resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
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.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
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!
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.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
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.
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."
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.
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.
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.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
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.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
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.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
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.
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.