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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
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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