229 FSM Overnight Protocols for Hypermobility, Sleep Position Pitfalls, Vagus Tone

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Dr. Carol and Kim Pittis talk about what practitioners and patients feel during FSM treatment, from tissue "smush" to floaty responses, and why there is no fixed algorithm: treat what you find. Carol describes a hypermobile Ehlers-Danlos patient after ACL surgery whose pain flared overnight from sleeping on her stomach, and the challenge of fitting hour-long protocols (40/10, connective tissue repair, and vagus) into one CustomCare, solved with a nighttime program and the magnetic converter. She also reports her own SI joint healing in four days by running an SI joint repair protocol five times a day. Kim explains the sleep positions that strain the neck and SI joint, and why sleep position is worth asking about when a patient comes back worse. Listener questions cover severe back pain after a constipation protocol during mold treatment (Carol's best guess is a kidney stone), treating mold toxicity, Haglund's deformity, thyroid nodules, nighttime hand numbness, and improved blood pressure and kidney function in a 93-year-old. Carol also shares a rare case of emotional dysregulation after a small thalamic stroke, and they preview the FSM Advanced, the four-day FSM Rehab course, and pad placement for the anti-aging protocol.   00:00 Overnight Protocols Preview 00:32 Podcast Intro 00:59 Catching Up 03:09 Smush and Floaty Responses 07:07 Treat What You Find 10:12 Hypermobile EDS Patient After ACL Surgery 12:29 Sleep Position and Creep 13:27 Hour-Long Protocols, One CustomCare 15:20 Nighttime Programs and Magnetic Converter 16:35 Anti-Aging Facial Tangent 19:35 SI Joint Repair in Four Days 21:21 Sleep Positions: Neck and SI Joint 23:49 Q&A: Back Pain After Constipation Protocol 28:54 Treating Mold Toxicity 32:19 Haglund's Deformity 34:20 Q&A: Thyroid Nodules 36:18 Q&A: Hand Numbness at Night 43:57 Thalamic Stroke and Emotional Dysregulation 49:33 Q&A: Blood Pressure and Kidney Support 51:15 FSM Advanced and Rehab Course 54:00 Specialists Teaching FSM 57:24 Anti-Aging Pad Placement 58:45 Wrap Up and Disclaimer

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Back from the Costa Rica Core, Dr. Carol answers listener questions on mast cell activation syndrome with gut symptoms (vagus, small intestine, cromolyn and quercetin), why a vestibular screen matters before running the concussion protocol, an acute C6-7 disc herniation (check reflexes and Babinski, and consult a neurosurgeon), foraminal stenosis at C5-6, and care after an upper blepharoplasty. When Kim Pittis joins, Carol retells the Costa Rica case in full: how RSD, now called CRPS type 1, differs from causalgia, now CRPS type 2; why a leg that is cold, dry and hairless points to RSD while a sweaty leg with hair points to causalgia; treating a crushed saphenous nerve with trauma, inflammation and 81 frequencies at the same time; why numbness was a sign of progress; and reconnecting the nerve to the sensory motor cortex and cerebellum. Kim explains why clear rules after treatment, safety and confidence are the foundation of healthy movement, how treating the hip labrum released a triathlete's tight external rotators, and the eight-to-one ratio of pain-free to painful repetitions. They close with reading your own imaging and lab reports, uterine fibroids, and tarsal tunnel.   00:00 Causalgia Preview 01:15 Podcast Intro 01:33 Back From Costa Rica 04:23 Q&A: MCAS and Gut Symptoms 07:23 Vestibular Screening Reminder 09:16 Q&A: Acute C6-7 Disc Herniation 12:16 Foraminal Stenosis at C5-6 15:17 Upper Blepharoplasty Post-Op 18:07 PEMF Pucks at Night 18:58 Bipolar and Pyroluria 20:17 RSD (CRPS Type 1) Explained 23:49 Causalgia (CRPS 2) Case 27:27 Why Numb Is Good 29:33 Reconnecting the Sensory Motor Cortex 31:08 Unpacking the Treatment 33:37 Recovery Rules After Relief 35:15 Safety, Confidence and Instructions 39:08 Hip Labrum and Tight Rotators 44:07 Short- and Long-Term Plans 45:51 Eight-to-One Pain-Free Reps 47:55 Reading Your Imaging Reports 50:58 Be Your Own Lab Advocate 52:18 Q&A: Uterine Fibroids 54:25 Q&A: Tarsal Tunnel 56:34 Wrap Up and Disclaimer

