resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
AAAOM – Making Promises They Can't Keep
When the AAAOM first formed in 2007, their mission was clear: to support the profession through education, resources and legislative advocacy. The first years of the organization were filled with promise and hope.
Resilience is the New Longevity
Sometimes we must enter a room through one door and not another, even though they both lead into the same space. I am talking now of the recent cachet with the concept of "resilience" regarding health, chronic pain and longevity.
The Healing Properties of Light: An Interview With Researcher Anna Cocliovo
This interview is with Anna Cocliovo, a light researcher and Acupuncturist in Arizona. During my own research in light, I came across the article she published for the American Journal of Acupuncture and sought her out as a result.
Risk Factors for Heel Problems
Heel pain and gait disability are common occurrences in adults, often the result of thinning heel pads and a lifetime of exposure to heel-strike shock. One condition experienced by many people is plantar fasciitis.
Are You Guilty of Paternalism in Your Approach to Patient Care?
Einstein is purported to have said, "When a man sits with a pretty girl for an hour, it seems like a minute. But let him sit on a hot stove for a minute and it's longer than any hour. That's relativity." In some way, everything is relative to one's point of view.
Green Tea Catechins Lower PSA, Other Biomarkers in Men With Localized Prostate Cancer
A 2006 study (Cancer Research) was the first human investigation to show that green tea catechins (GTC) are highly effective in reversing premalignant prostate lesions (high-grade prostate intra-epithelial neoplasia), an established precursor to prostate cancer.
Epigenetics: The Western Science Supporting Essence
Since the days of Darwin, western medicine has touted that our genes were set in stone, that our genetics were our destiny. We were told that the diseases that ran in our family were likely coming to us as well.
One and Done: Keeping Patients From Vanishing After Just One Appointment
What happened to my 3:30 p.m. ROF? They may have rescheduled, but there are two common answers no one wants to hear: 1) "She called to cancel. I tried to get her to reschedule, but she refused." 2) "She no-showed.
Creating Child-Friendly Clinics with ABT
The Zurich Dojo was scattered with toy ducks, dolls, trains, exercise balls and teddy bears during my recent pediatric workshop.
Steven Rosenblatt: Birthing A Cross-Cultural Acupuncture Profession
The existence of a cross-cultural acupuncture profession in the United States, one that is legalized, licensed, supported by formalized, academic training and inclusive of non-Asian practitioners, is an important part of the medical landscape in this country and is responsible for improving the lives of hundreds of thousands of Americans.
Stress in the Modern Age: Impact on Homeostasis and What You Can Do (Part 1)
In 1926, Hans Selye first used the word stress in a biological context, referring to the nonspecific response of the body to any demand placed upon it.
Collaboration for a Cause
The Patient Protection and Affordable Care Act strongly encourages the formation of multidisciplinary practitioner teams called Patient Centered Medical Homes (PCMHs) and Accountable Care Organizations (ACOs).
Leaving a Lasting Legacy: Donna Liewer
For the past 31 years, Donna Liewer has been on a personal mission "to comfort the afflicted and afflict the comfortable." In her role as executive director of the Federation of Chiropractic Licensing Boards, Liewer has accomplished that and much, much more.
Flexion-Intolerant Lower Back Pain (Pt. 3): Mobilization & Soft-Tissue Treatment
What is the biggest challenge to the chiropractor in treating discogenic pain? You have to completely reframe the purpose of your manipulation. It is rarely about unlocking a stuck segment at the disc involvement level; it is not about putting a joint back in alignment.
AAAOM – The Beginning of the End (Part II)
In 2012, the AAAOM board members met in Chicago for their annual meeting. The goal was to come to a consensus on a long list of issues the AAAOM needed to work on including a functional board and budget.
Get That Shoulder to Move: Restoring Internal Rotation
How many times have you mobilized, performed ART, Graston, FAKTR and PIR, and stripped a patient's posterior capsule, yet on re-exam, discovered it was still blocked?
News in Brief
Hamm Elected New President of the ACA; WFC / ACC 2014 Education Conference: Call for Papers; F4CP Recognizes Standard Process as $1 Million Supporter; Texas Chiro. College Begins Search for New President; League of Chiropractic Women Hosts Women's Success Summit.
Successful Strategies in Integrating Acupuncture and Shiatsu in a Hospital Oncology Program
Colleagues from the Network of Researchers in Public Health in CAM recently published an article of interest to our Traditional Asian Medicine community.
Why DCs Need to Understand the Principles of "Inclusive Design"
In the past few columns, I've written about the negative effects of prolonged sitting at work. I've attempted to make the point that prolonged sitting (or prolonged standing) takes a toll on workers. Now let's discuss a related issue: the concept of "inclusive design."
Chiropractic Prevents ADHD? Research Shows...
