr. Clayton Roach: [00:01:22] Yeah, and I will say that you would want more to feel like the room is spinning around you than you are spinning in terms of the neurological consequences and the complexity of treating the issue. Again, those questions are important because, like I said, vertigo, I believe, is one of the most misdiagnosed thing. You tell your doctor, you know, I’m suffering from vertigo. Boy, I tell you, you know, you get the treatments can range from A to Z, right?

Most of the time it’s a treatment based on guessing in terms of what’s creating that vertigo. And yes, you can go to balance and dizziness clinics and they can do all this testing. But hopefully we’re going to bring a little bit of light to that whole topic that is vertigo and where it can came from. And is it something that maybe chiropractic can help you with, right?

Dr. Ben Boudreau: [00:02:17] Absolutely.

Dr. Clayton Roach: [00:02:18] So. Ben. Let’s do this.

The Types of Vertigo

Dr. Ben Boudreau: [00:02:23] So definitely the types of vertigo, you know, there’s a peripheral nervous system in a central nervous system, and vertigo can present both in the peripheral and in the central. Your pngs or the peripheral nervous system is the portion of your nervous system that consists of the nerves outside of your brain and spinal cord. Once it leaves the vertebra and exits the intervertebral form in vertigo that stems from the pngs or the peripheral nervous system consist of a condition known as BPP benign paroxysmal positional vertigo, which we’ll get into in just a second neuronal nidus, labyrinth, itis and Munir’s disease. Neuron pneumonitis and labyrinth itis are related to infections, and usually they clear up within a few days when the inflammation tends to subside.

Dr. Clayton Roach: [00:03:22] And if you can I just want to mention like you can get literally like a flu, right? And if it’s, you know, obviously it’s viral and it can start progressing from your throat station to and it starts going into the inner ear middle ear and then it starts to progress. And all of a sudden you’ve got your library, which is, you know, part of the inner ear that starts to be infected and you’re going to get what’s called labyrinth Titus, right? So that can come from a very simple flu or virus that’s inside of you and vestibular neurons.

This means that the neurons in the vestibular apparatus of the inner ear and the cochlea and everything, we’re going to talk about that a little bit same thing. And there’s inflammation of that nerve. So very, very complex is the inner ear and how we are able to perceive where we are in three dimensional space, in other words, are awareness and so that you don’t have vertigo or dizziness. And also how we hear. So it’s a very complex little part of the anatomy, right?

Dr. Ben Boudreau: [00:04:28] And so because they have more of an inflammatory nature in the inner ear, when the inflammation subsides, so do the symptoms, and they oftentimes will go away PPV and Meniere’s disease. On the other hand, they tend to have longer life cycles. Right. And so we’re splitting the up into the types of vertigo there’s PNGs and CNS stands for peripheral nervous system, and those consist of BP v. acute vestibular pneumonitis, labyrinth itis, as well as Munir’s disease. Now you can also have central nervous system vertigo. The central nervous system, or the CNS, consists of your brain and your spinal cord, and it’s very good always caused within the CNS that present alongside other neurological symptoms like headaches.

Some sensory symptoms, right? A lack of sensation, or maybe a increased sensory or a sensitivity, or even auras, which often appear before migraines. And so CNS. So some of these CNS symptoms can be a migraine, a cervicogenic vertigo and multiple sclerosis. So we’ll be jumping a little bit more into cervical vertigo later on in the conversation. But it’s associated with neck pain or injury and the symptoms present with neck movements. Yeah.

Dr. Clayton Roach: [00:05:57] Yes, so again, you know, that’s just summarize, we’ve got the yes, which are the nerves outside peripheral periphery means outside of the central nervous system. And bear in mind that the central nervous system is a brain in the spinal cord. We’re talking about the types of verticals that happen outside the central nervous system, which are the ones that we’ve named here with BPP Labyrinth, Titus, vestibular rhinitis. Then we have the ones that are more central nervous system based that can be associated with other symptoms like the headaches, the auras, the multiple sclerosis. So two categories, right?

Benign Paroxysmal Positional Vertigo EXPLAINED! 