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Recorded live while Dr. Carol was teaching the FSM Core in Costa Rica, with plenty of Wi-Fi dropouts. Dr. Carol describes her first case of causalgia (CRPS type 2): a police officer whose saphenous nerve was crushed by a kick five years earlier, leaving his leg hypersensitive and his pain at a constant seven or eight despite 3,600 mg of gabapentin. She ran three machines on the nerve at once (trauma and torn and broken, inflammation, and 81), wrapped the whole thigh to reach the posterior branch of the saphenous nerve that only about 60% of people have, explains why numbness was a good sign, and then reconnected the nerve to the sensory motor cortex and cerebellum before retraining standing and walking. She then treated the old knee injury, including an inflamed periosteum. Kim Pittis shares FSM Rehab course dates (Arizona in March, Sydney in April 2027) and talks through painfully healed fractures, the key fob analogy for how fast frequencies work, and learning to believe what your fingers feel. They also discuss running 40/562 longer in the concussion protocol, and answer listener questions on patellar tendon pain three years after an ACL hamstring graft, using PEMF pucks instead of damp towels, why TENS reduces pain (the pain gate), and the frequencies used in wipe and load.   00:00 Podcast Intro 00:26 Live From Costa Rica 02:44 Causalgia Case: Saphenous Nerve 08:00 FSM Rehab Course and Australia 10:55 RSD, CRPS 1 and CRPS 2 11:21 Three Machines on One Nerve 13:12 Treating the Knee Injury 15:46 Trauma Frequency First 18:28 Sleep, Balance and Retraining 21:22 Return-to-Activity Rules 22:16 Painfully Healed Fractures 25:45 The Key Fob Analogy 27:49 Learning to Believe Your Fingers 31:22 Publishing the CRPS Case 33:13 Concussion Protocol and 40/562 34:22 Q&A: Patellar Tendon Pain After ACL 39:24 Q&A: PEMF Pucks vs Towels 41:51 TENS and the Pain Gate 46:26 Wipe and Load Frequencies 49:49 Parkinson's Question 50:33 Lymphedema and Advanced Speakers 51:17 Wrap Up and Disclaimer

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Dr. Carol and Kim Pittis discuss Frequency Specific Microcurrent (FSM) clinical patterns and treatment considerations, including a Costa Rica case of severe low back pain linked to abdominal adhesions, endometriosis, hypermobility, vestibular injury, and psoas involvement that resolved after treatment. They note about 20% of patients are hypermobile and most of those have vestibular injuries, emphasizing vestibular screening and concussion protocols due to possible adverse reactions to 94/94. They cover managing "floaty" sedation responses with reassurance, touch, movement, and timing protocols for athletes (balancing parasympathetic recovery vs performance arousal). They stress testing/retesting, trauma-informed consent, and using passive ROM to distinguish inhibition vs restriction, including a dura-related hard stop at 90 degrees. Q&A addresses CRPS sequencing (treat nerve inflammation before 81), cervical radicular symptoms and red flags, energy center timing, and sudden hearing loss concerns such as acoustic neuroma or viral causes.   00:00 Pain Free Breakthrough 01:09 Podcast Intro 01:34 Meet The Hosts 02:18 Hypermobility Clues 06:18 Vestibular Screening 10:47 Athletes And Floaty 14:18 Reboot Wipe Load 21:18 Talking Through Treatment 22:32 Trauma In History 27:22 Safety And Trust 29:48 Active vs Passive Testing 31:15 Hard Stop at 90 Degrees 33:48 Costa Rica FSM Retreat 38:04 Support and Study Habits 39:51 No Plug and Play 44:12 CRPS Treatment Tips 46:43 C6 Nerve and Safety 51:58 Sudden Hearing Loss 54:21 Wrap Up and Disclaimer

