Hi, guys. It's time for a new episode of the FAKTR podcast. I'm your host, Jessica Riddle. Welcome, and thanks for listening. Today, you are in for a real treat as we welcome back one of my favorite guest instructors, doctor Tom Teeter, for a new 2 part series titled unlocking elite performance, strategies to transform your sports practice. We start off with a deep dive into the 6 stages of rehabilitation from acute management to fundamental capacity, and discuss why it's important to transition from a local to a global view when addressing the function of any exercise or movement based treatment. Doctor Teter goes on to explain that a common pain point in traditional clinical rehab is stopping care once pain is relieved rather than ensuring full performance readiness. He explains why this is a problem and what you should do instead.

This is one series where I promise you you'll want to hang on every word, whether you currently treat athletes or are just exploring the concept of becoming a performance focused health care provider. Let's cue the intro music and get started.

My name is doctor Tom Teeter. I have practiced for around 19 years in Kansas City, Missouri until my family made a big move, across the pond, and now we're over coming to you from Valencia, Spain. So I appreciate everyone taking the time to listen. I really wanted to spend some time talking about how you can go about just shifting some of your mindset and shifting the your perspective in the way that you're looking at things and how that can affect the way that we work with athletes. So if we take a look, historically, in the chiropractic profession, there's a really broad spectrum of providers who have a really wide variety of skill sets. Now one of the main reason that we have this is because we have a really broad scope of practice. And having this really broad scope of practice has allowed practitioners to gravitate towards a lot of different specialties. We tend to see things in pediatrics.

We think see specialties in geriatrics. We see general family practice, wellness practices. And amongst some of these populations that we are seeing chiropractors treat is athletic or athletes who participate in sports. And for some time, this has really been one of the fastest growing initiatives of practice with many of our chiropractic colleagues. So when we talk about sports, I mean, there are multitude of sports that people participate in. Some are are well known, some are a little more obscure, but you can see here that in each of these sports and things like MLS or professional soccer or football, where I'm at, track and field, tennis, basketball, professional baseball, or American football. We have chiropractors that work in all of these fields. Even we have a slew of chiropractors who work with Olympic level athletes.

And so chiropractic has has really done a good job of integrating itself into working with athletic populations. Now although this niche of sports chiropractic has grown a lot over the last few years, there's still a lot of challenges, in my opinion, that we have to overcome in order to maximize our ability to best serve the athletes and athletes under our care. Now even though we've made a lot of great strides in expanding our exposure within the world of athletics, we still have a few shortcomings that can limit our ability to really fully express our place within a team of individuals that treat athletes. Now because of these deficiencies that we're gonna discuss here shortly, I feel like we're limiting ourselves from helping our athletes reach their peak physical potential, and ultimately, achieving optimal performance. So one of the things that I often hear when I when I teach courses or when I have discussions with other colleagues in not only chiropractic but in other fields in musculoskeletal care is there's this concept of all of us are really trying to find a way to bridge the gap between what we would classify historically. If you look at this picture on the left of this diagram, which would be sports medicine, and on the right, which would be classified typically as sports performance. And usually there's just a big gap that exists between the professionals that operate in that area. And as sports chiropractors, one of the things that we've really tried to do as far as niching ourselves is trying to find some way which we can bridge the gap between sports medicine and sports performance.

I use this quote a lot when I teach. The reason why we never really move forward is because we are constantly trying to search for the next best thing or the newest technique to try to bridge that gap between rehab and performance, instead of taking things that we already know and creating a system to make sure that the gap doesn't exist in the first place. Why do we spend a lot of time trying to bridge the gap when we can create a system to make sure that that gap doesn't exist in the first place? So the big question that we're gonna ask ourselves today is, what is keeping us as sports chiropractors from eliminating the gap between rehab and performance? And I feel like there's 5 main issues that we've been able to identify that's keeping us from eliminating the gap. And I'm gonna say we're we're calling it problems in sports chiropractic, but really these are the reasons why we're having a hard time eliminating the gap between rehab and performance. Number 1, I feel like we have an identity problem. Number 2, at times we lack appropriate intent. Number 3, occasionally we lack proper focus. 4, we don't always have the right skill set.

