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It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
November, 2003, Vol. 03, Issue 11
CranioSacral Therapy and Scientific Research, Part II
By John Upledger, DO, OMM
Editor's Note: Part one of this article appeared in the October issue www.massagetoday.com/archives/2003/10/10.html.
After Drs.Roppell, Retzlaff and I successfully demonstrated live sutural contents and rhythmical cranial bone and sutural motion, I began working with biophysicist and bioengineer Zvi Karni, PhD, DSc. He was a visiting professor from the Technion-Israel Institute of Technology in Haifa, Israel, where he chaired the biophysics department. He initially joined me to prove that I was crazy in my concept that "energy" was passed from one person to another during a hands-on treatment session (later named CST). After closely observing my treatment sessions, we theorized how we could best investigate. I became his student in biophysics, and he became my student in clinical manual medicine and biology. He gave me reading assignments in classical and quantum physics followed by pop quizzes; I gave him insight into the strange hands-on approach I was using.
Dr. Karni and I worked intensively for about three years, after which he was recalled to Israel. He arranged for me to go there the following summer as a visiting professor at Technion, where he introduced me to Professor Nachansohn, MD, the director of the Loewenstein Hospital, Ra'anana, the country's principal neurological rehabilitation hospital. I studied in the hospital's coma ward. After examining numerous comatose patients, I discovered that their craniosacral rhythms, as monitored in the paravertebral regions, were not present at the level of spinal cord injuries and below. With 100 percent accuracy, I was able to tell doctors the precise level of spinal cord injury in each patient, with no clue other than the loss of palpable craniosacral rhythm. This was truly a "blind" study, with eight to 10 very skeptical neurologists observing constantly.
During our years together at Michigan State University (MSU), Dr. Karni and I decided that we would look at the human body as an insulator bag made up of skin and mucous membranes full of electrical-conductor solution. We hypothesized that the conductor solution would undergo voltage changes in response to energy changes that occurred in the body as I did my treatments. In order to measure such millivoltage changes, Dr. Karni built what he called a modified Wheatstone bridge. The instrument algebraically added the millivoltage deflections in both the positive and negative directions at any given instant from a determined baseline. Thus, we could see millivoltage changes in patients as they occurred.
We began this series of experiments by applying electrodes on the midline of each patient's anterior thigh, three inches above the superior border of the patella. The grounding electrodes were placed upon the dorsum of each foot on the anterior midline over the tarso-metatarsal junctions. We also monitored cardiac activity through a V-2-placed electrode, and we tracked pulmonary/respiratory activity by placing sensitive strain-gauge and band apparatuses around the thoracic cage at the level of the juncture of the manubrium sterni with the xiphoid bone. Circumferential variations in thoracic-cage volume reflected breathing activity. These four measuring devices were then plugged into a polygraph that recorded the heart rhythm, breathing activity, and total-body millivoltage changes.
Dr. Karni monitored the readings on polygraph paper. Initially I told him what was happening as I initiated treatment techniques or patient changes occurred, and he noted the comments on the polygraph paper at appropriate locations. After a while, he was making accurate patient observations by simply monitoring changes in the polygraph recordings. We treated more than 150 patients this way and collected what seemed like miles of data. By demonstrating correlations in total-body electrical potential, we again confirmed the activity of what we called the craniosacral system.
As all of these laboratory studies were taking place, my colleagues and I conducted two clinical inter-rater reliability studies on children. I developed a 19-parameter evaluation protocol used to rate the level of mobility for various bones of the skull and sacrum. The first study was carried out on 25 nursery-school children examined by myself, one of two other cranial osteopaths, and a student assistant. The four of us evaluated the children independently, and reported our findings on each parameter to an independent research assistant. No one had any knowledge of the other's findings until after an independent statistician completed the statistical analysis. The percentage of agreement between the examiners varied from 72 percent to 92 percent, with the allowed variance of 0-0.5 percent. Once again, these findings supported the existence of a craniosacral system and sutural movement.
Still not satisfied, I went on to use the same examination protocol on 203 grade-school children. I personally evaluated the children with no knowledge of their histories. I then reported my findings to a research assistant who faithfully recorded them. An independent statistician then collected information from each child's school file, along with historical data from parent interviews. He correlated my findings with the data he recovered, and reported a very high level of agreement between the craniosacral examination findings and learning behavior; seizure problems; head injuries; hearing problems; and even obstetrical problems.
The study, because of its scientific design, obviated the possibility of random agreement. The results showed that standardized, quantifiable craniosacral system examinations represent a practical approach to the study of relationships between craniosacral system dysfunctions and a variety of health, behavior and performance problems. Other researchers have performed similar studies related to psychiatric disorders and symptomatology in newborns. Again, most of this work has been published. This is but a small portion of the research that has been done to prove the efficacy of therapy upon the craniosacral system.
Today, there are close to 100,000 CranioSacral Therapists around the world - and even more reports of patients helped by its noninvasive techniques. I find it odd that this information counts for nothing in the eyes of some skeptics who continue to proclaim the craniosacral system a fantasy. In any case, the craniosacral system will continue to exist and be used therapeutically with essentially no risk.
Click here for previous articles by John Upledger, DO, OMM.
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