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Reasons why TMR may not work?

mauijim
8 posts
Sep 09, 2009
8:04 PM
Hey everyone,

This question is for Tom B. and any TMR people who have taken PRRT or anyone with ideas. One of the topics we talked about at John Iam's seminars is why PRRT and other therapies fail to get results ie: upregulated ANS, certain meds, dehydration, emotions, the list is quite long according to John's thinking. I have experienced this with some patients, or at least that is what I have used as a excuse for lack of progress. Has anyone experienced lack of progress with patients using TMR using this model for why therapy fails. Thanks for any input.

Jim

dgarr
9 posts
Sep 10, 2009
4:17 AM
Jim,

I have been using TMR techniques with most of my patients for about a year now, and have had more successes than failures. The primary reason I see for patients not succeeding is non-compliance with the exercises at home (surprise surprise!). Also, I have struggled with some of my post-op patients and, of course, those who just don't believe or want to feel better.

I believe John Iams had about 48 situations in which PRRT might not work, but I don't think there are many (if any) that can't be helped with TMR.

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Dan Garr

SusanPEDPT
75 posts
Sep 10, 2009
4:04 PM
Over the past almost 2 years I have used TMR for close to 2,000 pediatric patient visits. In 2 instances I was able to demonstrate improved functional mobility to the parents because the child had increased motor control at the end of the session, but the parent did not want to take any responsibility for being involved in their child's program. The wanted me to "fix" their child with my magic wand by seeing them one hour once a week. (I wonder if they expect the dentist to keep their teeth and gums healthy if they brush once a year!) Since the children did better I'd say that we had 100% success. The fact is that now parents are much more compliant than before I used TMR so my overall success is much better as well.
If you want to count the 2 non-compliant ones then it's 1,998 out of 2,000. This is no comparison w/ pre-TMR when I had only fair compliance.
Susan Blum

Last Edited on 11-Sep-2009 6:30 AM

Tom Dalonzo-Baker
131 posts
Sep 11, 2009
2:43 PM
I say TMR is like a diet - changing your eating habits and eating healthy works - however, it takes commitment, focus and progression. It is a learning process and learning does not happen overnight. - if the problem is physical and they do the work, they will see improvement. Will it be what they want in the time frame they want to see it? Will they want to learn more in order to get "more better?"

Lets remove ourselves for a minute away from what we are passionate about (therapy) and into something perhaps many of us don't like - Math. Now if you came to me with back pain and all you knew was how to add & subtract and then I taught you how to multiply and divide and you got 50% better - Would you be willing to put the time and effort in now to learn trigonometry to get even more better? Some would say that is good enough. If you were still in lots of pain, you may be more likely to commit (pain drives forward to do things we wouldn't normally do, the other motivating factor is desire)

If the commitment is made and now your overall improvement is 75%, would you now be willing to commit to learning Calculus to see if it would help you?

You see every stage of the game takes a new commitment level and if you as there therapist has not walked it then you cannot help them walk it. It all starts with you and you will compassionately be able to seperate out those who are willing and those who are not. The next phase then comes back to me - have I set up the stage so that you all as therapists can get all the stages of TMR to the Nth degree? Working on it - and that too is a work in progress.

That is the long answer - the short answer is if after working with a patient and they can truly show me with filling out the form and have a great understanding of what to do for themselves and they are not getting better, then I know it is time to take them to the next level. I have had patients like this - good patients, good students, and little improvement. One I can remember actually still had a disc bulge even after surgery. These people we send for more diagnostic stuff. Or I ask them, are you wiling to be a guinea pig for a while longer and see if we can take you through more advanced programs and see what changes we can make.

However remember other things cause pain, for toxins in the body (be it medicines, GMO foods, byproducts in foods, etc). When TMR helps to balance out the body it allows the lymph system to function better and also I believe the immune system because the lymph (sewage) can flow and get filtered by the liver. However, if toxins have reached a point of saturation, the body may need to be detoxed, or another thing added to bring down the toxicity. This is beyond the scope of TMR at this time.

And don't forget pain can be "locked" in emotional pain that just doesn't go away. Those have to be handled with more gentle TMR concepts that I have not developed into a working system for TMR yet (maybe one day).

So the #1 failure is non-compliance, #2 failure is patients or therapists lack of progression with TMR, #3 is Money & Time

I will finish off with this - pain should not be seen as something to cure - it should be seen as a guide. As one progresses more and more into what their body is telling them, the more they will be able to do for it. A huge help in tuning into the body is a wholesome diet (local organics) and prayer/meditation (taking time for self). Remember TMR is about balance and there is more to balance than just the physical.

Dag - not sure you wanted all that, but there is my 2 cents.

Tom

Last Edited on 11-Sep-2009 2:50 PM

mauijim
10 posts
Sep 13, 2009
8:14 PM
Thanks for all the comments. It sounds like TMR is immune from the pitfalls other therapies theorize to have as far as reasons for failure.

Jim

jen
50 posts
Oct 17, 2009
3:26 PM
i think a reason for that immunity is that tmr is overall a concept and not limited to specific exercises or manual techniques....maybe the construct is initially built with certain movements, but how much you can expand upon and progress people thru is only as limited as you need it to be