http://www.patientcentred.co.uk/

Patient Centred Training, Sevenoaks (2026)

11/09/2026

𝗔𝗻 𝗮𝗽𝗼𝗹𝗼𝗴𝘆, 𝗮𝗻𝗱 𝗶𝗺𝗽𝗼𝗿𝘁𝗮𝗻𝘁 𝘂𝗽𝗱𝗮𝘁𝗲...

It's been an unusually long break since my last newsletter, so first of all, apologies for the radio silence - and thank you to all of you who reached out asking if I was okay!

I initially took a short break to get all the members of the QA Foundations course up to speed, whilst a number of changes both at work and home took up the rest of my time.

I won't bore you with all the details, but as a result I've had to shift my focus elsewhere for the summer.

That said, things haven't been silent over here, and I've got a few exciting things coming up in the next few months to share with you...

The first of which has been in the works for almost a year - myself, Simon Billings, and Aidan Robinson are back with an all new Evolution of Chiropractic event in December:

Polyvagal Adjusting, Functional Blood Testing, and Tricky Patients

We're all bringing some brand new content to this event, but keeping the format the same as last year - small group workshops that you'll rotate across throughout the weekend,.

No big lecture halls with minimal interaction - you'll get personal attention form the three of us all weekend.

The feedback from last year was even better than I'd hoped:

𝘈𝘯 𝘢𝘮𝘢𝘻𝘪𝘯𝘨 𝘸𝘦𝘦𝘬𝘦𝘯𝘥, 𝘐 𝘩𝘪𝘨𝘩𝘭𝘺 𝘳𝘦𝘤𝘰𝘮𝘮𝘦𝘯𝘥 𝘪𝘵! 𝘊𝘢𝘯'𝘵 𝘸𝘢𝘪𝘵 𝘵𝘰 𝘵𝘳𝘺 𝘰𝘶𝘵 𝘢𝘭𝘭 𝘵𝘩𝘦 𝘯𝘦𝘸 𝘵𝘦𝘤𝘩𝘯𝘪𝘲𝘶𝘦𝘴 𝘸𝘪𝘵𝘩 𝘱𝘢𝘵𝘪𝘦𝘯𝘵𝘴! (Kate Robinson)

𝘐𝘵'𝘴 𝘣𝘦𝘦𝘯 10 𝘥𝘢𝘺𝘴 𝘴𝘪𝘯𝘤𝘦 𝘢𝘵𝘵𝘦𝘯𝘥𝘪𝘯𝘨 𝘵𝘩𝘦 '𝘌𝘷𝘰𝘭𝘶𝘵𝘪𝘰𝘯 𝘰𝘧 𝘊𝘩𝘪𝘳𝘰𝘱𝘳𝘢𝘤𝘵𝘪𝘤' 𝘦𝘷𝘦𝘯𝘵 𝘪𝘯 𝘚𝘩𝘦𝘧𝘧𝘪𝘦𝘭𝘥 𝘢𝘯𝘥 𝘐 𝘩𝘢𝘷𝘦 𝘵𝘰 𝘴𝘢𝘺 𝘪𝘵𝘴 𝘩𝘢𝘥 𝘢 𝘱𝘳𝘰𝘧𝘰𝘶𝘯𝘥 𝘢𝘯𝘥 𝘥𝘳𝘢𝘮𝘢𝘵𝘪𝘤 𝘦𝘧𝘧𝘦𝘤𝘵 𝘪𝘯 𝘴𝘰 𝘮𝘢𝘯𝘺 𝘱𝘰𝘴𝘪𝘵𝘪𝘷𝘦 𝘸𝘢𝘺𝘴. 𝘐'𝘷𝘦 𝘣𝘦𝘦𝘯 𝘱𝘳𝘢𝘤𝘵𝘪𝘴𝘪𝘯𝘨 20 𝘺𝘦𝘢𝘳𝘴 𝘢𝘯𝘥 𝘪𝘵 𝘩𝘢𝘴 𝘩𝘦𝘭𝘱𝘦𝘥 𝘮𝘦 𝘳𝘦𝘦𝘯𝘦𝘳𝘨𝘪𝘴𝘦 𝘢𝘯𝘥 𝘧𝘦𝘦𝘭 𝘦𝘯𝘵𝘩𝘶𝘴𝘦𝘥 𝘢𝘣𝘰𝘶𝘵 𝘮𝘺 𝘤𝘩𝘪𝘳𝘰𝘱𝘳𝘢𝘤𝘵𝘪𝘤 𝘢𝘱𝘱𝘳𝘰𝘢𝘤𝘩! (Oliver Forbes-Turner)

