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Reflexive Core Instability - Interview w/ Evan Chait PT, L.Ac


Watch and learn from the always amazing and inspiring, Evan Chait as he discusses the topic of Reflexive Core Instability.

Reflexive Core Instability: Interview w/ Evan Chait PT, L.Ac.  & CNRT

SHF: Sterling Health and Fitness                                                                                                   E.C: Evan Chait

SHF: Hey folks, it’s Karl over at Sterling Health and Fitness and hunzahealthy.com. Thanks for tuning in. So we’re back in Ramsey, New Jersey today. I’m at Kinetic Physical Therapy and my special guest, again today, is Evan Chait. And it’s really good to meet again.

E.C.: Hi everybody. It’s my pleasure.

SHF: Thanks for taking more time. So we’re going to get right down to the meat and potatoes. We’re going to be talking about reflexive core instability.

E.C: What is that?

SHF: What is that? You tell me.

E.C.: Wait

SHF: I can guess but I want to hear from you what it means.

E.C.: A lot of people understand reflexive core instability as a muscle or a nerve that’s actually shutting off another muscle. Like for example, you could actually have the external obliques that are facilitated and they might shut something off like the internal obliques or the TVA. Same thing with the iliacus shutting off another muscle. But that’s not what we’re talking about. That’s-there’s. We’re talking about something called dysbiosis.

SHF: What is dysbiosis?

E.C.: Reflexive core instability. We have to go beyond looking at muscles and looking at the biomechanical issues that might derive reflexive core instability. So what I mean by reflexive core instability is this: the timing of the muscles not working appropriate according to its function. Alright? So we have our deep muscles in our abdominal wall, which everyone knows typically is the TVA, the internal oblique’s. But then we have all the muscles of the pelvis floor, the respiratory muscles, we also have the cranial nerves for distribution of balance and coordination, along with the cerebellum and the motor control centers in the brain. And we know that pain alters movement patterns and motor control. But so does inflammatory response from the intestines. That’s what we’re talking about today. Reflexive core instability can be caused by a biomechanical issue, but very commonly by a biochemical issue. And I see this all the time in the clinic.

SHF: Okay.

E.C.: So somebody might have-say inflammation of their bowels. Which means they don’t have enough good bacteria to offset the bad bacteria, which is known as dysbiosis. Or they have a parasite of some sort that’s causing an inflammatory response in the intestines. Now what’s interesting is: the same nerve routes that innervate the intestines run from T6 down to L1 (nerve routes) are also the same nerve routes that innervate the internal oblique and the transversus abdominus.

SHF: Yeah I-you showed me a little bit of this beforehand but it’s still sinking in me because it’s pretty heavy. This is really interesting.

E.C.: Yes.

SHF: So-let’s see. How are you going to test for this?

E.C.: Well there’s different ways to test it. In our clinic we use bio-terrain testing. And so we actually take someone’s urine and we evaluate their urine, either a 24 hour urine sample which means it’s just the first urine of the morning that’s pretty much it, and we take that information. We have specific reagents that we do internally and we look to see if somebody has detoxification pathway issues like heavy metals. Which-that’s liver function. The liver is also innervated T7-8-9. So we’re talking about the same nerves that go to the TVA-the transversus abdominus and internal obliques. If you have a congested liver, it’s going to shut off those muscles as well. And it’s also going to make your diaphragm facilitate it. So if you have a facilitated diaphragm, it’s not always the diaphragm, it could also be a liver that’s stagnant. Or a fatty liver.

SHF: Wow

E.C.: Yeah so we look at that. We look at the detoxification pathways. Mineral deficiency too could also shut off the abdominal wall because the minerals are the precursor to every enzymatic function and nerve energy in the body. Nerve impulse. So mineral deficiency we check. It could also be blood-sugar handling issues. So if the pancreas is working too much and the adrenals are not balancing the blood sugar regulation in the body, then you could actually have an inflammatory response, shutting off the abdominal wall. So there’s a bunch of different factors we look into.

SHF: So you get all this through the bio-terrain testing?

E.C.: Everything through bio-terrain testing.

