Meet our Experienced Team of Doctors
Dr. Kai Tiltmann, DCChiropractor, Clinic Director
Practicing Chiropractic in the Bay Area since 1999
McGill Method Master Clinician
Certified Associate Ergonomist, ART® and Graston Technique® Professional
Dr. Kris Blum, DCChiropractor
Palmer West Honors Graduate
Summa Cum Laude, Salutatorian
Certified Associate Ergonomist, ART® and Graston Technique® Professional
McGill Method Testimonial
I tell everyone that will listen to me how great your approach and the McGill method was and that it made a huge difference so I’d be happy to provide some feedback. Sadly it seems impossible to get people with orthopedic backgrounds to listen…
I was very impressed by how thorough the approach was and how much time you invested in the examination and diagnostic portion. The contrast to traditional PT and orthopedic appointments, which follow a very strict and hurried process, was evident. Dr. Tiltmann had a diagnostic flow he was were clearly following but happy to collect more evidence and go where it took him rather than a fixed outcome you were trying to justify as quickly as possible.
I learned a lot in the pain trigger portion, it was probably one of the most valuable portions of the session, as I had not previously known I was compression sensitive. The manual exam also correctly identified that I’m starting to have some problems up around T12/ L1 that I’ve become more aware of over time. I believe this is likely due to trying to limit lumbar flexion and having to make it up elsewhere in the spine along with twisting to the right to bend over to avoid straining the left side.
Although I was initially skeptical that some basic ‘spine hygiene’ steps such as modifying how I get up could make much difference it absolutely did. I would say learning to stop aggravating my back was the biggest outcome of the session we had and although it was the portion I enjoyed the least during our session it was the most impactful.
I thought the McGill Method was a great value. However, I also think people are reluctant to invest so much up front and are naturally more inclined towards a pay in small increments as you go type of approach you typically find in PT and that may be a challenge in scaling the model, particularly in more cost sensitive markets than San Francisco. However, for me personally the value was excellent and avoided the need to spread the sessions out across multiple trips. I would absolutely recommend seeing a McGill provider and Dr. Tiltmann in particular to people with back troubles.
One suggestion I’d like to make is partnering with CrossFit gyms to offer an abbreviated McGill program to help detect pending back injuries. I probably had a 6-month window during which I had a disc bulge and failed to recognize the symptoms of sciatica and could have avoided a herniation. A session to teach the basics of back pain, sciatica, hip anatomy and squatting form etc. would be great. This could either be a program for coaches and trainers or something delivered directly to gym-goers. Given this would be focused on prevention and recognition, the degree of clinical assessment could be minimized.
My core & back feel stronger & more stable than ever, and I haven't had any episodes of spasming since my evaluation with you last June. I've certainly been very proactive in my recovery - religiously maintaining my Big 3 & walking/hiking/jogging routine, which I think has been key. So, I would say my case has definitely been a very successful one, and your evaluation was the critical first step for me - thank you!!!!
I felt you were definitely very thorough in walking me through all steps of the evaluation process. I still can't believe that my knee-to-chest back stretches were a significant pain trigger for me! I was so addicted to my 2x a day knee-to-chest back stretches, and never thought I would actually THRIVE without them! This was a huge "lightbulb" for me, as was realizing that I had significant weakness in my core and key muscle groups that stabilize my back. Going through the "big three" with you was a critical learning process for me...I'm grateful to you for this!
I've already shared my success story and information about the McGill Method and your evaluation with my girlfriend and her young adult daughter, who has some back issues and has been considering surgery.
Thank you, again, for getting me on the path to a healthy back - one I honestly thought would never be possible for me!
My session with Dr. Kai Tiltmann in December 2018 was paramount to my improvement in back pain symptoms.
Dr. Tiltmann thoroughly took inventory of my back pain history, provided a thorough examination of my pain triggers and included detailed notes about our visit and next steps in a comprehensive report afterwards. Especially helpful were the videos we took during the session that provided physical cues for me to follow in daily movements and the Big 3.
The examination was helpful because when I did a self-assessment at home, I wasn’t exactly sure I was performing it correctly, and Dr. Tiltmann’s clarification and guidance gave me confidence that I was getting the information I needed to evaluate my pain triggers.
The advice he gave me deepened not only my understanding of the causes and mechanisms of my back pain, but also gave me valuable, practical advice on how to adopt movement patterns and recovery exercises that would aid in my recovery.
