EPISODE 446: Radial vs Focus Shockwave; EMTT Details with Nick Murphy DC

Hey, chiropractors. We're ready for another Modern Chiropractic Marketing Show with Dr. Kevin Christie, where we discuss the latest in marketing strategies, contact marketing, direct response marketing, and business development with some of the leading experts in the industry. 

Dr. Kevin Christie: [00:00:00] Welcome to another episode of Modern Chiropractic Mastery. In this episode, I am interviewing Dr. Nick Murphy, and we're gonna dive into the details of. Radio shockwave versus focus shockwave, also EMTT. We're gonna talk about, uh, the different types of machine, like stores and, and get into the, the details of, we get this question a lot.

Should I have radio? Should I have focus? What is EMTT? What's going on with the technologies? Which one should I get? Should I invest in this? And we're gonna dive into a lot of that, this, you know, this podcast is a practice growth podcast. Uh, we, we want you to be the best chiropractor you can be, whether it's clinically or financially, or marketing and just, you know, just overall.

And so we do have clinical episodes, as you know, and this is one of them. Uh, probably in the near future. We'll also have some on, you know, laser therapy and things like that and tie in. Always we start with patient outcomes. Uh, [00:01:00] we really. We always put that as the forefront. And then from there, once you've done that and you're saying, you know, I, I'm, I'm patient outcomes first, then it's okay to be, you know what, I gotta run a business here.

I gotta do well for myself. I deserve a professional living. I wanna be able to hire people. I need revenue to be at a certain level. I need profit to be at a certain level. That's okay. Be when you put the car before the horse and all you care about is money and you don't care about patient outcomes, that's where it becomes an issue.

And so we always are putting that patient outcomes first and then going from there. That's why I'm probably not gonna ever have certain techniques and, uh, services or equipment that I don't think really has great patient outcomes. I'm a believer in shockwave. I'm learning about EMTT. Our, our goal today is for you to have an understanding of that.

And, and be able to start the conversation if it makes sense for your practice. And, and with Dr. Nick Murphy, uh, he's [00:02:00] got all three, so he was a perfect candidate to have this conversation with and how he's implemented them in the practice. And then kind of break down each one for you. So without further ado, here's my interview with Dr.

Nick Murphy.

All right. Excited to have Dr. Nick Murphy on the phone here, and we're going to. Uh, dive into all things kind of, uh, stores. Shockwave, radial focus, EMTT really break down some of that. There's been a lot of questions, and obviously over the last, I feel like the last couple years, shockwave as a, as a term, has been heard a lot by providers, by patients.

We're getting referrals from orthopedists now. It's, it's been a, a good time to have a shockwave, at least where I'm at. But before we dive into all that details, Nick, uh, tell us a little about yourself professionally and where you're at. Yeah. Uh, thanks Kevin. It's a pleasure to be here with you and, um, discussing Shockwave BMTT and all the benefits that come from it.

Dr. Nick Murphy: Um, I am located in [00:03:00] Austin, Texas. My practice is Pure Relief Pain Solutions. Uh, I've been open since 2018 and been doing shockwave treatment since 21. Um, and that is with the radial focused and EMTT all. I've had all of those for that length of time. I opened my second practice in Round Rock, Texas, um, may of last year.

So it's been a little over a year in operation. Perfect. So you, uh, do both locations have all three? Yes. Nice. So you, you came outta the gates in 2021 with getting all three of them? Uh, actually I started with just radial. Um, I did that for about a month or two, and then I recognized how effective the radial technology was, and for me, I want to complete the picture.

And so, um, from talking with different doctors and, um, the reps of the companies, I [00:04:00] decided that, um, moving on with stores and. Offering the, you know, focused and the EMTT would complete my offering of, uh, shockwave therapy into having the most effective, um, combination of shockwave therapy that we know of today.

Yeah. And then, uh, how soon after that did you offer the EMTT? Um, pretty much directly. Um, you know, I ordered the focused machine and the EMTT at the same time, um, and we. Originally we're using EMTT as kind of like a additional treatment for all, you know, for everyone that came in and had shockwave treatment.