And number 5, at times, we have a really hard time with the expression of our abilities. And we're gonna discuss discuss each of these individually. Now before we do that, I put in a disclaimer. I want to be very, very clear that I'm in no way degrading or belittling those who have paved the way in integrating chiropractic in the world of athletics. I have nothing but the utmost respect and appreciation for those who have created the opportunities that we now have and working in elite athletic environments. With that being said, what I'm about to suggest demonstrates the most optimal strategies in order to continue for our profession to progress forward in all able able to be continue to provide world class care. Now I wanna point out that there are quite a few people that are doing what we would classify as sports chiropractic extremely well. Even one of my colleagues and one of my instructors is doctor Todd Riddle.

Doctor Riddle is an instructor and and one of the owners of FAKTR. And he currently has gone to, I believe, 2 Olympic games and is currently working with, I believe, the US gymnastics team. So there are people that are utilizing parts of what we're going to be discussing today. But I think as a as a whole, we've not done a really good job at bridging that gap. And because of that, there's some limitations to the way we provide care. So let's talk about all of these individually. So the main thing that we're gonna have to do is not necessarily acquire new techniques or certifications, but what we really need to do is just shift our perspective. We need to look at what we're doing differently.

And if we do that appropriately, we can view what we're doing through a different lens, and we can ultimately see the forest through the trees. We won't be shooting ourselves in the foot. So what we're looking for is a shift in our our mindset and perspective. So we've identified these 5 problems that are causing us not to be able to eliminate the gap. The first, if you look at the outer ring, is identity. Now we're gonna focus on that first. Traditionally, our identity when we refer to chiropractors who work with athletes has been using the nomenclature of sports chiropractic. Now this is historically referred to those chiropractors who treat athletes, and the treatment has customarily consisted of adjusting athletes or people who participate in sports.

Now us giving ourself the self designation carries an associated expectation from the general public and allied health care professionals of what a sports chiropractor does with their patients. So people automatically, when we say I'm a sports chiropractor, there's an assumption of what they think that we do. Now chiropractors who currently work with athletes in a clinical setting have begun to use a multitude of techniques and interventions with their athletes. Because we have a really wide scope of practice, this has allowed us the ability to use other modalities and treatments beyond just that of traditional administration and manipulation. Now one of the main challenges with having a historical use of the term sports chiropractic and a wide scope of practice is that those outside of the chiropractic profession have no idea what we do. And because they don't really know what we do, there's a hesitation by patients and other allied health care professionals to use our services. I've encountered this myself in the past when I used to call myself a sports chiropractor is the question I would get is, so does that mean that you only adjust athletes or that that when you're working with athletes, all you do is adjust them? And there was this assumption that that's all we did. And then because of that, other medical doctors, orthopedists, physical therapists, etcetera, until they got to know what I did, had maybe a negative connotation to what they thought we do as sports chiropractors.

And then sometimes that might limit them to wanna refer patients to us. So another issue I see when we identify the return sports chiropractic is that it really takes us away from what we do that is actually meaningful and that can help our patients. The term sports has a really broad meaning, and we use it to refer to those who participate in sport activities. But by using the term of sports, the expectation is we are going to make someone better at their sport, which is end effect of what we do. But what we need to do is make people better instead of suggesting that we're gonna make them better at their sport. One of the shifts in mindset I want people to take is we need to be able to make them better at executing the task of related to being human. These are things related to human life, human movement, and human performance. Like, our job as sports chiropractors is to prepare their bodies for training.

And so we're gonna do that by working on some of the factors that some of the tasks that they have to execute as a human, whether that's in human life, human movement, or human performance. So there there are so many things that go into the outcomes of how someone does in the end of their sport. So sports doesn't really give us and I don't like using the term sports because it doesn't give us an appropriate endpoint for our treatment plans. What we need to do, in my opinion, and we're seeing this shift happen in the profession already, is we need to make our shift from that of a sports chiropractor to a performance chiropractor. Now as an example, doctor Todd Riddle and his business partner, doctor Marvin, they have been using the word or the the nomenclature of sports chiropractor. I think it's the most or one of the most apt descriptors of what we do. But what I've started using is this concept of calling ourselves human performance practitioners. I'm I'm gonna explain why in a second.

