resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
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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