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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.
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.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business 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...
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!
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
August, 2001, Vol. 01, Issue 08
Craniosacral Therapy and Attention Deficit Disorder
By John Upledger, DO, OMM
Craniosacral therapy is a gentle, hands-on therapeutic modality that may have a profoundly positive effect upon brain and spinal cord function. Application of this modality can also positively influence the endocrine and immune systems.It seems especially effective at relieving excess tension patterns and restricted motion in both osseous and membranous anatomical regions and relationships. By relieving excess tension in the meningeal membranes, the impairment of related nervous tissue function is often restored.
By restoring bone mobility in the skull, spinal column, rib cage and pelvis, abnormal restrictive anchorings of these meningeal membranes are removed. This restoration of natural mobility of the individual bones of the skull also allows the sutural junctures (joints) between these bones to resume their normal pumping and accommodative activities.
The net result of all this is to enhance the movement of fluids throughout the central nervous system and its related structures and systems. Physiological fluid movement is essential to the healthy function of any tissue and organ, whether it be brain, bone, muscle, etc. Fluid is the vehicle used by the body's physiological mechanisms to remove metabolic and toxic wastes from within cells and from intracellular spaces. Fluid is also the vehicle the body uses to deliver nutrients and antibodies, and to carry messenger substances such as hormones, neuropeptides and the electrically charged ions and particles that are so important to physiological function.
Craniosacral therapy has been used quite successfully in the treatment of attention deficit disorder (ADD) and hyperkinesis since 1975. Our clinical experience suggests that, in a significant number of ADD and hyperkinesis cases, a structural problem may be a primary contributing factor to the symptom complex. When this structural problem is present and corrected, the symptoms of ADD and/or hyperkinesis disappear very quickly, quite often in minutes to hours. If the structural correction holds the treatment, the effects can be permanent.
Sometimes the structural problem requires multiple corrections. However, with each therapeutic treatment, the corrective process becomes easier and the symptomatic improvement lasts longer until, ultimately, neither the structural problem nor the ADD and/or hyperkinesis symptoms reoccur.
The structural problem that often seems to be causally related to ADD and/or hyperkinesis is one that may frequently occur during obstetrical delivery. It happens when there is an excessive back-bending (hyperextension) of the occipital base of the skull upon the first cervical vertebra (atlas). The joint surfaces between this occipital bone and the atlas form a horizontally oriented V-shape, with the point of the "V" facing forward. The most common delivery position for the newborn is facing toward the back of the mother's body. Therefore, the back of the newborn's head comes under the mother's pubic bone complex. In so doing, the head may be severely angulated upon the neck.
This position represents a very threatening situation to the newborn's nervous system. (The neck could be broken if angulation goes much further.) An obvious response to this kind of threat is to splint or contract the tissues (muscles, etc.) to prevent life-threatening damage. When the delivery is over, the splinted tissues may or may not relax.
If they do not relax, the occiput remains in a locked forward (hyperextended) position on the atlas. If the soft tissues do relax, the bony surfaces may or may not release from each other. If the head-neck situation does not naturally self-correct, or if there is not a craniosacrally oriented practicioner available to facilitate the normalization of the head-neck relationship, the persistence of this restrictive situation results in abnormally increased tone of the muscles at the head-neck juncture.
Other soft tissues may also fibrose and hypertrophy. One result of these misguided, but well-intentioned tissue responses, is to increase back pressure to the outflow of blood through the jugular foramena, located in the midst of these overreactive, protective tissues on either side. The jugular veins pass out of the skulls through these foramena, as do the glossopharyngeal, vagus and spinal accessory (cranial) nerves. The increased tissue responses, by heightening venous outflow resistance, must reduce the degree of physiological fluid circulation within and around the brain. These fluids include cerebrospinal fluid, intracellular fluid, interstitial fluid, lymph and blood. The reduction in removal of waste products, secondary to the reduced efficiency of these fluid systems, results in an abnormal accumulation of these products that, in turn, contribute to an irritable brain.
When fluid motion is restored, the symptoms of ADD and hyperkinesis often disappear. In addition, the impingement upon the major cranial nerves as they exit through the jugular foramena may result in colic, gastric upset, and/or difficulty in swallowing, depending upon the degree of effect upon the glossopharyngeal and vagus nerves. The spinal accessory nerve, when irritated, may cause excessive tone in the major neck muscles.
Craniosacral therapy is ideally suited for resolving the aforementioned structural problems. Although it is common for the head-neck structural problem to occur during obstetrical delivery, it can also be the result of any kind of accident or trauma that "whips" the head backward on the neck. Fortunately, the problem can be corrected with competent craniosacral work at any time, even as early as an hour after birth.
Click here for previous articles by John Upledger, DO, OMM.
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