Episode 5: Dr. Tyler Ideus intersects physical medicine, agriculture, global impact






Small-town raised and part-time farmer, Dr. Tyler Ideus is a specialist in physical medicine practicing in Lincoln, Neb., and traveling internationally as a lead instructor for Dynamic Neuromuscular Stabilization, a leading rehabilitation approach. Dr. Connie’s interest was sparked by Dr. Ideus’ background in conventional agriculture and his global perspective of healthcare combined with his expertise in a variety of manual therapies, ranging from physical therapy, rehabilitation, functional medicine, soft tissue, dry needling and manipulation. A “maverick” working and teaching in urban settings but living and farming in a rural area makes him the “perfect” guest, Dr. Connie said. In this episode Dr. Ideus shares his vision for connecting agriculture, nutrition and healthcare and his passion for a thriving rural future through a mindset of abundance.

“At the end of the day, sick people are just expensive, and it has to get paid for one way or another. So if we can do things in agriculture and growing food that is going to be really healthy for people, I think we’re all going to come out ahead.”
Tyler Ideus
Physical Medicine Specialist and Nebraska Farmer

About Tyler


Dr. Tyler Ideus practices physical medicine in Lincoln, Neb. He earned his bachelor’s degree in exercise science from Nebraska Wesleyan University and his doctorate from Logan Chiropractic College in St. Louis, Mo. His study has gone far beyond chiropractic medicine to include neurology, physical therapy, orthopedics and strength and conditioning. He became an international lead instructor of Dynamic Neuromuscular Stabilization in 2016.

Dr. Ideus grew up in Filley, Neb., a town of 200 that is now more around 100 in population. He currently farms part-time with his father outside of Filley, raising corn and beans using conventional farming practices.


Show Notes

Welcome to another episode of the Rural Futures podcast. I’m your host, Dr. Connie Reimers-Hild and with me today is Dr. Tyler Ideus, he’s an international expert that connects farming, food and health in very unique ways and so we’re very excited to dig into the fact that he’s choosing to build this life in rural Nebraska, but really teaching globally and being invited to do so. So Dr. Ideus, welcome to the show.

Thank you very much.

Absolutely, now tell us a little bit more. I know I have a lot here in this introduction. You know, you teach globally, you’re teaching a lot of postgraduate and postdoctoral work to people in health but in a very unique way, can you explain a little bit what that means?

With the continuing education or the postgraduate, postdoctoral work, what we’re doing is we’re working with some kind of new cutting edge ideas that just haven’t been exposed across the world yet at this point, specifically for me it’s brought me to places all over the United States and in Canada, into Europe, China, I’ll be going to Taiwan later this year so it’s been a neat experience, it’s been neat to listen to different people and their experiences, both in clinical practice but also from kind of just a healthcare standpoint as well and the different systems that people work in as well.

Now tell us exactly what you’re teaching, tell us, and why do you think it’s grown in this popularity, this is a program on the future and you’re kind of on the cutting edge of this emergence.

So this is a rehabilitation approach for people with different types of musculoskeletal disorders and diseases, so we might be working with things from low back pain to headaches, knee pain, hip pain but then in addition to that it’s very popular in strength and conditioning and performance, from all levels to youth to, you know, collegiate and professional athletes, people that are working with those types of clients, finding this information really, really valuable.

And I know you’re a doctor of chiropractic medicine, correct, but you’ve really expanded beyond that to really connect not just the chiropractic but really those health outcomes and connecting that back to food and health.

I do have a background in chiropractic, but the way that I practice that is very, very different, probably, than what most people think of. I consider it more of being a specialist in physical medicine and if we look at the definition of physical medicine, it’s the treatment of different types of diseases, musculoskeletal issues, through rehabilitation, nutrition, manipulation without the use of drugs or surgery so then when we kind of look into agriculture, the nutritional parts of things, there are points where what we eat, what we grow has a huge effect on our health as well.

Okay, so I think we need to dive into that because you’re originally from Filly, Nebraska, and that is Filly with an F. (laughs) Yes. Right, so we want to get the right size Filly and how big is Filly Nebraska?

So Filly, at this point, I would guess is about 100 and then it’s just kind of, you know, it’s as we’re seeing common in rural, the population is declining and so I think we’re probably down to around 100 people at this point, yeah, yep.

So we’ve seen the decline, but you’ve chosen to really take your expertise but also continue to farm and link this food and positive health outcome piece together which is very rare and unique. A lot of people talk about it, you’re doing it, so tell us a little bit about your farming background as well.