And making this shift really allows us to set our aim at making our athletes better at performing the specific tasks related to their sport, not just focusing on being better at the sport itself. So changing this mindset forces us to move from being participation focused, meaning the person's back participating in their sport, to task focus, which just means they have the specific physical requisites they need to perform well in their sport. And that little mindset is gonna shift the way we go about operating within the system we're presenting. So if we look at the definition of performance, performance is really defined as the execution or accomplishment of work or the manner in which something fulfills its intended purpose. So if something is performing, they're filling their intended purpose of work. And that's what we're shooting for is as a performance chiropractor. We're going to help people do their purpose or their function better. So what I've gone and shifted from is and one of the things we're teaching in our rehab to performance course is I really like the idea of calling ourselves a human performance practitioner.

Not because we're trying to get the take away the chiropractic of what we do in our profession, but I think it more aptly describes what sports chiropractic really is supposed to be. And my definition of a human performance practitioner is a highly knowledgeable and technically skilled clinician who uses the principles of biology, physiology, and biomechanics to assist their patients in developing the physical qualities necessary to perform the specific tasks required to achieve optimal performance. And for most people, the tasks are gonna be specific to their sport, and it's gonna be different from each individual based on their sport and their position. So our our identity should really shift from being a sports chiropractor to being that of a human performance practitioner. So that's the first shift in our mindset. If we start looking at the second ring, we're really gonna look at this idea of intent. Now when working within a sports chiropractic practice, the intent has always be to get people out of pain and to restore their function. Now in my experience and and looking at the profession for the least almost 20 years I've been in it, Historically, patient care ends when the athlete is no longer having pain and the local tissue or joint that was painful is functioning appropriately, whatever methods you use to determine that.

Now using this local definition of function has caused us to really have a short side be become shortsighted in the way that we create our treatment plans. And in order to be more effective at achieving optimal results, we need to view the idea of function through a different lens. And I'm gonna explain why in a second. So function is really defined as the purpose for which something is designed, the way something is intended to operate, to perform a specific action or activity, or having the ability to perform a specific task. So if something is functioning the way it's supposed to, it has the ability to do what it was designed to do or design or what it's intended to operate to do or to perform a specific activity. So I want you to keep this idea of function in mind. Function is the ability to have the requisite task to perform a specific activity. So if we look at intent and function, in regards to working with patients, we usually think of function as how a muscle or joint operates.

And once we get the structures operating within normal limits, it is usually not uncommon for people to be released from care. In my opinion, this is pretty shortsighted because it sets the athlete up for potential for reinjury and ultimately some suboptimal performance. And this is because their true function has not been fully restored. The function of an athlete is to compete in their chosen sport. I wanna I wanna be very clear about this part because I think this is important. When we say the function of an athlete is to participate and compete in their sport, this means that in order to do that, they have to have all of the physical qualities required to perform the specific tasks necessary to play in their sport. Now by using this changed definition of function, going away from a local idea of function and an individual tissue and joint and going to a global approach, this means that we're going to, by using this definition, have a more global approach and that athletes are not truly functional until they get back there playing the sport at the same level or higher than it was before they were injured. So in standard practices that I've seen in in at least some chiropractic practices who are do sports chiropractic, a lot of times what they'll do is someone comes in with an ankle injury, they're going to do whatever they can to restore normal kinematics, reduce the pain, restore kinematics to that joint.

And then once that's done, in most environments, that's the point because pain is gone and function, that local definition of function has been restored, they release the person from care. But that's not the whole picture. And so we need to change to move it using a more global approach. And the global approach meaning function of that person is having all the requisite tasks to play their sport. That becomes important as we continue down this conversation. Now why I think this is important is because one of the biggest challenges I see when I have this conversation about rehab and sports chiropractic is in order to really take this global approach, we must have an understanding that there are 6 stages of care that an athlete must go through during the rehabilitation process. Now these stages are consistent with every single patient and provide us an order of operations to get the athlete back to optimal sports performance. Now these stages of care are based on the needs of athletes at different times during their recovery, and using these stage of care as a guide gives us a path from where the patient currently is, like where they are right now.

What condition are you in currently and where they want to be? And this is the difference between point a and point b. What we would typically say is, what do you want to do? I wanna get back to playing soccer. Okay. Well, right now, you have an ankle injury, and so we have to get you from where you are right now with point a to where you want to be at point b. And we need a global approach to do that using our revised definition of function, and we need to understand these six stages of care. So what I always do when I'm creating a rehabilitation programs for people is I love this quote by doctor Charlie Weingroft. The number one rule when designing a rehabilitation program is to always start with the end in mind and work backwards. So if we know the end for this, let's say we have a knee or a patient with knee pain and they're a soccer player, this particular person, their their work starting at the end is them participating and playing in soccer competition.

