Dr. Tim Burkhart @drburkhart ?

active 2 years, 8 months ago
"We are looking forward to the March training! Just back from several trainings abroad and I can tell you the decompression fire is spreading. Come and join us in GR for all the latest information, updated training materials, and re-boot [...]" · View
  • Huge Sea Hawk fans…go figure! ;0)

  • Dr. Tim Burkhart posted an update:   2 years, 8 months ago · View

    We are looking forward to the March training! Just back from several trainings abroad and I can tell you the decompression fire is spreading. Come and join us in GR for all the latest information, updated training materials, and re-boot your decompression services paradigm in your practice. A day well spent! Hope to see you there…………

    Dr. Tim

  • Dr. Tim Burkhart posted an update:   3 years ago · View

    We have another opportunity for training coming up on November 22. If you are a current Hill DT user or previously purchased an Evolution table and want to really unlock your table’s full potential, this is the one to attend. Contact Candi for the details!

    Dr. Tim Burkhart

  • Dr. Tim Burkhart posted a new activity comment:   3 years ago · View

    Thank you for your kind words Dr. Larry. We are pleased to hear that you are getting great results with the Hill DT and the treatment protocols we reviewed with you. Keep up the great work being a hero to your patients!

    Dr. Tim

    In reply to - Larry Sutherland posted an update: Really happy with my HillDT table! Patients have noticed the difference already. I have new confidence not just because of the table, but because of Dr. Tim and Dr. Randy! Thanks again! · View
  • Dr. Tim Burkhart posted an update:   3 years, 1 month ago · View

    If any of you are looking for an opportunity to update your training on the Hill DT or the Evolution table we have a ”Reboot” training available on September 28th. Many of you have asked me when an additional training event might be scheduled, well this is the one for YOU. If you have new staff members, a new associate doctor or simply want to increase your knowledge in using the various protocols here is your opportunity to see the updated workbook and the latest training information.

    The location for this training will be at the Burkhart & Chapp Spinal Decompression and Therapy Center 7105 Broadmoor Ave, SE Caledonia, MI 49316. We are minutes away from the Grand Rapids International Airport with plenty of convenient lodging near by. We are planning on a full day starting at 8:30, hopefully finishing by 5 PM. Please contact Candi to reserve your seat!

    Dr. Tim

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      HDTSNetwork · 3 years, 1 month ago

      Candi can be reached at Candi@HillDTSolutions or direct phone 616-813-9308

  • Dr. Tim Burkhart posted an update:   3 years, 2 months ago · View

    Hope to see some of you at the FCA show in Orlando, FL. Dr. Reed will be presenting and the rest of us will be at the Hill Labs booth. Be sure to stop by if you attend.

    Dr. Tim

  • Dr. Tim Burkhart posted a new activity comment:   3 years, 2 months ago · View

    For anterior conditions in the lumbar spine such as a herniated disc or degenerative disc we recommend using 25% of the patient’s body weight plus or minus 5 kg. We do not recommend exceeding 50% of the patient’s body weight. Most patients respond without reaching 50% of their body weight, as a rule if the treatment is working you should not change the settings.

    Posterior conditions such as facet syndrome we recommend 33% of the patient’s body weight. For cervical a good pull range is 2.5 to 7 kg. Cervical decompression pull weight is not based on patient body weight.

    Dr. Tim

    In reply to - DrAishaAlRaqum posted an update: Hi im dr sarah from aisha clinic. I have female pt with lumber disc prolapse weighting 91 kg i start treatment with force 23 and increased to 25 .is it enough .or i can increase more force and how much force i can reach? · View
  • Dr. Tim Burkhart posted a new activity comment:   3 years, 2 months ago · View

    Dr. Aisha Al Raqum, thank you for your inquiry.

    This question is a bit vague as there are many factors that may play into why the patient is not improving. For example, what kind of disc problem? Is it a degenerative disc or a herniated disc? Which program are you using and at what angle and how many kg of pull?

    The short answer is: when doing spinal decompression, the minimum effective dosage is 20-24 visits. So at 10 visits you cannot expect a patient to see a significant reduction in pain although some functional changes may be evident. This is well documented in the scientific literature and current research, as well as, our own clinical experience. To help assist you any further we would need more information about the patient’s condition and the treatment protocols you are using. One thing to remember is that ALL 5 of the Hill DT treatment components are needed for the best outcomes. Those 5 components are: 1. Pre-decompression therapy, for example infra-red light or e-stim, 2. The decompression table with the right protocol, 3. Chiropractic adjustment or some other form of manual manipulation, 4. Posture rehab or exercise therapy and 5. Nutritional supplements to support the recovery of the disc. If you are only using the table as a stand alone modality you will not see results.

    If you have any other questions feel at liberty to contact us.

