INTERNATIONAL CASE STUDIES

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Coming May 2026! Averio Research: 5 Years in Review

Averio Research: Five Years in Review is Averio Health Institute’s newest clinical research publication!

This publication will include all of Averio’s published research in the last 5 years, as well as, exclusive Averio doctor’s insights and discussion into what made these cases particularly valuable to the scientific community and the inner-workings and case management that allowed the Averio team to get results, often in situations where the diagnosis and dysfunction was considered permanent by medical providers. This is your opportunity to dive deep into the science and outcomes of concentrated chiropractic care accomplished with Averio FNT technique and a philosophy of “test, not guess”. 

2021

This was one of two of the first AVERIO case studies published in 2021. The Australian Spinal Research Foundation had just opened up the opportunity for Doctors of Chiropractic in the United States to submit unique and interesting cases for potential publication to the Asia-Pacific Chiropractic Journal. Dr. Kotlerman and Dr. Martin were at ChiroFest when they learned of this opportunity and began to think about unique cases. 

This case is unique because of the patient’s age. We do not live in a world where people expect 91-year old people to be able to heal, repair and regenerate function and tissue yet that is exactly what happened in this veterans life when he chose concentrated chiropractic care with Averio Health Institute. Another nice factor of this case was that there was noticeable reductions to abnormal thyroid calcifications on the patient’s post-radiographic findings suggesting that with the right clinical stimulus, even glandular tissues can repair. 

The unique factor about this case is that this young woman was under medical advice when she presented to Averio Health Institute, specifically, the advice that her condition was genetic (MD confirmed this to the patient with a blood test) and that pharmaceutical management was required for the patient to go through life to control the symptoms of the lupus diagnosis. At Averio, we do not treat lupus, but we do look at the body as a whole and do our best to understand how it has been compromised and to remove those compromises and in this case, after two weeks of concentrated chiropractic care and management at AVERIO Health Institute, the patients blood labs changed and she was declared “lupus-free”. 

Historical note: Dr. Kotlerman actually met with the patients mother 7 years after the conclusion of the study and the patients mother confirmed that the patient had never had a relapse of lupus, she was still medication and medical-doctor free, now married with several children and very happy in life. 

2023

This case is a fantastic example of how your body is designed to heal regardless of what your mind thinks or what you believe. This patient presented for a single Averio Weeklong Program, self-diagnosed as a “sugar addict”. This patient also ha a 30+ history of diagnosed depression and various pain issues and functional complaints. The patient was insistent that ‘nothing could be done’ for her depression because she had already been to all ‘the best hospitals and clinics’, yet she had never been to a Doctor of Chiropractic or had attempted concentrated chiropractic care. This is a common issue where patients adopt the limitations given to them from the drug culture, those are merely limitations of pharmacology and surgery, and in no way limit the chiropractic model of healthcare. 

The patient reported that by the end of her Averio Weeklong Program, her prevalence of negative thoughts had dropped from 60% to 10% as well as a reversal of her chronic pain issues. From her spinal radiographs, three pathological fusions in her lower cervical spine had reversed and the alignment of her neck had greatly improved. Six weeks post treatment the patient emailed the AVERIO clinical team and said that she was still pain-free and now her depression was also gone. 

This case is a fantastic example of how your body is designed to heal regardless of what your mind thinks or what you believe. This patient presented for a single Averio Weeklong Program, self-diagnosed as a “sugar addict”. This patient also ha a 30+ history of diagnosed depression and various pain issues and functional complaints. The patient was insistent that ‘nothing could be done’ for her depression because she had already been to all ‘the best hospitals and clinics’, yet she had never been to a Doctor of Chiropractic or had attempted concentrated chiropractic care. This is a common issue where patients adopt the limitations given to them from the drug culture, those are merely limitations of pharmacology and surgery, and in no way limit the chiropractic model of healthcare. 

The patient reported that by the end of her Averio Weeklong Program, her prevalence of negative thoughts had dropped from 60% to 10% as well as a reversal of her chronic pain issues. From her spinal radiographs, three pathological fusions in her lower cervical spine had reversed and the alignment of her neck had greatly improved. Six weeks post treatment the patient emailed the AVERIO clinical team and said that she was still pain-free and now her depression was also gone. 

2024

Published in 2024, this was a keystone case that showed how the body is capable of reversing severe ligament instability under an AVERIO concentrated chiropractic model. This patient had a full rupture of his spinal ligaments at C4-C5. You could see on his radiographs where C5 moved forward and under C4, and yet, following four weeks of concentrated chiropractic care at AVERIO Health Institute, the patient not only regenerated normal spinal ligaments, but also significantly improved disc height, disc regeneration and overall height improvements. There was also significant and life changing changes to his function including: improved brain function: both cognitive, emotional and behavioral as well as a complete reversal of the patients chronic low back and reduction of his prostate enlargement. Note: this patient also showed a reversal of arterial stenosis in his abdominal aorta. 