𝘐'𝘷𝘦 𝘩𝘰𝘯𝘦𝘴𝘵𝘭𝘺 𝘴𝘦𝘦𝘯 𝘢 𝘥𝘪𝘧𝘧𝘦𝘳𝘦𝘯𝘤𝘦 𝘪𝘯 𝘱𝘢𝘵𝘪𝘦𝘯𝘵𝘴, 𝘢𝘯𝘥 𝘮𝘺𝘴𝘦𝘭𝘧 - 𝘐'𝘮 𝘮𝘰𝘳𝘦 𝘤𝘰𝘯𝘧𝘪𝘥𝘦𝘯𝘵, 𝘢𝘯𝘥 𝘸𝘪𝘭𝘭𝘪𝘯𝘨 𝘵𝘰 𝘵𝘳𝘺 𝘵𝘩𝘪𝘯𝘨𝘴 𝘰𝘶𝘵𝘴𝘪𝘥𝘦 𝘰𝘧 𝘮𝘺 𝘴𝘬𝘪𝘭𝘭 𝘴𝘦𝘵! 𝘐 𝘳𝘦𝘢𝘭𝘭𝘺 𝘦𝘯𝘫𝘰𝘺𝘦𝘥 𝘵𝘩𝘦 𝘸𝘦𝘦𝘬𝘦𝘯𝘥, 𝘦𝘴𝘱𝘦𝘤𝘪𝘢𝘭𝘭𝘺 𝘵𝘩𝘦 𝘴𝘮𝘢𝘭𝘭 𝘨𝘳𝘰𝘶𝘱𝘴 𝘢𝘯𝘥 𝘪𝘯𝘧𝘰𝘳𝘮𝘢𝘵𝘪𝘰𝘯 𝘢𝘤𝘤𝘦𝘴𝘴𝘪𝘣𝘪𝘭𝘪𝘵𝘺. 𝘐𝘵 𝘸𝘢𝘴 𝘪𝘯𝘧𝘰𝘳𝘮𝘢𝘵𝘪𝘷𝘦 𝘢𝘯𝘥 𝘧𝘶𝘯 𝘢𝘯𝘥 𝘤𝘩𝘢𝘭𝘭𝘦𝘯𝘨𝘪𝘯𝘨! (Kadyn Grayson)

After the event finished, Simon, Aidan and I all said it was one of the most fun weekends we'd had teaching, in large part because of how interactive and tailored we were able to make it for everyone.

Tickets sold out last year, and I expect that will happen for this too - it's going out on all 3 of our channels, and we're capping the numbers to ensure it's just as high-quality as before.

We're be at Goose Chiropractic Clinic in Dinnington, on 5th-6th December, so make sure to grab your ticket before they all go (it's also £100 off for the early bird discount!)

Tickets are currently available now - link in the comments

P.S. Some more updates coming next week... keep an eye out for those ;)

23/06/2026

Big thanks to Kevin Christie for putting together the first Patient Centred Training / Modern Chiropractic Mastery Mastermind event!
We had a great time working with a bunch of really excellent clinic owners, refining their remarkable patient experience - from an ethical, effective, and evidence-informed perspective.

Plus, I can honestly say I've never spoken at an event held in a board game pub before either - way more fun than hotel conference rooms!

18/06/2026

𝐈 𝐡𝐚𝐝 𝐧𝐨 𝐢𝐝𝐞𝐚 𝐥𝐚𝐬𝐭 𝐰𝐞𝐞𝐤 𝐰𝐨𝐮𝐥𝐝 𝐞𝐧𝐝 𝐥𝐢𝐤𝐞 𝐭𝐡𝐚𝐭…

Quick one today on something I was reminded of in the last week or so…

First off, the response to Quadrant Analysis Foundations has frankly rather blown me away - 46 colleagues joined - which is well over what even I expected!

I’ve already had some lovely messages from people who are diving in and seeing it connect dots they hadn’t even considered.

It’s been great to hear, but that’s not what this is about - instead, I wanted to share why it landed.

If I’d taken the approach most folks in the CPD and education space do, I’d have spent the last 2 weeks talking about how great QA is.

How clever it is, how much it’s helped me, how much better my results are… all completely true, of course.

Problem is, that wouldn’t have really stood out - everyone thinks about their own methods and techniques, after all.

Instead, I spent most of the time talking about the problems QA solves:

Technique-shaped guesswork…

… feeling like you still don’t always know where to start with a complex case...

… knowing you need to look beyond the symptomatic area, but having only partial ways of thinking through that.

Talking about the problems a particular approach solves is far more useful to people considering it, vs just saying how great it is.

And it applies just as much with patients as anything else.

Saying “𝘈𝘥𝘫𝘶𝘴𝘵𝘪𝘯𝘨 𝘺𝘰𝘶𝘳 𝘢𝘯𝘬𝘭𝘦 𝘸𝘪𝘭𝘭 𝘩𝘦𝘭𝘱 𝘵𝘩𝘦 𝘭𝘦𝘨 𝘮𝘰𝘷𝘦 𝘣𝘦𝘵𝘵𝘦𝘳 𝘢𝘯𝘥 𝘵𝘢𝘬𝘦 𝘱𝘳𝘦𝘴𝘴𝘶𝘳𝘦 𝘰𝘧𝘧 𝘺𝘰𝘶𝘳 𝘭𝘰𝘸 𝘣𝘢𝘤𝘬” is great and all, but makes you sound like every other practitioner.

Whereas if you take an approach that focuses on solving problems - even ones they didn’t know they might encounter - that carries a lot more weight.