And we have to start there and work backwards to where they are lying on the table with having acute ankle pain. So if we look at this diagram, this is a decent representation of all these stages of care. Now the first stage of care is called acute management. These are the things that we've turned in our rehab to fitness course and some of the things that they're currently teaching in the factor course. With acute management, the primary goal is to reduce pain and decrease tissue sensitivity. So we're trying to put out the fire. If something hurts, we're trying to put out the fire. Now there's a multitude of ways we can do that, but we have to understand all of those things fall under acute management.

The second stage of care is called foundational kinematics. Kinematics is all about motion. And so what we're trying to do here is reset normal motion or reset normal afferent input to the central nervous system. We're trying to get more signals going to the brain to be processed. Normally, as we know, that when there's an acute injury, we typically have less afferents, and that's one of the reasons why we typically see at times less motion. The third stage of care is called motor control. Now if foundational kinematics is all about mobility, motion, and resetting afferents, then we have to follow that up with stability and low threshold muscular contraction in the form of motor output, efferent output. So we have acute management for reduction.

We have foundational kinematics for resetting mobility and afferents. We have motor control for reinforcing efferents motor output. And then once we have done that, then we have to go through what's called functional integration, which we're going to start to reload functional movement patterns. Now this is where we're going to work on increasing strength, aerobic endurance. In in a classical strength and conditioning perspective, this is really what we would call general physical preparation. Right? So after we've got them out of pain, we put out the fire, we've got things moving, we've got it stable, now we have to load the tissue. Now load in this instance, we know in motor control we're doing low threshold loads. Here, we're starting to get them on their feet in functional patterns of training, and we're gonna start to increase progressive resistance.

Once we've done that, as we're continuing down the stages of care, the next stage is called progressive kinetics. Kinetics is all about forces. So here we're trying to rebuild their rate of force production. So this is all about power. And we're going to work on things like sprinting, jumping, or throwing that are relative to increasing the rate of force development. And then the last stage of care would be called fundamental capacity. We're gonna retrain motor skill acquisition, and we're gonna work on work capacity for their particular sport. So if we go back to my imaginary example, if we look at the top right of this diagram, and and that's our endpoint, we're starting with the end in mind.

So for this knee pain patient that plays soccer, the end is them playing soccer. They're they're they're back in practice. They're going into competition. And that's our goal. But right now, we have them laying on the table because they have this presented to our office with knee pain. So we're starting in acute management. And what we have to do is come up with a plan using this global approach of function to get them from point a in acute management all the way to point b where they're back in competition. And we'll talk more about exactly how to do that in a minute.

So in my opinion, our intent should be to make sure that the athlete has all of the physical qualities necessary to perform the task required for their sport before we release them from care. We know that one of the biggest risk factor for injury is a lack of function and motor control. And it's usually because we haven't taken them through all of those stages of care to get them back to being able to produce and resist forces that are relative to their sport, going through and producing those forces and ranges of motion that are relative to their sport, and then giving them the proper work capacity to be able to maintain those outputs over the time that's required for their sport. So we need to make sure that they have all our intent is to make sure that they have all of these physical requisites to perform the task of their sports before we release them from care. If we continue in that if we continue going into the circle, the next one is we need to change our focus. And, traditionally, in in our focus in sports chiropractic has been the care, obviously, and treatment, and this is the word we're gonna use, of athletes. Now although this is at the heart of what we do as sports chiropractors, it forces us a reductionist approach to how we view the athlete. Treatment is really defined as an action of providing a medical intervention in order to alleviate an ailment or pain.

So by focusing our aim on the person's ailment, we are not only reduce reducing the person down to their condition, but we're isolating our efforts to this very specific local problem. So we could say, this is my knee pain patient. I'm gonna treat this person's knee. We need to, again, use our global approach and get away from the term treatment, and we're gonna shift to a different word. Now in order to use our holistic approach of care for our athletes, again, we need to shift away from treating the athlete's condition to instead managing the process by which they can acquire the necessary qualities to restore function and effectively participate in our sport. So we're gonna shift from this idea of treatment, which is a local intervention to managing the process of all of those stages of care we just discussed. So focusing on treatment, again, forces us to isolate on specific procedures and the application of sports chiropractic to one particular area. Whereas focusing on management forces us to oversee the entire process of of development, all of those specific qualities they need during those stages of care that are specific for their sport and their position.

