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Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
April, 2004, Vol. 04, Issue 04
21-Year-Old Looks Forward to Pain-Free Adulthood
By John Upledger, DO, OMM
Author's Note: With all that has been written about scientific research, placebo effects, double-blind studies and such, one might wonder why I didn't listen to naysayers regarding CranioSacral Therapy (CST) and other techniques long ago.The following explains why I choose to listen to patients and their bodies, rather than to critics.
The smile on Jo Anna Wiersma's face speaks volumes beyond her words: "I've had pain for 12 years, and now it's gone." With one look, the tall, soft-spoken 21-year-old conveys all the hope of someone given a new chance in life - the first, really, for her.
Since the age of 8, Jo Anna Wiersma had lived at the mercy of reflexive sympathetic dystrophy (RSD), a neurological syndrome brought on, in her case, from a simple fall while roller-skating. Little explanation can be offered as to why she developed a life-altering condition from such a common childhood mishap. There is little beyond "the right set of circumstances all colliding together," as she puts it.
The pain began in Jo Anna's left foot about two days after the accident. It was a deep, persistent, "on-fire" kind of pain. The orthopedic doctor thought it was a sprain and put her in an air cast for six weeks. "It's the worst thing you can do," Jo Anna said. Casting and immobilization can actually worsen the symptoms of RSD. "My skin got a silvery sheen and was blue and purple." A family friend who was a nurse practitioner recognized Jo Anna's problem for what it was and recommended a doctor in the pain management clinic where she worked. Testing at Shand's Children's Hospital in Gainesville, Fla., confirmed RSD - a condition that has no known remedy.
Jo Anna found some relief during her teen years. "I was able to be in the marching band and on the swim team," she says. Then she started college, where she tried to do too much. The RSD flared up with a vengeance, spreading for the first time to her left hand. In a four-month span she went through seven lumbar punctures, two rhizotomies (in which the sympathetic ganglion nerves were severed), and an epidural catheter that left her paralyzed from the waist down for 11 days. That's when a friend of Jo Anna's mom recommended CST at the Upledger Institute HealthPlex Clinical Services (UI HealthPlex).
In a two-week intensive program, Jo Anna was found to have severe restrictions of her intracranial membrane system and dural tube - a compromised craniosacral system - and severe imbalances in her autonomic nervous system and myofascia. During the course of therapy, "I knew something was going on inside me," Jo Anna says. "There were times I forgot to take my methadone. And methadone is a drug that's really hard to forget because of the withdrawal symptoms and the pain that comes back." (Methadone is a powerful pain reliever that is extremely addictive; at this point, Jo Anna had been taking prescribed methadone for several years.) By the end of the intensive therapy program, Jo Anna's pain had improved enough that she was able to go back to school.
In January 2002, however, she faced another setback when she contracted encephalitis. Once again, the correct diagnosis was slow in coming. A neurologist, an infectious disease specialist and a rheumatologist all concluded that her condition was a complication of the RSD and medication. "They automatically assumed it was the RSD and was psychosomatic," Jo Anna recalls. In April, another neurologist finally confirmed the problem was encephalitis.
Jo Anna stepped up her appointments at the UI HealthPlex, coming at least twice weekly and going through another weeklong intensive program. Finally, this past December, "everything started to get better," she says. Though she readily admits it was a tough process. "There were times when I got very discouraged, wondering if this was even working. It took a good year to recover from the encephalitis, and I'm still feeling some of the effects. Especially when I'm under stress, I get very tired and the pain in my foot comes back. But I'm pain-free most days of the week now, which, actually, is a weird feeling. I honestly didn't remember life without pain."
Tad Wanveer, LMT, CST-D, worked on Jo Anna for her official "last appointment." "What a difference," he observes. "Jo Anna shows a high level of improvement and balance in the areas in which she initially presented. It's wonderful to see this courageous, intelligent, sensitive young woman able to go back and live her life, " he adds.
And living life is exactly what Jo Anna is doing: "I have a lot more focus, and I'm more sure about what I want to do. One of my goals is to run a triathlon, which I would never have been able to do," she says. "I've never been able to run even a quarter of a mile. I'm also graduating from my community college and going to college in Ft. Myers [Florida] for their pre-med program." From there, she wants to attend the Kirksville College of Osteopathy.
Laughing, Jo Anna says, "I have a twin sister, and we've always been competitive. She's in Tennessee going to school. She's a chemistry major with a biology minor, and I'll be a biology major with a chemistry minor. During the summers, she works for a big pharmaceutical company, and she's been gearing all her research toward finding a cure for pain. I keep telling her, 'It's right in front of your eyes!'"
The sparkle in Jo Anna's own eyes reveals how anxious she is to prove her point. "You know, a year ago I didn't even know if I'd get this far. I didn't even know if I'd graduate with my A.A. degree," she recounts. "I look at everything as a gift. I have my life back now. And it's a lot better life than I had before."
I will never forget the last time I saw Jo Anna. She came into the clinic and said simply, "I'm all better."
"What?" I asked, somewhat surprised.
"I think I'm finished," she said. "I feel great."
Seeing that smile light up her face, I couldn't help but agree.
Click here for previous articles by John Upledger, DO, OMM.
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