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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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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