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Kyler Brown

👀 Speaker
536 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So one of my favorite examples actually is a disc herniation. She confirmed on MRI. She was doing McKenzie protocol, which again is fantastic.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So one of my favorite examples actually is a disc herniation. She confirmed on MRI. She was doing McKenzie protocol, which again is fantastic.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So McKinsey Protocol is a really great system that you essentially put the patient in various positions and you do this gentle arching or pumping and you're basically trying to take pressure off that disc to where slowly over time that bulge can recenter and balance out.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So McKinsey Protocol is a really great system that you essentially put the patient in various positions and you do this gentle arching or pumping and you're basically trying to take pressure off that disc to where slowly over time that bulge can recenter and balance out.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

Oh yeah, McKinsey Protocol is fantastic. Their website has a database where people can find people in their town. So if they have nerve pain, it's a great place to start because all those McKinsey practitioners know what I just outlined too. It's like, this is a McKinsey thing, this is not.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

Oh yeah, McKinsey Protocol is fantastic. Their website has a database where people can find people in their town. So if they have nerve pain, it's a great place to start because all those McKinsey practitioners know what I just outlined too. It's like, this is a McKinsey thing, this is not.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

But what's fascinating about McKinsey, sometimes even in the room, they'll get a reduction of nerve symptoms while they're in that position. Nerves provide very productive information. You can trust symptoms of a nerve really well.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

But what's fascinating about McKinsey, sometimes even in the room, they'll get a reduction of nerve symptoms while they're in that position. Nerves provide very productive information. You can trust symptoms of a nerve really well.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So if I get what they call a centralization, meaning I had sciatic pain all the way down the leg, and then you put me in this one McKenzie position, and now it centralizes to the hamstring. That's a great diagnostic indicator. Exactly. And so just because that individual might have an MRI with a disc herniation, that doesn't mean it's an injection or surgery right away.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So if I get what they call a centralization, meaning I had sciatic pain all the way down the leg, and then you put me in this one McKenzie position, and now it centralizes to the hamstring. That's a great diagnostic indicator. Exactly. And so just because that individual might have an MRI with a disc herniation, that doesn't mean it's an injection or surgery right away.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

Obviously, part of the decision-making is what are they having to deal with in their life? What is their timeline? All those other factors. But if you can encourage a hot disc patient to wait and make sure that they're actually letting things heal and run their course, they could be much better off in four to 10 weeks.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

Obviously, part of the decision-making is what are they having to deal with in their life? What is their timeline? All those other factors. But if you can encourage a hot disc patient to wait and make sure that they're actually letting things heal and run their course, they could be much better off in four to 10 weeks.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

Yeah, we've chosen the better side for sure. But this case I was going to talk about earlier, she was a fascinating one. So confirmed disc herniation, and then she had an annular tear, which basically the annulus is a part of the disc. Best analogy to describe it is she had like a little thing that was equivalent of like a cuticle that was just kind of peeling off.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

Yeah, we've chosen the better side for sure. But this case I was going to talk about earlier, she was a fascinating one. So confirmed disc herniation, and then she had an annular tear, which basically the annulus is a part of the disc. Best analogy to describe it is she had like a little thing that was equivalent of like a cuticle that was just kind of peeling off.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So traditional protocol, we started her on McKenzie's. Great lady. We're actually still friends, but she was really hurting. So we worked with her for like two, three weeks. And every time we put her in that McKenzie position, it hurt her worse. And it was local pain, but the radicular symptoms reduced.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So traditional protocol, we started her on McKenzie's. Great lady. We're actually still friends, but she was really hurting. So we worked with her for like two, three weeks. And every time we put her in that McKenzie position, it hurt her worse. And it was local pain, but the radicular symptoms reduced.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So long story short, what we learned over time, she went back over to another place, tried that for a while, didn't work. The disc herniation was actually taking care of itself, but that annular tear was still sticking out, creating extension-based pain. So after about a year of rehab, her body was able to scar up and that healed and it was fine.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

So long story short, what we learned over time, she went back over to another place, tried that for a while, didn't work. The disc herniation was actually taking care of itself, but that annular tear was still sticking out, creating extension-based pain. So after about a year of rehab, her body was able to scar up and that healed and it was fine.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

But what was really interesting to me was she needed McKenzie's early, but then we actually had to cease the McKenzie's because we were jamming that annular tear. And so then we restored just more pillar strengthening, dynamic neuromuscular stabilization, all those other things. So it's like different things at different times played a big role.

The Peter Attia Drive
#350 ‒ Injury prevention, recovery, and performance optimization for every decade | Kyler Brown, D.C.

But what was really interesting to me was she needed McKenzie's early, but then we actually had to cease the McKenzie's because we were jamming that annular tear. And so then we restored just more pillar strengthening, dynamic neuromuscular stabilization, all those other things. So it's like different things at different times played a big role.