For example: “𝘐’𝘮 𝘤𝘩𝘦𝘤𝘬𝘪𝘯𝘨 𝘺𝘰𝘶𝘳 𝘧𝘰𝘰𝘵 𝘢𝘯𝘥 𝘢𝘯𝘬𝘭𝘦 𝘣𝘦𝘤𝘢𝘶𝘴𝘦 𝘰𝘧𝘵𝘦𝘯𝘵𝘪𝘮𝘦𝘴, 𝘱𝘳𝘰𝘣𝘭𝘦𝘮𝘴 𝘪𝘯 𝘺𝘰𝘶𝘳 𝘭𝘰𝘸 𝘣𝘢𝘤𝘬 𝘤𝘢𝘯 𝘣𝘦 𝘸𝘰𝘳𝘴𝘦𝘯𝘦𝘥 𝘣𝘺 𝘱𝘳𝘰𝘣𝘭𝘦𝘮𝘴 𝘭𝘰𝘸𝘦𝘳 𝘥𝘰𝘸𝘯 𝘵𝘩𝘦 𝘤𝘩𝘢𝘪𝘯. 𝘛𝘩𝘪𝘴 𝘰𝘧𝘵𝘦𝘯 𝘨𝘦𝘵𝘴 𝘮𝘪𝘴𝘴𝘦𝘥 𝘸𝘩𝘦𝘯 𝘱𝘳𝘢𝘤𝘵𝘪𝘵𝘪𝘰𝘯𝘦𝘳𝘴 𝘫𝘶𝘴𝘵 𝘧𝘰𝘤𝘶𝘴 𝘰𝘯 𝘵𝘩𝘦 𝘴𝘱𝘪𝘯𝘦, 𝘢𝘯𝘥 𝘮𝘦𝘢𝘯𝘴 𝘵𝘩𝘦𝘺 𝘯𝘦𝘷𝘦𝘳 𝘨𝘦𝘵 𝘢 𝘧𝘶𝘭𝘭 𝘳𝘦𝘤𝘰𝘷𝘦𝘳𝘺 𝘢𝘯𝘥 𝘪𝘵 𝘬𝘦𝘦𝘱𝘴 𝘤𝘰𝘮𝘪𝘯𝘨 𝘣𝘢𝘤𝘬, 𝘰𝘷𝘦𝘳 𝘢𝘯𝘥 𝘰𝘷𝘦𝘳… 𝘚𝘰 𝘐’𝘮 𝘮𝘢𝘬𝘪𝘯𝘨 𝘴𝘶𝘳𝘦 𝘸𝘦 𝘥𝘰𝘯’𝘵 𝘮𝘪𝘴𝘴 𝘵𝘩𝘢𝘵.”

That second kind of explanation tends to build far more trust (assuming it’s true of course - which isn’t always the case in the continuing education world…”)

Now your patients don’t just understand what you’re doing, and how it works - they understand why it matters… and why you're different.

The obvious result is that they value your care more, and see you as more of an expert.

But there’s an even bigger benefit down the line - now they can easily explain it to others.

Because when a patient leaves your clinic and someone asks how it’s going with seeing you, you don’t want them to say “𝘖𝘩, 𝘨𝘳𝘦𝘢𝘵 - 𝘵𝘩𝘦𝘺 𝘵𝘳𝘦𝘢𝘵𝘦𝘥 𝘮𝘺 𝘢𝘯𝘬𝘭𝘦 𝘢𝘯𝘥 𝘮𝘺 𝘣𝘢𝘤𝘬 𝘧𝘦𝘭𝘵 𝘣𝘦𝘵𝘵𝘦𝘳!”

That’s cool but doesn’t really tell them much.

Instead, you want something more like “𝘐𝘵’𝘴 𝘨𝘳𝘦𝘢𝘵, 𝘵𝘩𝘦𝘺’𝘳𝘦 𝘯𝘰𝘵 𝘭𝘪𝘬𝘦 𝘰𝘵𝘩𝘦𝘳 𝘤𝘩𝘪𝘳𝘰𝘱𝘳𝘢𝘤𝘵𝘰𝘳𝘴 - 𝘵𝘩𝘦𝘺 𝘦𝘷𝘦𝘯 𝘤𝘩𝘦𝘤𝘬𝘦𝘥 𝘮𝘺 𝘧𝘦𝘦𝘵, 𝘢𝘯𝘥 𝘧𝘰𝘶𝘯𝘥 𝘰𝘶𝘵 𝘮𝘺 𝘢𝘯𝘬𝘭𝘦 𝘸𝘢𝘴 𝘱𝘢𝘳𝘵 𝘰𝘧 𝘵𝘩𝘦 𝘱𝘳𝘰𝘣𝘭𝘦𝘮. 𝘐’𝘮 𝘴𝘰 𝘨𝘭𝘢𝘥 𝘐 𝘸𝘦𝘯𝘵 𝘵𝘩𝘦𝘳𝘦, 𝘰𝘵𝘩𝘦𝘳𝘸𝘪𝘴𝘦 𝘐 𝘮𝘪𝘨𝘩𝘵 𝘯𝘦𝘷𝘦𝘳 𝘩𝘢𝘷𝘦 𝘨𝘰𝘵 𝘪𝘵 𝘴𝘰𝘳𝘵𝘦𝘥!”

One just says what you did, but the other shows why you did it - and why they’re so glad they chose you specifically.

And over time, that builds the kind of trust, referrals, and reputation that can last a lifetime.

(Well, assuming you can back it up with results!)

Anyway, that’s what stood out to me most about this launch, and explains why it was so successful:

Don’t just explain the thing - explain the problem it solves, prevents, or helps people avoid…

… and help them share that with others too.

And if you were interested in QA Foundations but missed out this time, no stress - we’ll most likely make it available again towards the end of the year.

