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Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
May, 2001, Vol. 01, Issue 05
The Privilege of Being a Witness
By John Upledger, DO, OMM
"If you're not smart enough to know that it can't be done, you may be able to do it."
I first said that in 1975 at Michigan State University, shortly after I joined the faculty as a clinician-researcher in the department of biomechanics.I was embarking on research that would document what I was subjectively feeling when I worked on patients with my hands - the movement of the skull bones, one in relation to the other. The motion I was sensing was rhythmical, pulsing at a rate of about eight to 10 cycles per minute, yet the anatomy department was telling me it was all in my mind. To prove it, they showed me microscopic views of human skull bones taken from bodies in the anatomy lab. Sure enough, their slides showed skull bones that were calcified and fused to each other.
Fortunately, I was too "dumb" to accept that as proof that skull bones fused together. Instead, I chose to trust my own hands and senses. I kept on working until I finally decided to look at microscopic views of skull-bone sutures taken from brain-surgery patients. A neurosurgeon agreed to assist me with the project. He took the bone specimens during surgery, quick-froze them to preserve their architecture, and sent them to me by Federal Express.
Lo and behold, these specimens showed skull-bone sutures that were neither fused nor calcified. In fact, the spaces in the sutures were chock-full of arteries, veins, nerves, nerve receptors, elastic and collagen fibers. Nature doesn't structure things like that without reason. These sutures were designed to move. The original fused specimens from the anatomy lab were indicative of post-mortem changes and the effects of embalming fluids and preservatives, not of live patients.
My research at Michigan State University eventually led to my development of CranioSacral Therapy. But if I had simply accepted the premise that skull bones couldn't move in relation to each other, the craniosacral system might never have unfolded at all. And there would be many children and adults today who would never have received CranioSacral Therapy as a means of reaching a higher potential.
For instance, a man in his 60s showed up at The Upledger Institute with a left arm and hand that were developmentally infantile. He was born with a condition called Erb's palsy, which means there is something wrong with the function of the nerves and blood vessels to the arm. The arm just doesn't grow properly. After three unsuccessful surgeries to relieve the unrelenting pain in his left shoulder, he finally came to us for help.
Initially we were able to reduce the pain significantly using a variety of bodywork approaches. But I thought we might also be able to help the function of his arm. We worked on his craniosacral system to help release any restrictions that might be causing the problem. Soon he was able to use his thumb and fingers, which he had never done before.
As our work proceeded we could see his arm and hand begin to grow. We even had x-rays taken and compared them to those from before his first visit to us. Sure enough, the bones were growing in length and width. Once again we were witnessing the impossible.
From my perspective, science is just starting to scratch the surface of the biological miracles that can occur. Yet science is often skeptical. It doesn't understand, or seem to want to understand, the powers of intention, faith and love. I am so pleased that my intellect serves my intuitive side rather than inhibiting it. As a result, "impossible" dreams often do come true.
All of this has helped shape two of my own personal credos: (1) Before we try to change nature we should understand her; and (2) Man's ego is a major cause of disease. These beliefs, coupled with the fact that I refuse to recognize the impossible, have resulted in some wonderful things happening - incidents for which I am extremely thankful to have been given the privilege of being a witness.
Click here for previous articles by John Upledger, DO, OMM.
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