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Dr. Carol and Kim Pittis discuss how strong history-taking and a thorough physical exam should guide care, emphasizing that clinicians should "listen to tissue," use language that reassures patients, and recognize that imaging often doesn't match symptoms. They compare small vs. large hands-on FSM practicums, the value of rotating tables to feel different bodies, and how experienced clinicians must unlearn forceful habits. They highlight practical concepts like treating adhesions before abdominal work, slowing palpation, and understanding cervical mechanics (including C2-3 facet "headband" headaches). They answer questions on a teen with CHARGE-related acquired clubfoot/spasticity and an older patient with EDS and C1-2 fusion, suggesting brain/spinal drivers and targeted frequencies. They also discuss tendon rehab, post-op protocols, and building patient hope and trust.   00:00 Podcast Preview 01:05 FSM Podcast Intro 01:31 Small Class Benefits 03:29 Rotate Tables Practice 05:49 Unlearning Muscle Memory 06:54 Ask Permission First 08:10 Say What They Need 10:05 Imaging Anxiety Spiral 11:30 Decoding Blood Work 14:21 Humility Builds Trust 17:05 Athlete Fear And Hope 21:45 Rename Protocols Words 24:43 Slow Palpation Fascia 28:05 Supine Cervical Skills 30:24 Why Suboccipitals Tighten 32:11 Ask Better Questions 33:46 Eccentric Tendon Loading 35:10 FSM for Exercise Recovery 36:10 Clubfoot Case Q&A 37:44 Working With Braces 40:16 Gene Targets and Spasticity 46:02 EDS Headband Headache 50:59 Squirrel Brain Clinical Pivoting 53:31 Joint Replacement Protocols 57:44 Wrap Up and Disclaimers

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT free guide to FSM training: https://frequencyspecific.com/guide Dr. Carol and Kim Pittis discuss Frequency Specific Microcurrent (FSM) as a tool that can create rapid, profound clinical shifts and emphasize that the core outcome is "hope." They recount teaching large core/advanced classes and a case where treating a posterior shoulder labrum issue restored long-lost abduction and prompted plans for randomized trials at the University of Madrid. They describe complex cases including a missed central T9 disc identified by sympathetic signs, a catastrophic multi-ligament knee reconstruction where CustomCare programming, patient language, sleep, and emotional context improve engagement, and an intense emotional release case in Poland tied to trauma memory and cultural stoicism. They answer questions on post–breast cancer bladder leakage with estrogen suppression, Dupuytren's vs Peyronie's responses, Meige syndrome limits, and thumb/index "zing" as C6 nerve/disc-related with rehab and safety principles. 00:00 Podcast Preview 00:35 Podcast Intro and Guests 01:13 Training Week Highlights 02:20 Shoulder Labrum Breakthrough 05:17 T9 Disc Case and Tears 08:20 Clinician Awe and Gratitude 11:06 Catastrophic Knee Rehab 15:34 Naming Programs for Hope 18:24 Poland Story Emotional Release 22:44 OR Insights and Athlete Mindset 26:58 Listener Question: Breast Cancer Bladder 27:53 Bladder Leakage Mechanisms 30:12 Estrogen Blockers Impact 32:08 Dupuytrens vs Peyronies 35:49 Vaginal Estrogen Option 36:53 Meige Syndrome Guidance 38:35 Thumb Index Nerve Zing 41:10 RA Tendons and Swan Neck 44:04 Nerve Glides and Fascia 50:13 Rehab Safety and Neuroplasticity 52:59 SI Joint Instability Story 55:37 Wrap Up and Next Week