They ended the treatment with EMTT. Um, now as I have, you know, learned more about what I'm doing with the machines. Mm-hmm. Uh, I've refined that a lot more. But, um, in the beginning, you know, it was kind of like, shoot, first, ask questions later, so to speak. Yeah. Love it. Love it. And, uh, give us a little bit of more [00:05:00] of a picture of, of your clinic, aside from these technologies, what are some of the other things you're doing in the, in the practice?

Dr. Kevin Christie: What are some of your, what's your patient population? Things like that. Yeah. So, uh, originally, you know, from 2018 until 21, I was just straight chiropractic. Mm-hmm. Uh, I went to school at Sherman, and so I was kind of indoctrinated into straight chiropractic, which I'm thankful for, uh, because at the heart of it, I learned how to be a great adjuster.

Dr. Nick Murphy: Yeah. And I, I do think that in, uh, for chiropractors having that skill. From the beginning, you know, to build off of is a great basis for going in and doing, um, additional modalities. Mm-hmm. Um, so you know that that was the first few years and then after, after that, the first modality I brought in was the, the radial shock wave.

Mm-hmm. Uh, and now we have, you know, radial shockwave, uh, focused and EMTT along with, uh, spinal decompression [00:06:00] and, um. Laser treatment as well. Class four laser with the, uh, Summas Horizon. Perfect. All right. Great. So, um. You mentioned stores. Tell us a little bit about that. Why you, why you feel like that's kind of the, the technology to go with and how, I guess I, I guess I'll give a little bit of a, um, context for the audience too.

Dr. Kevin Christie: 'cause there's gonna be the technology and that's the stores. Uh, and then there's obviously gonna be, um. Different types of stores, your radial focus, those, and we'll dive into that here coming up. And then there's obviously, uh, companies that distribute stores. Um, and then, you know, outside of that, there's a lot of, you can go to China, which I don't necessarily recommend.

Um, there's a lot of things out there, but, but just, uh, why is stores the technology to have? Well, I looked into a couple of different technologies. Um, the soft wave was [00:07:00] one of them. The Pizo wave was another. Mm-hmm. And I settled with stores mainly because, um, I liked the, the depth of penetration and the ability to control, um, the strength of the.

Dr. Nick Murphy: Of the treatment. Yep. Um, and I also just trusted the people that I had talked to the most that were representing stores. Mm-hmm. And for me, trust is a big thing and I knew that they stood behind their product and I knew that they would be a resource for me in terms of learning the best ways to use the technology.

Dr. Kevin Christie: Yep. Um. Quite honestly, I'm, I'm a pretty loyal type person, so after I had, you know, purchased the units, I'm just gonna stick with that one because I already know how to use those in the best way. And I had, um, success with the, um, durability of the machines. Mm-hmm. And in terms of [00:08:00] maintenance, I found them to be, um, you know, very low.

Dr. Nick Murphy: You know, maintenance cost, uh, monetarily as well as time-wise. Yeah. And, and that's a, a key thing. So you mentioned Soft Wave, and that's got such a, I mean, they all have got a price tag to it, but it's, there's value, but the soft wave's got a, a very substantial initial price tag to it. But then one of the things that if you're not careful, if you don't understand, is the maintenance.

Dr. Kevin Christie: Cost of the soft wave will buckle your knees sometimes too, once you find out what that is with, with that particular, um, you know, uh, technology. So I, I agree with you on that for sure. And I think the other thing I wanna make mention, the way I look at this in my experience, so a little bit of full disclosure, is we've, we've had radial shockwave to date for a year and a half, uh, stores through Ken Medical.

Um, I do work, do some work with them. Obviously they're sponsor of this. This podcast as well. So [00:09:00] full disclosure on that. Uh, but what I've found with talking to a, a lot of providers now, uh, we have a lot of our coaching clients, our mastermind members. Is that, you gotta look at it from three ways. I think there's, there's the technology, right?

There's, there's the stores and the different things. There's, so there's the machine, the technology, then there's the company, right? Like what, how, how trustworthy is the company? How responsive are they? How supportive are they in marketing and promoting it? And, and just even like the. Training the team, help, helping you with ideas on patient communication, like all the things.