So, again, one of the things that I see quite frequently, treatment, if you look at the the definition, treatment is something that the con the clinician forms a specific intervention or procedure on the patient. So I'm going to manipulate that patient's ankle, or I'm going to do dry needling on that patient's ankle. And really what this does, if we if we focus on the idea of treatment, is it makes the doctor the center of the rehab process. Versus if we shift the management, the clinician is really guiding the athlete through all of those stages of care towards the end goal of recovery and participation. And what this does is it creates an equal partnership in the process. People are gonna buy into our services a lot more efficiently if they think they have an equal say in what they're doing. Versus if we just come in and say we're gonna treat your ankle today versus saying something like, I'm gonna help you manage a process to get you back to your soccer competition as quickly as possible. The difference in terminology there from a psychological perspective in working with athletes goes a long way.

So we're gonna shift our focus from treatment to managing the process of the stages of rehabilitation. And I love this quote by doctor Craig Leibinson. Shifting our focus from treatment to management allows us to involve the patient in the rehabilitation process instead of just having them be a passive participant in their recovery. We want athletes to feel like they're involved and they have a say in what they're doing because if they do, they're gonna buy into everything we tell them to do. And if they do that, they're gonna recover a heck of a lot faster. So our focus should shift from treatment and should be on managing the process by which our athletes acquire the necessary qualities to perform the task of their chosen sport or activity. So, again, shifting from treatment, we're gonna shift towards managing a process. The next thing that we that we need to correct is having the right skill set.

Now the traditional skill set in sports chiropractic has been the use of palpation for the identification of joint dysfunction and the administration of manipulation to correct it. In the last, I would say, 10 years or so, we've seen a huge shift for sports chiropractors to use a multimodal approach to patient care, and this includes using a wide variety of techniques and really the accumulation of multiple certification to treat athletic populations. Look. I'm one that says to everyone, I want you to learn as much as possible. But if we have accumulation of all this knowledge with no logical system for its application, it's really worthless. So what we really want to do is, 1st and foremost, make these shifts in our perspective, create a logical system, and then accumulate things that we can do underneath each of these categories in the stages of care. And we're gonna talk about those in a second. So if we look at the traditional skill set, our clinicians have been usually focused on treatment.

And they have accumulated the skill set of things like passive therapeutics, but there's absolutely nothing wrong with that, and there's a place for those things in patient care. Things like joint mobilization and manipulation. They have different variations of soft soft tissue mobilization. We can use low level muscular force applications and then any variation of taping techniques. This is typically what we see with sports chiropractic in the treatment of athletes. And some of the things that we tend to see are the accumulation of a lot of these certifications. Now for things like joint manipulation, joint palpation manipulation, one of the common ones is Motion Palpation Institute. For manual soft tissue techniques, you have, historically it's been active release technique.

We also things see things like fascial distortion model or fascial manipulation. For instrumentation, we have the Graston technique or obviously my favorite is FAKTR with doctor Todd Riddle. We have techniques like neurodynamics and nerve flossing. We can do things like structure and function like dry needling with electrical stimulation. We have things like Mackenzie, blood flow restriction. One of the variations I like to use is spark cuffs. You can do things I noticed in in the chat, someone suggested they're using Miracle Wave or Shockwave, things like dynamic taping or or rock tape. I prefer dynamic tape.

You could do then low level threshold interventions like DNS or in or the grip approach. Like, these are all some of the things that we some of the certification and the knowledge we accumulate when we are trying to treat patients. But there's still a downside to this. What we really wanna do is accumulate the skill set for management. Remember, we're gonna manage the process from acute management all the way back to the fundamental capacity. So when we focus on management, we need the following skill sets. We need we need the ability to manage or to to be working in acute management, meaning any interventions that reduce pain and decrease tissue sensitivity. We need to have the skill set of movement, and and these are interventions that restore mobility and or motor control.

