REPLAY: The Missing Link- Live Training #2

In this live training call from the mini-course: The Missing Link, we build on the foundation from Call #1 and show how to interpret and apply the SI Joint Mobility Locator Test inside real clinical scenarios.

What you’ll learn in this replay:

• Why adding a breath hold to your SI joint test is the missing link that reveals visceral, CNS, or neurovascular drivers.
• The 3-round protocol for assessment + treatment → reassessment, so you stop chasing symptoms and start peeling back protection patterns.
• Practical treatment options you already know (breathing, spine mobility, self-massage, neuro drills) reframed through the whole-organism paradigm.
• How to explain the SI joint “traffic cop” test to patients without overcomplicating it.
• Case scenarios: wrist pain, sciatica, and shoulder pain—all solved by letting the SI joint guide treatment sequencing.
• Why assessment precision > more treatment tools for achieving outcomes that stick.

Anna also shares what’s ahead in the full LTAP™ Level 1 Course, opening for enrollment on September 29th, and how this paradigm shift is helping clinicians achieve better results.

Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com

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Transcript

The Missing Link Live Training #2 Replay

[00:00:00] Hello. Hello. Welcome back to another episode of the Unreal Results Podcast. This is another bonus episode. I am giving you the replay from the second live training of the Missing Link mini course. This week has been so going, so great, one of my favorite things to teach. I hope you enjoy the replay here.

It's not too late to join and, uh, go through all the course modules if you want, for free. It's open until end of day, Sunday, September 28th, and then. Access is closed because Monday, September 29th is, uh, the open enrollment time for the next cohort of the online locator test assessment protocol level one course.

So I cannot wait to open the doors to the eighth, eighth online cohort and, uh, see who's joining me for the next seven weeks to like learn a more precise [00:01:00] assessment. That's going to help you get better results for your physical therapy and athletic training clients. So this is a replay of the second live training of the missing link.

Learn more about the SI joint mobility. Lo loaded cater test. Learn about the treatment options for the viscera, for the central nervous system and for the peripheral neurovascular entrapment areas of the lower extremity. And then I talk a little bit about SI joint pain, SI joint pain, provocation SI joint, si, joint pain referrals, all the things you need to know.

And then also how to utilize the SI joint mobility locator test. Within a treatment session, what it looks like, share some case scenarios, and, uh, that's it. So enjoy the call.

Okay, let's get started. I love it. [00:02:00] Call number two. So a recap on the live training. Number one, which is available for replay. Um, the recording's up in the portal sent you out the email. It's on YouTube, it's on the podcast. It's all the places to ensure that you actually consume that. If you never log in the portal because of life, but you at least watch the live trainings, you should definitely still learn something and even be able to apply it depending on how much guidance you need around the actual setup of the assessment.

So on that live training, we talked about the unwanted experiences you're having as a clinician. That maybe brought you here. Um, some mistakes we make while trying to alleviate those unwanted condi experiences. We introduce the whole organism, whole organism paradigm concept. And then I also shared what the one change to your assessment is.

The one change is the breath hold, right? A lot of you already do some sort [00:03:00] of SI joint mobility assessment, but making one change, adding in that breath hold and seeing what happens. That is us stepping into this new lens of view, this more whole organism paradigm in appreciating how this assessment that may change an assessment that we learned.

Our whole career. That was a very musculoskeletal assessment perhaps. Now we're seeing that it gives us more information than the musculoskeletal system. It actually gives us information about how the musculoskeletal system is in a protection pattern or if it's not in a protection pattern. So in live training today, we're gonna talk more about that.

We're gonna talk more about the interpretation. We're gonna answer some common questions and a lot of common questions I'm starting to see in the Facebook group and in the course is like, the course comments is like, okay, so how do I like use this within a session? Like how do I let it guide me? How do I use this?

Along with the treatments. [00:04:00] So we're gonna review assessment, um, and treatment guidelines and interpretation, treatment guidelines, and options. We're gonna go over some case scenarios as well. Um, in the daily tutorials in the, in the course portal, you've been learning even more about that whole organism paradigm through the lectures, as well as through trying the treatments in your own body.

It's by trying the treatments in our own body and seeing how it feels and seeing how things change that you start to see like, oh, the treatments that I already know and do and use can also be applied from a visceral standpoint. I just haven't looked at them that way before. Um, also, the daily tutorials was step by step, how to do the test and, um, yeah, just to like, support you in all the ways of practicing it and getting good at it and trusting your hands and trusting your eyes.

So, um, also on this call. Like I told you last call, I'll be inviting you to the next [00:05:00] cohort of the online ltap level one course. It's a seven week course. Um, the doors open to enroll On Monday, we'll talk more about what is happening during the enrollment and stuff at the end of this call. And then we'll talk more about like what happens in the seven week course as well.

Um, but right now before we do that, we're just gonna dive in and keep learning on what you already went over. So, as a recap, right, like who are you? It's been very clear too as I've looked at the comments and questions and that come up in the course and the introductions, like all of you, um, already get good results with your people.

You love to learn. You feel like maybe there's something minute missing. You're open to the idea that there could be more, there could be a different way to look at things. Um. But you're still a little hesitant to guarantee your results because you might still be in that patient. Um, outcomes closer [00:06:00] to around 80%, 70 or 80% as opposed to closer to a hundred percent.

And it is possible to get nearly a hundred percent results with your people and to get them fast, right? And so, um, you see that as a possibility and are curious about what it would take to get there. Uh, maybe you work in a higher volume clinic or an athletic training room and you feel like time is limit a big limiter and you're looking for some sort of assessment or algorithm to get you to the driver faster.

Um, just because you have a time limitation, maybe you're, um, further along in your career and you have a ton of tools. You might even have tools that are already addressing the viscera and the nervous system, uh, but you're not sure how to. Integrate them all together. Put them all together in a way that makes sense, in a way that goes back to the orthopedics and the musculoskeletal system.

'cause at the end of the day, most of us work in clinics or scenarios where [00:07:00] the person coming in is like, oh, not complaining of indigestion, they're complaining of neck pain or shoulder pain, or low back pain, or whatever it may be. Right? And so we, we want a way to tie it all together. Um, those of us that are in clinics, that people come in with visceral pain like our pelvic.

Pelvic floor PTs and maybe some, um, other practitioners. Now you'll have a way to address that and look at it from a musculo schedule standpoint, which is gonna allow you to, um, hedge your bet that you actually did something to make a change that's going to make a change in their symptoms instead of like doing treatment and just hoping that it works.

Um. So that's most of you for sure. So the frustrations that we all share that led us to this course too is feeling like we needed to treat, treat patients multiple times per week, multiple weeks at a time to [00:08:00] get results. So yes, we're getting good results, but it's taking a little bit longer than we would like.

I remember back when I was in my earlier days, just feeling like, man, if I'm not releasing this athlete's hip flexor every single day, they're like on the struggle bus and it, you know, and so it's like, it's frustrating sometimes to do a really good treatment and see it not stick. It's like the men in black scenario where it's like as soon as the session is over, you put the pen in front of their eyes and it flashes and they forget everything that happened before.

Like, that is so frustrating as a pat, as a clinician and as a patient. Um, that's the scenario of the treatment techniques, not sticking, feeling like you're banging your head against the. Those few outliers that keep you awake at night, frustrated that you can't figure it out. Those are those, you know, when we look at what is industry standard of 60 to 80% outcomes, that means that it's just like standard practice that two to four people out of 10 just [00:09:00] don't get better.

And I don't know about you, but when it was those two people, for me back in the day, it, it really, it's like all I thought about, like I became so obsessive about it and obsessing about what I was missing and assessing about like why they're not getting better and what that meant about me as a practitioner.

It just ate silently, eats away at your confidence, which is no fun because the more, the less confident you feel, the more likely you are to feel like you can't help on anybody. Everybody just comes to complain like you, you just feel like there's just too much on your plate and you get burnt out. So, um, the other frustration is like, yeah, you get it.

You want to consider the whole organism. You, you're maybe learning more about the autonomic nervous system. You're learning how the visceral connects, or you feel that in your own body, you feel how you get indigestion and you instantly have neck pain, or you have your menstrual cycle and you instantly have low back pain or [00:10:00] whatever it may be, a gallbladder attack and your shoulder starts hurting, right?

So you feel this in your body, you see it in your patients, but you're really not sure where to start and how to pull it together. Or you feel like the only way to start is to go learn all these tools from a education provider like the Ral Institute or the Upper Ledger Institute, which takes a lot of time and a lot of money and a lot of years to get really good at.

And then to leave you sort of still in the same place as how to bring it back to the musculoskeletal system and where do I start? So when we feel this way, oftentimes we, we are in the cycle of learning more and more treatment techniques. That's the thing. Like in the industry, if you look at all the continuing education out there, all the things that are popular, almost all of it is treatment techniques.

It's very rare that it's an assessment course that blows up. And so unfortunately, it's the assessment piece that is what we need also, because we live in [00:11:00] this muscle biased. Paradigm from the beginning. We start school to now as professionals, we end up chasing the biomechanics, trying constantly trying to change movement dysfunction or compensation, not realizing that what makes a human being amazing is their ability to compensate.

Compensation is not the problem. Jean Pierre Baral says, he says, compensation's not the problem. The problem is when the body loses the ability to compensate, that's when we get dis-ease or injury or pain. So it's funny that we spend our time chasing these compensations and trying to fix 'em. And what does this look like in real time?