Now that I have your attention, let me tell you what the latest study actually states. As you may have noticed, research over the past few years has begun to reveal that acetaminophen (the primary ingredient in Tylenol) is not as safe as once thought.
What is a Discipline in Medicine?
In my now prolonged dialogue with physicians, one question emerges with enough regularity to deserve mention and naming: what is a discipline?
Monoculture of the Mind: Part II
Cases are built within boundaries. Such bounds may be a program, event, activity or individuals. In this instance, a medical case has boundaries that include clinical interactions that are comprised of history, signs, symptoms, diagnoses, treatment plans and treatments.
February, 2002, Vol. 02, Issue 02
CranioSacral Dissection Sheds New Light on Effects of Palpation
By John Upledger, DO, OMM
In early April 1999, a small group of us had the privilege of working with a human cadaver that had been neither embalmed nor frozen. It had only been kept in a cooler to inhibit the deteriorative processes.It was the body of an 80-year-old male who had died only 34 hours earlier. The cause of death was lung cancer.
This particular dissection echoed back to others I had participated. By studying unembalmed cadaveric skull samples - skulls that had not been calcified from the effects of chemical agents - we were able to demonstrate the potential for movement between cranial bones. That fact that would become the underlying basis for what I would later name CranioSacral Therapy. Now, some 20 years later, this new round of cadaver dissections would allow us to understand the effects of this therapy in ways we could only have imagined.
To preserve the intracranial membrane system, we performed a parietal window dissection. Carefully, we removed brain tissue with no instruments but our gloved fingers. We also fully exposed the spinal dura mater to explore the interrelationships of the intracranial and spinal dural membranes, as well as their effects upon each other.
Those interactions in such a fresh cadaver were remarkable. We could see and feel the tensions developed in the falx and tentorium as we gently tractioned the dural tube from points between the occiput and the sacrococcygeal complex. The reverse, we found, was also true. As we lifted the frontal, parietal or sphenoid bones, we could see and feel the effects upon the spinal dura mater. It was all very exciting.
Now I'd like to describe our findings as we explored the effects of various activities upon the palatine bones. As you may know, a "stuck" palatine bone can be very difficult to release. It can also cause major problems, from severe headaches to visual disturbances and even seizures.
First we evaluated the resistance of motions induced by our fingertips on the palatine bones. The resistance was quite high - it required a push of at least half an ounce (15 grams +/-) to move either palatine in a cephalad direction. Pressing on the eyeball did not cause any movement in an inferior direction. This wasn't surprising, considering there was no "life" in this body. (We questioned the concept of "life," however, when we noticed the dural membrane stretched at about five grams of traction, yet eemed to contract against us as we increased the traction.)
We then dissected the right eyeball and its surrounding fat pads, which were copious even though the cadaver was lean and muscular. The fat pads clearly occupied at least 40 to 50% of the volumetric space in the orbit. We exposed the superior aspect of the vertical pillar of the right palatine bone. We were careful not to disrupt the fascial lining of the orbit, so we couldn't be accused of liberating fascial restrictions attached to the intraorbital aspect of the palatine bone.
We proceeded to induce palatine bone motion, with one finger upon its orbital surface and another finger upon its horizontal contribution to the hard palate in the mouth. The vertical and transverse mobilities of the palatine bone were still quite restricted. That's when another therapist placed a finger in the mouth, contacting the internal aspect of the right zygoma. The zygoma was decompressed laterally. This technique broadened the floor of the orbit and dramatically freed the palatine bone so that its responses to even slight finger-induced motions were extremely smooth and easy.
I had been using this technique on my patients for some time, based on the theory that a stuck palatine bone might often result from abnormal medial compression of the zygoma. It seemed effective to move the zygoma laterally to release the bone. It was most gratifying to see and feel how well the technique worked from the inside. The principle is simply to widen the floor of the orbit using the zygoma as your "handle." As the floor widens transversely, the trapped palatine bone is released and can move vertically up or down. Usually it's caught in a cephalad (upward) position.
Having witnessed the amount of fat in this orbit and the small area the palatine bone contributes to the intraorbital surface, it would seem to take an inordinate amount of pressure upon the eyeball to significantly facilitate palatine motion in a caudad (downward) direction. I much prefer to use the zygoma bone as the recipient of my force. After all, the eyeball is a delicate and intricately designed bag of fluid with subcompartments that can be much more easily damaged than the zygomatic bone.
Even with my level of experience in dissection and treatment, I found this type of dissection both enlightening and confirming. Since then we have continued to conduct similar dissection classes on a regular basis through the Institute. These classes focus on fresh, unembalmed cadavers, highlighting functional explorations rather than static observations. After all, no matter what anyone teaches you, there's nothing like discovering it with your own hands.
Click here for previous articles by John Upledger, DO, OMM.
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