So there's the company and then there's the doctor, right? This isn't a particular, uh, technology or treatment where you can just buy it and then have, have a ca do it without training them. You can have a ca do it, uh, that's fine. But you, there, there's a, there's a skill to, to doing this. Uh, and I think what I'm seeing is because more people are hearing about.[00:10:00]

Shockwave, uh, they're just kind of getting it, but they're miss they're, they're missing either one or two of the, or sometimes all three of those components. I just message, uh, mentioned is, is that accurate? Absolutely. Um. The price was not the biggest issue for me in terms of the decision making. Of course, it goes into the decision.

Dr. Nick Murphy: Um, I didn't, I didn't entirely know what I was getting into when I first started shockwave, but, uh. I am a hundred percent agreeing with you that it does take skill to provide the service. It's almost similar to chiropractic in terms of there is a technique with every person that does it in its individual, um, technique.

Dr. Kevin Christie: Mm-hmm. Uh, you can teach how you do it or you know, the general guidelines or protocols. But ultimately the way that you hold the wand, how much pressure that you apply into the, [00:11:00] into the, uh, treatment area with the wand, um, how you angle it, uh, the strength and the frequency that you're using, all of those things come into play with the, um, individual technique.

Dr. Nick Murphy: And as you go on, so say you start with the, the education of how to perform the protocols. Mm-hmm. Every person that does shockwave is going to adapt that into how they provide the, the treatment to the patient. Um, so yeah, I find there to be a lot of skill level, uh, for the individuals performing it. And, uh, in my offices.

Um, I started doing all the shockwave treatments. So when we first, uh, received the technology, I did every treatment that came in for shockwave for approximately. A year and a half. Mm-hmm. Um, at that point I felt fairly comfortable that I understood everything to a, to a point where I can teach it to other people.

Mm-hmm. Um, [00:12:00] I hired a ca to take over doing treatments and took her to a um, seminar, which was held by Kenis in Atlanta, Georgia. And, um, she had been working through my guidance for roughly three months before that. Yeah. Uh, which I would highly encourage any doctor out there listening to first teach them yourself and then take them to the conference.

Um, her ability after we came back from the conference was probably fourfold. Um, she was incredible after that. So I really found it to be a, um, great investment, especially for someone that, um, is going to be with you, right? I mean, it's hard to invest that much for someone that may be short term, but this individual, um, ended up going to chiropractic school and she's there currently.

Dr. Kevin Christie: Yeah, no, I love it. And a little, uh, little correction on there. And I, 'cause I, my doctor went as well and we've had a lot of our mastermind members go, um, probably [00:13:00] the Academy of Shockwave Excellence in Atlanta, right. For the. For the teaching? Yes. Yeah, they're, they're great. And, uh, David Rudnick is someone I had on our podcast and Ben Fergus also on the podcast and they teach for, for the academy there.

And they just do a great job of getting you comf confident because obviously just like anything, you know, the, the confident chiropractor, um, is not afraid to make the appropriate recommendations. And then obviously we'll get the patient outcomes 'cause everything. We try at MCM, whether it's, you know, the podcast or, or coaching, everything's patient centered, but then we, you know, we also realize there is a, a business around this, but as, as long as we put the patient first, we can then say, that's our table stakes.

Now we can talk about, yeah, there is a business side of this as well. Uh, and when we've found that doctors have gone and actually learned how to do this, now you're applying. Really skilled, uh, application to a great technology. You're getting the results. And then when you get the [00:14:00] results, it's easy to sell.

It's easy to get the ROI like, it just, it kind of flows from there. And I want to, I want to talk about money a little bit without going into the details of it, but I, you know, I'm not here, I'm not a, I'm not a financial expert. I'm not a, an accountant. I'm not Dave Ramsey. I don't know. What people, and it's not my business of what people's, uh, uh, advers or like, maybe they're, they're a little adverse to taking on debt or like getting an equipment loan, but I could just say like, there is financing out there.

So if you look at the ticket price and you can't afford X amount for it, uh, it is still within reason. It is reasonable. There is good financing out there. And if you can, if I could tell you like. You know, I think our payment was like 400 a month for the radial, and we've been doing like. You know, seven to 13,000 a month in shockwave sales since we've got it.

