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News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
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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