This looks like telling someone they have knee pain because they can't squat correctly, and then you clean up their squat and they have the most beautiful squat and they still have knee pain, or vice versa. You tell them their knee pain is because they have poor squat patterns and then their knee pain goes away, but their squat still looks like shit.

So it's like, hmm, was that really the [00:12:00] problem in the first place? The other mistake we make often is thinking time the client or pain is the problem. Yes, of course, sometimes healing does take time. Certain tissues take time to heal, but oftentimes we use this as an excuse or a cop out when we can't figure it out.

We use this an as an excuse for a cop out for those two to four people out of 10 that we just can't seem to fix because it's easier to blame them, easier to blame their tissue, easier to blame their brain and the output of pain than it is to actually do the actual work to figure out what we're missing.

This is a, in psychology, this is called the fundamental attribution error, and it is a very human thing to do, but it is what keeps us stuck and keeps us settling for mediocrity in the industry. Right. And then the other thing that happens is we start chasing symptom session to session because we get frustrated that people aren't changing because we get frustrated that we can't figure it out.

And ultimately at our heart, at our soul, we are heart centered [00:13:00] caregivers that just want the person in front of us to feel better. We are like, even though I know I shouldn't just be treating your symptom, just be touching where your symptom is. I know I can get you instantly relief and feel better, at least in the moment.

And that feels like enough. It feels it. It quenches our thirst for being a caregiver and being kind and caring and loving and like trying to like give them a big old hug. But what that leads to is us constantly chasing symptoms. Session, session to session, or this is the scenario too of the complex patient that every day they come in, they have a new complaint, and you're like, wait, I thought we were working on your.

Back pain, but now we're working on your knee pain. Like when? Like when did that happen? Right. So, so being able to look at things from a whole picture standpoint, we think we are, but we get stuck in these mistakes. And when we get stuck in these mistakes, it's just like a repeating cycle over and over again.

Right? They're so common. I [00:14:00] talked about on the first live call there was 3000, over 3000 of you that raised your hand and signed up for this course. That tells me there is 3000 of you who resonate with these problems. You are not alone. This was me too. I can think of in every part of my earlier career, I think of these being stuck in this loop, making these mistakes, feeling in this way, having these unwanted experiences.

And the cool thing is, even though we always seek to find more treatment tools and more treatment tools are great to a point, just as more years experience gives us more tools and more ability to help people. You actually already have everything that you need to get immediate results for your clients.

So it's like so that, so this week we've been exploring, so it's like if I have everything that I need, no matter if I'm three years out of school or 30 years out of school, have taken two continuing education courses or 200 continuing education courses, it's like, okay, if I have [00:15:00] what I need, what am I missing?

And what we talked about, what was missing is the paradigm that we're operating in. One that considers the whole organism and the influence of the viscera and the nervous system on the musculoskeletal pain and biomechanics. And also an assessment that has the ability to trust the wisdom of the body and be able to listen to it, to guide the treatment sequencing with an objective assessment.

Using our assessment to dictate where to start treatment based on the input, based on this protection pattern, based on what the body. It is telling us the hot top priority is not our biomechanical basis. And what I mean with that is until now you've probably operated in a paradigm or some sort of silo of education that told you that the foot was the most important thing, because once your foot hits the ground, it changes everything.

Or the core was the most important thing, or the breathing pattern was the most important thing. Those are all biomechanical [00:16:00] biases that tell us where to start. Instead of using the body, using the innate, deeply embedded intelligence within our cells that figured out how to become, go from one.

A baby to be somebody who learned how to sit, roll, crawl, walk, run, and jump without any coaching, without anybody telling you how to do it. We have so much intelligence deeply embedded in all of ourselves that it's so silly for us to think that the body can doesn't, isn't trying to direct us where to start.

Treatment isn't trying to tell us where it's having a hard time compensating or where it's having a hard time and just in a protective pattern and needs a little assistance, right? So following the protection pattern and starting treatment there instantly changes our dy dynamic alignment and takes us out of that protective mode.

And the reason taking us out of that protective mode is [00:17:00] important, not just to change the dynamic alignment and, and improve movement patterns. If you care about that. It actually helps us shift into a state of the nervous system that is more supportive of our body's innate ability to heal itself. And then you instantly decrease sensitivity to pain and the body starts doing what it needs to do to heal the tissue and or change the movement to then not irritate and sensitize an overs sensitize tissue.

So the solution, we already know, we have the treatment tools and techniques that we need to help. So we just need an an assessment that can identify if there is a protection pattern and where it's originating from. Is it the viscera, the central nervous system, or a peripheral neurovascular system? Those are the things that are most important for survival.

And so if we are going to be in a protective mode, it is going to be protecting something that's important for [00:18:00] survival. Okay. And that's where I introduce you to the importance of this assessment that I call the locator Test Assessment Protocol. The whole protocol is five orthopedic based tests utilized with the osteopathic principles to explore the influence of viscera and the nervous system to influence the musculoskeletal system.

This pro, this assessment protocol listens to the body in order to determine the sequence of treatment or the layers of protection that need addressing. First. These are all the tests. This is kind of like a general flow that it goes through, and during this week, we've been learning the first test this whole week, we're focused on the first.

Assessment test of the locator test assessment protocol, the SI joint Mobility locator test. This test is basically asking the body about where to start. It's asking the body, are you protecting something important or can I do [00:19:00] treatment wherever I want? Treatment? Wherever you want is sort of usually wherever the patient comes in complaining of pain.

Or maybe it is not the area of pain, but the area that you think is driving the area of pain. Alright? So that's what we're doing when we're using this test is we're, is we're saying, Hey, I understand that where you want to do treatment is more important than where I want to be in treat, do treatment because you're the only expert on your own body, right?

So that's what we've been learning in this. Mini course, the missing link. Okay, so the missing link, like the play on words. The whole missing link that we had really was one, the breath hold. The breath hold is the missing link to get us out of the whole organ or the, the whole body paradigm that just looks at the musculoskeletal system and the biomechanics and gets us into the other true missing link, which is a new lens of view, this whole organism paradigm.[00:20:00]

So we've been learning that first step. We've been seeing how it is a traffic cop that tells us where to go. And then we also introduced in yesterday's module, we learned some simple interventions for treatment. And I separated the interventions for treatment from visceral. Essential nervous system. And then lower extremity peripheral neurovascular.

I gave you, I think, two interventions in each thing. So six interventions I gave you. And the reason for that one was because all of you are always gonna ask me, how do I treat it? Even though you have all the treatment tools that you need. But then two, because learning those treatments in our body and seeing those treatments in a different way, because arguably those treatments, you've probably seen them before or seen maybe similar things before, and they've been taught to you from a musculoskeletal lens, a biomechanical movement lens.

But now we're talking about how [00:21:00] they relate to the visceral anatomy. And that's really all it is, because whether we realize it or not, every time we move the body, every time we touch the body, we're also treating. And influencing the viscera and the central nervous system. And so all that takes is to learn the anatomy and understand that it's all connected and not just, it's all connected, like a general blanket term of all connected.

So you can do treatment anywhere, but no meaning it's all connected to understand that, oh, if I'm doing a treatment targeting thoraco lumbar junction mobility, yes. That it's treating the diaphragm or impacting the diaphragm and the th thoracic spine and the ribs, but it's also affecting the liver.

Because the liver attaches through suspensory ligaments to the diaphragm and to the hard frame of the thorax. So now I see it from a different lens of view. And when I see it from that lens of view, [00:22:00] I choose to use that intervention differently than I would've choose to use it before. Right? So that's why this week, even though I'm, even though I harp on people about, it's the assessment that matters, and it is the assessment that matters.

That's what's gonna get you the consistent gable better outcomes. But I needed to show you some treatment strategies to feel it in your own body and start to open your eyes to, I actually don't need more treatment tools to already be able to treat the viscera and the nervous system and operate in this new lens of view.

Right. So, and then also the focus for this week was, I told you, right? We built out this scientific model, this meaning like this science project, if I, I told you the core beliefs, the hypothesis that we were operating on, and I told you all the reasons they were true. But then I said, don't trust me. Don't just believe me for the sake of believing me.

I want you to see it with [00:23:00] your own eyes and feel it with your own hands, both in your own body and on the person in front of you, right? So it's like, don't trust me. Trust the body in front of you. Trust what you see. I want you, the only way that I can convince you how wild it is to see an SI joint that you thought was stuck to then do a simple little breath hold and then it move again.

The only way I blow your mind and create that cognitive dissonance that forces you to be like, I cannot not see this anymore, right? Is for you to. Do it on your own. Do it on your own. Practice it on your own. That's why this is not enough to just sit back and walk to the lectures. Like I want you to explore at least a little bit with a couple patients of what it looks like.

Because until you see it for yourself, you're actually not gonna believe it. So one of the questions that I have often in these courses is like, this is great. I'm on board. I totally see [00:24:00] the value in it. I totally see why those lens of view is important. I am feeling excited to practice it. But then you go back to work and a patient walks in with, let's say, wrist pain, and you're like, okay, I feel weird with a patient who just told me their wrist hurts and they're here to make their wrist feel better.

I feel weird being like, I'm gonna start at your SI joint. And so they're like, how do I explain this to the client if that this matters to me? And this is gonna seem like a stupid answer, but it's also like, yep, it, this is how basic it is. I explain this to the client the same exact way I've explained it to you.

I basically say, Hey, sometimes when we have pain, whether it be in our wrist, our ankle, our toe, our back, our neck, wherever it is, it's actually not coming there. Oftentimes there's a deeper driver, and when it comes to the musculoskeletal system, which is our muscles and our joints, they are [00:25:00] bodyguards for the more important things that keep us alive, the more important things being the organs.