P.S. One other lovely benefit of the success of the course is how it’s helped fund a cause close to my heart - providing valuable support for children with disabilities in Moldova.

Since Nov 2023, I’ve donated a portion of each course / ticket sale to fund a speech therapy session at the Tony Hawks Centre.

As I type this, we’ve funded 682 sessions - in less than 3 years.

That’s insane to me.

So to all of you who ever enrolled in a program, came to a seminar, or picked up a micro-course - thank you, I am so incredibly grateful to you ♥️

11/06/2026

𝐓𝐡𝐞 𝐛𝐞𝐬𝐭/𝐰𝐨𝐫𝐬𝐭 𝐥𝐢𝐬𝐭 𝐨𝐧 𝐦𝐲 𝐩𝐡𝐨𝐧𝐞…

So little confession - I’m a bit of a reformed productivity geek, and have spent an ungodly amount of time playing around with different systems for organising myself.

One of the best and most well known ones is David Allen’s “Getting Things Done” framework.

I don’t use it completely now, but have kept a few of the habits I learned from it.

One in particular is what’s known as a “someday / Maybe” list.

Essentially, it’s a place to park things that seem interesting, useful, or worth exploring, just not right now.

Great idea in theory - I can get it off my mind and out of my head, without worrying I’ll forget it entirely.

However in practice, I’ve realised mine often becomes something a bit less helpful: a graveyard for my best ideas.

Yeah, some of them are legitimately never going to happen: reorganise the home office, train and qualify as an acupuncturist, set up that compost bin we’ve had in the shed for 3 years…

But many were the opposite - things that would have genuinely helped, but got mentally filed under “𝘠𝘦𝘢𝘩, 𝘵𝘩𝘢𝘵 𝘭𝘰𝘰𝘬𝘴 𝘨𝘰𝘰𝘥, 𝘐 𝘴𝘩𝘰𝘶𝘭𝘥 𝘥𝘰 𝘵𝘩𝘢𝘵… 𝘴𝘰𝘮𝘦𝘥𝘢𝘺, 𝘮𝘢𝘺𝘣𝘦.”

And every now and then I’ll look back at something on that list and realise that if I’d acted on that when I first spotted it, I’d probably have been sitting back and reaping the rewards for a good while now.

It’s not just me either, a lot of colleagues and business owners do the same thing.

Not with the urgent stuff of course (well, hopefully!).

But when it comes to those the things that feel important, useful, and clearly relevant… but don’t need doing right this second

CPD weekend that looks genuinely useful, but will probably come around again next year.

Considering the new hire that would take a lot off your plate… once you found them.

Or maybe it’s just the missing layer you know you need, but can still justify putting off for another few months.

It always seems to make sense in the moment… but it’s also where the cost creeps in.

And because nothing falls apart, it’s hard to recognise

Patients keep getting better, you keep learning new “stuff”, and the bills get paid…

… but at the same time, you stay in the same loop, dealing with the same non-urgent problems.

Maybe with some new tools, some new ideas, or some new thoughts on how to piece things together.

But when a case gets weird, or doesn’t go as planned, there isn’t always a clear enough way to decide what matters most.

Superficially, that uncertainty can become strangely easy to tolerate - especially if you’re busy and your patients are still getting results.

But below the surface, the cost of that second guessing starts to build up, and drain at your mental energy.

Over time, it can start to suck the joy out of practice.

Maybe you don’t hate it, but you just don’t love it like you used to.

Things aren’t terrible, but it’s like the colour starts to fade.

It’s hard to notice, but you can end up normalising a level of clinical uncertainty that you don’t actually want to keep carrying.

That’s a big part of why I put together Quadrant Analysis Foundations.

Not because everyone needs another course.

But because I think a lot of good chiropractors are tolerating a problem they don’t actually need to keep tolerating.

So if these emails have been resonating, don’t quietly file this away in the same mental drawer as all the other things you knew mattered.

And despite how insanely valuable it is when you start applying it, I’ve priced it as low as I possibly can - about the price of 2 patient visits.

You crack just one case using QA, it’ll have already paid for itself - and I’m betting you’ll crack a load more than that - to say nothing of how much more fun and fulfilment you’ll be having in clinic every day this summer.

All you have to do is choose how you want to spend the next year or so…

… keep doing what you’ve been doing, dealing with the same uncertainty and second guessing…

Try another tool, technique or seminar and hope this one will finally give you “the answer”...

… or invest in a decision framework that will show you how to think more clearly, ask better questions, and make much better use of the skills and methods you already have.

Like I said the other day, QA isn’t for everyone- and if it’s no for you, that's completely fine.

I’ll be back to my usual content-laden emails next week.

But, if you think this might be for you, and you’ve been struggling with the uncertainty of clinical practice, we’d love for you to join us.

You can join at the link in the comments, and start diving in when we go live tomorrow...

10/06/2026

𝐓𝐡𝐞 𝐝𝐚𝐧𝐠𝐞𝐫 𝐨𝐟 𝐟𝐢𝐧𝐝𝐢𝐧𝐠 𝐭𝐨𝐨 𝐦𝐮𝐜𝐡…

One of my favourite comments recently came from a DC I’ve gotten to know over the years, called Bentley.

Bentley has been in practice a while now, and runs his own clinic in Singapore.

