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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.
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.
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.
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...
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."
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.
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.
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.
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.
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.
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.
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 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!
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.
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.
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."
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.
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.
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.
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.
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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