I felt that my session was extremely helpful and educational and I would certainly recommend. Dr. Tiltmann and the McGill Method to friends and family.
It was quite refreshing having a doctor go through your history with the knowledge base of movements and the accumulative effects of everyday movement to actually pinpoint what happened. The point I thought I had my injury was actually the culmination of years of spinal abuse.
Examination….where do I start. Why don’t doctors take the time to actually figure out when you move this way it hurts? When you move that way it feels better? It is so frustrating to have seen many doctors over 14-15 years and not one of them (chiropractors included) have ever done the type of examination Dr. Tiltmann did. Traditional doctors don’t treat the cause – they treat the symptoms. I felt that Dr. Tiltmann was looking for the cause -- to understand my specific mechanics and hang ups and then help move to the next phase of movement instruction. I was absolutely amazed that all of my specialists never found in 15 years what he found in an hour of moving me around. He also corrected some misdiagnoses from my specialists.
I very much appreciated reading the report because, as mentioned, it is a lot of information to take in at once and try to remember. It was very nice knowing that I had a report coming so I really focused on the visit and talking with Dr. Tiltmann and not trying to remember everything. He was very gracious in letting my husband record the entirety of his exercise instructions to me. Those recordings have been absolutely invaluable because I think I’ve remembered something and it still feels off and I reference the instruction and correct my movements.
I knew I was in for something different on the very first test. The initial movement was uncomfortable and Dr. Tiltmann told me to brace, and then asked how it felt as he went through the movement again. I said the pain was gone. And he got the greatest smile on his face – like he was genuinely happy he was going to be able to help me. I immediately thought he was a rockstar.
I have never really felt like I have ever understood what was wrong with my back before seeing Dr. Tiltmann. Prior to making an appointment with him, I went to see my back specialist after having a flare up and being down on the couch for four weeks. I asked her, “What am I doing that is causing this? What movements am I doing? How am I aggravating my condition? Am I putting my pants on wrong? Getting up off the toilet wrong? What is it?” You know what she told me? My back specialist, who has been doing lumbar back care for 15 years, said, “If I had the answer to that, I would be retired. If I had the magic pill, I wouldn’t be here.” Lovely. My husband and I just looked at each other. Time for a new doctor. She then said she could give me another shot in my back and I said, “what for? So I can be here again in 3 months? No thanks.” It was at that point I went home and started scouring the internet and found the McGill Method. I feel like I am no longer playing a guessing game about when/if my back is going out. I understand my triggers now and do everything I can to avoid it. And if I start to feel things getting a bit off, I now know how to refocus my movements and (hopefully) avoid these major flare-ups.
He was very gracious with his time and absolutely nothing was off-limits. I never once felt like I was being talked at by a doctor. I felt like I was being talked to by a caregiver who had my best interests at heart.
It is worth its weight in gold. I can’t believe how simple being cognizant of our triggers and movements (when you know what those are) can change your life. I have spent countless hours being questioned by my co-workers about what I learned from Dr. Tiltmann and recommended him to a few of my family members and co-workers. I have also purchased a few additional copies of the Back Mechanics to give out. The McGill Method is life-changing. It is the only thing I have ever read that has made any logical sense. It has only been a couple of months, and I am so impressed with the changes I’ve seen in my back and the things I have been able to tolerate that had I done before I saw Dr. Tiltmann would have had me down for a few days. But, like with anything, you can’t be upset with the results you didn’t get from the work you didn’t do. If you are dedicated – changes come. I will follow this program for the rest of my life.
This was the most thorough examination I have ever received over the course of visiting over 30 other medical professionals including PT, Chiro, Massage, Ortho, Spinal Specialists, Podiatrists etc. The report detailed every aspect of the entire appointment and has been a useful reference throughout the ongoing process.
Dr. Tiltmann identified all of my pain triggers. Before seeing him, I was beginning to finally notice some of them myself, however, he determined even more than I was unaware of. He helped me find positions that alleviated my symptoms in the same way, but finding more than I had found myself. I developed a much better understanding of my specific conditions and the requirements for recovery.
Dr. Tiltmann cleared every sense of confusion about my circumstances that I had developed over the preceding 2 years. He explained thoroughly and logically why I never found relief from every single doctor I had already been to. This in itself was a huge weight off my shoulders and gave me an incredible amount of much needed clarity.
