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Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
The Conscious Evolution of Healing, Part 2
The idea of transmission is very important in the Chinese medical classics. According to author Claude Larre, the ancient Chinese were highly interested in the connection between things. Nothing was looked at as an isolated entity.
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
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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