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Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
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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