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Dr. Carol shares highlights from a Poland FSM core and advanced seminar with unusually frequent practicum cases where releasing myofascial tissue triggered overwhelming emotional responses, managed by working through energy centers/meridians and using 40/89 to settle symptoms and, when needed, finishing with 81/89 to "shut it down," despite previous guidance not to pair those frequencies. She describes two new hEDS patients: a classic hypermobile case with rapid pain reduction and joint stabilization, and a more complex male with autonomic dysfunction (white lips, damp extremities, pelvic floor/adductor spasticity) who improved with vagal and sympathetic calming and disc repair after subtle thoracic MRI findings. She answers questions on stiff person syndrome vs clonus, electroacupuncture vs FSM, RA precautions, chest tube pain timing, Achilles tendinopathy (124/77), tremors, mold resources, experimental frequency list concerns, device lead setup, and scope limits for serious conditions and infections. 00:00 Podcast Welcome and Links 00:43 Poland Seminar Highlights 01:17 Trauma Release and New Protocols 04:19 Back Home Jet Lag and Q&A 04:42 hEDS Case Study Quick Wins 06:16 Complex Autonomic Pelvic Floor Case 10:48 Stiff Person Syndrome and Clonus 13:21 Babinski Party Trick Frequencies 14:31 FSM vs Electroacupuncture RA Tips 17:35 Experimental Frequencies Reliability 20:09 New Spain Research Trials 21:12 Chest Tube Pain Treatment Plan 23:43 ATP Magnetic Converter Question 24:22 Achilles Tendinitis Not Itis 25:47 Scarring Frequencies After Ablation 26:41 Tremors Cerebellum Protocol 27:22 March Livestream Advanced Promo 27:33 Joining via Zoom Links 28:15 Miasm Frequencies Simplified 29:48 Mold Toxicity Webinar Guidance 31:22 Wound Healing and Head Safety 32:53 Meridian Balancing with 38.5 34:08 Scope Limits and Bacterial Infections 37:08 Athletes Inflammation and Healing 41:26 Multiple Machines and Mold Resources 42:40 FND and Leaky Gut with 124 44:34 Out of Scope Conditions and Practitioner Listings 47:04 Events, Travel, and Closing Remarks 49:37 Podcast Medical Disclaimer

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Dr. Carol and Kim Pittis discuss a recent small FSM training in Canada where attendees quickly felt the effects of treatment and deepened community connection. They share a complex clinical case involving a 36-year history of pain after a vertebral artery dissection, describing an FSM approach targeting artery trauma/fibrosis/vitality plus medulla and pons trauma/necrosis/vitality and meningeal/dural/vagus scarring, resulting in facial droop resolution and pain elimination. They emphasize that experience reinforces evidence, anatomy matters, and clinicians must ask "why" rather than assuming muscle or trigger points are primary. Dr. Carol updates the nighttime vagus protocol to include 40/562 (quiet the sympathetics), reporting large HRV increases tracked via Oura Ring. They answer a question on post-extraction trigeminal numbness, advising investigational trigeminal frequencies, treating pons and bone/bone marrow inflammation/trauma, and noting 396 targets peripheral roots, not trigeminal. 00:00 Welcome and Resources 00:27 Canada Training Highlights 03:53 Hands-On Proof of FSM 04:53 Case Study Vertebral Dissection 12:14 Clinical Reasoning and Anatomy 19:15 Marketing and Patient Connection 22:04 Vagus Protocol HRV Breakthrough 27:22 Travel Stress and Self Care 28:58 Listener Q: Dental Nerve Pain 30:32 Trigeminal Nerve Challenge 31:40 Experimental Frequencies Setup 33:41 Bone Inflammation Strategy 36:01 Mode Bank Recipes Critique 38:53 Ask Why Not Where 41:40 Imaging Versus Symptoms 47:04 Provider Confidence Reassurance 47:54 Scar Tissue Breakthroughs 49:24 Costa Rica Class Invite 51:38 Wrap Up Disclaimer  