And so sometimes it's important for me to figure out if, if your body is protecting anything from that level, and direct my treatment somewhere else so that the body gets out of this protective mode and rearranges itself. And then I give an example. In my shirt, I say, imagine you have allergies or you're sick and your lungs are kind of overloaded, and your body is like, Ooh, there's a lot of strain here.

So I go and protect it, and we protect something just like we protect another human, right? What do we do? And we're like driving and we feel like we're gonna get hit by another car. It's instinct for our other arm to be put in front of the person in our passenger seat to even though they have a seatbelt on, it's still like protect the person, right?

Hug the person, jump in front of the bullet for them, cover them up. That's how we protect things, right? So we [00:26:00] do that in the body too. It kind of hugs it, and when it hugs it, it orients itself all around that lung. So then you see on my shirt how it would affect things over here. So if I have left wrist pain, but I have.

A cough that, or I had a cough three weeks ago. My body is still creating all this tension. So you could see why when I go to extend my wrist, why my wrist might hurt. And when I show them that visual, they're like, oh, that makes sense. And I'm like, okay. So how it relates to your SI joint? I'm like, your SI joint's really cool.

It's actually a full body joint. It connects the lower extremity to the upper extremity and it's part of the trunk. So when I test here, it actually gives me an idea of what's going on full body. And by that time, most of the time they've checked out, they're like, I don't care. Just get on with it. Because honestly, they probably never cared that you were gonna start at their SI joint anyways.

You feel uncomfortable and feel like you have to explain yourself when you are kind of [00:27:00] doubting it a little bit. Okay? So that is a big thing. Shannon asked, can I do that again with you in full screen? I cannot, 'cause I do not have time to repeat it. But maybe at the end if I have time during the q and a as I will.

Yeah. Shauna said they just wanna feel better. Yeah, patients actually don't care that much and if they do care, you'll notice and their body language and then you can stop and explain themselves or be like, sometimes when I tell my patients I'm like, I do things a little bit differently, I can explain it to you or at any point just let me know if you have a question.

This is not formal. Okay. So to review, what was this si? Joint Mobility Locator test. You can truly use any SI joint mobility test for this and use a breath hold with it and it would be an SI joint Mobility locator test. The test that we've been practicing together this week is this standing March test.

So we're doing the standing March test [00:28:00] and we're looking, does the nominate bone. Is the dominant bone able to posteriorly rotate on the sacrum? Yes or no? That's all we're asking. Does it move or does it not move? Not how much it moves. If you're trying to determine how much it moves, that just means it moves, so you don't even have to worry about it.

It either moves or it doesn't move. Okay. And then if it doesn't move, that's what we care about. If it's doesn't move, we then do it with a breath hold and ask the question, does it change it? And a change if it's not moving, a change would be to moving. That's what we care. That's the whole process. That's what we're looking at.

Okay. And then this is the interpretation. If you do a breath hold and it changes the hypomobility, so it goes from an SI joint that didn't move to now an SI joint that moved, we are going to be starting treatment. [00:29:00] The viscera or the central nervous system that is telling us the body is protecting something in the central nervous system or the viscera.

So we need to start treatment above the pelvis. If the breath hold does not change the hypomobility, meaning the SI joint didn't move, he did a little breath hold and it still didn't move, that tells us that there is an issue and we should direct our treatment on that side of the lower extremity, which may include the SI joint itself.

Though I encourage you all to look beyond the SI joint because it's often not the SI joint itself. About 5% of the time is the SI joint itself. Okay? And then the other option is both sides move. If both sides moves, what does that mean? Some people are like, well, both sides move, but they came in with wrist pain.

And I'm like, [00:30:00] great. That means you don't have to do anything but just go treat their wrist. You don't even have to believe their shoulder influences their wrist at that point. If you want, you can just go and treat their wrist all that doesn't mean that you're gonna have an amazing outcome. Not necessarily, but it means you're not, excuse me, for using like a colly maybe incorrect thing, but all it means is you're not cock blocking yourself at the end of the day.

Because what happens is if they have a protection pattern and we don't honor it, right? If they're protecting that lung because of they had COVID two months ago and their body's still in a protection pattern around the bronchus, right from the inflammation and whatever went on there with the disease process, and they come in with, let's say, ankle pain.

We're like, Ooh, I really need to mobilize their tall curl joint and their first ray. And I know because the foot [00:31:00] drives everything. When I mobilize this first ray and this tall curl joint, not only will the ankle feel better, but I'm gonna change their squat pattern. And they're gonna be like, they're gonna, they're going to like throw a party for me because I did such a good job for them.

That's, I might have the best technique in the world for the first ray and the ankle. I literally might be like the world's greatest ankle mobilizer, which I'm not, by the way my athletes will tell you. But if I start there, I'm actually cock blocking myself from getting good results because where I needed to start was their lung, just a little something in their lung to get them out of that protection pattern.

And then when I go back to their ankle. Sometimes they don't even need to mobilize it. Sometimes it just fixes itself. Then I look even cooler, right? But then it's not about looking cool. It's about the fact that then they leave. I have alleviate, alleviated the thing that they came in for, but [00:32:00] then also I feel like there's a higher chance of it never coming back again.

If I did the ankle first, they might have left feeling good, but tomorrow their ankle's gonna tighten right back up, right? So that's what it means when a, when the SI joint is moving on both sides or mobile on both sides, all it tells you is there's no protection pattern that's gonna block you from getting good results.

So you can start treatment wherever you want, whether that's directly at the area of injury or somewhere else. It means your outcomes are not going to be affected by a protection pattern. We're not gonna be, you know, salmon swimming upstream. It's, we're gonna be going downstream. It's gonna be easy. And so what this, this whole point and why I am like pausing to talk about it is because I do not want you to think that the goal of the treatment session is to mobile SI joints.

That [00:33:00] is not the goal of the treatment session. If the goal of the treatment SE session and the secret to making everybody feel better and get better outcomes regardless of where their body parts hurt was too mobile SI joints, I would just mobilize their SI joints. Does that make sense? It's not the goal of our treatment.

Does it sometimes happen? Yeah. Is that great? Yeah. 'cause that's just telling us we're not protecting anything anymore. But the SI joint is like the way we're communicating with the body. It's our medium, right? Like a medium communicates, you know, if you believe in that between the living and the not living.

So the SI joint is the comedian between us and the body, because you know, I have a hard time paying attention to the body in front of me without a messenger. So it's our messenger or our medium, and that's why we call it our traffic cop, because all the SI joint really is doing is telling us [00:34:00] where to start.

It's telling us, start in the visceral and the nervous system. Start in the same side leg on the the lower extremity of the hypomobility, or start wherever the heck you want. There's no protection pattern. Okay, so now big picture. Okay? We understand all that. We know how we're gonna use it. We know what we're gonna tell our patient if we need to.

So how does it work? In a perfect world, I don't like knowing what's going on with the patient until I start the assessment. This way, I'm not biased, right? Because sometimes somebody comes in with shoulder pain and I'm gonna be thinking like, Ooh, I know what this. So if I just don't know that if you're coming in with shoulder pain, then I don't bias my brain and my hands from trying to paint a picture of what it should be, right?

I don't lead the witness. And so I start with the assessment. That's part of my spiel. I say, Hey, things are gonna look a bit a little bit different here. Then your last PT session, or your [00:35:00] last session with an athletic trainer, or your last session with a chiropractor, whoever you saw before, because I'm actually gonna assess you first, and then before I treat you, then we're gonna talk about what brings you in today and how I can help you.

All the things you did like don't. And I just tell them, don't worry. All of that matters. I'm going to listen, but I don't wanna be biased when I actually take an assessment of your body, because that's gonna give me the clearest message of what's actually going on. And people are like, okay, sounds good.

So I start with the ltap. In this case, you don't have the full ltap, you just have the first test, which is fine. It's the traffic cop, right? It's gonna give us a lot of information. So we start with that. We start with the SI, joint Mobility locator test. I do that first, and then I already know this is either gonna be a treatment starting in above the pelvis, trunk, or head, or it's gonna be on either the right leg or the left leg.

Now, with that information, I might do a further assessment on those pieces. In addition to then I'll say, Hey, Sally, Joe, what brings [00:36:00] you in today? And Sally Joe tells me like, oh, I have knee pain. And so then I ask all the questions about the knee pain. And then I do an orthopedic test, orthopedic assessment on the knee.

So for me, when somebody comes in with knee pain, I look at ankle mobility, I look at hip mobility, I look at a movement, I look at the patellafemoral joints, I look at the tibial rotation. Like I look at all the things that a lot of people look at. And if, if it's an acute injury and I'm trying to decide do I need to send them to the doctor, I might also like add in some provocative tests, right?

I like joint special tests like an ACL test or something like that. So I do all the things I would normally do. That's what I call getting me laundry list of objective dysfunctions. Once I have the laundry list of objective dysfunctions, I say have a little moment to myself and think back in the day, I would have a lot of work to do ahead of myself.

'cause I probably have 10 things I wanna fix on their body that I think are wrong. Okay? [00:37:00] But this is new. And so then what I do is I move into treatment and the treatment guidelines look like this, right? So I, I did that first thing si joint mobility locator test, subjective history, objective assessment of the area of injury, as well as maybe where the Ltap led me.

