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Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
April, 2002, Vol. 02, Issue 04
Landing on the Edge
By Keith Eric Grant, PhD, NCTMB
We all have pivotal times in life when we strive toward achievement and then, whatever the result, must regroup and move ahead to the next step. We often can't control the results or even our own exact input. What we can choose is our preparation, focus, and attitude. In the recent Olympics, there were stories in which such choices were compressed into the span of seconds.
Despite competing at the limits of their physical skill, there are times for elite athletes when their mental focus and physical coordination come together in striking fashion. Figure skater Sarah Hughes had started out her long performance in fourth place, seemingly out of the medal competition. Not having to hold onto a medal position, she was able to focus entirely on her performance. "I didn't want to skate for a gold medal," she said. "I went out and had a great time. I said, 'This is the Olympics. I want to do the best.' " What she created was a technically flawless performance that radiated a poise and joy of life that brought her the gold medal.
Norwegian skier Kjetil Andre Aamodt finessed the difficult course set for the men's Super-G, a course on which many of his competitors missed a gate and didn't finish. Whether it was the combination of experience and strength or just the right timing of practice and training, on that crisp bright morning in the Wasatch Mountains, it all came together for him.
These two stories are about entering flow, a term Mihaly Csikszentmihalyi uses to describe a state of focus and ease obtained "when a person's skills are fully involved in overcoming a challenge that is just about manageable":
Accepting the Risk of Failure
Using duct tape to bind together a broken boot buckle for his final race, snowboarder Chris Klug persevered and won the bronze medal in parallel giant slalom. Glad simply to be alive, liver transplant survivor Klug didn't have time to replace the snapped buckle in the interval between his two runs. At the starting gate, he felt the looseness in the boot, and briefly wondered if he could make it down the hill. "I just said, 'To heck with it,'" Klug said. "If this thing's going to work out, it's going to work out. If not, so be it. I just made the best of it."
Eric Bergoust, the defending Olympic gold medalist in freestyle aerials, engaged the risks to spectacularly win or lose, getting the latter when he was unable to hold the landing of a stunningly aerobatic high-speed jump. "I'm glad I didn't go out there and go conservative and finish fourth," he said. "I wanted to get the gold or last, and I got last." Within any "at the edge" accomplishment, there is both the opportunity for success and the risk of failure. Being unwilling to accept the risk of failure can be the greatest obstacle to success.3
Persevering with Tenacity
Brian Shimer, a five-time Olympian, finally won a bronze medal as the driver of one of tw o U.S. four-man bobsled teams, ending a 46-year medal drought in the event for the U.S. Bothered by creaky knees and calf injuries, Shimer almost didn't get to compete. "I did it on my last run in my last Olympics", said Shimer. This is a fairy-tale ending. Who doesn't like that?"
Croatian Janica Kostelic became a World Cup phenomenon in 1999 when she won two consecutive events. Later that season, she injured her right knee so severely that it was uncertain whether she would ever ski competitively again. In Salt Lake City, she set a record for the most alpine medals (four) ever won during a single Olympics.
Both Shimer and Kostelic succeeded through their tenacity against disappointment and physical obstacles.
Accepting Transitions with Grace
Whether we gain our goals or fall short of them, there is an art to letting go and moving on. All competitors eventually face the challenge of becoming ex-competitors. It can be harder to escape our spectacular successes than to leave behind our disappointments; harder to conceive of something new that seems as satisfying. Yet, deep within us, there is always the ability to find new challenges and to extend our connections and capabilities.
There comes a time, whether in starting a new practice, teaching a class, or just in beginning the next massage, that we must bring together our experience, accept the risks of performance, and tenaciously seek the zone of flow. Every massage has a beginning and an ending. For me, each new massage has that element of standing in the sunlight at the top of a hill, watching the snow sparkle before me. One last centering breath, and it's time to commit to my unconsciously stored practice and experience, landing on my edges as they carve the unknown slope.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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