Dr. Ben Boudreau: [00:06:37] Absolutely. And so now we’re just going to jump into one of the more common types of vertigo which do present to the practice often. And so this is known as our peripheral nervous system vertigo. The most common peripheral nervous system, vertigo. And it is BPP, which stands for benign paroxysmal positional vertigo. And so benign means that it essentially comes out of nowhere, right? Not really sure what the cause is, but it is the most common cause of dizziness and vertigo. It’s brief episodes of dizziness, nausea and or nystagmus triggered by head movements and odours.

Dr. Clayton Roach: [00:07:25] Yeah, nystagmus, assuming so that we understand what nystagmus says is when the eyes start to go side to side, side to side, right? So basically, it’s almost a movement that you would see if a bunch of cars were going for rolling in front of you. Your eye would look at one car. When the car is too far, you would catch the other car so the eyes go left, right, left, right, left, right. That is what we call nystagmus, right? Basically, your head, you know, the room is spinning, so your eyes are trying to track one thing, but it’s going too fast. It’s picking up the next thing that’s coming. That’s why we call that. That’s what we call nystagmus

Dr. Ben Boudreau: [00:08:04] In a very common symptom of BPP is nystagmus. By the way, over seven percent of the population will experience BP in their lifetime at some point, and 80 percent of those people will require some type of medical intervention or medical treatment. Mm-hmm. And so the symptoms necessarily so. The symptoms are classic episodes of rotary vertigo that lasts between 20, 10 and 20 seconds, usually. So the world is spinning around you. And this is following a change in head position, right? So either getting up or going down into bed, rolling over, et cetera. So any time that you’re moving your head back and forth or whipping it from side to side, you could be at risk of suffering from vertigo.

Dr. Clayton Roach: [00:08:52] And as you’re going to see that this is one of the verticals that we, as chiropractors can help you with one of the questions we will ask you if you do have. I’d like to abbreviate BP, but I’m positional vertigo. The word paroxysmal was a little bit of a tongue twister, but what I always ask my patient is which side that you turn your head to that provokes the vertical. We need to know that for the treatment that we’re going to talk about. So it is very, very much easier. If you tell us when I turn my head to the left, the whole world starts to spin. When I turn my head to the right, the whole world starts to spin because that’ll dictate the type of treatment we do for you in the maneuver that we’ll talk about soon.

Dr. Ben Boudreau: [00:09:44] So Dr. Roach, do you want to talk about the semicircular canals?

Dr. Clayton Roach: [00:09:50] Uh, sure. So the semicircular canals are the ones that you see that are in blue. They’re on the. I’ll just highlight with my pen here. These are the semicircular canals. There are three one, two and then three. So basically, these three semi circular canals sit inside your head on both sides. And there’s liquid inside. They’re called endolymph. Ok. And that endowment is liquid. That basically based on where the liquid is, gives the brain the ability to know where your head is tilting to. If you’re tilting to the right?

The emblem will tend to tilt almost like a glass of water if you tilted the water tilts with it. Now the brain is alerted as to where your head is tilting. Is it tilting to the right, backwards, or forward? Again, in treating this condition with BP, we can play a role in shifting that end of limb from the way that kind of for lack of a better term resets the brain so that this positional vertical stops. So it’s one of the ways that our brain knows about where we are in three dimensional time and space.

Dr. Ben Boudreau: [00:11:07] Absolutely. And so in a condition like BP, with the three tubes, hollow tubes connected together that sort of give us the idea of where we are in space. Sometimes what will happen is there’s a sack at the bottom and in the sack there’s stones or crystals. Sometimes these stones or crystals will enter into one of your hollow tubes. What will happen is that will sort of trick the brain into believing that there is that you are meant to go to one side. The indolence can’t move properly or correctly in the tubes.

What ends up happening is you get a bout of vertigo. We’re going to talk about the treatments a little bit in in the next few slides. We just want to make you aware that these crystals can be returned back to the fact that they came from. It just takes time because that ambulance doesn’t move very quickly. It’s kind of like a jelly rather than a than a than like a water. So it takes a little bit of time for it to move through.