This is historically where chiropractic has lived in in acute management and movement. And there are people I know and have a lot of respect for that do this amazingly. So what I'm trying to say is if we're gonna move from treatment to management, we have to move beyond acute management movement to now having some understanding of fitness. And these are some of the methods that help us improve strength, power, and work capacity. We also have to understand the concepts relative to methods that we can use to quantify load and the overall athlete of a stress in the form of load management. So we have to have a quantifiable way to determine how much load that our athletes are going through and if the overaccumulation of load is gonna be detrimental to not only their adaptations we're looking for for sport, but also the ability of them to get injured chronically. And then finally, we need to have the skill set of recovery. We need to have methods and innovations that optimize adaptation.

So historically with sports chiropractic and treatment, we do really well in acute management and we do relatively well in movement, But we're lacking fitness, load management, and recovery. And if we're going to manage the approach of all the stages of care that are necessary to get people from point a in acute management to point b and back to sport, we need to have some of these other skill sets. The reason why I think this is really important, and this is probably one of the best things I want you to take away from this conversation, is when I sat down and and and started developing the course I teach, which is called rehab to fitness, It's really to teach people how to go from rehab into fitness and going through all of those 6 stages of care that we just discussed. So what we did was we took across the top of this we call this the rehab continuum. These are all 6 six stages of care. So you can see AM is acute management, f k is foundational kinematics, m c is motor control, f I is functional integration, p k is progressive kinetics, and f c is fundamental capacity. These are all the 6 stages of care that we already discussed. And an athlete has to go through from pain to performance.

Now that being said, we have to understand what interventions go under what stage and when and why to use those things. And this is the system that we've created. We started looking at things instead of specific interventions. We started looking at it from the perspective of the load effect that it has in the body. So in acute management, some of the things we do, 1st and foremost, is always patient education. We're gonna tell the patient what's wrong with them and what we're gonna do about it. So it's having that conversation, that report of findings, whatever you however you wanna determine to get them to buy into the process of what we're suggesting they do. Some of the the least stimulative things we can do are work on things like diaphragmatic breathing.

If you look at DT, that's dynamic taping. We have things like cold laser or red light therapy. We can do dry needling or dry needling with electrical stimulation. We can do vibration and percussion, and we can also do things like acoustic wave wave or shock wave. These are traditionally interventions that we use in acute management, and we're going to look at them from the perspective of the least load in just having a conversation with patient education to the most load in acute management would be something like acoustic wave. As we transition into foundational kinematics, we can use interventions like myofascial decompression or cupping. We can do compression flossing or factor flossing. We could do things like DSM, which is direction specific movement, or Mackenzie would be the the traditional commercial model.

You can do things like neurodynamics or NF nerve flossing. We could do things like joint mobilization or joint manipulation depending on the specifics of what the patient needs. And then FTM is soft tissue mobilization, whether that's manual therapy with your hands or instrumentation. Whatever you choose to use based on the specific of what the patient needs at that particular time and how much load they can tolerate to get the specific response we're looking for. Now that being said, those are all traditional things that we do under acute management. As so that's all about increasing afference and restoring mobility. As we get into motor control, we're gonna start working on things like positional isometrics. I think isometrics is one of the most underutilized tools that we have in our tool bag for the rehabilitation of musculoskeletal injuries.

We could do things like DP or s, which is developmental and positional stabilization. That is a noncommercial way for me to say DNS. We could do things like if you're if you're familiar with functional range conditioning, things like pails and rails, which are isometric contractions on either side of a joint position. We can do combined loading, which is typically what we would do, both concentric and eccentric loading. We could do just strictly slow eccentric loading, which we know is good for things like tendinopathies. And then we can couple that or stack that if we necessary with things like blood flow restriction. So these are all things we would do for the restoration of ethernet output motor control. Now this is typically in my experience, if we look at these three stages, on the left of this acute management, foundational kinematics, and motor control, this is typically our sports medicine.

In chiropractic or sports chiropractic, we typically live in acute management foundational kinematics. And if you're a really good sports chiropractor, you're absolutely doing motor control. And then for, like, the 1% or 2% of sports chiropractors who take this all the way, you're starting to get into functional integration.

That's it for today's episode. Be sure to tune in for part 2 where we talk about the importance of an athlete's involvement in their recovery, building a multifaceted skill set, and the necessity of a robust support team. You won't wanna miss it. Episode 93 drops in 2 weeks. Be sure to visit the show notes to download our comprehensive guide to athlete care and performance and learn more about doctor Teeter's new clinical human performance practitioner certification program. We'll see you next time.