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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Pain Is Only a Piece of the Puzzle
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, etc.
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!
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
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.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
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."
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.
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.
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.
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.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
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.
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.
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.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
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.
June, 2002, Vol. 02, Issue 06
Symbol and Form
By Keith Eric Grant, PhD, NCTMB
Along the road to discovering how people learn to draw well, Betty Edwards began to realize that the problem was not primarily one of kinesthetic skill, but of seeing and perception. Students who learned to draw did so suddenly, not incrementally. One week, their drawings were stereotypic symbolic images, and the next week they were drawing proficiently. Then she found a new clue.
What Edwards concluded was that the brain hemisphere responsible for verbal-linguistic ability couldn't draw except in stereotypic symbols and that the hemisphere responsible for seeing in the way necessary for drawing was nonverbal. I am reminded of Edward's observation whenever I am demonstrating massage and attempting to describe my methods or am Scandinavian dancing and trying to converse. Kinesthetic/perceptual skills and verbal/linguistic skills simply come from different places. Doing both requires a lot of switching back and forth.
What has intrigued me further, however, are the differences Edwards noted between the detailed perceptions of shape and form needed for drawing and the simple symbolic caricatures offered up by the verbal-linguistic mind. There are other ways in which fixating on the symbol rather than switching our minds into the depths of the form can deceive us.
We often think of posture as if it had some independent existence. Yet, if we delve below the symbol, our posture is merely the relative positioning of parts of our body in the downward pulling field of gravity. If we simply lean forward slightly while standing, we can feel the posterior line of the muscles of our calves, hamstrings, and glutei tighten to keep us from falling forward. At the same time, our knees might lock in hyperextension while the intrinsic muscles of our toes contract to grip the ground.1 If we were to hold this posture habitually, the muscles of our posterior line and plantar foot would be working continually. At the same time, the mobility of our knees and ankles and their ability to absorb shock would be reduced. Over time, anterior line tissues would become shortened and weak, locking our bodies in this effort-filled position. From just this small example, we see how many clues to lengthening and releasing specific tissues we receive in going from the symbolic idea of posture to the specific dislocations that have occurred. Sometimes we talk about injuries to soft tissues as if they came in standard packages at the store. Yet again, in working with minor injuries we need to examine the specifics. What type of tissue was injured: muscle, tendon or ligament? What has been the effect of this injury in limiting tissue strength and restricting motion? Do we best create a change by applying compression, a lengthening stretch, or a broadening stroke across the tissue? All are useful but quite different techniques.5 How do we best position our client to facilitate access while keeping our own body mechanics effortless and efficient? Do we want our client to move a joint to enhance either tissue lengthening or broadening? Again, moving our focus from symbol to detail provides the clues.
It's easy to get stuck in the terminology we learn and miss the nuances of its application. In working with the shoulder and hip we learn words for position like flexion, extension, abduction, adduction, medial rotation, and lateral rotation. As we get into the specifics of assessing dysfunctions, however, we begin to realize that position isn't everything; that motion also is present.3 What can be confusing is that the words for position and motion are the same. We can have a motion of flexion in a position of flexion and a motion of flexion in a position of extension. We can also have a motion of extension in a position of extension or a motion of extension in a position of flexion. Similar combinations exist for abduction-adduction and medial rotation-lateral rotation. Again, it's in going beyond the terminology into the specific tracking of both position and motion that we begin to understand working with the shoulders and hips.
Beyond just shaping the work we do with our hands and hearts, the differences between symbol and form can shape our very perceptions of ourselves and of each other. People speak of having "high standards" for entry into practicing massage when what they mean is simply high requirements. In contrast, the Boston Marathon has clear entry standards based on a prior performance in another marathon. For the 18-34 age group, the required finishing times are: men - 3 hours 10 minutes; women - 3 hours 40 minutes. The conditions are measurable and unambiguous. They don't specify how many hours you have spent training, but they do specify what the result of that training must be. It is meaningless to talk about "high standards" apart from a specific context and a well-defined measure of attainment. Betty Edwards was right. The differences between symbol and form lie deep within the perceptions of our minds, and make all the difference in the world in how we draw our conclusions.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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