Dr. Clayton Roach: [00:12:12] Yeah. So what you’ll see here, the little what’s called the cuticle here in in the middle at the core, which is where the liquid kind of lays in there. Every single semi-circular canal has a bunch of little hairs called cilia, and those cilia is almost like the bottom of the ocean where you have like plants that kind of go back and forth with the current right. So the current in the semi-circular canal, the endolymph goes in through this whole area. And depending on how the cilia are stimulated, if they’re going right to left or left or right, it stimulates those little nerve endings. And that’s how the communication is transferred from both semicircular canals to the brain. So the brain can then interpret where the head is. Ok.

Dr. Ben Boudreau: [00:12:58] Yeah, absolutely. And so most cases of BP actually involve the posterior semi-circular circular canal, although they can involve multiple, which then makes the case a little more complicated to treat. However, we’re going to show you a move here that is meant to help relocate some of these crystals back into the sac from the posterior cervical canal semi-circular canal.

Dr. Clayton Roach: [00:13:28] Whoo! This is heavy. This is heavy stuff, so we were talking about vertigo and episode number forty-three. Humpday conversation with Dr. Ben Boudreau and Dr. Clayton Roach. If you’ve learned something so far and I know you guys are lying if you tell them that you haven’t learned something because this is pretty heavy stuff. Give us a thumbs up, just a little bit of heart. And we’re going to continue this talk if you’re on YouTube right now. You might want to click Subscribe. So that way you can get some of the new episodes and get notified when we have another episode. We’re going to continue with the next one, which is biogenic vertigo.

Cervicogenic Vertigo EXPLAINED! 

Dr. Ben Boudreau: [00:14:04] Yeah, so cervicogenic vertigo is different than BPP in the sense that it’s not affected by head movement, OK? It’s more affected by the movement of the neck and body because cervical vertigo is caused by a lack of cervical proprios sectors. So this is a lack of basically sensory on the surface of the skin and in the muscles that tell you where you are in space.

Dr. Clayton Roach: [00:14:35] Yeah. So let’s talk about proprioception. Proprioception is basically the mechanism that connects your connects, your joint movement to the brain. Ok. When somebody, let’s say, sprains their ankle? There’s a lot of proprioceptive in the ankle, so part of the treatment or the rehab of a sprained ankle is to balance on an unsteady surface and do like a foam pad and you’ll go one leg and you know, the foot starts to tremble and what it’s doing, it’s firing off these receptors that are reconnecting the ankle to the brain.

The brain can kind of prepare the whole recovery process so that once you go to absorb a ground force when you’re running, then the muscles and the ligaments will be able to be alive and support the ankle later on. So proprie receptors are a little signals that let the brain know how to join is moving and where it’s at.

Dr. Ben Boudreau: [00:15:36] Yeah, absolutely. And so in cervical Virgo, we lose some of those and so the brain is lost. It has no clue where it is in space. And the vertigo is often triggered by a lot of pain in the neck, lack of range of motion, you know, and oftentimes you’ll see a lot of upper cervical segmental joint restriction. And so a condition like this cervical vertigo is perfectly suited for the chiropractic office. Now there’s a special test because you want to be able to determine, OK, do we have benign paroxysmal positional vertigo or do we have a cervical genetic vertigo? And so how we would determine the difference between the two with BP, we can easily take the individual back.

We use a test called the DIX Hall Pike maneuver to determine how the individual responds to a change in position if they suffer from the vertigo. Whereas in cervicogenic vertigo, we use a test called the head fixed body turn test, a.k.a. are also known as the torsion test. It aims to isolate those cervical meccano receptors so those cervical proprioceptive without stimulating the vestibular system. The balance system without moving that inner ear or causing any issue. We’re looking to see by holding the head in place and turning the body, will that recreate some of the individual’s vertigo?

Dr. Clayton Roach: [00:17:10] Nice. And just saw you break down the word cervicogenic cervical, I put the line here. Cervical means neck, OK, and genic means of origin. It means that the vertigo is of origin in the neck. It’s originating from that center. You can have cervicogenic. Headache means the headache is caused by the neck.

Chiropractic management of VERTIGO EXPLAINED!