This patient is a great example of WHY understanding spinal health is critical if you want to be able to help a patient get results. This patient was injured in a high-speed motor vehicle accident and diagnosis based on her symptoms with “whiplash”. Spinal radiographs were taken showing pre-existing spinal degeneration and alignment issues (i.e. she had a straight neck). No flexion or extension films were taken to see the spine in motion. This patient committed to nearly 3 years of chiropractic care (non-Averio), PEMF, acupuncture and nutrition with no results, her pain continued to get worse, her sleep issues worsened, her chronic fatigue worsened and she was losing her life quality. This patient spoke with a neurosurgeon the same week she called and talked to AVERIO. 

The patient ended up choosing to try chiropractic care one more time – this time in the AVERIO model with greater testing and concentrated chiropractic care and we found the areas of spinal ligament instability in her neck and helped her body resolve those areas of ligament instability over three Averio Weeklong Programs which led to a 100% reversal of her sleep, chronic fatigue, and neck pain issues. 

This patient came from the hospital to AVERIO. She had been in the hospital for weeks following multiple TIAs (or mini strokes) and there was little that the medical team could do to help her other than watch and make sure she had fluids. When she was released from the hospital into the care of her husband and adult son, it was communicated that they should keep a close eye on the patient as a “big stroke” was likely going to occur soon, and when that happened they needed to bring her immediately back to the hospital for treatment. The husband and son directly drove the patient to Averio Health Institute where she completed three Averio Weeklong Programs. The outcome was a full reversal of the patient’s post-TIA stroke symptomology, arterial repair noted on radiographs, as well as no future stroke activity. 

One of the unique privileges of being human is that we get to suffer the consequences of our choices. This case is the story of a female patient experiencing stage 4 breast cancer with lymphatic involvement. This was her second cancer diagnosis, her first diagnosis having been Hodgkin’s Lymphoma at 17 years of age. During her first round of cancer she followed the medical procedures, and as she reported to the Averio clinical team, ‘almost died’ from chemotherapy. During the second cancer experience, she was looking for another path to walk. At Averio Health Institute, this patient committed to three weeklong programs and it was found early in her case that this patient had a significant toxicity issue(s). Some of the toxins in this patient’s tissue were most likely from her previous medical care. The patient stopped chemotherapy during her time at Averio Health Institute and following her AVERIO care, the patient had multiple PETscans and CT’s with her medical team and they determined that the patient was in remission from stage four breast cancer. 

It was at this time that the patient stopped her concentrated chiropractic care recommendations and all efforts with Averio Health Institute to reverse her spinal damage, toxicity issue(s) and other abnormalities, against the advice of her Averio doctors. The patient experienced about a year of cancer remission before there was a third diagnosis of cancer and the patient chose to move forward with only medical care at that time, and we have no knowledge of whether she survived the medical treatments. 

This case illuminates that each person has the potential to go forwards or backwards with their health. There is no insurance or protection from being adjusted if you do not commit to fixing your spine back to as near normal as possible. The results of concentrated chiropractic care do not come from the treatment of chiropractic or the commitment to a certain amount of weeklong programs, but from returning your spine to normal limits so that your body can function, heal and regulate as designed. 

This is a case of a pediatric patient who suffered from likely vaccination injury and altered and abnormal neurodevelopment with issues recorded as early as 2nd grade (7 yoa) when the patient plucked out all of her own eyelashes due to severe anxiety. At the time of the presentation to Averio Health Institute, this patient’s severe anxiety had worsened (the worsening coincided with the patient’s onset of menses) and the patient was now suffering from severe suicidal ideation and was under 24/7 supervision. 

The mother reported that after twelve years of pediatrician management, there had never been any objective testing or effort put into trying to find out the cause of the patient’s anxiety and other development symptoms. There had been many different pharmaceutical and counseling options made available. 

The patients parents committed to initial objective testing, blood labs and advanced, analyzed spinal radiographs at Averio Health Institute. A diagnosis of severe spinal ligament instability and severe nutritional deficiencies were soon uncovered. 

The parents committed to one week of concentrated chiropractic care. That single week of concentrated chiropractic care allowed enough support to the patients brain and spinal system that she reported that she was no longer suicidal six weeks following her week of concentrated care and analyzed spinal radiographs taken approximately six months later indicated significant spinal ligament instability. 

One of the interesting aspects of this case is that only Averio FNT adjustments were provided. The patient could not be left alone in a room to do any other modality nor nutritional intervention in the beginning, due to severe mental and emotional instability and volatility. These results illustrate the critical need for analyzing and stabilizing spinal ligament instability in pediatric cases of mental imbalance. 