Like this is just a no brainer. And then if you, if you are debt adverse and you don't like to take out equipment loan, then [00:15:00] the money you're making off it just pay off the thing sooner. Right. Um, and, and I just, I always get concerned when someone is. Really, like let's say they fully believe in what Shockwave does, whatever unit you want to get, really you're all in on it, but then you're just, I don't have the cash laying around to buy it and then you just don't do it and you delay it and delay and delay it and you're now delaying potentially results and you're delaying practice growth.

So I just wanted to put that out there. I know that was a long ramble, right Nick? No, I don't think it's too long. I think that, uh, you are. You're really trying to encourage people to do something to better their practice and, and not just for their patient outcomes, but also their finance finances. Uh, and I'm, I'm on board for that.

Dr. Nick Murphy: I think, uh, that all chiropractors, um, if this is something that you're interested in doing, don't worry about the money so much. Understand that the, um, [00:16:00] the equipment works, it does provide better outcomes, especially for. Um, extremities. I mean, so many different things that it provides great results for, but, um, you're gonna make better outcomes for your patients and you can easily figure out how to make money with this device.

Um, it's not even difficult. No, it's, it's not. And you know, there's a big difference between a, an equipment loan, like a selective equipment loan where you've got a strategy around it and, you know, putting a Louis Vuitton person on your credit card, right? Like there's different types of debts. And we'll just kind of leave it at that for, for the sake of this episode.

Dr. Kevin Christie: But let's move on to. When, okay. Like you got the patient coming in, when are you, tell us a little bit about radial shockwave right now. Just some of the, the overview of radial, then we'll kind of go to focused and, and go from there. Yeah. So radial is the tank of the [00:17:00] system. It's gonna do the majority of the work.

Dr. Nick Murphy: Um, pretty much any patient that comes in for shockwave, even though I have, you know, all three machines at my disposal. Uh, there are very few times that the radial device would not be involved in the treatment plan. Mm-hmm. And very few times that it isn't the majority of the treatment plan. Uh, I tend to think that it's about a 75% of the work with shockwave can be accomplished with the radial device.

Um, and especially if you take the time to learn about the different tips that can go on as well as the application of those tips. Yeah. Um, you know, knowledge is really. One of the biggest keys in shockwave. If you know how to use the equipment to create the outcomes, then you're gonna be able to do that.

Um, but going, uh, a little bit further into radial, um, most of the time when I am talking with patients, I describe it as. More of a shotgun versus the [00:18:00] rifle of the, uh, focus machine. Mm-hmm. And so, as you can tell from the analogy, it's gonna be more superficial and spread out with the radial device where versus the focus, which is a very, um, pinpointed and deep penetrating, uh, device radial.

I really. Um, I really love the radial device. I love it for treatment on myself. And so when I originally purchased the device, it was because my shoulder was giving me problems. Um, like I said, I, I adjusted high volume for years and years, which I still do, but mm-hmm. Um, I adjusted it high volume and I was having shoulder issues and, um, elbow issues.

Um, so we got the, the radial device. We started playing around with it, and what I came to find is, wow, my shoulder and my elbow feel a ton better in a very short period of time using this. And it's been hurting for like six months [00:19:00] because it can never get any rest from the adjusting. Mm-hmm. Um, so after it worked on me, I was very confident in the fact of, wow, this, this stuff really is what, what it's been billed as.

And um. Started taking on cases and predominantly I started with shoulders because, um, you know, we get a lot of shoulders that come in. We, we tend to see a lot of construction workers, uh, people that are very active, um, and abusive to their bodies and, and in some sit situations neglectful. Um, so we're catching people that, you know, shoulder's been a problem for a year.

Or maybe even three years, you know, stuff like that where they haven't done anything and it's just been continually being compensated for and, um, making deeper problems. Shockwave, uh, radial shockwave in particularly mm-hmm. Works 80% of patients that, that are coming in with shoulder problems. Now, [00:20:00] we know as clinicians that there are some problems that are far more difficult than others.

We're just having. Tendinopathies, things of that nature. We're gonna have very high success rates if it's a deeper issue, labrum, um, you know, different kinds of impingements. It may be a lesser success rate, but you're still going to call, you're still gonna make progress with that patient. It just might not be a, you know, my pain's completely gone and I have full range of motion.

It may be that my range of motion is much, much better, but when it's getting stressed, my joint still hurts. Mm-hmm. Um, and I, and I try to be very clear with the patients in terms of the expectations of the treatment. Um, but yeah, no, the radial device works exceptionally well. Uh, I think that. As we learn more applications of it for different, um, different complaints that it's only gonna continue getting better and better.