I would recommend it to anyone; even those who just recently had a back-related accident/injury.
I am in my early forties and have been living with chronic lower back pain for almost fifteen years. The level of pain has increased slowly every year, however during the last few years it's gotten bad enough where I realized I had to do something about it. I can't even begin to recount all the things I've tried... Doctor's visits, physical therapy, chiropractic adjustments, aerobic and core strengthening exercises, Pilates, even a holistic healer, deep tissue massages, electric impulse therapy, iced and hot back braces, a kneeling chair and sit/stand desk for work, etc. I also tried a couple of different prescription medicines, even though I've never been in favor of painkillers. I couldn't understand why nothing worked! I am a very conscientious "pupil", so whenever I'd be prescribed a new routine or exercise regimen, I'd make sure to follow it to a tee. Little did I know that the vast majority of these things actually hurt my back instead of healing it.
Early in 2018, I heard of The Back Mechanic by Dr. Stuart McGill and promptly purchased the book. By that time, I was very skeptical of everything and anything, yet desperate enough to keep trying new things. I remember reading the introduction and bursting into tears. I could immediately tell this was not just another "fix your back in ten steps" kind of book, fast to grab your attention, but incapable to deliver up to its promises. For the first time in a very long time, I had found renewed hope. I could relate to so many of the patient experiences described in the book, and realized I had for a long time believed in so many myths about the back pain that I was now discovering were not true... I read the book four times, performed the self-prognosis, and started doing the Big 3 exercises twice a day, every day during the work week, with breaks on the weekends. Yet, for some reason, I was still in pain. I couldn't understand why, yet I was nowhere near ready to discard this book as yet another source of false hope. The scientific findings and methods described here are the results of over three decades of work Dr. McGill had dedicated to the issue of back pain, and I totally trusted this amazing research and expertise. I had to conclude I was missing something. That is when I started looking for a certified clinician, only to discover there are only four in the United States! To my surprise, one of them, Dr. Kai Tiltmann, was only three hours away from where I lived! Honestly, I would have flown or driven anywhere to meet him, that's how desperate I was. By this time, my pain would keep me awake at night, so I was very close to feeling hopeless and had started battling depression... So I made the call. A call that has completely changed my life.
I left a message asking for an appointment, and got a prompt call from the office manager, asking if I had half an hour available to chat with Dr. Tiltmann himself. I was already blown away. Instead of simply scheduling the appointment, they wanted to make sure I was a good candidate for the McGill Method, and Dr. Tiltmann made time in his busy schedule to talk to me! I mean, I can't even see my primary care physician for more than ten minutes, and now I was going to get a free thirty minute pre-consultation?!
I teared up for a couple of seconds, talking with Dr. Tiltmann that day. That's because I could tell he knew what I was talking about and actually understood me! My own doctor, whom I love and respect very much, having been in his care for over 12 years, had exhausted all the avenues with me, and honestly, I had started suspecting that he thought this pain was all in my head! And now, I was talking with someone who not only knew what I had been going through, but told me he could definitely help! The three weeks waiting for my appointment felt like a kid feverishly waiting for Christmas. The time went by painstakingly slow... But the appointment day finally came, and my husband and I drove to a San Francisco for my three-hour appointment.
I can't even begin to describe how life changing these three hours were for my life! Dr. Tiltmann had done a lot of preparation work for our appointment, having analyzed my MRIs, X-ray, intake forms, and even a video my husband took of me performing the daily farm chores (which we knew could have been taxing to my back, if not done with proper form). At the office, we went over all these things, as well as my medical history, after which Dr. Tiltmann performed a series of thorough physical tests. Some of these were the ones I had tried by myself, only now I was realizing I had performed most of them incorrectly. Obviously that's why I had not been able to identify my own triggers before! With Dr. Tiltmann's help, I now have a very clear understanding of what triggers the flare-ups, what relieves and what aggravates my pain. This entire part of the evaluation was such a great eye opener for me and my husband!
