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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
July, 2002, Vol. 02, Issue 07
Cutting Through Chaos
By Keith Eric Grant, PhD, NCTMB
We all benefit at times from retreating to a place in which the input to our nervous system is less chaotic than that of the normal pace of life. In doing so, we provide a space for regrouping our own energy and direction so that we may better meet creative opportunities. As I sit down to write this month's column, I have just returned from such a time; five days at the Esalen Institute, taking a workshop on Thai massage facilitated by Richard Gold.2 One of the impressions I have taken away with me is that of an interleaving dance of gentle rhythms.
Esalen is located on a sliver of land along the rugged Big Sur coast of California. At the western edge of the institute, the land sweeps precipitously down to the sea. Immediately to the east, the Santa Lucia range rises steeply. Within this sliver of land bathed by alternating sun and cloud, the ever-present rhythmic surge of waves breaks against the rocky shore. Joining these natural rhythms are the predictable human rhythms of the meal and workshop schedules. To these general rhythms, my own experience added the slow palm presses and stretches of Thai massage. Richard, both conscientious of time and material and possessing an ever-present twinkle of eye, marked the session boundaries with the soft tones of a meditation bowl/bell struck three times and with the chanting of the traditional homage to Father-Doctor Shivago.2 Day by day, we worked together through the slow, well-organized protocols of touch.
I dwell on these descriptions of rhythmic tempo and organization because I believe that we can learn much about the power of massage to center and heal from looking at situations in which chaos overwhelms and sensory integration fails. It is in these venues that the tools used to cut through chaos become most needed and most obvious.
Carol Kranowitz describes children who become overloaded with sensory information and cannot integrate the world around them to respond appropriately.4 Many individuals with pervasive developmental disorders (PDD) have difficulty attending to tasks and learning new skills because they operate at high levels of arousal and anxiety due to over-reactivity to sensory stimuli.6 For these individuals, stimuli that for most of us would be barely noticeable evoke sensory defensiveness and flight-or-fight responses. What's interesting from a massage perspective is that rhythmic brushing of their skin with soft surgical brushes and rhythmic joint compression often seems to help children with deficiencies in sensory integration deal better with their surroundings and achieve a state of calm alertness. The patterned stimulus appears at least partly to counteract the sensory chaos.
While those with PDD form the outlying edge of those having difficulty with sensory input, they are not alone in struggling with sensory overload. Elaine Aron estimates that about 15-20 percent of the population is composed of what she terms highly sensitive persons (HSPs).1 Aron describes HSPs as having both greater sensitivity to subtle sensory inputs and a much higher susceptibility to experiencing sensory overload and fatigue from intense or sustained stimulation. While discussing the use of anti-anxiety medications for crisis intervention, Aron recommends more lifestyle-oriented methods for ongoing care:
These lifestyle methods combine to create a space of sanctuary, seeking emotional support, and immersing ourselves in repetitive rhythmic motions. In applying rhythmic movements and pressure, we perhaps intuitively act on the physics observation that nearby systems with similar resonant frequencies will synchronize, a phenomenon that can produce entire trees filled with synchronously pulsing fireflies.8 We pace so that we may subsequently lead. Behind the slow rhythmic patterns of a dance, such as Ma Avarech 7 or the gentle repetitive patterns of caring touch, there is great power for integrating our bodies and minds and cutting through chaos.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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