We connected online a few years ago, and after introducing him to Rob Pape, he’s been starting to implement more and more Quadrant Analysis concepts into his practice.

The reason it stuck with me is that Bentley is the total opposite to the caricature of a narrow minded, pain-based chiropractor.

He doesn’t just just poke the sore bits, hope for a cavitation, and send them off as soon as they feel good again..

Before QA, he was already switched on - looking beyond the painful area, studying things like the kinetic chain and SFMA, and trying to understand how different parts of the body compensate for each other.

Essentially, he already thought more broadly than the average practitioner.

He sent me his thoughts on QA, and the part I loved hearing the most was this:

“𝘐 𝘢𝘭𝘸𝘢𝘺𝘴 𝘫𝘶𝘴𝘵 𝘧𝘦𝘭𝘵 𝘢 𝘭𝘪𝘵𝘵𝘭𝘦 𝘭𝘪𝘬𝘦 𝘐 𝘸𝘢𝘴 𝘨𝘶𝘦𝘴𝘴𝘪𝘯𝘨”

I love it not just because I could relate - it also gets to one of the main objections I get from colleagues when trying to talk about QA:

“Yeah I already do that...”

And I suspect, knowing my audience as I do, that a good percentage of my readers will be thinking that right now - and TBH, it’s a pretty fair reaction.

If you’re reading this, you probably do already think more broadly than the average DC.

You probably know there’s much more to helping patients than just cracking where it hurts.

And you're probably already checking above and below, think about additional compensations, movement patterns, rehab, lifestyle, stress, sleep, and all the usual suspects.

You might already use some kind of test-treat-retest approach in the room too.

You know that a patient’s shoulder can affect their neck, that a foot and ankle issue can keep irritating an unstable SI, or and that a good chunk of patients simply don’t behave the way their diagnosis says they “should.”

So if your reaction is, “Chris, I already look at the whole body,” that’s good!

It means Quadrant Analysis will make more sense to you, not less.

But the thing is, assessing globally isn't the same thing as gaining clarity - once you start looking at the wider chain, you don’t automatically make the case simpler.

Most of the time you’re actually just making it bigger.

Suddenly there are fifteen plausible things you could care about:

The first rib restricted… their thoracic extension sucks… one hip wont internally rotate… their arches have dropped… the opposite wrist is surprisingly awful...

Oh and their motor control is poor, they're stuck in check breathing, their sleep is rubbish, their diet is basically beige, and their nervous system seems like it’s running Windows 95 with thirty-seven browser tabs open…

(probably alienating my Gen Z audience with that, but I’m amused at least 😆)

Yeah, any of those things “could” matter - but “could” isn’t the same as “actually”.

After all, no-one assesses their patients thinking “𝘤𝘢𝘯 𝘐 𝘧𝘪𝘯𝘥 𝘴𝘰𝘮𝘦𝘵𝘩𝘪𝘯𝘨 𝘪𝘯𝘵𝘦𝘳𝘦𝘴𝘵𝘪𝘯𝘨?”

That’s not especially hard if you look long enough, and neither is it especially helpful.

What you really want to know is “what is the most relevant for their current issue, and their long term health?”

And deep down most fo us know we weren’t really ever taught that - we’ve learned tests, techniques, diagnoses, rehab principles, kinetic chain thinking, functional assessments, and broader “whole body” approaches…

… all good stuff, sure

But very few of us have ever been shown a reliable way to decide 𝐰𝐡𝐚𝐭 to prioritise, when several plausible answers are sitting in front of us.

That's why this “I already do this” response can become a bit of a trap.

Because sometimes what we actually mean is “𝘐 𝘢𝘭𝘳𝘦𝘢𝘥𝘺 𝘢𝘴𝘴𝘦𝘴𝘴 𝘨𝘭𝘰𝘣𝘢𝘭𝘭𝘺.”

Or “𝘐 𝘢𝘭𝘳𝘦𝘢𝘥𝘺 𝘵𝘳𝘦𝘢𝘵 𝘮𝘰𝘳𝘦 𝘵𝘩𝘢𝘯 𝘵𝘩𝘦 𝘱𝘢𝘪𝘯𝘧𝘶𝘭 𝘢𝘳𝘦𝘢.”

Or “𝘐 𝘢𝘭𝘳𝘦𝘢𝘥𝘺 𝘶𝘴𝘦 𝘢 𝘧𝘦𝘸 𝘥𝘪𝘧𝘧𝘦𝘳𝘦𝘯𝘵 𝘵𝘰𝘰𝘭𝘴.”

It’s not nothing, but QA isn’t simply “look at more stuff”, or “treat the whole body.”

And it’s definitely not “check every joint, muscle, organ, chakra, and childhood memory until something looks suspicious.” like some so called “holistic” approaches do .

(Not gonna name names here, but I know a fair few of you know who I mean…)

That way lies madness - or at the very least, a ridiculously long appointment, and patients wondering why you’re asking about their left big toe, breakfast habits, and emotional relationship with deadlifting… when they thought they just needed their neck adjusting.

QA is far more specific, and helps your answer the kinds of questions that matter:

… what pattern is this patient exhibiting…
… what are the higher priority issues I should start with…
… and where should you look next?

Because without knowing the expected and unexpected patterns, whole-body assessment can easily become a posh version of the same guessing.

You find a bit of everything, treat a bit of everything, and then hope one of those things was the actual key.