Next, I demonstrated for Dr. Tiltmann how I used to perform my exercises, and surprise-surprise, I had been doing most of the motions all wrong! No wonder I was not getting better! Having read The Back Mechanic again, after my appointment, I realized the instructions were all there, clear and written for the layperson, yet for some reason I had not properly translated them into my personal exercise routine! Not to mention, I had been trying to do too much too soon, due to my "conscious" nature, something Dr. McGill does warn his readers about. With Dr. Tiltmann's guidance, we found the right balance for me, and I learned the proper way of performing these exercises. He was kind enough to let my husband film each routine, so I could have this resource available if ever in need for a refresher course. Aside from the main exercises, I learned how to properly sit, stand, lie down, and get up, as even in these areas my posture was seriously flawed, despite my thinking that I was always keeping a straight back in these activities.
We finished the session with Dr. Tiltmann answering my various questions about the spine, it's anatomy, some of the myths most of us grew up believing, that are in fact detrimental to our understanding of the back and the associated chronic pain. Both my husband and I left the office extremely hopeful, re-energized, knowing I did not need surgery, and that I will indeed get better. Of course, this depends on my commitment to it, but as I have already told you I am the type that goes above and beyond when putting my mind to something, especially since this is for my husband's and my own well-being and, ultimately, happiness. I keep mentioning my sweet husband because the truth is, my chronic back pain has been impacting him almost as much as it has me. He has been so supportive and loving all these years, that my getting healthy will equally affect him, and our marriage. He deserves this as much as I do!
A few days after the appointment, Dr. Tiltmann sent me a comprehensive report with everything we discussed during our session, impeccably organized in main sections, including the exercise routines prescribed in detail, with recommendations of when and how I could progress to the next level of endurance training. He has also indicated he'd check up on me and my progress six months after our appointment.
All these things demonstrate the highest level of professionalism, knowledge and expertise on the subject of chronic back pain, as well as compassion and understanding that I have ever encountered in my long quest for finding answers in order to get better. The fact that Dr. Tiltmann is also a very personable, fun, and easy to talk to professional is just a bonus. He possesses this great ability of explaining complicated medical jargon in laymen terms, while making his patients comfortable asking questions some might be afraid to ask on the account that they could be "stupid" or "silly" questions.
I have not stopped talking about this amazing experience to anyone who's willing to listen to me, and would highly recommend Dr. Tiltmann and the McGill Method to any chronic back pain sufferers like myself. I have already started my journey towards a pain free life, and am already seeing results. I am once again hopeful and I feel empowered. I have no doubt that in one or two years I will be one of the "successful stories" in Dr. Tiltmann's portfolio. I wish there would be more of him all throughout the country, as I know there are a lot of back pain sufferers out there, tired of having tried everything but this method, and feeling hopeless and helpless. Dr. Tiltmann, I will forever be grateful to you, as well as to The Back Mechanic and Dr. Stuart McGill!
I want to express my thanks for your service in treating my lower back pain. I had struggled with increasing pain over the last four years, beginning at the age of 25. Then, several months ago, the pain escalated to the point that I had to give up most every physical activity that brought me pleasure and meaning.
When I reached out to your office, I was desperate. I’d heard of the McGill method but had lost confidence in most treatments. I had tried acupuncture, chiropractic manipulation, physiotherapy, and two different spinal injections – all to no relief. But meeting you and working with you in the McGill method gave me hope. You were the first provider who took the time to really listen to my story and explore the many possible causes of the pain. The method you provided me, including education and instructions for exercise, was comprehensive and plain old ‘made sense’ to me.
I left our session feeling hopeful and prepared to face the recovery period ahead. I can say now that when I follow your treatment plan, the pain decreases.
Thank you for helping me at a time when I was truly down and out. I will quickly recommend you to anyone I know who is struggling with worsening back pain.
My experience has been remarkable! As Dr. Kai knows I am a corrective exercise specialist/FMS and have been in the fitness industry since 1989. I am TPI level 3 with mentors like Greg Rose and Gray Cook. I have studied under Paul Chek and really thought I was on the leading edge of being I was able to help people who came in with back pain. The problem was I wasn't able to "fix" my own. Between my husbands knowledge as an ART instructor and mine, I felt like we had exhausted our resources and I was just to live with this pain. Every activity had ended for about the last 5 years. I was extremely active in many outdoor sports and now barely being able to get through my daily activities (working, cooking, sleeping etc.)
Years of competitive gymnastics as a child and then competitive bodybuilding and a stint on the American Gladiators show had taken its toll. My MRI read to me was a sentence to a lifetime of a pain. 2 fractured end plates, severe compressions, annular tears etc. My job is very physical and that now was getting harder and harder to get through each day.
