resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
May, 2002, Vol. 02, Issue 05
Intention and Touch
By John Upledger, DO, OMM
One of my first windows into the impact of intention opened in the late '60s, when I was beginning to use acupuncture extensively. At the time, we had free clinics in Clearwater and St. Petersburg, Florida.Acupuncture was particularly attractive because it was cheap and did not involve drugs. Many of our patients had been active drug abusers, so the fewer pills we used, the better.
Oddly, we found that some of us could do acupuncture with great success, while others didn't get the same effects, even on the same patients. At first I thought this was due to suggestion, so we tried to control any positive or negative comments about our expectations. We even went so far as to say nothing at all to patients before, during or after the treatment.
The strong correlation between the results seemed attributable to the unspoken attitude of the therapist. Those of us who had seen acupuncture work and believed in it got much better results than those who didn't or weren't sure. Two doctors who were performing it thought it was absolute "poppycock," and didn't get good results at all. Yet I often treated the same patient the next day and got positive results immediately.
It was easy to test acupuncture in this fashion, because the results occurred before our eyes. Pain went away. Breathing in asthmatic and emphysema patients improved. Cravings for certain addictive drugs, such as heroine, subsided. The red-hot rash of shingles faded - as long as the acupuncture was performed correctly by a practitioner who had confidence in it. Our saying became, "It isn't where or how you put the needles in, it's who puts them there that counts."
That's when I realized just how directly the therapist's attitude and intention affects the outcome of the therapeutic approach. And this seems to go well beyond technique or the power of suggestion. Surgeons who are in a good mood or are generally happy seem to get better results than chronically angry, cynical or depressed surgeons. In the same way, hands-on therapists who are happy, trusting and confident get better results than those who are not.
Sister Anne Brooks was one person in my life who demonstrated the power of intention to me on many different levels. I first met her about 30 years ago, after she had canceled three appointments and finally showed up for the fourth.
Sister Anne had applied to work as a volunteer at our St. Petersburg free clinic. She wanted to work with needy people, and she had heard that our clinic serviced the kind of people she wanted to help.
Our program director, a young man named Butch, interviewed Sister Anne and suggested she see me. Dependent upon a wheelchair, she had been struggling with what was diagnosed as rheumatoid arthritis for the previous 20 years or so. At the time she met Butch, several of her doctors were recommending she have both of her hip joints surgically replaced with artificial ones.
Butch told her that if she wanted to work in our free clinic, she would have to see me about her hips. He explained that I did some rather offbeat things, including acupuncture, hypnosis, osteopathic manipulation, and a fairly good brand of general medicine. Apparently fear was a contributing factor in the cancellation of her first three appointments.
When we finally met, I was touched by her story. She had been the principal in a ghetto school for some years and loved it. As her disability and pain worsened, she was transferred to a school that serviced mostly upper-middle-class children. Yet she wanted, she needed to put her efforts into helping the poor and needy. This is what brought her to our clinic: to nearly beg Butch to allow her to volunteer her services. Had she not wanted to work for us so much, I'm sure Butch would not have been able to convince her to see me.
During that first visit, I began using acupuncture and CranioSacral Therapy, and I gave her advice on nutrition and vitamins. I couldn't do any traditional osteopathic manipulation - to touch her body between the waist and knees to manipulate bone or even deep tissue was to make her scream in pain. I couldn't see how this poor lady was living like this. Her blood tests for rheumatoid arthritis were positive.
I set up weekly appointments with her. We soon discovered that acupuncture, when appropriately applied, completely relieved her pain. In a few weeks we found that one acupuncture needle inserted in the end of her right middle finger for 15 minutes a day controlled her pain enough so that she could get out of her wheelchair and tolerate more traditional osteopathic work. In my opinion, motion is necessary for health, so we worked very hard to reestablish movement of the bones, joints and other tissues from her head down to her toes. I also believe that as the pain diminished, the nutritional changes began to take effect.
Sister Anne was almost completely rehabilitated within a year. She went on to work ceaselessly at our clinics (there were three by now), and eventually became our full-time director after obtaining permission from her church authority. Her blood tests for rheumatoid arthritis returned to normal after 20 years.
Sister Anne and the Upledger family became very good friends. When I moved to Michigan in 1975 to join the faculty at Michigan State University, we stayed in close touch. Her condition continued to improve. She didn't need my "doctor" work anymore.
She came to visit us within a year. She asked my advice about embarking on a program at the University of Florida that would lead to a degree as a licensed physician's assistant. She wanted to work at the migrant farm labor camps in Florida.
I suggested that, should she pursue this course, she would always be dependent upon the supervision of a licensed physician to do her work. Why not get her own doctor's license and be independent to do things as she felt they should be done?
After some discussion about her age, her lack of premedical requirements, and the difficulty in getting through medical school or osteopathic medical school and internship, she went out into the woods behind our house for a few hours. She did what deeply spiritual people do. Then she came back and said, "Okay, let's try it. What do I do next?"
I arranged an interview with the admissions officer of the College of Osteopathic Medicine at Michigan State University. He was so impressed that he asked me what we could do to get Sister Anne to apply there.
After obtaining permission from her mother house to venture into this new direction, Sister Anne completed one year of premedical work in St. Petersburg. Then she moved in with us in Michigan to complete her second year of requirements. Next came acceptance into the Osteopathic College and four years of very hard work.
After graduating with her Doctor of Osteopathic Medicine degree, Sister Anne moved to Detroit for a year-long internship, at which time she made an in-depth study of poverty-stricken and needy areas of the southeastern United States. She eventually settled in Tutweiler, Mississippi, where today she operates a busy clinic along with a tremendous emergency and family medicine practice. All of this from a woman who, in the mid years of life, was in a wheelchair, in constant pain, and contemplating surgically replacing both her hip joints.
I once asked Sister/Doctor Anne what she thought was the key to her healing. Without hesitation, she replied that it was 80 percent attitude and intention, and 20 percent the mixture of acupuncture, nutrition, CranioSacral Therapy and the rest.
We therapists should always keep in mind the tremendous power our intention, attitude and expectations have on our clients and their responses to therapy. A gloom-and-doom forecast by the health care practitioner may well cause the client to live down to that expectation. Fortunately, the reverse is also true. In Sister Anne's case, we just wouldn't take no for an answer.
Click here for previous articles by John Upledger, DO, OMM.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.