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North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
March, 2002, Vol. 02, Issue 03
The Expanding Role of Cerebrospinal Fluid in Health and Disease
By John Upledger, DO, OMM
In 1971, I first witnessed the rhythmical activity of cerebrospinal fluid (CSF) as its hydraulic forces affected the patch of dura mater I was watching. At the time, I had no inkling of the incredible journey that was in store for me.
That small section of dura mater was only about 1-1/2 inches long and 2 inches wide.We had exposed it to remove a dime-sized calcium plaque from the outer surface of the dura. The operative site was the posterior aspect of the mid-cervical region of the patient.
My assignment was to hold the dura very still with a pair of forceps while the neurosurgeon delicately removed the calcium plaque without incising the dural membrane. In spite of my efforts, the exposed dural membrane repeatedly protruded and receded at about 10 cycles per minute.
That particular rhythm was a surprise to everyone in the operating room. It didn't synchronize with the anesthetist's breathing apparatus or the cardiac monitor. The only thing I could think of that could create this force was the pumping of CSF inside the dura mater.
The subject of CSF was quite contentious at the time. When I was in osteopathic college in the early '60s, CSF was considered mainly a shock absorber for the brain during swift starting and stopping movements. There was also some debate about whether CSF was a transport system delivering nutrients and removing waste, but no one was certain. Some cranial osteopaths even made vague references to CSF following nerve fibers to every cell of the body to deliver "mystical" energy.
Despite all these theories, scientific knowledge at that time stated firmly that CSF did not penetrate the brain's surface or leave the compartment formed by the dura mater. The fluid did appear to follow nerve roots peripherally from the brain and spinal cord, but only as far as the dura mater provided a sheath for the roots. This, it was thought, was to bathe the nerve roots and the surface of the brain.
Controversy even existed over whether the fluid in the subdural space should be considered CSF. There was evidence to support the concept that the arachnoid membrane was impermeable to CSF and, therefore, the fluid outside the arachnoid membrane, but inside the dura mater was not CSF, even though they were biochemically identical. This, of course, raised yet another question: Should a fluid be named by its biochemical characteristics, or by the compartment in which it resides?
It was against this backdrop that I observed the pumping activity of CSF in 1971. And it was in this environment that I went on to develop CranioSacral Therapy.
My initial focus with CranioSacral Therapy was to mobilize the meningeal membranes that related to the entire central nervous system and the proximal aspects of its major nerve roots. I used the bones that attach to these membranes, either directly or indirectly, to manipulate the meningeal membranes and release any mobility restrictions.
I found CranioSacral Therapy also released restrictions in membrane mobility and in the sutures between bones of the skull vault by effectively using the hydraulic forces provided by the pumping of CSF. The therapist simply drew those forces into restricted areas by gently inhibiting the areas of maximum (compensatory) compliance to the rhythmical rises of hydraulic forces. By continuing this gentle manual pressure, the fluctuating hydraulic forces helped release those restrictions naturally.
My colleagues and I were fascinated by the wide variety of patient improvements we witnessed using these new techniques and theories. Most positive responses came in cases of pain that were attributable to meningeal restrictions, in cases of painful sutural restrictions, and with learning disabilities that could be related to specific dysfunctions in this craniosacral system.
Yet what was truly difficult to explain were the positive results seen with diseases like Parkinson's, multiple sclerosis, chronic fatigue syndrome, and acute and chronic infections, including resistant staphylococcus and cytomegalovirus.
Indeed, there were many positive results from CranioSacral Therapy in areas that seemed untouchable based on concepts held about CSF at that time. Even now, as scientific research continues to uncover the secrets of CSF, we see more and more how CranioSacral Therapy helps in so many surprising ways.
Several research projects over the past few years have demonstrated that, contrary to previously held ideas, CSF is the interstitial fluid of the brain and spinal cord. That means it permeates the spaces between all the nervous and glial cells of the brain and spinal cord. In this way it carries nutrients; removes metabolic byproducts, waste and toxic molecules; strongly influences pH (acidity); and is now thought to influence the electromagnetic environment of the neurons and other cells of the central nervous system. (Author's note: For a complete overview of these research projects, see Science News, January 1999.]
In The New York Academy of Science Annals, Volume 854, an article entitled "Towards the Prolongation of a Healthy Life Span" reported that CSF contains low-molecular-weight chelating agents that remove metal atoms from the interstitial spaces of the brain and spinal cord, and from the neuronal and glial cell membranes. According to the article, CSF also protects against oxidation and toxic accumulations of nonmetallic toxins.
This is especially enlightening in cases of recent studies that have shown both Parkinson's and Alzheimer's diseases may be induced by toxic build-ups of heavy metals - within the basal ganglia in the case of Parkinson's, and in the cortical and subcortical regions in the case of Alzheimer's disease. Enhancing CSF circulation may well help prevent these two diseases, along with many other types of senility and deterioration problems.
In my own clinical practice, I've been able to break fevers, alleviate chronic viral infections, prevent flu... the list goes on and on. All these results suggest an enhancement of immune function, which is exactly what I believe CranioSacral Therapy does. It moves CSF and every other body fluid, especially the interstitial fluids. By whatever name, the fluids between cells must move in order to deliver molecules that not only nurture cells but also transport messages and patrol for antigens - all vital to strong immune function.
Physicians at Stanford University have also discovered that the exchange of CSF slows with age. While there is a complete turnover of CSF about four or five times a day in healthy middle-aged people, in the elderly that rate may be cut in half. In fact, the Stanford folks became so convinced that CSF turnover is important that they've placed shunts in a sample of nine patients with reduced turnover. They want to see whether the drainage of stagnant CSF enhances production and reduces certain substances in the CSF - and hence the central nervous system - that are believed to contribute to brain deterioration and Alzheimer's disease.
I firmly believe CranioSacral Therapy can help maintain or regain the normal daily turnover of fluids, with all of its attendant health benefits.
Click here for previous articles by John Upledger, DO, OMM.
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