Right, right, so growing up on a farm, I always tell people, you know, when you grew up outside of Filly there was about three things that you did, you farmed, you worked hard and played basketball, those were the big things. It wasn’t as much football because we were all harvesting, you know, during the fall.

Sure, that makes sense.

But when that was done, then we played basketball, so the values and stuff that you can learn from the farm, the hard work as well as sports and the competition and getting out of your comfort zone has really taught me a lot and I use those all the time in how I approach clinical practice and education and farming as well.

Well, I love how you’ve really chosen to create your own future by taking that background of the sort of love and passion of sports and being active with agriculture and medicine and really combine that to create yourself as an international expert and really a cutting edge leader in terms of how we can forge a different future in health. So Dr. Ideus, I’d like to dive into a little bit about your philosophy as a leader, because obviously you’re forging a new path, you’re taking that future and you’re creating it one day, one class, one idea at a time and that takes a lot of guts and courage to do in our society, so tell us a little bit about your leadership philosophy.

I guess several kind of things that I think about, one of the big ones is always to get used to getting out of your comfort zone, right, and so I think that if we’re just kind of always comfortable and, you know, doing the same thing and not getting out of our comfort zone, it’s hard to really be a leader, you know, it’s hard to do new things, it’s hard to really, truly make change. Eventually you just have to be comfortable with getting out of your comfort zone, in addition to that, you have to be willing to put in the work, right, to make things make sense and have them be successful and so I was recently watching an interview with Kobe Bryant and he was kind of just talking about how there’s kind of a standard in the NBA on, okay, players might go in and work out a little bit and then they rest or go to practice and then that’s kind of their routine and so then he kind of thought about, well, how can I do more? So he thought then he would get up earlier, he would do workout, shoot, whatever, rest, and then kind of do the normal routine and so he said, then, that was an extra couple hours a day and he said in one day, it’s not a huge difference, in one week it’s not a huge difference, even in one year it’s not a huge difference, but then if you do that year after year, then you’re really starting to kind of create a gap, you know, and then you’ve put in the time and the hard work and then you can kind of have I think a clear vision for what it is that you’re trying to do and you can be really comfortable with these new things and ideas that you’re trying to kind of get across.

You know, and these are the exact type of guests we like to get on the show, mavericks like yourself with that grit, and you brought up that word vision and you also brought up the hard work and doing what it takes so I’d like to segment now back into that vision that you have around blending health and food and physical activity together.

You know, obviously as somebody’s that’s still involved in farming and somebody that uses conventional farming practices, and then also somebody who works in a clinical setting, and I love research and I read all the time and read research and then firsthand having these experience with patients, there’s some real questions that come about and that we have to ask ourselves and so for example, I have a patient recently that I was seeing for just kind of this generalized neck, shoulder area pain and tension and she had received some really great care from different types of medications to injections to physical therapy to chiropractic in the different types of modalities and things that exist within without a lot of success and so as we kind of dug into her history and figuring out why the heck this is going on, one thing we eventually found out was her large consumption of soy products because she ate a vegan diet and so she was getting her protein through that source so as we know and as we’ve seen through a lot of research, that can be a food that people are really sensitive to these days, right? Well, you hear on one end, it’s a major health benefit but on the other end, you’re saying it can also be something else depending on the person. Right, so then in her case, we removed that from her diet and that was enough to clear up her symptoms. So again, we just have to ask that question if why would that be, you know?

And to me that’s really powerful because I think oftentimes, you know, healthcare itself is estimated to be a three trillion dollar industry, many groups trying to disrupt it at this point and time and take a different approach, some people are even saying, you know, it’s really focused on sick care rather than healthcare, and just that story, a very powerful story that you told, you’re trying to go back and say, okay, we can use all these different modalities and they all have a place, but we also have to go back and find the story, the real story and find out what’s going on, what’s really maybe causing the challenges so we can get to resolution, not just a short term fix.

That’s exactly right, when we’re talking about the resolution, I think it’s very important for multiple reasons, number one is obviously it’s good for the person but then at the end of the day, it can ease some of the burdens of the cost on the healthcare system, and again, some of the interesting experiences I’ve had being in different countries and talking to different people in these different healthcare systems, the one thing that I’ve found is no matter where I’m at, it’s expensive, so for example, here we have private insurance, you know, high deductibles, high premiums and so on, so it’s expensive, in the Czech Republic, for example, whose government healthcare system, one scenario is maybe you go into the hospital for a traumatic brain injury and you’re kind of allowed a certain amount of time in rehabilitation and then when that time is up, then–

That’s it?