Dr. Ben Boudreau: [00:17:34] Hmm. So there’s a lot going on here because this slide is no small feat. Chiropractic management of BPP and vertigo is a very serious event. I know that Dr. Roach has more experience than I am treating this particular, this particular condition. However, I’m going to speak on BPP in general and then we’ll jump into how we test for it and our treatment approach for the condition. So BPP is the most common cause of dizziness and vertigo. It’s the most common vertigo out there. It’s oftentimes seen in the posterior semi-circular canal, and it’s characterized by brief episodes of dizziness, nausea nystagmus.

The eyes moving back and forth and beating is all triggered by head movements or changes in position. Like we mentioned prior, seven percent of the population is going to suffer this. So, you know, seven percent doesn’t seem like a lot, but over the course of a lifetime, seven percent is quite a lot. Yeah, and 80 percent will require medical treatment. It affects the semicircular canals, of which there are three hollow fluid-filled tubes filled with indolent with little hair on the inside or cilia. And they’re basically sensory nerves, and they allow for the sensation of how the fluid is moving in those three canals. It’s connected to a sac at the bottom that’s filled with crystals or stones.

Every once in a while, some of those crystals will float up into the tubes. What that does is it’ll press or it’ll trigger your cilia into believing that you’re moving in one direction when you’re actually not. And so then you believe that the world is spinning all around you. Right. It’s a problem of those crystals in those indolent from the beginning. It’s very important to determine what side of the canal is affected and where that that where those crystals are in order to manage the condition.

Dr. Clayton Roach: [00:19:45] So a police maneuver is something that we will proceed to do if we feel the diagnosis is BPP, so benign positional Paris paroxysmal vertigo and the way we would know that is when we are told that doc when I turn my head to the right, the whole world starts to spin around me when I turn my head to the left or when I turn over in bed the minute we know that there is vertical with head rotation. We pretty much know that it’s BP now to differentiate, diagnose BP versus severe allergenic vertical.

We hold the head still and we turn the body. If no vertical is created there, we know it’s probably BP because as long as the head stays. You know, the fix, there’s no vertical happening. So once we know that there’s BP, what are the options? Well, there’s a maneuver called the Epley maneuver, which I believe was a physiotherapist who invented this. And basically, it’s a way to target those semicircular canals based on the diagnosis. And then you put the head in a very specific position and the body so that you stop that vertical by lodging the little crystal back into you trickle where the sack is, which is the origin of those three semicircular canals. All right. If everybody is with me at this point. Just give me a thumbs up.

Dr. Clayton Roach: [00:21:14] I want to make sure that I’m doing a good job explaining what I’m saying here. The first step is to have the person, if you can imagine a chiropractic table, you are straddling the table. Ok, so you’re going to straddle the table and you’re facing away from the foot piece, so you’re facing the headpiece. So if the person comes in and says, Doc, when I turn my head to the right, I am out, OK? What we’re going to do is we’re going to have that person turn their head to the right and come straight back. So I’m at the head, I’m at the foot piece.

Making sure that that person doesn’t fall too fast, but we want her to fall fast, but we’re going to support that patient, so the patient comes back. Her head is below her body because the head is tilted past the headpiece, so she’s laying on her back right with the head tilting, just like if you’re on your bed and the head is tilting past the mattress. But we’ve got the head turn to the right. You always go to the side of the symptom first. So if they if you tell me when I turn my head to the right, I have vertigo. We’re going to fall back and turn the head to the right.

Dr. Clayton Roach: [00:22:35] Most of the time, within two to three to five seconds max, you start to see the eyes doing what we call nystagmus. At that point, you feel the grip of the patient getting tighter and tighter because they’re holding on for dear life. I typically have a bucket, and the bucket is for something that comes out of the mouth called vomit. When the vertical hits are hard, it hits hard, so that can happen. You can have nausea and vomiting that will occur. I literally strapped my patients there, and I said, If you don’t want this to continue for the rest of your life, we got a hold on. It’s going to pass. Typically within 10 15 seconds max, it really calms down and it kind of flutters for another few seconds. Then the patient says, OK, I think I’m good.