I was constantly searching and came across Stuart’s books and ordered them. I immediately started the big 3. I then found Dr. Kai, who really gave me the answers I had been searching for.
Dr. Kai gave me a full assessment, which I know is necessary to get the appropriate information needed and NO doctors know how to properly assess! He really listened to my history and went over what he saw on the MRI's. I knew that my pain may have nothing to do with what the image said, but I didn’t know what else it could be.
That is where Dr. Kai really, really helped me. I have known that you need to be mindful of how you move, but not like he described it to me. He said, carry yourself as if you have just had back surgery. That was an eye opener. The year before I had a labral hip repair done, because they said the dysfunctional hip was causing my back pain. In hindsight I was most likely over stretching the Psoas and everything else.
Kai told me to STOP stretching. I hadn't stretched my hamstrings in a long time, but stop the rest?? It was completely opposite of what I felt my body needed. He was so sure that this would work and I would be pain free if I followed the protocols. I left feeling like I had hope. I did exactly what he prescribed, no more, which is usually my thought process. Day by day I started feeling better.
I am just about 1 year out and I am doing really good. Some days 100% pain free. I was in a lot of pain 24/7. Days that I am sore I know that my mechanics were off and I got lazy, or had a really bad golf swing that day.
Dr. Kai was great. I have given his name out to many people that have been told they need surgery. He has the demeanor and obviously the knowledge to let his patients know that they will get better. There was never a "this might work" attitude. It was you are going to get better and will be fine if you follow this correctly. I trusted him. I don't trust traditional doctors.
I had seen many of the top people in the country who are functional movement specialist. I traveled all over the place looking for answers. Dr. Kai gave me those answers and I am ever so grateful for his knowledge and professionalism.
My husband and I are looking into doing some of Stuart's courses. We have just read Crooked by Cathryn Jakobson Ramin. What a GREAT book. It reinforces why your work, works. That it is really, IMO the only way to get better. We encourage all of our clients to read it. It will lead them directly to professionals who understand what they are going through and can help them to get out of their pain.
I am so thoroughly impress with Stuart McGill and grateful for his work.
My back is progressing slowly, but still progressing, which is something that I couldn’t say before the assessment. I am doing my best to stay away from my pain triggers, I fail sometimes in moments of carelessness, but for the most part I am staying away from them, which has helped me progress. I perform the Big 3 everyday and have also progressed on to some of the other exercises, I am not able to perform the bridge pain free, I have checked and double-checked my form but still have pain so I have put that on the shelf until a later date. The single leg stand/squat and airplane are coming along nicely and I have progressed to a 19 min. walk without compressive pain building up. Thank you.
Dr. Tiltmann did a thorough examination of my past pain history and provided a comprehensive coaching session to help me move pain free. During the examination Dr. Tiltmann was able to identify my specific pain triggers as well as pinpoint positions that allow me to alleviate the pain that comes with flare-ups.
I was able to learn more about my back and how it functions and why I am experiencing pain. Dr. Tiltmann was also able to help me understand why I can’t do things because of my anatomy that others can pain free (i.e. deep squat, deadlift, Olympic lift, etc.). This understanding has completely changed how I am going to approach training in the future when I am pain free.
Dr. Tiltmann was clear and concise and used terminology that a layperson such as myself could easily understand.
I would definitely recommend an assessment to someone that is suffering chronic low-back pain. Initially I was worried that I would not get the value from an assessment that I was looking for, especially after buying and studying “Back Mechanic”; however after the assessment I realized the things I learned are going to make a huge difference in my recovery, and that it was well worth the cost.
Thanks with regards,
Thank you again for going above and beyond to provide such an amazing service. You were so thorough, kind, and considerate, and I would go as far to say that you changed my life!
Dr. Tiltmann was incredibly accommodating from my first email with him. Even before my appointment, he wrote me an email offering to answer any of my questions about the McGill method. He even offered to have a phone conversation to address any of my concerns. As a clinician he goes above and beyond the efforts of every medical provider I've had to date. He reviewed my history, performed a thorough exam, and ended with a coaching session, which included a walk-through of how to do the McGill 3 in addition to other adjunct exercises. He videotaped me doing these movements and reviewed exactly if they were incorrect or correct. He identified my pain triggers as well as positions that alleviated my symptoms by going through a series of tests with me. He identified why my specific anatomy may not be suited for certain exercises and helped me understand what led to my back injury in the first place. All this information was consolidated into an understandable report that I could review after our session. Dr. Tiltmann extended our three-hour appointment to make sure I understood how to perform every movement on the worksheet he provided, and even after ALL that, made sure every single one of my questions was answered. No one has ever made such a huge time investment in my health!
