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Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
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.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
July, 2005, Vol. 05, Issue 07
Plastination Reveals the Craniosacral System
By Julie McKay
Author's note: This article is for educational purposes only. I have no financial connection to or other vested interest in the Body Worlds exhibit. I only encourage others to take advantage of the exceptional educational opportunity it offers.
For those of you who would love to attend a dissection class to explore the craniosacral system, this article is for you.If you have already seen the Body Worlds exhibit of perfectly preserved cadavers created by Dr. GŸnter von Hagens, you may have realized that it is even better than a dissection class. If you have yet to see the Body Worlds exhibit, I have three words for you: Go see it! Body Worlds is an exhibit of perfectly preserved human anatomy specimens using a technique called plastination. The exhibit features whole bodies, individual anatomical specimens and transparent slices.
I have been practicing CranioSacral Therapy (CST) since 1998. It's the work that I love. As a CST teacher's assistant and study group leader for the Upledger Institute, anything pertaining to the craniosacral system gets me excited. When my husband, who is also a massage therapist, told me about the Body Worlds exhibit, I had no idea how much I would learn about the anatomy of the craniosacral system by attending.
The exhibit is currently on display at the Chicago Museum of Science and Industry and takes about two hours to go through. I realized within the first five minutes of walking into Body Worlds that something amazing was about to be revealed to me. After seeing the exhibit the first time, I had to tell everyone interested in the craniosacral system or CST to see it. Why? Dr. von Hagens has preserved delicate anatomy that is rarely done justice in anatomy texts or dissection classes. This exhibit displays many wonderful views of exposed cranial bones; intra- and extra-cranial membranes, including dural tubes, dural nerve sleeves, tentoriums and falxs; and lots of cranial nerves.
Around the exhibit entrance is a display of horizontal body preserved by epoxy resin. The item that caught my attention was the sagittal slice of the cranium and neck allowing an unusual view of the orientation of the occiput, atlas and axis. Once in the exhibit area, cases and upright specimens are on display with over 200 specimens in all. The first full plastinate is "Cartilage-Ligament Skeleton." (623)* Walk around to the back and stand on your tiptoes. You will see your first up-close look at the falx cerebri and tentorium of the intracranial membrane system. Also easily viewed are the sagittal and straight sinuses.
In the display case (203) the smallest bones of the body are displayed - those of the ear. Seeing them up close allows you to realize why the mechanisms of hearing are so sensitive - it does not take much to affect them, as they are so tiny and light. Their close proximity to the temporal bones allows us to appreciate how a blow to the head can have a negative impact on hearing and how CST can allow the body to restore balance to this delicate mechanism.
Look at the suboccipital region of "Muscle Man with Skeleton." We can get a good visual of the extensive muscles and connective tissue that need to be softened to have access to the atlas, C1, which is used in an atlanto-occipital or cranial base release. "Torso with Severely Deformed Spinal Column" (205) helps us to understand the effects of Wolfe's Law, how bone grows or changes to accommodate the stresses it is placed under. We see that the ribs, vertebrae, illia, and even the coccyx have accommodated the stress of the body, but still allow the internal organs to be protected.
Have you ever seen a wormian bone? A wormian bone is a small, irregular bone that forms along the cranial sutures. Well, take a good look at the lamdoidal suture of "The Runner" (614). At first glance everything looks normal. But upon closer observation you'll realize that there is an extra bone above the occiput and between the parietals. Usually, wormian bones are small but this one is probably the largest one that most of us will ever view. I'd hypothesize that either the infantile occiput did not fully ossify into one bone or at some point in time the occiput was stressed and a "crack" or additional suture developed. The craniofacial nerves can be viewed around the left temporal region of "The Runner." We can also see a wonderful view of the psoas. By seeing where it attaches we realize that doing respiratory and pelvic diaphragm releases can affect this muscle. The view of the brachial plexus helps us realize how restrictions can be released with a thoracic inlet release.
Spend plenty of time observing the intra- and extra-cranial membranes and cranial nerves of "Poised Plastinate of Nervous System" (604). The posterior view reveals the exterior side of the dura mater and the interior side of the arachnoid mater of the dural tube. Additionally, a rare view of the vomer bone is offered.
In the brain specimen cases, there are wonderful views of the ventricles (252) where cerebral spinal fluid is produced. And check out the brain slice of the cerebral cortex showing black marks due to Alzheimer's disease. Viewing this brain slice we can understand that if the cerebral spinal fluid does not optimally flow around the brain, it does not have the opportunity to chelate, pick up, and remove the deposits, which can lead to Alzheimer's disease.
My favorite display is the "Chess Player" (603). The posterior portions of the vertebrae have been removed to reveal the dural tube and spinal cord. You can view where the brainstem ends and the superior portion of the spinal cord begins, as well as the cauda equina, nerve roots and dural sleeves. Looking closely, you may also be able to identify some denticulate ligaments and the termination of the dural sac. Other nerves of note are the sciatic nerve and the left trigeminal nerve. We can better understand the major impact that facilitated segments can have on the body by being able to observe this complex pathway of nerves. I am absolutely fascinated by how intricate our bodies are.
Moving on to the arterial specimens, "Arterial-Skeletal" (351) shows the carotid artery's entry into the head through the carotid canal. The sphenoid, temporal and occipital bones form the carotid canal. Viewing this gave me a better appreciation for how making sure that these cranial bones are properly moving can help improve the delivery of arterial blood to the brain. "Torchbearer" provides a beautiful view of the hyoid bone, the only floating bone in the body, and its muscular attachments. Viewing this specimen can help those who have difficulty locating the hyoid during CST sessions by giving us a visual to reference.
Hanging is "Representative Series of Slices, Female." We can view in these transparent slices how the tentorium attaches to the temporal bones and how the falx attaches to the parietal bones. This allows us to visualize and realize how temporal ear pulls and parietal lifts, respectively, can engage the intracranial membrane system. Toward the end of the exhibit hangs "3-D Slice Plastinate" (620). Examine both sides of the 3rd and 4th slices in particular. The intracranial membrane is visible, particularly the tentorium's attachment to the temporal bones.
Last, but by no means least, is the "Cyclist," an expanded body that provides space to better view the relationship between the bones, organs, and muscles of our bodies. I often feel how big a cyclist looks after receiving a CST session, when a lot of my restrictions have been released. Afterward, I feel bigger on the inside, as if I have more space available to me.
For anyone interested in the workings of the body and what lies beneath our skin, Body Worlds is a must see exhibit! It is well worth making the effort to see regardless of where you live. I hope you enjoy the exhibit and walk away with a better understanding of what lies beneath your hands when you work with your clients. It certainly has opened my eyes and allowed me to better realize what I am affecting when working with my clients, "craniosacrally" speaking.
For more information on Body Worlds, visit www.bodyworlds.com.
*Parenthetical numbers refer to the audio tour discussion for that specimen. I use these numbers as an additional means of identifying a particular specimen. I recommend the advanced level audio tour.
Body Worlds 2:
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