Frequently Asked Questions

General

What is “Delta S”?


ΔS is Entropy. It means that, left alone, all things go toward disorder and dysfunction. Energy needs to be applied to create order and function. This holds true for our health, as well.




What is functional neurology?


Short Answer: “They use the patient’s body and environment to assess, diagnose and localize areas of dysfunction. The human body systems are constantly affecting the neurological system and being effected by the neurological system. Our doctors use this functional and holistic approach to target interventions specific to the location of the dysfunction. The chiropractic neurologist uses the musculoskeletal system and the sensory systems as they interact with the neurological system to improve quality of life. They use a variety of treatment modalities including the technique of adjustment as well as other sensory-based modalities to bring about improvements in health.” -American Chiropractic Neurology Board Long Answer (highly recommended read): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6413643/




Is functional neurology an alternative to traditional or medical care?


No! Functional Neurology works best when it is part of the team approach. In fact, we request open communication with your other providers. Collaboration with the rest of your healthcare team is very important.




What is functional medicine?


Functional Medicine seeks to find the cause of illness via nutritional and biochemical imbalances. We take functional medicine to the next level by incorporating our expertise in neurochemistry. Our approach utilizes data driven methods to determine the best dietary, nutritional, and lifestyle support.




Does functional neurology cure neurological diseases?


No! Our approach evaluates your brain to improve the connectivity and functionality of its circuits. We treat people, not their symptoms. Our care is designed to improve the function of the brain and treat underlying core issues that improve quality of life for our patients, which tend to reduce symptoms.




Why don’t you have evenings or weekends?


We work with complex and difficult cases and pour our heart and soul into each case. Doctors who take care of themselves always take better care of their patients. Also… our friends and families would miss us too much ;)




Why doesn't the brain heal, but compensates instead?


Keeping it simple, when skin is damaged, other identical cells grow and replace the damaged or removed cells, creating skin that looks good as new. The brain is different. The brain functions based on the interconnection of millions of cells called neurons. Unlike skin cells, each neuron has an individual function that is learned, based on the circuit of neurons it lives in. When a neuron is damaged, often times it is not replaced. The damaged neuron does not "heal" or return to 100%. The ability to regain function, or "compensate," depends on the health and growth of the undamaged neurons around them. The functionality can be regained. However, sometimes an unhealthy brain will compensate poorly. This can look like persistent symptoms. When therapies are designed to help the brain compensate appropriately, often results are expedited and greater success is achieved.





Treatment

How does your program work?


We gather data through paperwork, interview, and examination. A comprehensive examination is performed by one of our doctors. All of our programs are 100% customizable. We individualize them based on the data collected in our evaluation and subsequent visits. Each program tailored to your brain combines hundreds of different rehabilitation and treatment approaches to achieve optimal outcomes.




Will treatment make me feel worse or fatigued?


Neurological rehabilitation, when performed properly, should not make you feel worse before you get better. However, it takes a keen eye, and possibly multiple visits, to determine each individual patient’s energy threshold. Our approach recognizes that growing connections between neurons in fragile pathways takes careful attention. The right exercise or the right nutritional supplement can have a counterproductive effect if applied inappropriately. It is paramount to have an expert working with you who can observe fragile pathways and know how to work with them. In our intensive model, the brain will be carefully exercised with intensity and repetition, with necessary rest in between. We recommend planning to stay home and lie low in the evenings. Please review our Intensive Guide and make sure you are ready to get results.




How long will treatment take?


We use controlled and measured therapeutic doses to make sure the most appropriate treatment is being provided. We will know if continuing care is appropriate for you after just the first day of treatment. Treatment plans typically start with 12 visits and always end with a re-evaluation to check progress. We recommend booking all of your appointments in advance to make sure you get the times that work best for your schedule. Our commitment to collecting data provides the best evidence based recommendations for our current and future patients.




How will I know it will work?


Clinically, we observe for improvement of objective and measurable changes. Patients typically begin by feeling an improvement in balance, the edge taken off their symptoms, or general favorable changes early on.




How do you know this is going to work for me?


We take pride in our practice. We are trained and experienced in finding key observations and patterns that are indicative of changes in brain function. We’re not here to waste time or money, if you have questions or concerns over the course of treatment, we would like to discuss them with you.




How do you know you can help me?


We have two major checkpoints to determine if we can be of assistance to you. First, a phone call to see if you are a candidate for care. However, we base our clinical opinions on more than just subjective symptoms and descriptions. If accepted, all new patients begin with a full day intensive consisting of a two hour exam to detail your current level of brain function. This is followed by a series of rehabilitation appointments that afternoon as a trial treatment. At the end of that day, we (including you) will know if it is worth your time and investment to continue care.