    Dr. Tim Burkhart

    In reply to - DrAishaAlRaqum posted an update: Hi I have a patient with cervical disc problem received 10 sessions of spine decompression still not show any pain reeducation or improvement do you prefer to continuous the 20 sessions · View
  • Dr. Tim Burkhart commented on the blog post Dr. Tim Burkhart training in Newport Beach, CA   3 years, 2 months ago · View

    What a great group of healthcare providers! A neurosurgeon, pain specialists, chiropractors and physical therapists all working together for the good of the patient, and now they have decompression!

    Look out California……..


  • Dr. Tim Burkhart posted an update:   3 years, 2 months ago · View

    Decompression Docs:

    Don’t forget to sign in for the mentoring/conference call tomorrow at 11 AM. We hope to have a lively discussion on ”connecting” with the patient who is a likely decompression candidate. Also, check out the August 2 edition of Chiropractic Economics page 17. Looking forward to speaking with many of you in the morning.

    Dr. Tim

  • Love the new brochure!

  • Dr. Tim Burkhart posted a new activity comment:   3 years, 7 months ago · View

    Diffuse idiopathic skeletal hyperostosis (DISH) is a calcification disease process of the ligaments where they attach to the spinal structures. It can be a contraindication for spinal decompression if there is a severe amount of paraspinal calcification, vertebral endplate spondylosis or osteophyte formation. I would obtain x-ray studies of the region in question, as well as, a thorough history and exam to rule out diabetes, osteoporosis, fracture or possible drug use that would have exacerbated the condition. Based on that information I would then decide if the patient was a good candidate and proceed with the trial. We have had patients with similar conditions and yes they do respond to the decompression therapy.

    Dr. Tim

    In reply to - Jean Gélinas posted an update: Hi, I’m a new user of Hill DT. I have a case of a patient with DISH. I think that the treatment would be very good in combination with adjustments. What do you think about treating a patient with a DISH? Do you have experience with that condition? · View
  • Dr. Tim Burkhart posted an update:   3 years, 9 months ago · View

    We have been getting a lot of questions lately about what is the difference between the Hill DT table and all the other cable pull type traction tables. So I put together some of my thoughts on paper for the ”Network” to consider. Let me know what your thoughts are, feedback is always valuable and appreciated.

    Traction is NOT Decompression.

    A little background on me which might explain my clinical perspective, I integrated non-surgical axial spinal decompression treatment into my practice in 2008. Since then, I have treated hundreds of patients with a comprehensive decompression protocol. Having been in practice for over 28 years, I can truly say the results have been amazing.

    More and more people are seeking this treatment as an alternative to surgery and other invasive medical treatment. As I explain spinal decompression to patients, one of the most frequent questions I am asked, other than how much it will cost is, “What is the difference between traction and decompression?”

    Currently, I believe there is a lot of confusion due to misinformation and a lack of understanding about what true spinal decompression is and how it benefits a patient. Many doctors and therapists make no distinction between the two treatments. Moreover, few in the medical community understand the significance of a comprehensive spinal decompression treatment protocol. Even many equipment sales and training personnel say that decompression therapy is traction. Based on the results I have seen over the years, this is far from the truth. Stating that decompression is traction is like saying a flip phone from 2002 is the same as a 4G Smart phone. Yes, both devices will make a phone call, but that is where the similarities end.

    You could also make the argument that a CT scan is in fact an x-ray evaluation. Yes, the CT uses radiation, but it is much different than a plain view x-ray film that might be taken in a medical or chiropractic facility. So, what’s the difference? The difference is the technology of the equipment used.

    Pulling a patient in opposite directions with a set of cables attached to their spine, as with traction, IS NOT the same as a patient directly captured to a table that is monitoring decompressive force in millisecond intervals. Straight line or axial traction has been around as a back treatment for a long time. Unfortunately, traction treatment has had a poor record of treating chronic low back pain or similar conditions. If one considers the study done by Anderson & Nachemson, intervertebral disc pressure actually was found to significantly increase under traction. This is an inconvenient truth for those who argue that decompression is traction and traction is decompression.
    In 1994, Gustaro Ramos, MD, was able to establish that decompression treatment could significantly reduce intradiscal pressures. Decreased pressure in the intervertebral disc leads to, by its very nature, a “phasic physiological” change that can bring about positive outcomes in patient care.

    As more research and case studies are published, the body of evidence shows that, coupled with a comprehensive approach, decompression IS different than traction. The primary difference between axial traction and spinal decompression is the progressive logarithmic computer application of force that overcomes the patient’s muscle contraction. In 1997, a study authored by C. Norman Shealy, MD, PhD, clearly demonstrated that better outcomes were noted when patients were treated with decompression vs. traction.

    I have seen the difference firsthand when using a traction-based strap or cable pull system prior to using our current direct patient capture logarithmic system. Patients’ number one complaint from the traction based system was muscle spasm, guarding or painful splinting of trunk musculature post treatment. No doctor or therapist wants to see a patient become more acute after his or her treatment. Once we began using the Hill DT system, our patients rarely, if ever, complained of an increase in spasms or pain after their treatment. In fact, many of our patients fall asleep during their 20-30 minute treatment!

