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Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
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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