SHF: You get the information and you know what to do there? You know what do to- I guess you’re doing some nutritional counseling.

E.C.: Yeah it would be specific nutrition specific to what you need. We take all the guess work out of the equation. We have a saying around here: we don’t guess, we asses.

SHF: Right, I like that too. I like it a lot.

E.C.: And what’s cool is that we’ve had patients that have contacted us from California-we’re located in New Jersey-asking for a urine test. We just send them a kit. They urinate in the kit. We call it the “wiz quiz.” They send it back; we send it back the results. And we have specific recommendations that are just for them.

SHF: You can do that analysis right in house?

E.C.: In house.

SHF: How long does that take to get the analysis?

E.C.: Say you dropped of the urine on a Monday. We’d have the results by Friday.

SHF: Wow, so really quick. So you can go right into an action plan for that person specifically?

E.C.: That’s right

SHF: To advise them on what to eat, what not to eat, help them try to balance things out. Are there any other ways that you test for the reflexive core instability?

E.C.: Definitely definitely. There’s a lot of different ways. For example, I did the anti-rotation test and the total integration test that my buddy Dr. Perry showed me. Let’s have you stand up. You’re going to fail this test right? We found other stuff with you. But this is one test that you can do with your clients. I want you to use maximum resistance. Good. Now maximum resistance. Good. A little bit inhibited but I think you’re giving in to me. I want you to not to let me rotate you, ok?

SHF: Alright

E.C.: Now don’t let me rotate you. Alright now maximum resistance. And the first thing he does is hold his breath.

SHF: Oh yeah I did. I didn’t even notice it.

E.C.: Alright what I want you to do is exhale. Now maximum resistance and exhale. And that shuts it off a little bit. Maximum resistance- and that shuts off a little bit. But it’s simple and easy to confirm that’s a diaphragm. We actually stimulate specific acupuncture points around the diaphragm which are basically just neuro-facilitation points. Maximum resistance, exhale. And that locks him in. Maximum resistance. Locks him in. So with him, an obvious start would be with teaching you to breathe differently. Maybe balloon blowing or maybe teaching you how to do a myofascial release to your diaphragm. But say it blew out with both. Then what I would do is-remember the nerve routes that go to the intestines are T6-L1- so I might stimulate T6-L1. Arms straight. Inhale, exhale, maximum resistance. It actually made you a little bit stronger. So he might also have-you can put your arms down- some digestive issues going on. There’s also something-go online and look up mu points. Mu points. And it’s a way of diagnosing in Chinese medicine specific organ systems that, if it’s sensitive, that system is not working very well.

SHF: Wow no kidding. That just totally blows me away.

E.C.: Yeah, mu points.

SHF: Last time I was here, my shoulder pain went away in five seconds.

E.C.: Ah that’s cool.

SHF: Now I got stronger.

E.C.: We got lucky with your shoulder. But check out mu points. Because this is something- you don’t always have to do the bio-terrain test. If you want to get a specific nutritional program you can. But to know if a digestive issue is involved, look up mu points. Find what’s sensitive, right, and if you can do visceral work like massage work, massage the area. Even if you don’t, tap the area. Bring blood flow nutrition to the area. Then re test and see what happens.

SHF: Man that’s incredible.

E.C.: Yeah, simple and easy.

SHF: Wow, so. Let’s recap here: reflexive core instability and you can test for that a number of different ways. Bio-terrain testing is one. People can get those kits from you which your contact info here is

E.C.:  (201) 327-1990. I’m sure you’ll have that..

SHF.: Yeah, I’ll have that on the screen and on the website. And, well it’s amazing. That was, that’s amazing. Well anything more you want to share with them before we sign off? Any kind of takeaway message or anything?

E.C.: Yeah no. Just keep growing, keep learning. And have fun. That’s it.

SHF: Well cool. Alright. Well be sure to check out their website. The link is on the screen. Also check out hunzahealthy.com. We have other interviews on there and another interview we did together here recently. And thanks for tuning in folks. Thank you, Evan.

E.C.: Thank you. Thank you, audience. I appreciate it.

SHF: Alright, have a good one. Take care folks.

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