    More research should be done to determine the full scope of what is occurring during decompression treatment. There is a lot of good research already speaking to the immediate and long-term positive benefits of this therapeutic approach. However, most of us that treat patients each day with long term, chronic or acute neck and low back pain would agree that patient results speak for themselves.

    Hopefully this will help those of you in the ”Network” who are being confronted by the argument that decompression is another way of saying ”traction”.

    Dr. Tim

  • Dr. Tim Burkhart posted an update:   3 years, 10 months ago · View

    Dear Doctors of the Hill DT Network,

    I am not sure how well known this is but North Carolina BCBS has just recently made changes to their coverage for spinal fusion surgeries. The short story is after reviewing the last 10 years, there has been a near zero success rate in outcomes for people with degenerative disc disease or disc related conditions. Hence, they will no longer consider spinal fusion a reimbursable procedure for these conditions. They will continue to reimburse for fusion surgery for other diagnoses like cancer or fracture. Interesting that the insurers are maybe starting to realize that surgery is not the answer for these kind of issues. I have not read the entire report, but at first blush it looks like an opportunity for us to continue to share the message on the efficacy of non-surgical spinal decompression. Also, if you were following the news, all the injections that people are getting for back pain isn’t without serious risks as well. We are the best hope people have at getting real results, keep up the good work!

    Dr. Tim

  • Dr. Tim Burkhart posted an update:   3 years, 11 months ago · View

    Happy Thanksgiving everyone! We have a lot to be thankful for, especially considering that we are seeing so many patient’s get their life back through non-surgical axial spinal decompression. Keep up the great work my colleagues!

    Dr. Tim

  • Dr. Tim Burkhart posted a new activity comment:   3 years, 11 months ago · View

    Dr. Barry,

    Welcome to the Hill DT Network. As I stated in my email, we use the angle in the cervical region somewhat sparingly. As a rule most patients have significant curve loss in the cervical spine when they have disc problems and or degenerative changes. For a typical spine to target the C5/6 region we would set the angle flat or up to angle 3-4 at the most depending on the cervical curve measurement. The more reversed the curve is the less degree angle you want for the setting. If the patient had the normal cervical lordosis then we would set the angle at between 3-4 or to the patient’s comfort within that range. Hopefully this answers your questions.

    Dr. Tim

    In reply to - Barry Malet posted an update in the group Hill DT Decompression Case Studies & Clinical Data: hello group i would like to compare my cervical decompression degrees with you all ie.C5=6degrees,,,,,,C7 herniation or bulge at 9degree…..what angles have you used for therapy or treatment of cervical and thoracic injuries · View
  • Dr. Tim Burkhart commented on the blog post Meeting Doctors at the IL Chiropractic Convention   4 years ago · View

    Another “R” word would be…..RESULTS!

    Dr. Tim

  • Dr. Tim Burkhart posted an update:   4 years, 2 months ago · View

    We would like to update all of you on an audit type case study we are currently conducting in our office of all decompression patients that have started treatment since January of 2011 through June of 2012. The study will be on around 200 patients. Preliminary results are very exciting and we will be presenting the full scope of what we find as soon as all the data is collected. We hope that some of this information will help the network better communicate what patients should expect going through their treatment plan using the Hill DT table. More to Come!

    Dr. Tim

  • Tim Burkhart posted an update:   4 years, 3 months ago · View

    Just back from Singapore and Dubai and I am pleased to say that the trainings seemed to run very smoothly. All the Hill DT users are off to a great start and we look forward to hearing their success stories! A hearty welcome to all of our new doctors joining the network. We are growing both exponentially and internationally. I believe a total of 26 people went through the training programs, very exciting!

    I would like to add a tip on the cervical capture that I discovered while in Dubai on one of our newest tables. The head piece has a removable pad that cushions the head on the cervical capture head piece. If the head is pulling out of the cervical capture pause the table and lift the patient’s head and remove this pad and lay in it’s place the thin black pad that comes with the table. The thin black foam strips are great back-up pads if your patient’s head is sitting too high in the capture piece. This seemed to solve the problem that I have observed with a few other set-ups that I have noticed during some of the training sessions.

    Overall the new capture has been very well received and the patients really seem to prefer it.

    Dr. Tim

  • Tim Burkhart posted a new activity comment:   4 years, 4 months ago · View

    I am traveling abroad at the moment and missed this post. In my opinion based on what you are describing that is exactly what your patient is experiencing. Pain centralization is a normal part of the healing process and should encourage your patient that he is going in the right direction. At least that has been my experience.

    I will be gone until the 19th, training fellow doctors in Singapore and Dubai on spinal decompression with the Hill DT table. The world is catching on that we have a great tool to assist them with their patients and they are eager to implement the use of the table. I will update you all when I get back.

    Dr. Tim

    In reply to - Dr. TJ Paquin posted an update: I’m wondering if he is experiencing Centralization. · View
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