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Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
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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