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide Dr. Carol and Kim Pittis discuss using a checklist mindset in Frequency Specific Microcurrent (FSM) sessions with complex patients: start with what bothers the patient most, assess objectively, and avoid complacency while following palpation "breadcrumbs." They share a case involving a right hip resurfacing (metal-on-metal) with multiple subsequent surgeries, contralateral tightness that was actually kidney stone pain after prolonged dehydration on a flight, and the need for annual imaging and metal-toxicity testing that had never been done. They address how patient labels like "torqued pelvis" can be inaccurate, the emotional load of chronic "medical misadventures," and when imaging (ultrasound/MRI) changes treatment specificity. Q&A covers CRPS treatment frequency (including sensory cortex work and reconnection strategies), heel pain without spur/fracture (consider S1/nerve exam), calcaneal ligament bone growth in a hockey player, stretching vs mobilizing and dynamic warm-ups, and an update to the vagus protocol adding "quiet the sympathetics" based on HRV changes. 00:00 Podcast Intro and Links 00:26 Masterclass Memory and Checklists 01:26 Starting Complex Treatments 02:18 Hip Resurfacing Case History 07:35 Checklist Finds Kidney Stone 08:51 Metal-on-Metal Red Flags 11:04 Unpacking Torqued Pelvis 14:39 Medical Misadventures Mindset 20:20 Scar Tissue and Inhibition 25:28 CRPS Treatment Strategy 29:55 Heel Pain and Sensory Exam 32:40 Why Patients Avoid Imaging 33:21 Imaging Without Fear 35:04 Ultrasound Finds Tears 38:20 Reframing The Unknown 39:00 Checklist And Flexibility 41:18 Appendix Scar Adhesions 45:42 Palpation Breadcrumbs 47:52 Stretching Versus Mobilizing 50:16 Hockey Ankle Bone Spurs 52:33 Heat, Ice And Hot Yoga 54:15 Vagus Protocol HRV Update 56:30 Sympathetics Safety Talk 58:58 Wrap Up And Disclaimer

Hosts:  Carolyn McMakin, MA, DC   &   Kim Pittis, LCSP (PHYS), MT A free guide to FSM training: https://frequencyspecific.com/guide   Dr. Carol and Kim Pittis discuss updating FSM course materials, emphasizing clearer teaching through fewer words, student questions, and patient stories. They describe FSM master classes as unscripted Q&A that builds practitioner confidence and critical thinking across professions, potentially offered in person or via Zoom. Clinically, they stress starting with what hurts most, getting patients out of pain first, listening for the "breadcrumbs" in history, and recognizing that fear of reinjury can drive symptoms; early concussion protocol lines and balancing the solar plexus are highlighted for trauma and nervous system tension. They note healing is a non-linear "reorganizing" process where pain goals shift to stiffness and function, and follow-up feedback guides next steps. Audience questions cover post-op jaw protocols after dental surgery, and differentiating facial "migraine" from trigeminal nerve pain, cervical facet referral, and TMJ-related headache patterns.   00:00 Podcast Welcome 00:25 Behind the Scenes Banter 01:08 Updating Course Slides 03:35 What Is a Masterclass 06:11 Zoom and Travel Plans 07:58 Where to Start Treatment 11:47 Athlete Fear and Fascia 15:01 Concussion Protocol Basics 18:03 Pain Improves Then Stiffness 22:36 TIA Case and Pons Protocol 26:31 Follow-Up and Feedback 28:41 Family History Clues 29:58 Childhood Shame and Healing 31:24 Patient History Matters 33:39 Jaw Surgery Recovery Tips 35:24 Facial Migraine or Nerve Pain 37:53 Neck Facets and Referred Pain 42:47 Healing Is Reorganizing 48:29 Joy, Emotions, and Fascia 52:12 Creating a Healing Environment 53:07 Teaching Visceral FSM Classes 57:20 Wrap Up and Disclaimer