Intensives

We treat people here two ways, with standard outpatient or intensive protocols.

Our standard outpatient protocol is we book out a month of care, see you three times a week for that month, then repeat the tests. We see what’s changed, see what’s better, and see what we need to work on, and tweak the protocol from there. Usually people are better within a lap or two of that process.

The other option is to do an intensive. That’s where we take two months worth of care, and compress it into a week.

We see you five times a day for five consecutive days. You show up at 9 and leave at 5. We work on you for about an hour, give you 45 minutes off, and repeat the process. We run your diagnostics again on Day 3 to see how you are progressing, and tweak the protocol as needed. We run them again on the final day to see what you need for follow up care and home exercises. We generally see most people get around 70% better in a week, and some get entirely fixed. YMMV.

The most important thing in neuro rehabilitation is frequency of stimulus. NeuroRestoration Therapy is like endurance training. You don’t build endurance with heavy weights and few reps. You do it with light weights and tons and tons of reps.

NeuroRestoration is the same way. We are trying to generate plasticity. Plasticity is neuronal endurance, efficiency , connectivity, and metabolic capacity.

When we have a pathway that is firing too low, and we want firing back up at a proper level, we can give you the best possible exercise, at exactly the correct frequency and intensity, and get it firing back up where it belongs. You’ll be great…for about 2 hours. That’s because a single session of exercises doesn’t really change the pathway. In reality we just sensitized receptors that made it fire better for a little while.

If that’s all we do, we are just an expensive neurological party trick.

But to make real change, all the research in plasticity says that if you stimulate it again before the receptor potential fully degrades, and again, and again, that’s how you turn on all the genetic signals that say “we need more protein to get some endurance, let’s make more stuff and get efficient again.”

That’s the whole point of doing an intensive, it lets us maximize the plastic changes your brain needs to make to get better. Our results are honestly usually better than with ambulatory programs. We can usually get a better change in a week than we can in two months worth of ambulatory care.

Part of that is because when you work with one person several times per day, they get really good at seeing how far they can push you and exactly when to stop. If you are doing ambulatory care, you still need the same frequency of stimulus to get better, otherwise it’s a bit of a wheel spinner. So we set you up with home exercises to stimulate your system, and you need to do them at least three times per day.

Since you can’t usually see where your fatigue threshold is, we need to be conservative with the home stuff. We don’t let you push as hard as we do, because you can’t see where the point is that you start to blow yourself up.  So recovery usually takes longer because of that.

Since you are doing most of the work, you also need to own the results.

Either way you get better. Some people just can’t swing the time off for an intensive, which we understand. We still do everything we can to help them.