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Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
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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