After my experience I believe the McGill assessment is invaluable to chronic back pain sufferers. As an anesthesiology resident I often see patients so quickly turning to surgery for an answer to their suffering, which too often doesn't solve the root of the problem. I think knowing that providers like Dr. Tiltmann are out there would be a great comfort to these types of patients. I will not hesitate to recommend him for that reason.
I am religiously following the doctor’s orders. Been having some hiccups getting into a brisk walking pace with the hips/low back, but the pain will dissipate once I'm moving. There is a constant "disconnected" sensation between legs, hips, back, and neck movement. But the BIG 3 are helping. Strong, engaged core is the missing key to reducing the instability sensations. Although there is a constant slipping/teetering sensation at the L4/L5; unbalanced positions of torso and pelvis increase that. I am working on taking all flexion out of the low back with all movements. The slightest tipping back of torso/neck from what I feel is "standing normal" disengages low back muscles making spine neutral while standing.
I believed I received a complete and thorough session. For note, I noticed that the history portion is more subjective because it’s based on so many different unknowns that its hard to know where to begin. So many events filled the back to its limit before it decided enough was enough. However, I'm now confident that the years of sitting with the low back in constant flexion with head forward in a bad chair with no spine sparing core stabilizing exercises was the ticking time bomb. Your examination and coaching sessions made perfect sense as well, and resonate with how I've been feeling.
In addition, all the pain triggers and positions to alleviate my symptoms were clearly sited and specific to the troubled low back. However, I do believe there are some additional mechanical "disjointed" symptoms in the pelvis/hips, but I'm hoping they will subside with the healing of the low back. They seem to be muscularly connected, and were unable to be evaluated because of the low back instability. The understanding of this is in alignment with the Back Mechanics book I read. And the "how not to aggravate it" will be life changing; sounds like common sense but its not because no doctor had told me that before. Very grateful to have a clear path ahead.
I highly recommend the McGill Method to anyone that is suffering from low back pain. It has only been a week since assessment, so I can't speak to the success of the treatment, but the value is acceptable at this stage in the game. I wish I would have found ya'll sooner. I believe this should be incorporated into our educational system as a preventative health and wellness program, especially for children active in sports and fitness.
Thank you for your help Dr. Tiltmann, Dr. McGill, and the research teams!
I have been doing well since we saw one another and have made leaps and bounds in regard to my back health. Since the assessment, I gained awareness of my movements that triggered my pain. The exercises helped me tremendously with maintaining neutral spine, increase the muscle endurance I needed, and help correct my muscle imbalances.
Dr. Tiltmann provided thorough documentation after the examination and coaching part of my visit, it greatly helped me realize not only my triggers but also areas that were either out of balance and/ or weak.
Dr. Tiltmann showed me some positions without me even knowing at the time that greatly relieved the pain I was having. He was able to answer my questions and concerns in a way that no other Dr. of any sort was able too. He was able to not only identify, but explain MY issue. Every other Dr. would always generalize their opinion. It was the ability of Dr. Tiltmann to understand my pain and my issue that has greatly helped me improve. I found the process I went through with Dr. Tiltmann priceless. My only regret is that I cannot see him more.
The exam/history of my back issues was far more thorough than any I had ever experienced. The coaching made me feel empowered to be able to improve, rather than a victim of unchangeable circumstance. Eliciting the pain triggers was performed gently and no more than needed. Dr. Tiltmann's explanations were very clear and enlightening, as many of the exercises and stretches I was doing to "help" my situation were actually aggravating it. Dr. Tiltmann communicates clearly and answers questions for the layperson helpfully but not condescendingly. I would highly recommend this assessment/protocol. While at first blush it might appear expensive, it is indeed a good value for the very thorough and personalized approach to the road to recovery. This is not for people looking for an instant magic bullet, but if one is willing to employ the protocol, improvement will follow! As a bonus, Dr. Tiltmann has a very pleasant bedside manner, which is really nice for people in pain.