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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
October, 2002, Vol. 02, Issue 10
Leaping Into Space
By Keith Eric Grant, PhD, NCTMB
In the volcanic Shasta-Cascade region of northern California, the ice-cold waters of the upper McCloud River cascade over three spectacular waterfalls.4 Just above the lower falls is a relatively flat zone where layers of smooth rock, exposed to the late summer sun, define both shallow pools for wading and splashing and warm dry areas for simple reclining. Lying beneath the falls is a deep, emerald pool encircled by rocks 20-30 feet high. At one edge of the pool, a steel ladder, rising to the cliffs above, has been fastened to the rock. One by one, we accept the challenge of dropping from an overly hot summer's day off the cliff into the icy waters below. After watching how others take the leap (and miraculously survive), I stand with my bare feet on the warm smooth rock as I look down. A last moment of uneasy hesitation, a small impulse of my leg muscles, and then I feel myself dropping. The rush of the water enveloping my legs comes simultaneously with the sound of my splash. Then, it is cold and quiet, with a deep blackness below and a greenish glow of light above. An instant later, my head breaks the surface, breath returns, and I swim to the ladder for the climb back up; leaving the chill of the water behind, but keeping the exhilaration.
There are moments we face in life, much like my jump from the cliffs, when we must summon our resolve to move into the unknown. Sometimes those moments are the result of our seeing an opportunity for personal growth or more business and initiating a change. Sometimes those moments are the result of a door closing behind us, leaving us unexpectedly looking for a new door to open. Transition consultant William Bridges characterizes change as the shift that occurs in the external world, and transition as the internal "process of letting go of the way things used to be and then taking hold of the way they subsequently become". In between the letting go and the taking hold, there is a neutral zone that is both chaotic and creative.1 Bridges advocates examining change based on asking three questions. "What is changing? What will actually be different because of the change? Who's going to lose what?" 2 The questions clarify understanding of both the substance of the change and the inescapable process of having to let go of something familiar to create room for something new.
Since change is inevitable in our lives, we can help the process along by taking an occasional glance at the horizon. By anticipating changes before they arrive, we gain time to either change our own responses and skills or to seek a new situation. Some years ago, I took a row-it-yourself raft trip down the Green and upper Colorado Rivers through the rapids of Cataract Canyon.3 Each of us had a chance to be in command through at least one of the rapids. Before running each rapid, we walked ahead to look for the rocks and holes to avoid and the tongue of moving water to center on. Between rapids, we also looked for a place to "eddy out" and catch our breaths.
Doing what we can to figure out the directions in which to move, the places to avoid, and how to rest and recenter ourselves are as good strategies for career and life as they are for rafting. There are times, however, in both rafting and life in which our course doesn't play out as we have planned. When we are struck by a crisis, having an affirmation on hand for reaching down to our deeper strengths can help us to avoid being too paralyzed to find and take needed steps.
Sometimes the unknown isn't as much about external change as it is about feeling vulnerable while expanding the limits we've placed on our own behavior. On first entering massage training, for example, students may experience this feeling of vulnerability from greatly increased body awareness and touch interacting with previously unconscious scripts of body image and use. Bringing limiting body-connected scripts to conscious awareness and decision-making is a process of integration I refer to as "learning the names of our dragons"; an important step in sorting out the ways we will later nonverbally project and be role models for our clients.
Feelings of vulnerability also manifest simply from expanding our technical repertoire. I was recently reminded of this lesson in moving from my relatively "Mack truck" venue of sports and deep-tissue massage to take classes in lymphatic drainage. The subtlety of mapping the timing and direction of the waves of lymph flow stepped outside my previous skills to return me to feelings of novice ineptitude. I was immediately grateful for the shared warmth and support of my fellow students. Learning new kinesthetic skills is not instantaneous. During kinesthetic learning and integration we can often feel clumsy. Even previously mastered techniques can temporarily feel awkward before our kinesthetic vocabulary all comes together again.
Consciously creating the habit of taking small leaps into space makes us more adept at the process of our own transitions and better able to lend a hand to others. We let ourselves take more risks once we learn we are in an environment that is safe and nurturing. This type of environment is something we can work to create for others and ourselves.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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