And then I treat where the ltap. The SI joint mobility tests led me and then I reassess. So maybe I use, I forget the tests I gave you guys, but maybe, or the treatments I gave you guys. Maybe I do. Let's say the SI joint wasn't moving on the left and when they did a breath hold, it still didn't move on the left there.

Let's say this is right knee pain. So now I'm like, okay, they got right knee pain, but the body's telling me to start on the left leg, so I'm gonna do an lateral ankle tilt on the left. So I do simple lateral ankle tilt on the left, left side, and then I reassess. I reassess everything. I [00:38:00] reassess the right knee, all the things I, all my objective laundry list, and then I reassess the SI joint because now that I'm asking the body, okay, I did that where to next?

And so the second round I'm like, okay. I is. Is the left side still Hypomobile? Oh, look at that. No, it's not. Now it's the right side's. Hypomobile. Okay, check with a breath hold. Oh, this time a breath hold changes it. So then the next round I treat up in the visceral. Let's say I do sideline trunk rotation to get thoraco lumbar junction area.

We do that and then we reassess what do I reassess, all the orthopedic things around that right knee and then the SI joint because now I'm asking the SI joint of like, okay, did you like that treatment? And where do I go next? Okay, I do this up to three rounds. Three rounds of peeling back the layers of protection, the layers of the onion.[00:39:00]

The reason why I don't do more than three is both time as well as because I am trying to direct the brain to where work needs to be done. And if I give it too many commands. Just like if you have too many browsers open on your computer, sometimes it kind of freezes and you don't then get such good operations out of it.

So less is more often for this. Okay. So the goal of the session is to decrease pain and improve function of whatever their complaint is, not to mobile SI joints. And so sometimes where people make mistakes is they forget to do the objective dis uh, assessment of the area that the PA patient came in from.

And then they're like, okay, your, your SI joints move. I don't know what to do now. And I'm like, well, you don't know what to do now because you don't know how things responded, because you don't, you never re-looked at their problem. So don't lose sight of what they actually [00:40:00] came in for. That does matter.

But what we're trying to do is take that laundry list of objective dysfunctions, the 10 things in each round. We do the SI joint mobility locator test, and a treatment somewhere else. Potentially we narrow down what we actually really need to work with. So in that patient, I gave you an example of maybe the first two rounds, three rounds.

We narrowed it down and now the only thing on the laundry list of objective dysfunction is some lateral patella tilt that I don't like. And so I do a medial patella, tilt a little soft tissue, and then voila, their knee feels better. Right? Instead of the 10 things I thought I had to do to start.

So from a treatment guidelines and options standpoint, in the um. We're gonna talk briefly about the options I gave you in yesterday's module, but then also just in general, let's talk about what treatment options look like, especially if you've never taken courses on the viscera or the nervous system.

[00:41:00] Okay, so treatment options for the visceral or the nervous system. So I'm really like low hanging fruit breathing. I look back to when I first started incorporating breathing in my practice like 20 years ago, 20, 20 plus years ago. And, um, it was great breathing. Starting with breathing exercises for people helped a lot.

It really helped a ton. Like it felt a little magical, but then it didn't, sometimes it didn't help anybody. Now that I see it, now that I see the body from this whole organism lens of view, I'm like, oh, I know what the breathing exercises were doing. It was changing the interoceptive information to the F containers of the viscera and the central nervous system.

So yes, maybe was I changing their stability a little bit through all the breathing stuff? Mm, yeah. But also, I was changing the pressures in their containers, the message from their organs, and if they had a protective pattern there, the dynamic alignment changed. And so I'm like, oh. And does, isn't that interesting?

So [00:42:00] does that mean the 50 exercises I have around breathing I should throw out? No. That means now I have an even better reason to pull from those 50 exercises that I have around breathing. So breathing exercises can still be great. You're just now going to use them more specifically, more precisely. Self massage in the area.

Any, like I said, above the pelvis between the pelvis and the top of the head. A lot of options for where you would like to self massage. Use the rest of your skill sets to determine where right neurology. So functional neurology like Z Health, Missy Bunch type stuff like visual drills, vestibular drills, cerebellar drills.

All of those are ways to treat the central nervous system from a functional standpoint. Neural resets sort of fall into that, or it can be like some simple suboccipital massage, scalp massage, ear massage, spine mobility. Spine mobility is, so [00:43:00] that's why I included it as one of the treatments. Spine mobility is so powerful because you get the central nervous system, but then you get all the visceral organs too, because every single visceral organ has input a sympathetic input from the spinal nerves.

So it's a way to treat both. So again, remember the treatment tool or system is less important than knowing where to use it. Use the tools you love and you already know, I promise. You have all the tools that you already need. The lower extremity. So when it comes to treatment for the lower extremity of the Hypomobile SI joint, think bigger than the SI joint itself.

Remember it, it's not typically this. It's typically the result of inputs from the rest of the leg. So use your other orthopedic tests if even if they come in with shoulder pain, if the SI joint directed you to the side of the hypomobile leg, then check their ankle mobility. Check their midfoot, check their knee [00:44:00] flexion extension, tibial rotation, check their hip flexion extension rotation.

Where are you drawn to in that leg to do treatment? Start there. Okay. What are the benefits of visceral treatment options? Nervous system relaxation via the vagus nerve, improved intero reception from the mechano receptors of the organ. That just is just improved nervous system relaxation because it actually gives our body map, our, our sensory maps in our brain, um, a clearer picture of where we are in space.

And whenever we have a more clear picture of where we are, we feel safer. And so our nervous system shifts also. When you're treating areas of the viscera that are innervated by the phrenic nerve and vagus nerve, you technically are also treating the central nervous system, right? Because the vagus nerve is a cranial nerve, so you're treating the [00:45:00] brainstem when you're treating the gut, so you're getting two more bang for your buck.

When you're treating the phrenic nerve? Yeah, the phrenic nerve comes out of C3 four and five. C3 and four are cervical part of the cervical plexus. The cervical plexus has some redundancy and goes back and innervates the container of the central nervous system, both in the neck and in the cranium. So also, so that means when you're treating any organs in the thorax or the upper abdo abdominal area, you're also treating the central nervous system.

This is great. This opens up more options. More options for treatment. Okay. Benefit of central nervous system treatment options. Decreased tension on the container, on the cranial meninges and nervous system relaxation. Oftentimes, a lot of the neural resets that we choose for central nervous system tension are also happen to be parasympathetic.

Innervated [00:46:00] things. And when we're tapping into our parasympathetic system, it is the the master switch of our autonomic nervous system, and it helps us regulate downregulate and increase our vagal tone, which makes things happier. So benefit of spinal mobility in general. I already say that it treats both the central nervous system via the spinal dura and reflexively the viscera by the visceral somatic reflexes.

So we actually have a lot of options, more than you probably thought to treat the visceral organs when you've never even taken a visceral class before. This is just a visual of the visceral somatic referrals of the organs and what levels they do. So you could even treat the organ by just understanding what level they're innovated by.

So I had a guy today that I needed to treat his liver, and I actually started, well first I assessed T seven, T eight and T nine to see if he had any skeletal restrictions there, and he did. His [00:47:00] facet at T seven was stuck in flexion. So I did a little treatment there first, and that is treating the liver.

And then I went, I, when I went back to the liver, his liver was already responding differently. Okay?

So what I gave you in yesterday's modules in the day four module was. These three visceral exercises. Sideline, visceral massage with the gorgeous ball. If you don't have a gorgeous ball, um, it's my favorite tool. Buy one or don't buy one. I don't care. I'm not affiliated. Well, I am an affiliate for them, but I'm not, they don't force me to say it right.

Um, I just love it. I would, I, I buy one. Everybody who comes to my in-person course, I give one too. I just buy it for them because it's that important. Every single one of my clients, I buy it for them and give it to them because I want them to have it. Um, but if you don't have a quarters ball, you can use another inflatable 10 inch ball, like a Pilates ball, [00:48:00] squished ball.

You can use a rolled up, um, beach towel. It doesn't really matter. You just need something to sort of engage with the viscoelastic ness of the liver. The liver is on the harder side, so we like to meet it with something with pressure. Okay, so then the next one I gave you was restoring upper thoracic flexion for the mediastinum.

This is great for everything in the thorax, but also really great for the central nervous system. As the connections of the fascial containers there in the mediastinum connect directly to the base of the skull and influence the cranium quite a bit as well. The liver focused spine mo mobility with book opening that's taking those segments T seven, eight, and nine, and really doing focused segmental movement around those to tap into that relationship with the liver.

From a central nervous system standpoint, I gave you the basic exercise. The basic exercise [00:49:00] was in a book written by Stanley Rosenberg called Accessing the Power of the Vagus Nerve. It is a favorite from like everyone who goes through the classes to be 100% honest. I never use it in my own practice.

Sometimes for myself, I use it, but it's not actually one I give to my patients a lot. Um, and that's just because I have more specific, precise tools that I like to use instead. But it's a great general tool Scout massage. I do use that a lot for everybody. I te I, I put that in most of the movement classes I teach, and you'll notice that that's also something that we do reflexively when we have a headache, when we have tooth pain, when we have an ear ache, when we have neck pain, we reflexively start massaging our scalp.

Our body is smart. The things that does, the way it moves, the way it touches, you know, it stimulates the need to like, touch different area parts, body areas, body parts. [00:50:00] Um, it does it because it's smarter than you think it is. Okay. And then segmental spine mobility and quaded. I already said I think spine mobility is like underrated.