Sure it works sometimes, but when it doesn’t, you’re still left unsure of what to do next.

That’s why I loved hearing Bentley talk about the change he’d experienced with QA - he wasn’t narrow and looking broader, he was able to look at a deeper level instead.

And he’s already spent years looking globally, studying, and always trying to better understand what was going on - and what to do.

The missing piece was the organising map.

A way to separate the meaningful finding from the random weirdness that shows up in basically every human body once you start poking around.

The key isn’t so much spotting dysfunction, but knowing which dysfunction matters (and which don’t!).

That’s why Rob and I put together Quadrant Analysis Foundations for - not another technique system… or another “one true cause” model… or a set of instructions on what “true chiropractic” looks like.

It’s a starting map that helps you decide what kind of problem you’re dealing with, where you might need to start, and how to adapt when the patient doesn’t respond the way you expected.

Of course there’s more to it, and both Bentley and I are still learning.

But if you already assess broadly, and look beyond the painful area… but still sometimes feel like you’re guessing, you’re probably the exact person QA Foundations was built for

You’ve still got a few days to enrol, before we close the doors on Friday. Grab your spot at the link in the comments below.

09/06/2026

𝐓𝐇𝐈𝐒 𝐎𝐍𝐄 𝐖𝐄𝐈𝐑𝐃 𝐇𝐀𝐂𝐊 𝐂𝐎𝐌𝐏𝐋𝐄𝐓𝐄𝐋𝐘 𝐂𝐔𝐑𝐄𝐒 𝐍𝐄𝐂𝐊 𝐏𝐀𝐈𝐍! 🤮
(𝘧𝘦𝘭𝘵 𝘢 𝘭𝘪𝘵𝘵𝘭𝘦 𝘥𝘪𝘳𝘵𝘺 𝘫𝘶𝘴𝘵 𝘵𝘺𝘱𝘪𝘯𝘨 𝘵𝘩𝘢𝘵…)

A few weeks back now I sent you a short video, where I talked about one of my favourite cases in my entire career:

Resolving a chronic left-sided neck & CT issue by treating the opposite wrist & thumb… in just 2 sessions.

It’s a fun one, and gets attention - partly because it sounds weird and unexpected… and partly because in that moment both me and my patient felt like I was a bloody wizard 😆.

But when I tell that story to colleagues, they usually come back with the same question: How the hell did that happen?

Thing is, where I treated him isn’t really the point.

And it 100% doesn’t mean I’m regularly treating thumbs anytime someone mentions neck pain, or saying neck pain “comes” from the hands.

That would be just as reductionist as saying every hand problem comes from C5, every low back problem comes from anterior pelvic tilt, or every chronic pain patient just needs better glute activation.

Fortunately, the real key point is much simpler than that - the painful area is not always the most clinically relevant place to start.

“Yeah no sh*t Chris”, I hear you say…most of us know that in theory.

However, his last chiropractor had spent over 20 sessions of full spine treatment, and not got him anything beyond a few days of relief each time.

And whilst most of us are pretty good at looking to other areas of the spine to find silent but relevant contributors…

… or maybe the hip / shoulder on occasion…

… I’d wager very few of us would have even thought to check his hand - especially the 𝐨𝐩𝐩𝐨𝐬𝐢𝐭𝐞 𝐡𝐚𝐧𝐝.

So yeah, we’ve all seen cases where the painful bit was not the whole story, where the obvious treatment target made sense on paper, but the patient’s body kept behaving like there was something else going on.

But the awkward bit is that knowing this intellectually doesn’t automatically tell you what to do next - or where else to look.

It doesn’t tell you that of all the things you can find in their system, which parts matter and which are just noise.

Neither does it tell you when your clever “kinematic chain” suspicion is actually relevant, versus when you’re just chasing novelty because your standard approach to that particular case isn’t enough.

That’s the part Quadrant Analysis helps with.

Going to his wrist and solving his neck pain by treating there wasn’t just a cool party trick - it was a Pattern Break.

A silent but critical dysfunction elsewhere in the system, which was the deeper driver of their main complaint.

The painful area was obviously part of the presentation, but not necessarily the best starting point.

Once you understand how to look for that, the goal is not to run around treating random body parts and hoping for a dramatic result.

That’s just shotgun guesswork dressed up as “holistic”

The real goal is to read their pattern more clearly - to know when the painful area is probably the right target… when you should follow the chain (and which chain to follow!)… when the opposite side might matter… and when the deeper driver might not even be mechanical at all.

And just as key, when your idea isn’t actually relevant, and it’s time to move on.

One of the problems with a lot of technique systems is that they’re very good at helping you spot the thing they were designed to spot.

Which is useful, of course, until the patient’s real problem sits outside that model and you end up trying to force the case to fit the system.

Or abandoning it entirely to just take your own guesses.

Neither of which feel particularly good, or tend to get the outcomes you and your patient are hoping for

Quadrant Analysis is different because it doesn’t ask you to throw away your tools.

It won’t tell you to stop adjusting and use X tools instead

And it won’t tell you “forget that other stuff, just find and adjust the primary and everything will fall into place”

It sits in a space between the two extremes of multimodal evidence based chiropractic, and a traditionally vitalistic approach that hasn’t changed since the early days.