Dr. Kevin Christie: Yeah. Perfect. Okay. And then [00:21:00] with, with focus, what are a few areas or scenarios that you're seeing where you're just like, oh, this focus is gonna really get us where we need to? Yeah, the focus device is awesome. Um, you know, it's not, it's not for. Everyday, like maintenance treatments and stuff like that.

Dr. Nick Murphy: You know, there, there isn't, there isn't, there aren't people that come in that are like, Hey, I would love a focus shockwave treatment. Mm-hmm. Um, but when it's needed, it is absolutely unparalleled. Um, let's say you had someone healing from a, a fracture in the foot. Well, you can treat the he. Calf, the plantar, all of that with the radial device.

And then with the focus device, you can actually, um, create some additional bone healing because the focus device, uh, does osteoblastic recruitment. Mm-hmm. That is something that no, that, that patients [00:22:00] can't get anywhere else. Um, now granted as chiropractors, we're not really treating fractures, but we can treat pain associated with a fracture.

Mm-hmm. Uh, and that's really what we're doing. You know, we're aiding the healing process. Um, additionally, obviously deep, deep, hard to reach places. With the radial device, we're gonna be able to get in, um, a lot more effective treatment with the focus. So in the example I used earlier, a labrum. Um, the focus device is gonna be far more effective on that.

Uh, hip impingement, uh, you know, we're, we're able to get through the thick tissue that's surrounding the hip joint, uh, low back. It's absolutely fantastic for disc issues. Um, when I, I herniated a disc in 21 and, you know, I was having the whole gamut and still having to adjust and all, you know, do my normal duties.

Um, we started using the focus device because I didn't have [00:23:00] spinal decompression yet in the office, so we, you know, I'd get a treatment once every two days and within three weeks my entire symptomology had resolved and it got better even from the first visit in the first treatment. Mm-hmm. Um, and that's what really opened my eyes to this is really incredible for even something as difficult to deal with as, uh, disc herniation.

Uh, so those hard complex situations that make, you know, most chiropractors cringe, oh, I don't want to deal with this, uh, difficult, complicated case. Um, focus shockwave is really gonna give you a, a, a weapon to go at these hard cases and be very successful with it. Love it. Love it. Yeah, it's, that's great.

Dr. Kevin Christie: And obviously we could do a 45 minute episode on focused and, or 45 and on radio, but that, I think that gives us a really good breakdown of, of why you would have you use radio for that use, [00:24:00] focus for that. Obviously people get a start somewhere. Uh mm-hmm. I know like what I did when I chose radial was just understanding what my patient population was and what some of our shortcomings were.

And we were, we were gonna get the most use out of it. And I had a great conversation with. David Rudnick about that and he kind of guided me there. Every, every clinic's different. I think understanding the differences and where you need to maybe start and then go from there. But yeah, we see a lot of clinics now that are, uh, using radial and focused to be able to cover all your bases.

And then again, it open like if, if you have the radial using, if for 75, 80% of the conditions or times, and then you got that other 20% where the focus is that 20% enough can be where again. More, better results, more referrals, better ROI On that. So thanks for breaking down the shockwave components there.

Radio focus. Now what is this EMTT all about electromagnetic transduction therapy? Um, something I don't know if a ton of people have [00:25:00] heard about, but give us a little bit of the lay of the land there. Yeah, so EMTT is absolutely. I, I love them all, but I really love EMTT and, uh, there's a few reasons for them.

Dr. Nick Murphy: Practical, from a practical side, the patient can do this fully clothed. Mm-hmm. Um, so you don't have to have private space for the treatments. Um, generally it is not painful, although it can be. Um, so the patient generally doesn't object to the treatment. You know, sometimes with shockwave it can, it can be a little painful in the delivery of it.

Um, so pa you know, patients may have a little bit of fear associated with that, whereas with EMTT, there is none of that. Um, it is also in, in ways diagnostic because as you move the wand, if it hits areas that are having inflammation or, um. Different, you know, damage taking place, [00:26:00] it's going to alert you through the patient's gonna feel it there as, as the wand travels over it.