How does it differ from vestibular therapy?


Vestibular rehabilitation traditionally follows the “habituation” paradigm. To put it simply, tests are performed to see if there is hypofunction in a certain activity. If not, then a standard protocol of exercise therapies is applied, or the test is repeated over and over (habituated) until there is symptomatic improvement or failure to improve. Our vestibular rehabilitation paradigm follows more of a “corrective” approach. We seek to find which other systems in the brain may be causing this system to malfunction, and to work out all of the details that may cause the “big picture hypofunction.” “It’s the little details that are vital. Little things make big things happen.” -John Wooden




How does it differ from vision therapy?


Eye movements correlate directly with brain function, but are also intimately tied into the inner ear’s response to gravity and your body awareness in your neck. While a vision therapist is an expert in using prisms to bend light to create a crutch to allow for symptomatic improvement, it may create changes in reflexes between the eyes and the inner ear, and the eyes and the neck, that could be counterproductive long term. We love working with vision therapists and find our approaches can be synergistic with effective communication.




How long is it going to take to get better?


On average for a “non-complicated” concussion, we typically see at least 50% improvement in two weeks. However, most patients come to us for more complicated conditions that all depends on the individual. Nonetheless, we are committed to getting the best results as quickly as possible.




How do you know if I qualify as an intensive case?


We do our best to provide the most value of care possible, and our intensives allow for the best results in the shortest time. The best candidates for our intensive programs have seen many different providers with limited results and are ready for an individualized approach.





Neurology

How do you diagnose impaired neurological function?


All physician level practitioners are trained to evaluate the brain and nervous system through a physical examination of the central nervous system and the peripheral nervous system. We follow the same medical guidelines to make sure nothing was missed or has since progressed following your previous examination. We take it a step further by performing a functional neurological evaluation that not only checks for pathology, but evaluates for subtle dysfunctional processes called “pathophysiology” that may even be considered “within normal limits.” This pathophysiology can be correlated as the generator of symptoms or dysfunction.




Why doesn’t my neurologist know about this?


Functional Neurology is relatively new, however the therapies we use are well known. There are less than 900 board certified Chiropractic Functional Neurology specialists worldwide, and less than half practice in a Functional Neurology clinic. If your neurologist is open to it, we are always happy to make time and chat with them. In the past we have met fantastic neurologists over the phone, zoom, or a… libation of choice.




Why hasn’t my doctor (PCP) suggested this type of therapy?


Just like the upper back, neck, and shoulder all work together as a single unit and must be evaluated as such, if there is a symptom in one part, the neck, inner ear, and eyes must all be evaluated together. First, they are tested separately, but then they are tested for how they all interrelate via subconscious reflexes. This paradigm of not being a specialist in one system, but a specialist in how they all work together is a very new and cutting-edge approach. Your doctor may not be aware this is available yet.




Why can’t my medical neurologist do this work?


There are some medical neurologists who choose to practice in the functional neurology world. That being said, there is too much medical knowledge to be an expert in all things. Doctors choose how they want to practice medicine based on what they think is best for their patient populations.




Why doesn’t my medical neurologist do this?


Medical Neurologists are charged with the challenging responsibility of catching potentially life threatening and debilitating diseases and injuries. We love being part of their team. They make sure the patient isn’t dying and manage the big picture as they think is appropriate, and we swoop in as the perfectionists to put together the remainder of the puzzle that may be dysfunctional even if “within normal limits.” “P.S. Medical neurologists truly mean the best for their patients. If the medical neurologist is within an insurance based system, sometimes their hands are tied in what they can offer their patients based on what will be reimbursed by insurance. Next time you feel like your neurologist has let you down, have some empathy, there’s some person working in a bullpen in insurance land telling your neurologist what they can and can’t do - essentially practicing medicine without a licence or experience.” -Dr. Michael Lovich https://thedeductible.com/2019/01/30/are-health-insurers-practicing-medicine-without-a-license/





Insurance

Do you take insurance?


We do not take insurance. We are out of network. If requested, we can provide a superbill that you could then submit to your insurance company if you have out of network chiropractic benefits.




Why don't you take insurance?