I think this is 100% why Pilates teachers and chiropractors get such good results for their patients. Probably better outcomes than most physical therapists and athletic trainers, if I'm being a hundred percent honest. And a lot of times you, the patient comes in and says, nobody could fix me until I started going to Pilates.

Yeah, that's because one of the most fundamental things that Pilates teaches is the need and importance of maintaining and improving spinal mobility and segmental spine mobility. And then the, um, treatments I gave you for the lower extremity side of the hypomobility, I gave you a real basic lateral ankle tilt.

Don't be fooled by its basicness. It's one of the more powerful, um, exercises that you'll do. It connects to a lot of [00:51:00] things. It is, um, all about mobilizing the fibula and the fibula. The word fibula in Greek actually means like, um, uh, I forget. Like it basically is like a clip, a facet, a clip. And so yeah, the fibula is the thing that holds like all the joints of the lower extremity together.

The other thing I gave you was a superior gluteal nerve, fascial mobilization, superior gluteal nerve innervates, a lot of important things including the SI joint itself. So you're definitely gonna influence a lot of things when you influence that nerve. So let's talk briefly. Ken, I just saw a comment.

Kendra said Pilates is great but you should look into gyro tonic if you truly believe in spinal mobility. Agreed. Gyrotonic is amazing. I don't talk about it a lot because it's just the lesser known of the things, but she's right. Gyrotonic. Gyrotonic is great for spinal mobility. Okay. SI joint pain. So let's briefly talk about this [00:52:00] 'cause this comes out a lot.

A lot of you, um, when you see the um, social media posts I put on the SI joint, a lot of people come in 'cause they're like, oh, this might help SI joint pain. Yes. Yes. It will just like, it will help neck pain, back pain, shoulder pain, elbow pain, wrist pain, foot pain, ankle pain because it's actually not about the joint that's in pain.

It's SI joint communicating with us. Right. So we talked a little bit in life training, how the SI joint, if they are of pain. The most important thing is don't be distracted by it and it doesn't influence what the test is actually telling us. Okay. If you're trying to determine if their pain generator is truly from the SI joint itself, you're gonna need other tests.

The SI joint mobility test that we did, the March test, also delays test. It is actually not a test for SI joint pain. It is a mobility test for SI joint dysfunction, whatever you wanna say. [00:53:00] That is, it's not clear in the literature. Sometimes dysfunction means not moving. Sometimes dysfunction means pain, but it is not a test that's actually included in the tests for pain provocation gold standard.

So if you suspected true hypermobility that is creating SI joint pain that needs to be referred back to the physician for surgery or injections, then you may want to consider using pain provocation tests, which is a cluster of tests from Vander Wharf and lat. These um, tests. Pain PPT is pain Provocation tests are more helpful in a differential diagnosis of low back pain.

So if sometimes low back pain has similar referral pains to the SI joint pain. So sometimes if you're trying to like feather out whether someone's pain is coming from their spine or coming from the SI joint or somewhere else, you could use these pain [00:54:00] provocation tests for that. Honestly, I don't a lot, but it's nice to know they're out here.

You can learn more about them. Uh, physio pedia does a good job of having them. So I linked that, um, link in there for you, but basically it's. Designed to help with clinical decision making and all of them you have to do multiple tests. It's called why It's called a cluster of tests. You need all of them to provoke pain in order to have a strong indication that the SI joint is the actual pain provocation.

Honestly, in the research, it's they're still not that sensitive and in fact, the gold standard still for doctors to diagnose SI joint pain is an injection. They actually do a pain relieving injection in the SI joint and if it gets rid of your pain, then they're like, yep, your SI joint is the thing that's generating your pain.

So it's important to see part of what makes this difficult and [00:55:00] part of what makes it confusing and it's like, is it the low back? Is it the SI joint? Is it the SI joint because the SI joint's hypermobile and we need to do something about it? Or is it the SI joint? Because it's just like being a little irritated.

I don't know. Here's all the places that you could have pain. Right many places. This is why it's confusing. Pain patterns follow the nerves that innervate the joint or provide sensation to the area of the joint. It can give you info once been being irritated but not conclusive. The joint area. The joint and the area has a lot of information which is pain innervation, which is why pain is so common.

It can be over the lumbar or like over the iliac crest, which is gonna be the lumbar and sacral clonal nerves. The sacral clonal nerves would just be pain along the SI joint as well. It can be the obterator nerve. The ator nerve usually gives off pain at the hip joint, at the pubic bone, or in the inside of the thigh.

The superior gluteal nerve gives off pain at the TFL. [00:56:00] Or the posterior hip. The nerve to the quadratus femoris also gives pain to the posterior hip. The lumbosacral trunk makes the pain go down your leg and either the back of the thigh or the back of back and outside of the lower leg. And the sacral spinal nerves, um, tend to be a little bit more just posterior hip.

So what I notice when people who come in with SI joint pain is it's the hypermobile side, the side that's moving, maybe not even hypermobile, it's the mobile side. That is the thing that drives the pain. It's rarely a true hypermobility unless they're one, unless they are someone with a connective tissue disorder that has hypermobility or.

If they have a history of some sort of motor vehicle accident, pregnancy, postpartum, or um, high velocity athletic injury, I would be suspecting of a true [00:57:00] hypermobility mo. A lot of people don't have those, and so sometimes I just are like, mm, you're having pain because when one side is not moving and the other side has to move a little bit more, that starts to irritate things.

So oftentimes pain is on the side of this SI joint that's moving, but then the treatment. Is directing me to the side that's not moving or to the visceral, the nervous system. When somebody presents with pain on the hypomobile side, this is less common. I'm gonna start thinking of things that are more like arthritis.

Um, bone spurs, there is a common bone spur that happens at the anterior side of the joint and that creates a, um, entrapment or compression of the ator nerve and can simulate the pain of the ator nerve and the ileal hypogastric, I forgot to point that out. The hypogastric nerve is the, um, pain pattern that's in the, in the viscera.

It can sometimes si joint pain can feel very visceral, [00:58:00] very much like appendicitis sometimes if it's on the right side, but it can be on the left side too. And this is because of the opterator nerve innervation 'cause it shares nerve roots with the ileal hypogastric nerve. Okay. So I've had one person, uh, my best friend's husband.

Had me look at him 'cause nobody could figure him out. And I assessed him and after a couple visits I was like, this isn't acting like it should. And we got him an x-ray and he has a bone spur and arthritis in his SI joint. And I'm like, yeah. And what does he have? He has that ILE hypogastric pain. And once we understood that was what was going on, number one, we knew then it wasn't a good test to be a traffic cop for me anymore.

But then we could better give him ideas of how to treat it. Okay. So also for what it's worth, a lot of people's SI joint pain is self-diagnosed, not diagnosed from the doctor sometimes or diagnosed from another [00:59:00] clinician that just looked at where they pointed and was like, oh, that's your SI joint. You have SI joint problems.

Um, most of the time those people have um, sensory pain, cutaneous nerve irritation from the lumbar or sacral clonal nerves and because they get entrapped in the fascia quite easily in quite a bit. So sometimes it just takes a little bit of like cupping in the area or addressing the thoraco lumbar junction, which is where those lumbar clonal nerves come out to to feel better.

So that's all I'm gonna talk about on pain because hopefully what you're gonna notice now with your patients is when they come in, whether it's SI joint pain or elbow pain, you're gonna start with SI joint mobility locator test to tell you where the deeper driver is and then you're gonna be curious how that changes their area of concern.

Including the SI joint itself. Okay. For this course, remember the SI joint Mobility locator test is for the [01:00:00] whole organism. There is no upper body test. It is for the whole organism. We're not using it to diagnose SI joint pain, though it can be helpful in helping people with SI joint pain. Okay? We're not using it to diagnose structural hypomobility versus strategic or even functional hypomobility.

We're just using it as a medium to tell us where should I start? Are you protecting something in the viscera or the central nervous system or the peripheral neurovascular SY system? The lower extremity itself? In the absence of the viscera or essential nervous system issues, a hypomobile test direct you to the lower extremity, which may or may not be the joint itself.

In my experience, especially in the population I work with, it's usually driven from somewhere else, not the SI joint itself. As you get into a more aging population, kind of like my best friend's husband, even though he is my age, we are technically the aging population that [01:01:00] might have a tendency towards arthritis, especially depending on what we had going on early in our life.

So you should just have your antennas up to consider that as a possibility, especially when things don't go the way they you think they should during treatment. But we're not assessing or diagnosing a hypermobile or pain generator. That's what those cluster of tests are for. That is what sending them back to the doctor for an injection is for if you feel like it is appropriate and truly their pain generator.

I usually won't do this on day one unless it's very obvious. This is something that I'm like, Hmm, by the second or third session, if things aren't going the way I think and they're having these symptoms, then I might refer them. So we talked about a little bit on the first call how Jean Pierre Bural considers this, the SI joint, a visceral joint.

And I talked about how I was already seeing this and then I learned in a class and that he said it and I was like, oh, I'm in good company because I [01:02:00] notice about 75% of the time the hypomobility is driven by the central nervous system or the visceral, this is why he calls it a visceral joint. And then about 15 to 25% of the time it is.

Lower extremity of the side of the hypomobility and about five to 10% of the time it's SI joint itself.

All right, few case scenarios. I'm gonna skip this one 'cause I already said it in the last bit. So we'll go onto the foot. So somebody comes into the right foot pain. I start with the SI joint mobility locator test and it was hypomobile on the left and improved with breath hold. So that's directing me to the viscera or the central nervous system.