Um, and now as you get to using it more and more, that is less of a, uh, draw for you because you, you, you start having different associations as a chiropractor, right? Yeah. Uh, we are generally very good at pattern analysis. And so as you get those cases under your belt, you kind of know, okay, the MT t's gonna be really effective if I place it here and here for this type of complaint.

Um, and. You know, we're, we're all learning those things. EMTT is a new technology, so, um, there isn't, uh, there are set protocols for the use of it, but at the same time, we're all in a way experimenting with it as well. Um, but with EMTT, uh, you are getting a very deep penetrating oscillation of magnetic fields.

Mm-hmm. Uh, now. I'm sure [00:27:00] many people are familiar with PEMF. Yeah. And EMTT is similar to the application of that, but it has much different, um, amplitude, uh, and duration of the pulse itself. Mm-hmm. Uh, the pulse is much stronger if I'm, if I am, uh, remembering correctly, it's 40 times stronger than A-P-E-M-F um, impulse, and it's much shorter in that impulse.

Um. I'm not positive of the exact time on that, but it oscillates extremely quickly. Um, now the gradient, uh, can penetrate deeply, I think it's like eight inches. Mm-hmm. Uh, in terms of the, uh, of the depth. And the cool thing is with the EMTT, it comes out both sides of the wand. So you can treat both elbows at the same time or both knees at the same time.

Um. The treatments are generally fairly quick. Um, you may, [00:28:00] the longest treatment you have with EMTT, probably 12 to, you know, potentially 20 minutes if you're really, um, going over many areas with it. Mm-hmm. But, um, in my office, you know, seven to 10 minutes of treatment with EMTT is, uh, about the norm. Um.

Now EMTT as you said, electromagnetic transduction therapy. Uh, we're working with magnetism. Yeah. Um, the pulse is passed, uh, through tissue fairly easily and it's going to be, um, manipulating the cell membrane. Uh, and that's gonna help with the calcium and, uh, potassium and sodium moving through the channels to.

Increase the, uh, cellular metabolism. Okay, perfect. And then, now when your patients come in, are, are some patients only getting EMTT or are you using that as a, in [00:29:00] conjunction with one of the radials or focus? How, how's it kind of breaking out with your patients there? So I will, I will certainly do EMTT as a standalone treatment.

Uh, one, it's, it's far less costly for a single treatment than shockwave. Um, so if someone's coming in and they have a hot disc, I am going to likely use EMTT as a primary treatment. Um, we get fantastic reduction in acute, uh, disc herniation with the EMTT. So that's just one. Um. One example that I would use that individually.

Now, another situation with tennis elbow, uh, I've co come to find that it works extremely well with just as a, uh, specific condition. Um, and again, a lot of times I am considering the finance, the finances of the case. Um, if I'm having someone that has [00:30:00] financial. Um, liability, so to speak, or like, uh, they're, they're on a limited budget.

Mm-hmm. Uh, I might put EMTT as the primary, um, treatment mechanism along with whatever, uh, manual therapy that we're doing because ultimately I can get the cost down for the patient. With that and still pro provide a very good outcome for the case. Yeah. Um, and Shockwave of course is attended, so, um, there's gonna be more investment involved from a clinic standpoint and uptime, um, and labor.

Dr. Kevin Christie: Okay. And then, um, let's say your patient comes in, you do your full examination, all that you're coming up with your diagnosis and your what, your treatment recommendations there. How, how do you, uh, deliver that to the patient? You sit down with 'em, go over why we're gonna do this, maybe what we, some options they have.

How does that look in your, in your practice? Yeah, so generally I come up with two [00:31:00] pathways of treatment for the patient. Um.

Dr. Nick Murphy: This is the , most complete correction of the, of the problem. And then the other recommendation is gonna be, this is gonna be really to get you out of paying the quickest and the least expensive. And I let the patient kind of choose which way they're wanting to go with that. If they're wanting the, you know, full all in exercise, rehab, and all of this other, you know, additional work or do you just want the brass tacks of, I wanna feel better and feel better quickly.

Dr. Kevin Christie: Gotcha. Perfect. And then you just give that breakdown of them and they, they can make their decision from there. Um, and obviously having the confidence in recommending what they, what they need has been probably beneficial to you. Um, what would be your recommendation to. Again, obviously every chiropractor is different, every clinic is different.