Short Answer: We choose to spend more time with our patients to get better results. Long Answer: Have you ever been to a PT or chiropractor where you felt you walk in the door and hop on a conveyor belt, moving from the adjusting table, to decompression, to muscle stimulation and heat or ice, to laser, to [insert fancy passive therapy]? This was borne out of necessity to maximize the money collected from insurance. Next time you go to any health appointment, count the minutes you actually spend with the doctor. The national avg is 7. We prefer to take a more individualized approach. Through our model, we are able to spend significant more time with you, the patient. In our office, nothing is more important than the doctor-patient relationship.




Why doesn't insurance cover this?


Unfortunately, most insurance companies choose to look at our clinic as a chiropractic office. Even though all practitioners in our office at minimum have completed an additional three year post-doctorate in clinical neuroscience through accredited bodies, third party payors choose to put limits on reimbursement for therapies we provide. We focus on neurological rehabilitation with our advanced education.





Concussion

What is a traumatic brain injury?


A traumatic brain injury neither has to begin with a physical injury, nor with direct contact to the head, although it often does. TBIs can begin with a physical or metabolic insult, but the result is still similar. Metabolic brain insults can also begin with tick borne illness, mold exposure, metal toxicity, or viral infection. For example, Post-COVID Syndrome. Symptoms come from a change in the connectivity between neurons, mediated by a chronic immune response, called microglial cell ramification. Rehabilitation of these injuries help teach the brain how to make functional new connections, while nutritional approaches help reduce that inflammation and support healthy firing of neurons. This inflammatory mechanism is important because we don’t want those fragile neurons to fire beyond their metabolic threshold, i.e. think mood changes and emotionality. If this happens, the road to recovery can be significantly longer. We are experienced in navigating these challenges.




How long is it going to take to get better?


On average for a “non-complicated” concussion, we typically see at least 50% improvement in two weeks. However, most patients come to us for more complicated conditions that all depends on the individual. Nonetheless, we are committed to getting the best results as quickly as possible.





Labs and Nutrition

Why do I have to cut out these foods?


We are data driven in our approaches. Any recommendation we make is based on quality laboratory data and significant clinical experience with patients just like you. Sometimes foods may not causing a large response, however it could cause repetitive microtrauma. Think of this like you're scratching your knuckles lightly, but daily, for a year. You will have some skin irritation and changes in the health of that area. It's like that, but instead affecting your ability to absorb nutrients.




Why do I need new labs?


All labs are a single snapshot in time. We need to have accurate current data taken at the same time to appropriately compare and contrast the values provided. We would also like to have previous labs to make sure we can determine what is normal for you, instead of normal for the average american.




What problems come from trying to go through my PCP and insurance for these labs?


When insurance is used, they dictate the information we're allowed to acquire. For example, when looking into thyroid conditions, they require TSH and T3 to be pathologically abnormal before allowing a full panel. Labs are a single snapshot in time. Ordering labs taken at different points in time will have less relevant clinical correlation than labs all taken at the same time. In addition, when insurance decides not to cover a lab you get stuck with the bill. Sometimes these individual tests will cost more than the total of our discounted panel. Patients find it easier, more efficient, more comprehensive, and more affordable to order our custom panels.





NeuroDevelopment

Why do we recommend a brain-based approach for developmental delays?


Developmental delays are literally based on development of the brain. Development happens by making connections between neurons, and then strengthening those connections with repetition. Symptoms can be traced back to underdeveloped individual parts of the brain or underdeveloped circuits containing multiple parts of the brain. Our functional neurological examination is designed to see these subtleties. Our therapies can help develop the parts of the brain that behavior depends on.




Why do I need to keep up with nutrition?


We can support the growth and development of these neurons with optimal nutrition practices. Good nutrition will never be able to target the individual underdeveloped circuit. Poor nutrition can cause a step back in development of the brain, especially if it causes neuroinflammation in either parent or the child, during pre-pregnancy preparation, in utero, or throughout life for the child.




Which environmental causes need to be considered?


The causes of these conditions are extraordinarily complex, all of the following need to be considered Functional Disconnection Syndrome Toxic Chemicals Heavy Metals Gluten, Casein, and Soy Intolerance Yeast Infections or Candida Mold Infection Tick Borne Illness Leaky Gut Barrier Leaky Blood Brain Barrier Neuroinflammation Immune System Imbalance Genetics




I've used functional medicine or functional nutrition before, why are you different?


Removal of inflammatory foods or changing diet does not hit a magic "reset" button or cause reversal of brain development. The brain needs to be guided to ensure proper development and improve function.





Supplements!

Please choose the dispensary of your practitioner

Dr. Lovich

Colorado

Dr. Lovich

New England

©2020 by DSP Group, LLC

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