Your time is up, so at that point you have one of two options, number one, you’re done with care, right, or then you go to a private place and pay out of pocket, so then in those scenarios they’re paying very, very high taxes and then at the end of the day they’re gonna be paying out of pocket as well, so again, at the end of the day, it’s just sick people are expensive and it has to get paid for one way or another, and so if we can do things in an agriculture and growing food and growing food that’s gonna be really healthy for people to prevent certain things, I think we’re all gonna come out ahead and I think at that point, when just the overall population is a lot healthier in the scenarios where people do need help or there is some sort of trauma, there’s just gonna be such an abundant amount of available money and funds that it’s not such a burden for us to then help those people out.

So you can really see this from a place of abundance as well, it doesn’t have to be sort of this scarcity model where there’s not enough.


Rather, in the future we could actually forge a path that if we had health on the front end, there would be care for those ’cause people are still gonna need it, right? There’s no one perfect system, but we could evolve the model if we chose to. How do you see the future of food and health coming together?

Yeah, I’m not trying to say that we stop conventional practices and the research and the technology and everything that we have accomplished, being in a country like China and I was in Beijing and then we took a really neat train ride kind of through the countryside to another city called Nanjing and you could just see the abundance of people, you know, just so, so, so, many people and all these apartment buildings that are just skyscrapers so you just saw the mass number of people. There still has to be some type of, I think, more mass production of things, so we need that, we can’t get away from that, but at the same time I think that it’s okay that if we look into additional farming practices and being aware of ways to start expanding growing things organically and I think that also then can potentially help with rural growth and even create more opportunities within rural communities, just because those types of practices require a little more hands-on work, hands-on labor. We’re not just gonna be able to drive by with a big tractor sprayer and just cover these mass amounts of acres so it would return a part of farming to a little bit more of a hands-on practice which I think would be good as well. I always say that they’re talking about putting up these hydroponic plants on the ocean, you know, and these types of things. Vertical farming, we have a lot of cool stuff happening. To grow, you know, these foods and stuff and I just think, my gosh, we have some of the best people in the world that understand how to grow things and we have some of the best climates and the soils in the world right here to do that and so I just think there’s a huge opportunity for us to be leaders in that area as well.

I agree, I love reading about how, you know, they’re bringing sensors and AI and drones and robotics all into agriculture to make it more sustainable and it’d be great to bring some of that more thoughtfully and intentionally here to Nebraska to explore exactly what you’re saying.

Yeah, absolutely.

(Music Transition)

When I read things, and if they’re somewhat controversial, then I’ll read both sides. I have a stack of books at home that’s all about low carbohydrate living, so no breads, no grains, those type of things, but then at the same time, I also have books that the title, one of them is literally called “Eat Wheat,” but even in that book what it talks about is that the wheat that we used to eat 30 years ago, the way that the bread was made without preservatives and processed and all those types of things is way way way different than what we’re eating today so these highly refined grains and processed that have potentially been sprayed to kill to get in to harvest early, that’s why I think we’re seeing, like, this huge number of more urban populations having problems with our conventional farming needs.

This is what’s a little tricky because it all gets a little confusing, right? So there’s a lot of information out there and it’s good to read both sides and gather all that information. I’d love to learn a little bit more about some of the health outcomes that you’ve achieved by reading and digging into both sides and how you’re getting to health outcomes, positive health outcomes through that sort of questioning process.

Right, there is a good experience that I had with a patient not too long ago. There was a young man, I think he was 22 years old, I believe, and so then he had kind of been in and out of the hospital with C diff, which is just a bacterial regrowth in the stomach and small intestine that just leads to some really serious health issues, obviously. Then he was given the diagnosis of ulcerative colitis and told that he would just need these infusions once a month for the rest of his life. They would have to do kind of continued blood testing since this is an immunosuppressive drug, there’s kind of a lot of complications and side effects that could come from that, him and his parents were both very, very concerned about him going down that road and they wanted–

It’s a lifetime sentence.

Yeah, right, and they wanted to look if there’s anything else they could do, any other options and at that point we just ordered some blood tests that looked at basically different types of food sensitivities or allergies and when we got those results back we did see that he was significantly sensitive to dairy products, basically and different grains, so like gluten and glietens, which are different proteins within a certain type of grain and we completely took those out of his diet, we came up with a plan for him and then over a period of a few months, his symptoms were gone and he’s still symptom free over a year later and not that every single case of ulcerative colitis or Crohn’s or anything like that can just be, you know, miraculously cleared by a few dietary changes, but like I told him in the very beginning, even if you do still need some type of medication, maybe it’s a little bit less and I don’t think that anybody is gonna be worse off by cutting, like, sugar out of their diet as he was dealing with it or if somebody else is dealing with that, just kind of their overall health can be so much better, you know, but like in his case then as well, if we think about the cost, that would have been accrued over a lifetime of needing those medications and those infusions, would have been astronomical compared to what it is now.

