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Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
March, 2002, Vol. 02, Issue 03
Putting the Pieces Together
By Keith Eric Grant, PhD, NCTMB
Parenthood has pulled me into some unexpected byways of learning. One such journey came in reading about those who design imaginative constructions for LEGO®, the maker of the ubiquitous small, brightly-colored plastic bricks that fit together - the same sharp-edged bricks that I've stepped on too many times while walking barefoot through my house. While LEGO® makes many specialized pieces, those who design and make creations for LEGO® itself first have to demonstrate high proficiency with the simple basic brick. From the basic bricks spring forth the larger modules that eventually combine into thematic displays. In learning to skillfully practice the art and profession of massage, we can take lessons from LEGO® - the basic bricks are the starting points, to which we must add a larger context that guides us in joining the individual bricks into something greater.2
In teaching sports and deep-tissue massage classes, my basic bricks include evaluative skills, specific manipulation techniques, biomechanics, and knowledge of how to access and facilitate specific soft-tissue structures. Surrounding the individual kinesthetic skills and concepts is an ongoing context of client connection and communication motivated ultimately by the intent to create lasting benefit for our clients. It is this context of creating benefit that guides us consciously and unconsciously and allows each new session to evolve into something that is fresh and unique. As with the LEGO® bricks, there are countless "right" ways to create a massage from our store or conceptual and kinesthetic knowledge.
Like a good horticulturist, part of teaching the craft of massage comes in grafting the new learning onto a student's rootstock of experience, so that it will bear fruit rather than wither unused and unusable. I often start this process with exercises designed to build our kinesthetic vocabularies, initially backing off from the pressures of "doing massage" into the practice of coordination, movement and connection found in variations of tai ji push hands. This kinesthetic practice teaches us to match the movement and to become aware of the pressure and contact that we exert vis-a-vis our partner. We can maintain the contact on the physical level or loosen it into contact via a viscous visualized "energy taffy" - still maintaining the moment-by-moment connection of intent and awareness - in touch yet not physically touching. A primary effect of this practice is that we rapidly move from being a room of strangers to being a class of individuals who have moved together and laughed together into feelings of cohesion and commonality. We are practicing the nonverbal skills of perception that will allow our clients to teach us touch-by-touch what works for them.
This movement practice allows us to examine and relearn our own body usage. The exercises slow us down to practice the flow of one position into another, so that we can become aware of our proprioception of bearing our own weight and how that realization shifts as we move forward and back or side-to-side. We become aware of those places in which our movements are smooth and continuous and learn new neuromuscular patterns for those places that we previously sped or jerked through.
The movements integrate us, moving not just in our hands and wrists, but in our arms and shoulders; and not just in our arms and shoulders, but through our torsos and legs into our feet. Through our feet, we create contact with the floor. When we align our pelvis with the direction of performing our massage strokes and roll tissues using our entire body rather than just the intrinsic muscles of our hands, the strength and smoothness of our moves are palpable to our clients. Our work becomes a tai ji dance, rather than an injury inviting strain of our own muscles and tissues.
With our skills of movement and nonverbal contact accomplished, we are freer to sense and attend to our clients' needs, letting each session develop from their expressions and our own perceptions. We can glean background from our clients in words either written or verbal or by the visual means of having a client color in problem areas on a body image diagram. 3 Visually, we can look for areas of asymmetry and dislocation in the alignment of the different sections of a client's body. 1, 4 Via palpation and range-of-motion checks, we can seek areas of muscle hypertonicity and abnormal tissue texture. I've found Philip Greenman's mnemonic of ART to be useful - Asymmetry of related parts, Range of motion of joints, and abnormalities of tissue Texture. 4 Depending of the focus of a massage, we sometimes observe these implicitly within the context of an opening stretch or compressive effleurage, and sometimes explicitly in seeking the causes of pain or limitation. Our therapy also can be done implicitly by focusing on a tissue lesion within the flow of a general massage, or explicitly as part of a planned facilitation with considerable client interaction and participation. There are indeed nearly an infinite number of ways to put the pieces together to further our goal of creating long-term client benefit.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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