Thomas Lotus, DC, FACTO, Cert. MDT is the first chiropractic physician to join Chicago, Illinois-based Midwest Orthopaedics at Rush.
Thomas Lotus, DC Joins Midwest Orthopaedics at Rush

According Rush, “… Unique to his professional peers, Dr. Lotus is a part of the small percent of chiropractors in the world who are fully credentialed in McKenzie Therapy: Mechanical Diagnosis & Therapy. This technique is globally recognized as a leading, non-surgical treatment for reducing pain and restoring function.”
“It emphasizes proper assessment and the identification of specific causes of a patient’s pain or dysfunction. A hallmark of McKenzie Therapy is its strong educational component which helps a patient self-manage and eliminate symptoms.”
“Dr. Lotus has assisted with course instruction at all levels of McKenzie courses for many years and was a recent keynote speaker at the McKenzie symposium for the North Americas. He has also been an integral part in the building and promotion of the new Chiropractic Branch of McKenzie International.”
“He received his doctorate in 2003 from National University of Health Sciences in Lombard, IL where he specialized in rehabilitation and non-surgical orthopedics. He holds fellowship status as a board-certified chiropractic orthopedist and sits on the Board of Directors of the Academy of Chiropractic Orthopedists. He is also a candidate for diplomate status within the American Chiropractic Rehabilitation Board.”
Dr. Lotus told OTW, “Getting to know the great doctors here, from the surgeons to primary care physicians. Helping them understand best patient selection for chiropractic treatment and learning how I can best refer patients back to them. Developing a relationship with the surgeons and how the use of McKenzie Method (MDT) can assist their patients non-surgically and/or post-surgically.”
“My priorities are: 1) Educating physicians in the group about classifying and sub grouping conditions utilizing the McKenzie Method of assessment and therapy, 2) Educating physicians how and when McKenzie assessment and treatment fits into an orthopedic practice and which patients are appropriate, 3.) Working with the physiatry and sports medicine teams to collaborate on mechanical and chemical pain management and incorporating McKenzie Method where appropriate for best patient outcomes.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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