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Things look a little different now. Instead of a MASSIVE e-mail to read you’ll get a few key points. IF you are looking to obtain CE credits for the full reading, head on over to your dashboard where you’ll find this week’s issue along with its respective quiz.
Now, on to this week’s Clinical Coach
The Clinical Coach
The Lineman’s Neck
One neck stinger is an event. Three stingers is a diagnosis. The moment an athlete reports a recurrent pattern, stop evaluating episodes and start evaluating mechanisms. The pattern is the pathology.
A positive Spurling's in a stinger patient means you are no longer dealing with a stinger. Traction based plexus injuries do not light up with compression. If compression reproduces symptoms, you have a foraminal problem and the management changes completely.
Test strength under fatigue, not just once. A 315 pound lineman can generate one impressive rep with a compromised C5. Test repeatedly, test bilaterally, compare. The deficit shows up on rep six, not rep one.
Persistent between episode neck stiffness is the tell. Athletes report the dramatic symptom and omit the constant one. Ask specifically:…
Upcoming Events
Our Monthly Webinars are back! New topics, guest practitioners and more!
7/29/26 - Dry Needling, Botox and Aesthetic Medicine - Dr. Kauffman
8/5/26 - Bone Stress Injuries - Dr. Kemp
Practice Tips
Act, don’t react.
Manage your time like a patient: If it’s not in your calendar you probably won’t do it. Last year I had 33 docs reach out for last minute CE’s. This year, they are getting ahead and spending more time in their practice or with their family. If you haven’t completed any CE’s, then the TCC Membership is for you. Now you can access past issues and complete them for credit!
What doesn’t get tracked does not grow: If you are familiar with working out, then you know that the best way to grow is to keep track of what you are doing, and what’s working. So then why aren’t you tracking all your outputs in business??
Measure progress by leverage. Not by how many hours you are working. If you have to work more to make more, your leverage is not as good as you think it is. I’ll be talking about leverage in our next TCC Mastermind. If you are a member, you’ll get immediate access to it.

Biz 101
Thinking about going out on your own?
I’m putting a resource together answering all the questions I’ve had over the last 7 years. If you want it, just drop your email in the submission below.
That’s it for this week.
Keep showing up, we’ll keep cheering you on — and as always, level up! 🏃♂️
Dr. Kauffman and SmartCARE Education
P.S. Our upcoming STL Dry Needling Course is open for registration!! We’ll be celebrating our 5th year anniversary!