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Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
January, 2002, Vol. 02, Issue 01
Myth and Magic
By Keith Eric Grant, PhD, NCTMB
In ages past, the rhythms of our ancestors' lives were bound closely to the changing cycle of the seasons. The coming of the New Year was linked with celebration of the winter solstice, the point in the progression of celestial events that marks both the shortest day and the birth of hope that a new spring will come. Anglo-Celtic mythology metaphorically portrays the cycle of seasons as a recurring conflict between the Holly King, who reigns during the half-year of waning sunlight, and his brother the Oak King, who reigns during the half-year of waxing sunlight. In their midwinter clash, the Holly King yields to the Oak King, even as the old sun dies so that the new sun can be reborn. As deep winter approaches, the Holly King withdraws into contemplation. Within his chalice, he nurtures the nascent new sun, and perhaps sees visions and dreams of the year to come.10
Such shared myths as the Holly King encapsulate the themes by which a society makes sense of and responds to the world around it. Whether or not a myth has literal truth is often irrelevant to this metaphorical function. Similarly, we also share family myths and create personal myths to help us organize and make sense of the progression of our own lives. 1,3,4,6 Because our attitudes and responses towards life take form within our internal stories, our personal myths can be both powerful and limiting. Often enacted at an unconscious level, they can separate us from the vitality of our embodied life or allow us to fully experience and draw upon that vitality. In the process, our personal myths set the underlying tone of our emotions and mental imagery. These emotions and imagery, in turn, profoundly affect our health and bodily comfort. 2,9
Among the conceptual difficulties in trying to approach the efficacy of massage and bodywork in the medical sense are the myriad ways in which we can, simply by presence and touch, influence internal life scripts, mental imagery, sensation, and even sense of identity. We deal not with simple cause and effect. Instead, we interact within the ever-changing flow of complex patterns of feedback. The concepts of personal myth and imagery outlined above provide a helpful perspective. Such thoughts are furthered by recent research into phantom limb pain that has led to a hypothesis that the brain contains widely distributed neural networks that create an image of self through genetic programs and memories of past experience. Afferent inputs act on this neuromatrix and produce output patterns that lead to the report of pain. 5,7 What emerges is a view of the body as a system, with a memory that accepts and responds to sensory input, but does not necessarily directly echo it in form or timing.
The Celts viewed liminal (threshold) times and places -- times and places that are neither this nor that but contain a protean element of confusion and chaos -- as holding great potential for creation and change. The Chinese ideogram for crisis also succinctly captures this belief, being made up of the two symbols for danger and opportunity. Perhaps within our practice of bodywork, we learn to elicit the creation of such liminal moments of chaos and reorganization - a threshold or pause in what was a constant state of dysfunction that allows a client to move themselves towards wholeness and a new homeostasis. Our inputs of touch, sensation, and presence may well affect personal myth, imagery, emotion, and neurological state, facilitating such a reorganization of body and spirit. While this viewpoint is largely conjectural, it is conjecture firmly grounded in current concepts of human physiology and its web of interconnections.
Within ourselves, we have the need to create myths for our lives and work that provide us with the opportunity to experience and express wonder and marvel and to seek and find renewal. When these qualities flow into our work, they are conveyed and perceptible to our clients. As we enter into this New Year, there is no better way to promote your excitement with your practice of massage and to work out the creation of your own myth and magic.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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