resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
June, 2002, Vol. 02, Issue 06
Mighty Joe Defies the Odds
By John Upledger, DO, OMM
By most doctor's accounts, Joseph Polk shouldn't be here. He was born on October 15, 1998 with arthrogryposis, an extreme case of congenital joint contractures. His condition had been diagnosed through a level-two ultrasound while he was still in the womb.
"Doctors first told me he had trisomy 18," said Joe's mother, Mary Polk, a long-time critical care nurse and lactation consultant.Trisomy 18 indicates the presence of an extra chromosome, which creates a condition normally incompatible with life.
Doctors advised Mary and her husband Wally to immediately terminate the pregnancy. They decided to fall back on their faith, a choice they believed had served them well in the prior births of four healthy children. Mary simply refused further prenatal testing.
It turned out the doctors were wrong about much of Joe's diagnosis. This was just the first of many ways they would underestimate the spirited little boy who became known as Mighty Joe.
As expected, Joe was born with severely contracted, hardened limbs. "He looked like a pretzel," Mary said. "His arms were straight and hard. His elbows weren't discernible. His wrists were bent in full flexion and his fingers were completely crippled. On top of that, his feet were flipped up."
Fortunately, Joe didn't have the trisomy 18 doctors had diagnosed, and his other vital signs were all healthy. He cried heartily, sucked strongly and scored high on both Apgar tests. Yet all those positive signs barely softened the blow of the overwhelming obstacles now facing Joe and his family.
"Right away doctors told me his arms were paralyzed and he'd need at least seven surgeries," Mary said. "They even suggested a drastic move that would fix one arm in a state of flexion so he could feed himself. Then they wanted to permanently place his other arm down to accommodate his toiletry."
Two leading Chicago specialists confirmed this course of treatment, agreeing it would leave Joe severely handicapped. While both parents agreed to foot surgery for Joe to avoid long-term use of leg braces, they were reluctant to take such radical steps with his arms and hands. That's when Mary got the idea to pursue another form of therapy she had heard about.
"I had taken a board-certified lactation course before Joe was born," Mary said. "The instructor mentioned something called CranioSacral Therapy for suck disorders. I had no idea if it would help in Joe's case, but I read up on it and thought it couldn't hurt." So when Joe was five months old, Mary took him to a CranioSacral therapist in their Wisconsin hometown. "After the first session, he started moving his fingers and his arm muscles softened a bit," Mary said.
Encouraged, she then brought Joe to see me when I was in their area teaching a symposium. After examining Joe, I told Mary that I felt he would regain full use of his arms and hands. How did Joe's surgeon react to the news? "He just laughed," Mary said.
Refusing to be discouraged, Mary brought Joe to The Upledger Institute's HealthPlex Clinical Services in South Florida. He received three days of concentrated CranioSacral Therapy from staff clinicians Roy Desjarlais, LMT, CST-D, and Rebecca Hunt, OTR.
"We did a lot of dural tube mobilization to free up the spinal cord segmentally as well as globally," Roy said of his sessions with Mighty Joe. "His nerve roots were then able to relax and work more efficiently, which in turn facilitated releases in the contractures in his hips and elbows.
"We also balanced his reticular alarm and autonomic nervous systems to help free up the cranial membranes. And there were significant sessions releasing the maxilla and vomer that helped with Joe's cranial base, brain stem, and again, his alarm system. Of course, all the work helped facilitate fluid exchange between Joe's central nervous system and the rest of his body, which did a great deal to increase body efficiency overall."
"The change was dramatic," Mary said. "Joe's whole body posture and physical appearance changed. His face filled out. He started obtaining more range of motion in his wrist joints and elbows, and he was moving all his fingers." Back home a week later Joe began bringing his arms and hands to his face to play peekaboo, and he was finally using a sippy cup on his own. "Our whole family celebrated," Mary said.
Since his first visit, Joe has been to UI HealthPlex once again, and has seen Wisconsin therapists Dodie Corcoran, CMT, and Molly Oakford, PT, for ongoing CST. Mary she said Joe can now feed himself, color with crayons and cut with scissors -- and the doctors no longer suggest surgery.
Indeed, Joe has already gone far beyond what anyone had predicted. "He's an incredible little child," Mary said. "He's very intelligent with an extensive vocabulary. He's also loving and kind and very, very sensitive. He's just a wonderful person."
Mighty Joe's biggest strength may well be his will to fight. "Despite all the odds, he's pulled through," Mary said. And what lesson has she taken from all this? "No matter what body or mind we are given," she said, "the soul is precious and vital. You can't devalue that perfectness in any person, in any living being. That's what I've learned that's profound."
Click here for previous articles by John Upledger, DO, OMM.
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