QA lives above whatever tools and philosophies you have, and helps you decide what kind of problem you’re actually dealing with - which means you can use your existing skills and knowledge to much better effect, and a clearer reason for choosing one route over another.

So yes, that wrist case was cool - and felt pretty damn awesome, I won’t lie.

But the goal of Quadrant Analysis Foundations isn’t just to give you those crazy wizard moments - it’s to give you a better starting map.

If you can read the pattern behind the presentation, you stop being stuck between some fairly poor options:

Treat where / near it hurts and hope it behaves…

… stick to whatever technique system you feel more comfortable with…
.. or throw five different techniques at the case and see what sticks.

There is a better middle ground between all of those, and it feels more thoughtful - without being painfully complicated.

It’s more individualised and patient centred too, but not vague or chaotic.

And it’s more thorough and systematic, without becoming another rigid technique system.

That’s what Quadrant Analysis Foundations is designed to introduce.

It won’t make you a QA expert in six weeks.

But it will give you the starting map, the key classifications, and a practical way to begin thinking through the patient in front of you with more clarity.
..you can join in the link in the comments below.

08/06/2026

𝐓𝐡𝐢𝐬 𝐢𝐬𝐧’𝐭 𝐟𝐨𝐫 𝐦𝐨𝐬𝐭 𝐃𝐂’...

On Friday I finally opened enrolment for a project I’ve been hinting at for a while:

𝐐𝐮𝐚𝐝𝐫𝐚𝐧𝐭 𝐀𝐧𝐚𝐥𝐲𝐬𝐢𝐬 𝐅𝐨𝐮𝐧𝐝𝐚𝐭𝐢𝐨𝐧𝐬

We’ve already had a bunch of folks jump in, but I thought it would be useful to explain a bit more.

Because although I’m very excited about it, it’s something quite different to most other treatment frameworks - and it genuinely isn’t for everyone.

It’s not for practitioners who want another rigid technique system, memorised flowcharts, or a system that does their thinking for them and just tells them what to do for every patient.

And it’s probably not for those of you who are perfectly happy with how you’ve been working for a while, and are content with it working well enough for most patients.

I don’t mean that as a criticism - one of the cool things about what we do is that there’s many different ways to practice.

But QA isn’t built for that - it’s for DC’s who already know that the obvious area isn’t always the answer...
..but don’t always feel they have an accurate way to determine exactly what that area is - or if it’s working well enough.

It’s for the clinician who has picked up a decent set of tools over the years, but sometimes still feels like they’re doing a slightly more sophisticated version of trial and error.

It’s for the practitioner who enjoys the puzzle of clinical practice, but wants a better “map” for solving it.

And in particular, it’s for people who are tired of what I’ve been calling “𝐭𝐞𝐜𝐡𝐧𝐢𝐪𝐮𝐞-𝐬𝐡𝐚𝐩𝐞𝐝 𝐠𝐮𝐞𝐬𝐬𝐰𝐨𝐫𝐤” - where the techniques you learn start influencing what you see more than what’s actually in front of you.

That feeling where you know there’s more that’s going on… but your methods aren’t helping you to think it through at a deeper level.

That’s who I had in mind when putting this together.

But the chiropractor or manual therapist who wants to become a better 𝐜𝐥𝐢𝐧𝐢𝐜𝐚𝐥 𝐩𝐫𝐨𝐛𝐥𝐞𝐦-𝐬𝐨𝐥𝐯𝐞𝐫, vs someone looking for “the one” system, or to just have their favourite approach confirmed.

Someone who wants complex cases to feel more interesting vs confusing….
… who wants to stop second-guessing every time a patient responds differently than expected…

… who wants to use whatever tools they already have with more clarity, and a stronger sense of why they’re choosing one approach over another.

That said, I should also clarify: You do 𝐧𝐨𝐭 need to practise like Rob.

Neither do you need to practise like me (we have incredibly different practices, in fact!)

If you mostly adjust, QA can help you make better decisions about which adjustments are likely to have the biggest impact, and other areas along the chain that would further benefit.

If you use a broader set of tools, QA can help you make better decisions about when those tools are actually relevant.

And if part of the answer sits outside your own skill set, QA can help you recognise that sooner and more clearly as well - and show you what to learn next, vs just jumping on the next shiny seminar that sounds cool ;)

Unlike most technique systems out there, QA doesn’t try to standardise how you practice, or make you into a carbon copy of its creator.

It allows you to work at a deeper level, and use what you already have in a more intelligent manner.

If any of that sounds familiar - like you’ve been wanting to solve more problems, but haven’t been shown how to - there’s a good chance Quadrant Analysis Foundations is for you, please see the comments for the link.

P.S. Here’s what one one colleague has to say about QA:

QA has helped me navigate that bridge and helped me understand the pieces of the puzzle in a more problem-solving way. I’ve always found that there was a gap somewhere between exercise physiology principles and rehab and what we do as chiropractors, and QA has the key that’s allowed me to piece that together more and more.

I would say that it’s the best training I’ve done in my career do far!

