studies take a certain amount of money to make them go, to pay investors, et cetera. Again, if chiropractors want the more traditional things, looking at visceral functions, et cetera, then we're going to need to support that research. I think chiropractors are going to have to dip into their pockets, Dr. Hoffman, and actually come up with this because I don't see some of the large granting agencies being ... I don't think, frankly, they care about that. They're more interested in pain and things like that. Hopefully we'll get to more of those studies that I think a lot of chiropractors want to see. These studies on back pain, neck pain, biomechanics are vitally important as well. You're right; we need all of it. I'm just trying to share what's out there because there's a lot of cool stuff out there. Another paper is on biomechanical changes with manipulation. Greg [Cochock 00:28:10] is an amazing investigator up in Canada, and what his group has found is that ... There are tree biomechanical measures they've found at this point that relate to how manipulation seems to reduce pain and improve disability, improve function. Those are spinal stiffness. Basically taking a rod, as you see on the PowerPoint slide here, and poking it into the spine, seeing how loose it is. After adjustments, the spine goes from one that's stiffer when we poke it to more loose, more degrees of freedom, more movement I guess you could say. Less pain also that comes along with this. Then we get an improved activation, so better control from my perspective in terms of some of the surround musculature of the spine, the multifidus, for example. A concept that I'm not quite as familiar with, but this is disk diffusion. Apparently what they found is that, through MRI studies, they found that diffusion into the disk seems to improve after chiropractic care as well. Practice points; nothing specific here, but I think we're starting to show functionally why patients are actually responding to care. I think at some point we'll have tools that we can translate into practice. Dr. [Hessbeck 00:29:29] from Denmark was a really interesting podcast interview. She's doing some amazing work I mentioned before about some of the really large pediatric studies that are going on. She is the main investigator on those studies. They should be out I'm hoping within the next year or two. They're wrapping up the studies of that, so look out for those. One of the studies, she has over 300 children. It's going to be absolutely enormous and impactful when these start coming out. What we talked about in the podcast with her was the typical course of back pain, and we specifically looked at kids and adolescents. Children have back pain. I see it all the time in my practice. I'm seeing younger and younger kids with pain as their presentation chief complaint. Whether it's headaches or neck pain or back pain, they're coming in a lot more regularly than when I was first in practice about 19 years ago. Practice points I took away from this talk was that kids are in more pain, there's not real cookbook approach to treating individuals, and that we need to focus more on prevention. Of course we need to manage the pain when it's there, but people have pain. Our chiropractic adjustments and our other care that we
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