Before I treat that though, I wanna look at the right foot pain. So I look at ankle mobility, hip mobility, those are kinda my standards for everybody. They had limited right ankle dorsiflexion, limited right hip ad deduction and [01:03:00] limited left hip flexion. So I have my laundry list of objective dysfunctions.

Then I treat, I use the prone. Thoracic breathing and then I retest. Now the SI joint MO mobility locator test is hypomobile on the left and improve the breath Hold again. I retest the orthopedic stuff, improve left hip flexion, right ankle dorsiflexion and hip 80 deduction, still limited. So then I choose the basic exercise, a little bit more central nervous system driven, retest, then SI joint mobility Locator test is hypomobile on the right, so it switch sides on me and now it doesn't change the breath hold.

I retest. Orthopedic objective dysfunctions right hip, a deduction improved and that leaves us with one thing left to do, which is right ankle dorsiflexion. And so I did treatment on the right ankle and mobilized it and ideally their foot pain has [01:04:00] gone. I don't know, I didn't write it down. We'll assume it is, but that's just to show you like what a typical session might look like.

A typical session may be for left sciatica. Comes in SI joint mobility locator test hypomobile on the right, improved with breath hold. We checked the orthopedics. Limited hip flexion, limited hip external rotation on the left. Both of those. And then right sided, limited prone knee bend. We did treatment at the liver.

Liver is a common visceral referral for left sciatica, so that's why I choose that just 'cause I remembered that from maybe a podcast episode. Then we retest now side joint mobility locator test, both sides move. What does that mean? Does it mean I'm done? No, it just means the body's not protecting anywhere else.

So I reassess my orthopedic objective dysfunctions 'cause I still care about their left sciatica. I wanna know if I shifted it at all. Improved left hip function, improved external [01:05:00] rotation, no more. Um, limitation on right pro nibin and sciatic sciatic pain now gone. Great. So then what do I do? I have all this time left in the session, so then I'm like, is there more to do?

Of course there's more to do. Treatment involves now movement to decrease fear breathing and thorac lumbar rotation to reinforce everything. And the reason that's important is because sometimes when you take people's pain away so fast, they're very fearful that it might come back. So you need to spend some time letting them know that yeah, they're, they can move.

Especially if you're like, this was never from your lumbar spine in the first place. You're afraid to move 'cause you think you herniated a disc, but it was just your, you know, viscera irritating one of your nerves and causing a referred pain. Okay, treatment scenario. Left shoulder pain. Patient comes in SI joint mobility locator test assessment.

Hypomobile on the right, improves a breath hold. So [01:06:00] that tells me visceral essential nervous system. I do my objective. Dysfunctions limited. Right hip flexion limited left pro knee bend, left shoulder flexion limited with pain and decreased glenohumeral joint Internal rotation. Chose essential nervous system intervention.

Scalp massage. Retested SI joint mobility Locator test was hypomobile on the right now. This time it did not change with the breath hold retested. All the objective dysfunctions improved. Left hip pro knee bend improved. Left shoulder flexion and decreased pain but decreased glenohumeral internal rotation remains so then we picked right superior gluteal nerve glide fascial mobilization.

And then we retested as side joint mobility locator moved on both sides, so it's telling me there's no more protection pattern improved left glenohumeral joint interim rotation, improved right hip flexion. And so then the rest of the treatment can be shoulder strengthening and exercises to decrease fear of pain and returning to ensure proper [01:07:00] mechanics.

So now what do you see how this new paradigm can be valuable for getting better outcomes for you and your patients? Right. We start to see how it's like opening the possibilities for so much. The new paradigm opens possibilities to see old treatment tools in a new lens. You start bringing in visceral somatic referrals and seeing how much that's driving a lot of our musculoskeletal pain.

You start appreciating how the body is organizing itself from a dynamic alignment around these protection patterns, right? You start to see how it's possible with your actual current skillset of treatment tools. That you already have to get better results, right? So you know, if you're ready to deep dive deep and commit to this path of becoming a calm and confident, go-to practitioner who gets results very quickly.

That stick helps the people who can't be helped by anybody else. Then like you're [01:08:00] in the right spot, right? The next steps is means that we have to get even more precise with our assessment. That's what we're doing so far, right? By changing our lens of view, by adding this breath, by allowing the SI joint mobility locator test to direct us where to start treatment, we're starting to narrow in on the deeper driver.

We're starting to narrow in on what's holding the autonomic nervous system back from being an active participant in the self-healing capabilities of the body. Right? So this is why. This is, this is like, this is where the magic is, is this precision in the assessment. And then when you have precision in assessment and can know exactly where to start in the treatment sequences to do, then you can put the icing on the cake, right?

So a lot of us in our career, we've gotten all these sexy treatment tools, all these really precise specific treatment tools, like to like mobilize a very specific ligament on a very [01:09:00] specific part of the joint. That's like getting all this icing for a birthday cake and never actually making the birthday cake, right?

It doesn't work so well. So same thing. So it's not enough that we just know it's the viscera and the central nervous system, right? That tells us right when the SI joint doesn't move and changes with the breath hold and we know we need to direct treatment above the pelvis somewhere in the trunk and head.

That's still a lot of real estate. Right. And so we need a way to even narrow down, is it the central nervous system or is it the thoracic organs? Is it the abdominal or is it the pelvic organs? Is it the right side organs? Is it the left side organs? Is it the midline or organs? Right? The more we can dial in and get more precise, the better we can choose which icing to put on the cake, and the better the outcomes, the better the tasting the cake, right?

Nobody likes a cake that has no cake. That just is frosting. That's just frosting. So this is what the movement REV L top can help us with, right? [01:10:00] The locator test assessment protocol, the se, the sequence of these orthopedic based tests in this lens of view helps to identify now like, okay, where we've narrowed down a little bit with the SI joint mobility locator test.

Now we gotta get more specific of where, because when we get more specific at where we're not taking shots in the dark, right? It helps you identify where the pain injury dysfunction is coming from or why the body is resistant to healing or maintaining from treatment. So many times, oftentimes I see people just get stuck, stagnant injuries, bone issues, bone fractures just don't heal very well because blood flow is stagnant to them and blood flow is stagnant to them because their nervous system is stuck in this hypers sympathetic state.

And it makes blood flow to the area actually harder to get to because it actually increases the stiffness of the vascular structures to the point that it decreases or diminishes their pulses, right? And all I do is this [01:11:00] assessment to figure out where their body's protecting, do a little treatment there, totally change their blood flow, and then the doctor sees changes on x-ray within a week or two of like bone healing, right?

The body is capable of healing very quickly. It's just that it gets in the way things that get in the way of it, right? These compensate, these, the body loses the ability to compensate and it goes into this protective mode. So this is the whole flow sheet of the LA. This is what, you know, we go through when we learn all five tests.

And, and as you can see, it gets us very specific of what organ, what part of the central nervous system, what peripheral neurovascular entrapment, and which I told you in the beginning, the SI joint mobility locator test that you've been learning in this week of the missing link is answering the first question of are you protecting something?

And generally what is it? And then the other four tests tells us exactly what it is, and then the rounds do the [01:12:00] doing one to three rounds of it within a treatment session starts to tell us, show us what the sequence of treatment is that they need, right? So this is what I refer to as the Shrek principal.

And I've been alluding to it as I talked about these protection patterns as we go through treatment and unlock the sequence or the combination lock of numbers, right? I could tell you the three to five treatments that I might do on somebody, but if I don't tell you the sequence, you're not gonna have the same output or same outcome, right?

Because the body presents to us in layers of importance of protection patterns, and it doesn't have anything to do with the importance of the hierarchy of the organs. It actually has something to do with the importance of wherever the body thinks the priority is. So the first layer of priority might be like my adductor hiatus the area that transitions the femoral artery to the popal artery.

If it is tight in there, it's [01:13:00] clamping down on that vascular flow, and it's going to limit my mobility quite a bit in my leg, and that might be my first layer of protection pattern. I treat that and then the body. Exposes a different layer to me. So sometimes I tell people, it's like at the train station, the Vespa boards, whenever you peel off a layer, it's like all those boards go blank and then like recoil and put up a new schedule of trains.

Same things. Having our body, the dynamic alignment, all of these layers of protection patterns. Once I peel off one, it reorganizes itself and then presents to me the next important layer. Right? So maybe the next important layer is their central nervous system, or maybe it's their bladder, or who knows. I don't know.

This is what's fun about it. This is why every time somebody comes in with, to me, I could get, I do, I have like five guys right now all with shin splints and they're all present in a different [01:14:00] way every day. So this is what I talk about when I talk about precision of assessment. And it would be unfair to say precision of treatment tools don't matter.

Treatment tools do matter. Treatment tools matter a lot. Some of my students sometimes ask me like, well, why wouldn't you treat somebody? You only have to treat them once and I have to treat them like five times. I'm like, well, because I'm choosing a treatment tool that's more precise. And when you can combine the two, you get a better outcome.

So I talked to chat, my best friend chat, GPT, I call her chatty G. I talked to chatty G about this one day and I was like, how can I visually show this? Because I know that you can actually get better results with a general treatment as long as you have a more precise assessment. And that even if you have the most amazing treatment technique, if I don't have a precise assessment, then I actually am not gonna give very good results at all.

Okay? And so it put together this. [01:15:00] Graph for us. Um, the graph on the left and the numbers are arbitrary. It just took it from zero to one, so you can see it say like 0% to a hundred percent. Um, but it's called a heat map. And so the, um, let me, let me get my cursor so you can see it here. So if we look at this, the heat map, this, this graph on the left is treatment precision.