Rob and Chris have helped me understand the fundamental patterns and allowed me to think my way through cases I never thought I’d be able to solve. It’s incredible value for what it is and it’s the 𝐛𝐞𝐬𝐭 𝐭𝐡𝐢𝐧𝐤𝐢𝐧𝐠 𝐈’𝐯𝐞 𝐝𝐨𝐧𝐞 𝐢𝐧 𝐚 𝐥𝐨𝐧𝐠 𝐭𝐢𝐦𝐞!
- Joe Rutter DC, Maristow Chiropractic Clinic

03/06/2026

𝐈𝐌𝐏𝐎𝐑𝐓𝐀𝐍𝐓 - 𝐐𝐀 𝐅𝐨𝐮𝐧𝐝𝐚𝐭𝐢𝐨𝐧𝐬 𝐢𝐬 𝐡𝐞𝐫𝐞!

I’ve been waiting to send this email for a looooong time…

… Quadrant Analysis Foundations is now open for enrolment!

This is quite possibly the most excited I’ve been for a new course for a long time, and I’m so excited to be finally sharing it with the profession.

If you ever felt like you have more options than direction….

… or don’t get why certain patients just don’t respond like they “should”...

… or just want to get better results without having to buy endless new tools & gadgets…

… this is for you.

Quadrant Analysis suits the curious, open-minded practitioner who wants to apply their skills in the most strategic way possible, whilst also having a lot more fun in practice.

In fact, that’s one of the most common bits of feedback from practitioners after starting QA - they find themselves enjoying practice more than they ever felt possible - I know I have!

Anyway, the full course details are at the link below - we’ll be going live with Week 1’s content on Friday 12th June - at which point 𝐞𝐧𝐫𝐨𝐥𝐦𝐞𝐧𝐭 𝐜𝐥𝐨𝐬𝐞𝐬.

So if you want to join myself and the rest of the QA Tribe, you’ll want to check that our ASAP.

Link for full details and enrolment is in the comments.

26/05/2026

𝐓𝐡𝐞 𝐡𝐢𝐝𝐝𝐞𝐧 𝐥𝐚𝐲𝐞𝐫 𝐛𝐞𝐡𝐢𝐧𝐝 𝐭𝐡𝐨𝐬𝐞 𝐫𝐞𝐜𝐞𝐧𝐭 𝐭𝐫𝐚𝐢𝐧𝐢𝐧𝐠𝐬…

𝘉𝘦𝘦𝘯 𝘬𝘦𝘦𝘱𝘪𝘯𝘨 𝘵𝘩𝘪𝘴 𝘣𝘢𝘤𝘬 𝘧𝘳𝘰𝘮 𝘺𝘰𝘶…

Over the last 3 weeks, I’ve shared a few free training videos with you on Quadrant Analysis.

If you just watch those (and do go back and watch them if you haven’t), you’ll already have some new knowledge you can apply in clinic tomorrow.

The more important thing, however, is that those videos were not 3 random clinical tips.

They were 3 small glimpses of a much bigger way of thinking - one that has, for me, changed practice more than anything else I’ve learned in the last 10+ years.

Underneath all of those examples, there’s a deeper problem that many of us get stuck in without realising: 𝐭𝐞𝐜𝐡𝐧𝐢𝐪𝐮𝐞-𝐬𝐡𝐚𝐩𝐞𝐝 𝐠𝐮𝐞𝐬𝐬𝐰𝐨𝐫𝐤.

It’s not because we’re undertrained, underskilled, or because we tend to focus on the painful areas either.

In fact, plenty of good DC’s already assess the whole body, think globally, and talk about patterns.

But assessing more areas is not the same as having a reliable way to decide what those findings 𝘢𝘤𝘵𝘶𝘢𝘭𝘭𝘺 𝘮𝘦𝘢𝘯.

It doesn’t tell you what matters most in this case, or where to start.

And it definitely doesn’t tell you which findings are relevant signals, vs just noise.

That’s the missing layer… and what my next course is really about.

Not another guru-led technique system with rigid rigid protocols, or someone telling you to throw out the tools you already use and “just adjust”.

It’s about giving you the map 𝘣𝘦𝘧𝘰𝘳𝘦 the methods.

The other day, someone in the QA coaching group told me that one of the biggest improvements they'd already seen was that “𝘢𝘭𝘭 𝘵𝘩𝘦 𝘵𝘰𝘰𝘭𝘴 𝘐’𝘥 𝘨𝘢𝘪𝘯𝘦𝘥 𝘧𝘪𝘯𝘢𝘭𝘭𝘺 𝘴𝘵𝘢𝘳𝘵𝘦𝘥 𝘮𝘢𝘬𝘪𝘯𝘨 𝘮𝘰𝘳𝘦 𝘴𝘦𝘯𝘴𝘦.”

(And he’d only joined a couple of months ago!)

That’s exactly what QA is all about.

A better way to read the case in front of you, so you can use the tools you’re already good with more intelligently - with better timing, better prioritisation, and a clearer sense of why you’re choosing one route over another.

And if you’ve spent years collecting techniques or tools, getting inconsistent results, and quietly wondering why it still feels like guesswork more often than it should…

… this is exactly the problem the course is designed to solve.

It’s for the chiropractor who wants to become a better problem-solver.

Not someone looking for “the one” technique, or just Flying 7 their way through practice.

Someone who wants to think more clearly, stay more curious, and stop feeling like complex cases are just a slightly more sophisticated form of trial and error.

So next week, I’m going to share the full course properly.

What it is, what’s inside, who it’s for...

… and why I think it could be a massive upgrade for the right practitioner.

Keep an eye out for that very soon…

Patient Centred Training

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