Um, what, just, what would you say to someone if they're asking you, what should I do? What, where should I start this process of figuring out if one of these or all these [00:32:00] technologies is right for my clinic? Uh, what, what would you say to them?

Dr. Nick Murphy: Well, I guess the first thing that I would ask is, how are you doing with chiropractic?

Mm-hmm. And. If their answer to me is not well, then I'm gonna say, you need to focus on chiropractic. Uh, that's just a personal philosophy, but, uh, I, I think if you're not able to be successful as a chiropractor, then your ability to be successful doing other stuff is probably not high. Mm-hmm. Um, but with that being said, um, if they say, okay, yeah, I'm, I'm successful with chiropractic, then I'm gonna say likely, then shockwave is great first modality or additional in a modality to go into.

Yeah. You have to be in a place mentally where you're ready to learn and, um, put the time and effort into that because anybody can buy these machines. Any, you know, any doctor can buy these machines. But being good at it is a totally different, [00:33:00] scenario. . I think that if you are not willing to put that time in, then you shouldn't purchase the machine.

Dr. Kevin Christie: Mm-hmm.

Dr. Nick Murphy: Um, it's not. When we were all becoming chiropractors. Now I'm sure some of you have heard from your professors, if you're doing this for the money, it's likely not gonna work out well for you. And I have found that to be pretty true. And I think the same is true with Shockwave if you're doing it just to make money.

Um, or to improve your bottom line and that kind of thing. It's fully capable of doing that, and I, I mm-hmm. Wanna make that really clear. I, like you said earlier, you know, you've taken a $400 a month payment into 13,000 a month. Obviously that's very profitable. Um, but if you are, you know, if that's the, the, the motivation for you doing this, I would say check your motivation and if, um, you're doing it, you know, to try to get better outcomes for your patients and you, and you're seeing things that you really want to be able to help with, um, then yes, absolutely.

This is, this is the pathway to help you [00:34:00] be able to provide better outcomes.

Dr. Kevin Christie: Yeah, I, I agree. You know, it's one of those things where we noticed in our clinic there was a blind spot of some of the conditions, got the talking and knowing some great sports chiropractors, I knew I had to make the, the pull, the trigger on it.

But, you know, it was interesting 'cause when I did buy it, it was before Dr. Gage, who's my associate here now, um, was on board with us and, and you know, my bandwidth was limited with. Treating patients running MCM, creating content. Uh, you know, the first few months we really didn't get it off the ground too much because I just was kind of all over the place.

But once he got in and, and he was at a previous clinic and he had experience with the technology and he was all in and we sent him to the academy and, and, and all that, it is just been having someone in the, now I've been bought in and, and focused on it as well. It's just been become. Really integral in our clinic.

Uh, and we offer other things too, and we still do those things, but being really bought into it and wanting [00:35:00] to learn it and apply it, and then having the confidence again to sit there and look at that patient and recommend like you, this is why you need this, this is what it's gonna do for, for you. And then them, uh, agreeing with you because they, they see your confidence in the clinical decision making that you have.

It's just been a game changer. And when I see. I have seen plenty of practices buy all kinds of fancy technologies and not really be committed to it, and it just collects dust. And so it's just like anything else. You, you really have to understand the technology, patients understand how to use it and be able to recommend it confidently and you will see, uh, better patient results.

And then obviously there'll be an ROI to it.

Dr. Nick Murphy: For sure.

Dr. Kevin Christie: So Cool. Well, hey Doc, I, I appreciate this. This was great. I, it was an episode we needed to have because kept on getting a lot of questions. You see 'em on Facebook groups all the time about should I get radio, what's Focus? And then starting to hear more about EMTT.

And I thought we needed an episode to really dive [00:36:00] into a little bit more of the specifics of it. Not only. Radial versus shockwave versus EMTT, but the different technologies like stores and the different aspects of making this a, uh, you know, a real, just a real game changer for your practice in a lot of ways and for your patients.

Dr. Nick Murphy: Yeah. Well, it's been a pleasure sharing what I know with, uh, with everyone. And I hope that it helps, uh, make better decisions, uh, for everyone's practice and, uh, yeah, I appreciate it.