So the most precise being at the bottom, the least precise at the top. This is assessment precision, the least precise here and the most precise here. So as our treatment precision increases and as our assessment precision increases, we get to this yellow piece. The yellow piece is like the magical magic magic.

Crazy magic, barely touch somebody, they get better, right? So this is what happens when we combine a really precise treatment with a really precise assessment. [01:16:00] Right now we're kind of in the red with the SI joint mobility locator test. It's more, it's more precise than what you've been doing before because it's considering the whole organism instead of just the musculoskeletal system.

But it, we can get even more precise. And this is what I have down below. I have written, you know, like Ltap level one, ltap level two, ltap level three. And this is not a marketing thing, but this is to tell you that yes, the ltap level one, right now we have the first test. If I give you the other four tests, we can get even more specific.

And when we get more specific or precise, our outcomes are going to start improving regardless of what treatment we use. Even with a general treatment, right? A general treatment would be up here. Do you see how it's getting lighter and lighter colors, even with maintaining a general treatment? Okay. Then I do have different levels of the ltap because I alluded to it before.

Once we know it's in the trunk, once we know it's [01:17:00] the liver, now we wanna assess the thoracic spine at T 78 to nine, we want to assess the ribs, we wanna assess the dispensary, ligaments of the liver. There's more to assess because the more I can get specific on the what, the easier it is to pick a treatment tool to match.

Now that goes back to what I, what treatment tools I have in my bag. If I don't know, a treatment for the dispensary, the for the hepatic duodenal. Ligament. Does it matter that I get an assessment that tells me it's the hepatic DI water on ligament? No. Why would I need that? Right? So it's like we get a more specific assessment as we can get a more specific treatment, but right now we're in the, we're in the community of we need a better assessment.

And that's where the ltap level one comes in. That's what the ltap is, is it starts to narrow it in. So now we're working, now we're gonna move our red where we're at, if this was the missing link [01:18:00] results, now if we learn the ltap, we're gonna be here. We right? So even with and not precise treatment, we're gonna get better results.

And those of you who have really precise treatments and assessments for the organs too. Or the central nervous system or the legs, whatever, fascial manipulation, you're gonna start being on this end of it, right? And this graph here just is another visual way to show the same exact thing. The closer we get to yellow, the better.

So as assessment, precision increases and treatment, precision increases, we get to that piece, right?

And then here's a way to think of it now, again, the red fuzzy line, that's vertical. That's where we're at now. And as we can get more precise with our assessment, our outcomes will improve our outcomes. Here is the vertical axis assessment. Precision is the horizontal axis. The blue line is general treatment.

The green line is super precise, right? So that's what sets [01:19:00] us apart, is our assessment precision, and then our treatment precision.

Now. Looking at it from a movement, rev education standpoint, this is why the missing link and the ltap is where I start everyone. This is the first introduction people have sometimes to a whole organism paradigm and getting more precise with their assessment. And so this is where we start everything.

Like, I don't want to teach you treatment tools until we have the common language of where should we put this treatment tool in the first place. I will always, whenever anybody asks me about a patient, my first question back to them is, where did the Ltap direct you start? And then I'll tell you how I would treat them.

Because if somebody has shoulder pain and the Ltap directs me to start at the viscera, I'm gonna pick a very different spot than if the Ltap directs me to start in their lower extremity on the right side. Okay. [01:20:00] So when we're talking about inviting you then to the online course, there's two I do online and in person courses.

But like a lot of people have gone through it. Now, this is my eighth online course, and the last in-person course I just taught was my 15th, 13th, 13th. If you don't include the beta versions and 15th, if you include the beta versions, if you include all the times. I taught this within the mentorship for the online, we're at like 11.

So I've taught a lot of practitioners now all of this, and this is the cool thing, like I can firmly tell you that it's not just me who gets these good results. It's not just me because I have all these skills from the rural institute and from my other 200 education courses. It's the assessment and it's, this assessment is actually so simple.

You can do it in less than 10 minutes, less than five minutes, really, and it is a game changer. And I get messaged like this. [01:21:00] Day, like literally, I'm not even exaggerating anymore. Like day after day people message me and are like, Anna, you'll never believe it. This patient did this and I did this, and then they, and then I fix them in like two visits.

So I want that for you too. Um, I want, I told you on the first call, and I will say this till the cows come home, like, I wanna change the industry. I, the, I am not okay with the status quo, mediocrity that is okay in the industry. And I also am not okay with a bunch of wonderful humans like you, who just wanna help people feel better in their bodies, not having the confidence to raise your hand and be like, I can fix everyone.

Right, like you have such a gift of being a caregiver and having a big heart and wanting to help people. I wanna make it fun for you. Again, I wanna like reignite your passion for how amazing the human body is. And hopefully you've [01:22:00] started to see that this week with this test of like, whoa, everything I knew about it is like changing and the results I'm getting are already like different, right?

So I want to excite you about how much more there is to learn. So the next online course starts October 6th, which is a week from Monday. It's seven weeks long. Very similar format to this. This is why I all force you in the course portal and on the calls, because I want it to mimic what it's like going through the class.

It is slower than this. We only do one call a week and we do one test a week and we get to repeat this test. So if this was like overwhelming, a lot of information, don't worry. You get to hear it one more time. Um, and then at the end we put it all together. It includes more treatment options. Of course, I do treatments for each part of the test.

Add on more. There's a private Facebook community for everyone in the Ltap movement, everyone in the Ltap alumni and mentorship community. It was like [01:23:00] alumni Facebook group, and that's for anyone who's gone through the ltap or the mentorship program. And that is a great community of people with all different professions and all different levels of experience and tools that when you need help on a case can help you out.

It's also where we can answer questions and help with the learning of the education. And then you can add on, um, one-on-one support with me through Slack, which is like a messaging app that we can trade videos and stuff of your clients, um, which is like having me in your back pocket. It is as close as I can make to mimic an actual in-person mentorship experience.

So with the online course, you get lifetime access to all the course content, lifetime invitation to join every round of the live calls. So, like with the, with this cohort starting, uh, in two weeks, I've already sent an email out to the 400 other people who have gone through all the online courses to [01:24:00] this point and invited them to the calls.

So you can continue to learn and refine and hear things over and over again as much as you would like. Um, and then lifetime access to the private community for coaching and support. This is also fulfilling a prerequisite for becoming an LTAP provider, a certified LTA provider. And then also it's a prerequisite for the mentorship program.

If you do want to learn more about treatment movement, all the things from me. So what it looks like is each week is a different module. For the most part. We have an intro and then the SI, joint mobility locator test, module one and module two would be repeats of what you've already done here. But then also module two includes a second SI joint mobility locator test.

And then module three is the central nervous system protection pattern. Module four is the thoracic organs and the test for that. Module five is the abdominal and pelvic organs. And then number module six [01:25:00] is the The Neurovascular inhibition Test of both the lower extremity and the upper extremity. And then module seven is putting it all together and exploring how it fits into your specific practice setting.

So the in-person course, the in-person courses are available all year round. The online course I only teach twice. I teach the online course in the fall and the spring every year, and that's it. The in-person courses I teach throughout the year. Hopefully soon I'll have other people teaching for me so I can offer more locations.

But for right now, spots are pretty limited. I limit it to 24 people in each course to keep it small because it's very hands on. And I want you to have the opportunity to let, to have my hands on you or have your hands on me so we can check your work. It's from nine to six on Saturday and nine to four on Sunday.

It's the same content online, but there's no calls. Obviously, it's the in-person experience. You can't substitute that. There's no way to [01:26:00] substitute the value of being in the room and learning together. You get real time treatment ideas and examples from me and the other clinicians in the room, and feedback on your hands on skills.

Going to an in-person course also allows you eligibility to come to the annual mastermind weekend that I host here in San Diego, which is super fun. Um, and then also it fulfills the prerequisite for the lt a provider certification. And the mentorship. Um, here are the in-person courses. So I in two weeks to, no, how many weeks?

Four weeks. Just less than four weeks. I have a course in Toronto, Canada. I actually have seventh. Yeah, there's somebody gonna, the course. I have seven spots left in that course. So if you would like to join, now is the time. Um. San Antonio, Texas the following month in November. Those are the last two courses in 2025.

The rest are 20, 26 courses. [01:27:00] I'm going really international, going to Australia for the first time for myself, for the first time teaching in Australia for the first time. I've taught in Japan a lot. I've never taught in any other country, but Japan and the United States, so, and Canada. So I'm super excited about going to Australia.

That'll be the end of January, uh, beginning of February in Eugene, Oregon, uh, in March, Washington DC in April. That's was one of my more popular courses last year, so, and I have people already filling up in that course. San Diego, you can always count on one course at least a year in San Diego since I live here.

And then also going up to LA if you know anything about Southern California. People in LA don't like to come to San Diego and San Diego. People don't like to come outta la so we're gonna try to hit the northern part of LA and get some of those north siders and the rest of California too. Um, I might be adding more courses next year.

I don't know. It makes, gives me a little bit of anxiety. I have this many on the books already. I am [01:28:00] not a big commitment person when it comes to schedule. Um, so hopefully those places look good to you. There is cu available for in-person courses, not for the online course. The in-person course. The only one I have for physical therapy is through, uh, the Kentucky A PTA.

So, as you know, physical therapy makes it difficult. Hopefully Kentucky helps you and your state out. I don't know. Um, but for athletic trainers, it is a category a. Approved CEU course. Those are the only professional professions I have CEUs for. You get a certificate of completion for both the in-person and the online course when you do it.