You want to make sure that that step is completely over, meaning there is absolutely no nystagmus in the eyes and the vertigo is now gone. What you then do patient stays where they’re at. You quickly turn your head from right to left. Ok. Again, three seconds and then all of a sudden boom, the vertical start to come again. It might not be as bad as when you had the head tilted to the right to the symptomatic side, but nonetheless, sometimes the vertical comes back and sometimes it can be as bad as the other side.

Dr. Clayton Roach: [00:24:02] You wait. 10, 12, 15 seconds until there is no nystagmus and the patient can confirm that there is no vertigo left. The next step remembers patients laying on their back heads turn to the left. You’re then going to have I’m going to ask the patient to shuffle onto their left side so they’re on their shoulder and their hip with the head horizontal pointing that way. Now their whole body is on their left side. The head is still tilted downwards. Ok, that is the third step. Sometimes vertical kicks in at that stage as well. A lot of times nothing happens in the stage because you’ve got the worst part out of it in the first two maneuvers at that point, once there is no nystagmus, no vertical, you then gently sit the patient back up.

From their side position back to a sitting position. That’s the end of that. Once the patient is shown one time in the office because many times people don’t have a tolerance of doing that on their own and withstanding that vertical without somebody encouraging them, tell them it’s OK, it’s OK, it’s OK. Keep going. The sweats coming down their face and you know, they’re starting to taste a little bit of vomit in their throat and so on their own.

Dr. Clayton Roach: [00:25:24] They’re probably not going to be able to withstand that. But after the first time, they’re then probably able to do it on their own. Ok, so they go ahead and they do it on their own once they feel symptoms come back. Typically, typically between two to four times. Sometimes you get away with just one time, but two to four times the BPP doesn’t come back until months years. It depends on the case right now. You can have us do that, or you can go to other places, modal charge rules or say like a normal leg compared to what we’ll charge, which is just a regular adjustment fee.

To do that, we will bring you to the side room and we’ll make sure that you know, not everybody is watching you sweat and be taken from side to side and the whole world spinning around you. So but that is a wonderful tool. I’ve had patients thank me from the bottom of their hearts not to have to go through vertigo. It is not fun going through that. It’s not fun having it done. But then you get resolution of the issue and it’s a pretty amazing, drastic response when it is truly PPV. It works like a charm.

Dr. Ben Boudreau: [00:26:35] Absolutely, and it says it has a success rate of 80 to ninety-five percent of the sensitivity and specificity are also very high. And the best part about that maneuver, the Epley maneuver, is that you can always retest it with the DIX Hall Pike. And so both of those tests the DIX Hall Pike, sorry, the DIX Hall Pike test and the Epley maneuver go hand in hand and figuring out, OK, well, if you come back with DIX Hall Pike, we’ve definitely gotten rid of it with the maneuver.

Dr. Clayton Roach: [00:27:06] Yeah, I wouldn’t do it on the same day, but on a future visit, you could test it with the whole pikes, which is bringing the patient back and there’s no vertical. So all the Hall Pike is the position and it’s not the treatment. So you don’t continue with the treatment, but you just tilt them back. And if there’s no vertigo that happens, you know that the rock is not inside a semi-circular canal.

Dr. Ben Boudreau: [00:27:29] Yeah, yeah. And by the way, I mean, there are three semicircular canals, and each of those canals is responsible for a different type of head movement. And so making sure that you’re able to figure out, OK, which canal is involved and then determine the type of treatment that you can go with is the most important.

Dr. Clayton Roach: [00:27:47] Yeah. So for those of you who like that, just give me a thumbs up. If you know someone that’s suffering from vertigo or, you know, as not sure what it is, they don’t know if it’s BP or, you know, definitely share this video. If you want to do that right now, that would be a great idea. I know many of you are live tonight, so make sure you share this video. It may come in the hands or end up in the hands of somebody that is suffering from that and now has an opportunity to get rid of it. So, yeah, so give us a thumbs up. If you enjoy that explanation and that solution for vertical, let’s go back to the slide, right?

Dr. Ben Boudreau: [00:28:25] Yeah, we got a question about can you have nystagmus when your head is still with no vertigo? And yes, you can. Yeah. Nystagmus is just a sign of a neurological sort of issue. And so you definitely want to be able to get a check and you can certainly have it without vertigo. Yeah, yeah, definitely.