And I think even his overall well being, thinking about the cost but also his quality of life in terms of just freeing up time to have that energy to go do what you really want to do.


It’s fantastic.

(Music Transition)

Okay, so you’re a busy guy, I mean, we know this so you’re farming, you have a full practice, you’re traveling internationally and really helping advance this whole connection between food, health, but also activity in this vital lifestyle. Tell us a little bit about what brings joy into your life around that, but also why you do everything that you’re doing, because it’s a lot.

With the farming aspect of things, that’s just something that, you know, I thoroughly enjoy, so I’ve made the comment before where some people go play a round of golf on the weekend, you know, or whatever it might be and I always say, there’s nothing in the world that beats sitting in the combine on a nice fall morning with a cup of coffee and my family that takes turns riding with me, so that’s just a lot of fun.

I gotta go there, because I know that you’re married and you have two little people in your life, right, so do they get on the tractor with you?

Oh yeah, we’ve had many rounds in the combine with four people in the cab, so two kids moving around and trying to, yeah, keep them somewhat still but it’s all worth it, that’s what makes it fun.

Yeah, and I appreciate that you’re really bringing that next generation of leaders along, getting this very hands-on experience out on a farm, that’s so cool.

So then in addition to that, the postgraduate and doctoral continuing education, that just kind of came about organically, I guess, and again, just kind of my passion for learning and curiosity, when I was exposed to this program, you know, I was just very, very intrigued and fascinated by it so continued to just learn and research and dig and then over a period of time then was asked if I would be willing to be a part of the group that is teaching to expand this just because the demand is so, so, so high for this program. I’ve always been a curious person and I think in clinical practice, one of the things I enjoy the most is the examination process. I spend a ton of time always on the first exam and I always say there’s literally no information that’s not important. And we do all kinds of different movements and history and again, diet and activity and all those types of things, then to finally end up at the answer of why you’re feeling the way you are, what’s going on, and so that’s an enjoyable process as well.

Well, I love this whole idea of you just like to explore and you like to get to the why and you are such a learner and take that deep dive in, both in your practice, your teaching, but also, you know, your farming and thinking about this whole evolution of agriculture, of food and health together, which is amazing, so what parting words of wisdom would you leave our audience with?

I think there’s a few things that always stick out to me, number one, one of my mentors told me early on when I was in school and he was talking specifically to clinical practice, but I think we can take that outside of that world, but he said, every single patient and every single visit with every patient deserves a 10 out of 10 with your effort and that doesn’t matter if it’s a professional athlete or if it’s Grandma, for example, you know, every patient, every visit deserves a 10 out of 10 and so I kind of take that too in the way that I farm and when I’m planting, for example, I’m gonna give out a 10 out of 10 effort. With the teaching aspect of things, if I’m gonna do it, I’m gonna give a 10 out of 10 effort for that, so I think that’s something that’s really important. I know I mentioned a little bit of being willing to get out of your comfort zone.


I think is really really important. I think that we need to embrace competition and not be afraid of competition, not be afraid to compete and to truly compete, you really have to know what you’re talking about, you really have to know what you’re doing.

Putting in those extra hours.

Right, right, and then, yeah, exactly. That work, that grit. The hard work, right, you know, and just being willing to put in the couple extra hours that others aren’t and then again over a long period of time, those extra hours just add up and add up and add up.

Well, I know at the Rural Futures Institute, we appreciate the fact that you’ve designed a life where you’re choosing to live rural and you’re continuing to farm but you’re also expanding and you’re an expert internationally living locally and so you’re really making this life work, so thank you for all you’re doing to serve Nebraska but also get Nebraska out there, you know, and the great work that’s going on, both on your farm but in your practice and really helping people around the world.

I always say, just because you’re from a small town in the middle of Nebraska doesn’t mean that you still can’t have a global impact. And again, with kind of that hard work that you’ve learned and you’ve put in and you’ve seen your parents do and their parents, it’s just very valuable for your business life.

Well, I’m really excited to see what the next generation of young farmers on your farm accomplishes with all that you’re teaching them as well. So thank you so much for being here.

Thank you.