This case illuminates a reality that there are often multiple factors involved in a person’s disease processes and symptoms. In this case, a very ill young woman was brought to Averio Health Institute from eastern Washington state. She was unable to work, needed help eating, opening doors and using the bathroom due to the severe muscle weakness in her arms and hands. She suffered from frequent, random drop seizures where without warning her legs would go out from under her. She had been to eleven medical “specialists” who all told her that there was no cure for her illnesses and that she was going to be permanently disabled. This patient also suffered from hemiplegic migraines, extreme fatigue, a large pilonidal cyst, back spasms, poor sleep and a deteriorating mental health. 

Following her third Averio Weeklong Program, almost all of the patient’s diagnosis’s had completely reversed through repairing her spinal alignment and motion. What had not resolved was the patients pilonidal cyst (the size of softball), which led the Averio clinical team to recommend a provoked urinalysis. Severe BPA toxicity (15,000% over published safety limits) was found among other toxins. 

Within 3 months of a targeted whole food nutritional protocol for BPA removal, the cyst was reversed. A fascinating objective in this case, is that the patient stayed committed to her toxicity removal even after the cyst had resolved. It took a total of 18 months of appropriate and targeted nutritional therapy as well as two additional weeks of concentrated chiropractic care to get her BPA numbers back into safety limits. 

An additional delightful outcome of this case is that with the removal of the BPA from this patient’s body, it allowed for the reversal of her medically diagnosed infertility and she was able to have a healthy pregnancy and a birth without medical intervention. 

2025

This case highlights a fact of anatomy and physiology that is often difficult for doctors and those working in healthcare; which is, it does not matter what you know if you do not put it into practice. Many chiropractors KNOW that the spine is critically important for brain and central nervous system function and overall health outcomes, yet it has been years since their last radiograph and they don’t pursue chiropractic care personally. Part of this problem is due to the dialogue that pain indicates a problem, which is not true. Only a very small percentage of the nervous system is sensory and has any ability to transmit pain signals (8-9%), which means the majority of patients will develop a spinal issue without experiencing back pain. 

This case follows an 80-year old retired Doctor of Chiropractic through three weeks of AVERIO concentrated chiropractic care and the reversal of his atrial fibrillation, tinnitus, visual disturbances and hypertension. However, those issues were merely the tip of the iceberg and this patient has since learned that he has serious toxicity issues, viral infections and hormone regulation issues that were eating away his lifespan and life quality and causing other issues that his body is too numb to recognize when it was sicker and more compromised. Through advanced testing and clinical chiropractic care, these issues are now known about and can be addressed. 

This patient had an extended history of medical and dental management and abuse including mercury amalgams, vaccination, opioid use, hormonal replacement therapy as well as having her gallbladder, appendix, uterus and ovaries all removed. The patient also reported an extended history of mental and emotional abuse, marijuana and alcohol use and a closed head trauma from approximately 40 years prior to presentation. The patient’s primary concern was her severe osteoporosis with compression fractures of the T5-T10 vertebra, epilepsy, type 2 diabetes, memory loss and balance issues. 

There is a thought that can get into our heads that we are too broken to even try. This is one of the many lies (including yoo expensive and too time consuming). This is your life and your body is designed to repair and function with amazing precision. You have nothing if you do not have your health and this case gives the reader an amazing window into how a small commitment to concentrated chiropractic care made an amazing change in the patients spine and quality of life. 

The patient committed to two weeks of concentrated chiropractic care at Averio, following which two areas of cervical ligament instability had regenerated as well as significant improvements in thoracic alignment (109% towards normal limits *note the radiographs in the case study*). Increased integrity of her spinal structure were noted with all areas of thoracic instability reversed, bone density improved, brain function improved and the patient reported improvement in her sleep, energy, mood and overall functional capacity. 

A groundbreaking study for mental health and chiropractic! This is a study we fought for and it reads more like an argument that might be presented in court rather than an account of what occurred. 

For generations the medical monopoly has dictated who can say and do what, and the profession of chiropractic has been eroded away until it fit bloodied and bruised in a box the medical community labeled “musculoskeletal disorders, back and neck pain”. 

Money, power and not upsetting the status-quo is what is valued in medicine. So this study was not wanted, even in chiropractic corridors, because it said something that would upset the status-quo. This case clearly shows that the patients chronic, worsening depression was caused by spinal damage in the cervical spine and was reversed when the spinal damage in the cervical spine was fixed. No ifs, ands, or buts. No apologies for being chiropractors. This is what we found and when those findings were not enough for publication, the AVERIO clinical team proved the findings by citing decades of medical literature on  chiropractic, vagus nerves, superior cervical gyrus and spinal ligament instability. 

This is an extraordinary case that should have been given a loud international platform, yet, AVERIO is fortunate that this study was even published because the World is still in mental chains of its own makings. Most people are not ready to hear and see that the power to reverse their health problems was always inside of them, it just needed no interference. 

Regenerative Chiropractic:

reversing spinal abnormalities so the nervous system can regulate normal tissue regeneration cycles which “reverses disease, degeneration, and dysfunction”.

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