Dr. Clayton Roach: [00:28:49] And I mean, that’s not to scare anybody, but when we’re when somebody is having a stroke, nystagmus can be one of the symptoms as well, right? Anything that plays with your central nervous system can cause the eyes to have nystagmus. For sure, you can have nystagmus without vertigo. That is a summary of basically what we did explain just a second ago. Supplement of the month, Bergamot.

Supplement of the Month: Bergamot! 

Dr. Ben Boudreau: [00:29:20] Yeah. And so it’s derived from fruit in Italy. Calabria for those of you who’ve been to Italy decreases inflammation. Right. Also, it decreases LDL cholesterol. The unhealthy cholesterol to low-density lipoproteins, the ones that don’t move well through your arteries can clog your arteries. Recent studies have shown that Vermont can improve these cholesterol levels. It was found an area in Italy that had a population of people where they had. A few people with high cholesterol, and so that’s why Bergamot is considered such a special citrus fruit because where it was from such low cholesterol levels, which I think is just so interesting to think about. Yeah, and it’s only found exclusively there. So I just think that that’s so interesting that a population was made healthy by a fruit that was grown just there, the sacred fruit bergamot.

Dr. Clayton Roach: [00:30:23] That’s pretty cool. And LDL is what we consider the bad cholesterol, right, which is usually what gets people in trouble. It hasn’t been shown to increase the HDL but actually, it has been shown to increase the LDL, the one that you don’t want to have high. And funny enough, one of my body washes has bergamot. Yes, it smells good too, I guess.

Dr. Ben Boudreau: [00:30:44] Yeah, yeah. I did read that it has actually it’s used for a lot of perfumes. It’s if it’s used for a lot of perfumes in Italy, and the bergamot market is really good because one, it’s good for your health, it’s good for your cholesterol levels. But for the second, it’s made in a lot of really popular perfumes

Dr. Clayton Roach: [00:31:05] And it makes you smell good. Low cholesterol and you smell like a charm. I love it. Absolutely. All right. So vertical woo. That was a heavy, heavy class here, guys. So again, you know, we appreciate the fact that some of these topics, you know, can be a little tough and we don’t want to. We try to gather excitement on a topic that I remember going through school. And these are some of the topics you’re like, Oh my gosh, you know, I don’t want to go to this class. We’re talking about vertical again because it can be quite a wide array of causes, potential causes. You have a tumour in your brain that causes vertigo.

There are all kinds we kind of narrowed it down tonight to the ones that we can help you with. But, you know, I hope you guys enjoy this. Sometimes you got to go through some of the horror stuff in order to understand something that might be bothering you or others. Again, you know, we’re making these Humpday conversations so that the appeal to, you know, our audience, but also maybe somebody else that’s going to get this episode because somebody dared to share which you should be doing right now.

Dr. Ben Boudreau: [00:32:11] Absolutely. These are these episodes are based on cases that we see in practice. Definitely directing it towards what we know. We know that there are people out there with these issues. Sharing these episodes would certainly help with getting the word out that this is a place where you can come and get that treated because there are treatments for vertigo. A lot of people unfortunately are left in the dark with their dizziness, and they don’t know what to do about it. This is a great way to sort of share that type of information with your friends. And also, we get to talk about a great supplement this month, Bergamo. So in case, you guys didn’t know. Look it up. It’s fantastic.

Dr. Clayton Roach: [00:32:55] And I just want to say, too, that there are certain docs that will not necessarily because they don’t see a lot of it will misdiagnose vertigo, so the patient doesn’t know they have PPV. So I guess what happens, they get prescribed the medication that, you know, a maneuver can help. So any time that we can help somebody not have to alter their blood chemistry through a medication. And the better it is, right, because obviously these, you know, these things cause side effects.

I hope you guys appreciate that tonight and again, you know, I can’t stress this enough. Share this episode because it might fall in the hands of somebody that’s struggling every single day, feeling like they’re drunk and have kids to take care of and can’t drive. And they don’t know that there’s a treatment for them out there. As simple as that, please remember that we talked about tonight.