So you can always submit and for audit, for, for your people. If you wanna become a certified provider, you um, have to do the online and in person course That gets you the most education and time with practice for me to ensure, you know, [01:29:00] exactly the process and how to like, think and act in this whole organism paradigm.

Um, it includes the, the courses include a written exam, but then you have three case studies and three short answers. Uh, there's a certification fee, basically a certification fee pays for the hour one-on-one session with me to go over your case studies. And then it's a two year certification. And then we'll do a renewal with just a small cost.

And all that renewal is. Is enough for me to check what continuing education you've done and the continuing education you've done. Can be more stuff with me, or it can be with the Baral Institute or Dr. Perry, or up Ledger or the Voer, whatever. Visceral neural, more like osteopathic type of stuff works for me.

Um, as a certified provider, you're listed search on the search directory on my website, you're featured on my social medias. You're also eligible to become teaching assistants. I am one of the few [01:30:00] businesses out there that, um, try to pay for my teaching assistance. I pay teaching assistance by providing lodging, food, and sometimes flights if I, if, depending on the location.

Um, and then you also get 20% discount on future education with me. So. Enrollment for the online course opens Monday. The reason why I don't open enrollment right now today is because I don't want you to get ahead of yourself. I want you to actually finish all the great work that's in the missing link. I want you to finish this week's course material and then talk to whoever you need to talk to from a financial standpoint to make sure like you got the continued education funds and also like the schedule to make it work for you, um, when you enroll on day one.

So if you know you're ready and you want to join and you wanna be part of like, changing the industry with me, and you're like, sign me up. If you enroll by day one, end of day, day one, you [01:31:00] will get, um, $775 worth of bonuses as a thank you. Um, so like I said, it opens Monday, September 29th, 9:00 AM. And enrollment for the online course closes on Thursday, October 2nd.

Now, the in-person courses you can sign up for at any time. You can bundle them together like today, if you're like, I'm in for an in-person and online together because I wanna be certified and get the maximized learning experience, then you could actually go to the website today and purchase any of the bundles and be in the online course.

There are some VIP and add-on options to support the practice and skills that you're learning that'll be listed on the website. And I'll also announce all of this on the Facebook group on Sunday. So some questions to leave you with, which we already kind of talked about, but do you see how this new paradigm can be valuable for getting outcomes for you and your patients?

Better outcomes. Do you see how it's possible with your current [01:32:00] skill set of treatment tools you have? Are you ready to dive deep and commit to this path of becoming a calm and confident go-to practitioner and ultimately ready to commit to the journey of letting go of this expert, ego-driven practice and letting the body guide you to work along with its wisdom, right?

To truly change your practice, change the industry. Like there's no going back, right? One of my teaching assistants, she's like, yeah, once you see it, you can't unsee it. It's hard to ignore. After you've witnessed joint mobility change with the breath hold, it makes you question everything. So I'll add the check in here so you can check in for the bonus for today's call.

It is, I think it's the, um, central nervous system. Clinical reasoning, the new Regen bundle. So, all right, the poll is up. [01:33:00] So go ahead and drop your name and email in that to be counted. And then I reminder the course Portal closes. Course portal. The course ends end of day on Sunday. So we're done with the educational material tomorrow.

And then you'll have the weekend to catch up, answer any questions. I'm gonna be in the Facebook group teaching a little bit more, sharing more about the courses, doing some alumni interviews, and available for more questions and practical integration help until October 3rd end of the day. And then also that will be the day that all the bonuses are delivered.

So I'm gonna stop this sharing my screen and check out some of the questions y'all have.

Let's see.[01:34:00]

Autumn asked how do we read our results in the SI joint mobility locator test with our HYPERMOBILE folks? So I answered this in either the Facebook group or the comments of the course, but this is a common question I get and my, my answer is, you can assume that your hypermobile clients truly do have hypermobile SI joints unless you test it.

So if you test it, you might be surprised that they do have a hypermobility, so then you would operate as normal. Now if you test it and they both move, now you're in the category of, I would be like, Hmm, do I trust this as a traffic cop? If I think I can't trust it as a traffic cop because they're just hyper mobile, then.

I'm like, okay, it's not a good test. I need something else to tell me where to go, and that's where the rest of the tests of the ltap come in Helpful because you can just skip that and go to the other ones and find what the deeper driver is as well.

Karen asked [01:35:00] PKB Pro Knee Bend. I'm going to Google that, see what it means? Yes, that was correct. Pro Knee Bend Glen, GHIR. Yes, you are correct. It's glenohumeral joint interim rotation. Kinder asks, isn't protection a compensation? It is. It's the, it's what happens. It kind of is. Compensation is what a true compensation is like.

Yeah, you can have a shitty ass squat and be just fine. You have a lot of stuff happen to you in life and you just keep on going. That's your body. Compensating compensation is a good thing. Your body continues down its journey without having a be bump bump in the road. When the body loses the ability to compensate, that's when it goes into a protection pattern.

The protection pattern is a cause of the loss of comp ability to compensate, if that makes sense. Does it cause what we sometimes refer to as a movement compensation? Absolutely. 'cause it changes our dynamic alignment. It limits our mobility, it limits our, [01:36:00] uh, motor output often. And so we would see what the industry calls a movement compensation, but the act of compensating.

This is why my athletes are good athletes. They have a larger threat bucket to fill. They have more room, more resilience for compensation before they get hurt.

Elise asked about cu so hopefully you heard me answer that.

Chris mentioned that it's easy to get approved independently in California. Just have to put together a little packet, not you, but the person taking it. I don't know if you mean that for physical therapy or a different, um, profession. So maybe say that Elise asked you have other short courses on your website.

Are they just more specific and or included in the LT a certification? Are they something to start with as well? The other self-paced courses I have on my website are, um, a little bit more niche. There's the never Treat [01:37:00] the Shoulder first course that teaches you this first assessment test of the ltap that si joint mobility locator test, and then talks through the anatomy and the biomechanics and the reason why you would never treat the shoulder first.

So the visceral anatomy, the central nervous system anatomy of, of why that is, and then the assessment test for how to begin to look at it. Um. The other courses, there's a swelling reduction protocol course. That's a whole organism way to look at swelling. It's a great course. Um, and then I just have some little other, like one-off courses that are more like treatment related.

So they'd be good treatment tools if you feel like you do need more treatment tools. All of the little courses are great from a movement based treatment skill standpoint, but they're not included in the LTAP certification.

Chris asked, where do we learn what you [01:38:00] want for a case study that will come up tomorrow? Um, it's just whatever you found this week. So you'd be like, oh, I had this patient that came in with knee pain. I tested their SI joint. It was hypomobile on the right. It changed with the breath hold, so I chose.

Basic exercise and then I reassess their problem and this was the result. So that's it. It doesn't have to be formal. Just like share something that happened this week from exploring this, um, assessment test, um, maybe exploring using it with your treatment skills or some of the treatments I offered and share it with us.

You can share it in the course comments or you can share it on the Facebook group. Someone asked, do I have recommendations for someone who's taken your courses and skilled who practices near Portland, Oregon? Um, if you go to my website, movement rev.com and click on Provider directory, you'll find people there.

Othello asked, are your courses inclusive of practitioners in the massage [01:39:00] therapy field? Yep. In the in-person courses and online courses, I get all different types of practitioners. The most common is physical therapists, athletic trainers, physios, athlete, athletic therapists, uh, massage therapists, Pilates teachers, um, chiropractors.

Those are the big ones. Osteopaths like, uh, Canadian osteopaths.

Brittany said, I think I used the wrong email address in the poll. That's okay. You can drop it in the chat if you'd like. Kendra said, I thought you said it was either a protection or compensation. My mistake if I was, no, no worries. It's confusing. I'm happy to clarify, Chris said physical therapy. Oh, so for the California physical therapy, you just have to put a little packet together and submit.

And she said it's pretty easy to get CU s. That's really great information. Thank you, Chris.

You're welcome. I'm [01:40:00] glad you guys enjoyed it. If there's any more questions, let me know. Um, I'm happy to, if you'd rather talk your question, I'm happy for you to, um,

I can have you unmute. I'm just taking a couple pictures of people's emails that left me in the chat. Cool. Well, I have loved teaching you guys. I hope you've enjoyed it. Like I said, like. You are not behind. You've got plenty of time left. I'm still like, I wanna help you get this. Like, to me it's more important to have people use this test and let it start guiding you and like start to change the industry and get everyone to think about things from this more whole organism lens.

So like, I'm, I'm here to help you utilize the Facebook group, take videos of you trying to test on people, like get my feedback. Please don't be [01:41:00] shy. I'm here to help you integrate it all. Um, I really appreciate you taking the time to be here live. Um, I hope you enjoy the bonuses for it. The bonus for joining the Facebook group too, I will drop the link.

That'll be from a coupon standpoint, um, just because Facebook email addresses don't line up with email addresses from the course. So I'm just gonna drop a link in the Facebook group and pin it. Um. Probably towards the end of the weekend or next week sometime with a coupon for the bonus for joining the Facebook group.

All the rest of the buoyant bonuses will be delivered to you automatically in your course portal. And you'll get an email from my team by the end of the day, October 3rd for those. So that's it. Well, thank you. It's been fun. Hope it's been a little bit of a mind bend for you and uh, I hope you're enjoying it.

Okay. Have a good rest of your day. [01:42:00] Bye.