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A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
March, 2001, Vol. 01, Issue 03
An Eclectic and Integrative Approach to Treatment
By John Upledger, DO, OMM
All too often, we therapists become "specialized," excluding approaches we may not consider our favorite or easiest routes. I believe there should be no boundaries between disciplines when it comes to patient care.Different modalities can and should be integrated whenever appropriate to the therapeutic process.
Case in point: a 43-year-old woman who had suffered four "D & Cs" before delivering her only child, and a tubal ligation shortly afterward. Aside from the usual childhood diseases, there appeared to be no significant medical or surgical history other than the problems that brought her to see me.
Her chief complaint: abdominal bloating and pain that began at about age 10. The bloating was generalized and the pain was localized in the epigastrium and upper right abdominal quadrant. She also had suffered frequent bouts of constipation since her teens, during which she bore significant pain in the ileocecal region, the low back and the large bowel. More recently, she had neck and back pain, and it was difficult to focus her thoughts. She also had near-constant tinnitus and episodes of debilitating fatigue presenting with growing frequency.
Previous treatments had produced short-lived relief, but none offered remission of symptoms. Her programs at various times included conventional medicine; massage; chiropractic; therapeutic yoga; colonic irrigation; nutritional therapy; elimination diets; and herbal therapy.
My evaluation revealed a low-amplitude craniosacral rhythm, which indicated restrictions around the brain and spinal cord. Conduction of dural tube motion was partially impaired from the upper thorax through the sacrum, with restrictions focused at T2-3-4, T11-12, L1-2 and L4-5-S1. There was also restriction of both temporal bones and a very tight intracranial membrane system in all directions.
In addition to all this, her hard palate was locked in internal rotation, her frontal bone was compressed, and she was suffering from occipital cranial base compression with atlanto-condylar compression, multiple tooth dysfunctions, and spinal motion restrictions at the atlanto-occipital region, left sacroiliac and C1, C2, T3, T4, T11, T12, L1, L4, L5 and S1. She was also restricted in the thoracic cage and the respiratory and pelvic diaphragms, and had marked tenderness in the area of the solar plexus and abdomen deep into the umbilicus.
It was clear to me that a single approach or even one method a time was not going to help in such a multilayered case. My treatments included a combination of therapies: CranioSacral Therapy coupled with acupuncture to regain energy flow and release the obvious restrictions; visceral manipulation to release abdominal tension patterns from the internal organs; and spinal manipulation combined with myofascial release, costal manipulation and pelvic balancing to correct the peripheral structural problems.
Concurrently, I repeatedly mobilized the dural tube to encourage defacilitation of hypersensitive spinal cord segments. I did some mouth and tooth work, since childhood dental trauma was found to be a major contributing factor. SomatoEmotional Release also revealed some issues with the patient's father, involving the lack of self-esteem development when she was a child.
After about 20 sessions, the problems began dropping away as her body accepted the work and trusted that whatever was needed would be provided. Now almost all of her symptoms are gone. A combination of treatment modalities helped this patient accomplish body-mind integration, and successfully assisted in her self-healing. This was truly a case in which the whole was greater than the sum of its parts.
Click here for previous articles by John Upledger, DO, OMM.
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