Dr. Ben Boudreau: [00:33:43] Absolutely. Great. So I hope that you guys enjoyed this conversation tonight and other exciting things going on in the practice right now are refer a friend in the month of October.

Dr. Clayton Roach: [00:33:56] I take it right now refer friends. So we do it three times a year, so we do it in October. We do it in March and we do it in July. So during those months of the year, three months, only if you refer anybody into our practice, we do not charge them for their initial consultation exam, which is a value of eighty-five dollars and in return, as a way to thank you for your trust in our practice and you’re referring your friends or family member. We will give you a complimentary adjustment, so credit for the cost or the value of that adjustment goes on to your account. We don’t have to do that.

The clinic gets enough referrals, but it’s a way for you guys to bring in your family member where there might be a financial consideration. Maybe they’re waiting for that. I have patients I know that say, What are you doing, your next referral friend? I want to bring my brother or sister or whatever. So it’s something that, you know, we almost have a waiting. Because right now we’re booking two to three weeks ahead of time, which is a good problem to have, but a bad problem to have. If you have friends or loved ones, make sure you tell them about this month and as long as they call us in October, even though their appointment might be in November, they will still qualify.

Right. So this is a huge month for us at Roach Chiropractic Centre, and that’s when we get to expand our impact in generations. Meaning, you know, you got grandmother coming in and you got the grandchild coming in. And we start to affect generations of families in our community in Bedford and hopefully one by one, getting people off medications and unnecessary things that they’re taking to take care of the problems that the beauty of chiropractic care might be able to solve. Right. By the way, September was chiropractic’s birthday.

Dr. Ben Boudreau: [00:35:48] Oh, happy birthday chiropractic.

Dr. Clayton Roach: [00:35:49] September Chiropractic started in 1895 Right. So what is that? That’s over two hundred years old. So chiropractic ain’t new, right?

Dr. Ben Boudreau: [00:35:58] So if you understand the benefits of chiropractic, wish chiropractic a happy birthday. And if you believe that you have a friend or family that family member that could benefit from chiropractic in the same ways that you have, then give them the benefit of coming in for the refer a friend

Dr. Clayton Roach: [00:36:15] Gift of health,

Dr. Ben Boudreau: [00:36:16] The gift of health and let them know and share what you have felt with chiropractic and how it’s been able to give you your life back. Yeah, be able to change your life for the better. So if you know that it can do that, why wouldn’t you want that for those around you? Yeah.

Dr. Clayton Roach: [00:36:34] And keep your don’t keep your success a secret, right? Because you know your secret could change somebody else’s life, right? So and that we feel grateful when you do, that’s the best gift you can give us is the trust and referring other people, and that lets us know more than words that you’re appreciative for what we’re doing for you. So thank you so much for the ones that already do that. Many of you do. So thank you so much for your trust.

Dr. Ben Boudreau: [00:37:04] Thank you, guys. Thank you guys so much again for tuning in. Hump Conversation Number forty-three. Can you believe it? Forty-three Hump Day Conversations. That’s all. Thanks to you guys for tuning in and giving us your feedback, giving us your support and giving us your attention, most importantly, on a Wednesday night. That’s not easy for anyone, and we’re happy that you guys are benefiting from these conversations and enjoying them at the same time and as are we. So thanks.

Dr. Clayton Roach: [00:37:31] Beautiful. So thank you so much, guys. And we will talk again next week, Wednesday. Dr. Glenn Roach, Dr. Boudreau. Wishing you a good night and a good rest of your week. Enjoy the rest of your week and make sure to hit share on this episode. We’ll see you next Wednesday. Take care. What’s up, guys? Listen, if you like this episode, you’ll probably like the other ones. Chances are pretty good, so here’s what you need to do. You need to like us and follow us on Facebook. Following means, you get notified when these two guys are alive. Next, family, friends. You need to share these episodes because you never know you might help them because they need this information as well.

Dr. Ben Boudreau: [00:38:08] If you ever miss an episode, make sure you subscribe to us on

Dr. Clayton Roach: [00:38:10] Youtube. That way, you can watch the episode

Dr. Ben Boudreau: [00:38:12] Over and over and over again.

Dr. Clayton Roach: [00:38:14] Guys, we love you and appreciate you. Take care.