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If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
November, 2002, Vol. 02, Issue 11
Exploring with Science
By Keith Eric Grant, PhD, NCTMB
As a scientist, I am often bemused by the apparently prevalent assumption in massage therapy that the role of science is as a sort of gatekeeper of proven methods.It's an outlook that I believe is derived more from a limited view of science as a promoter of mechanical technology than from the spirit of inquiry that beckons most research scientists. I have long recalled an article I read years ago on why people enter the pursuit of science. The title was "Whoa, look at that!" That simple title captures the spirit of curiosity and delight at nosing into the unexpected and unknown, better than anything else that I have since encountered. It's in that spirit that I'm writing today.
We do well to remember the gap that can exist between observation and understanding. Herbs containing salicylic acid had been used for centuries to relieve pain and fever before aspirin was purified in 1897. It wasn't until 1971 that Sir John Vane demonstrated that inhibition of cyclooxygenase (COX) by aspirin was responsible for its effects, sharing the 1982 Nobel Prize in medicine for that discovery. Only recently, a research group led by biochemist Daniel Simmons of Brigham Young University discovered a new variant of the COX enzyme that might explain the previously unknown action of acetaminophen.13 For massage and simple touch, I believe that many of the effects will be even slower and more difficult to elucidate, simply because they extend beyond the mechanical into simultaneous emotional, neurological, and neurochemical interactions. As with the complex connections involved with climate, better understanding of the whole picture may wait on our ability to use computers to simulate the entire system at work. Increasingly, such simulations are becoming a third branch of science - bridging experiment and analytical theory - because they make it possible to investigate regimes that are beyond current experimental capabilities, and to study phenomena that cannot be replicated in laboratories.
Within the last several decades, there have been several medical research developments that create a basis for some intriguing speculations on the effects of touch. In 1975, Dr. Robert Ader coined the term psychoneuroimmunology (PNI), beginning a new discipline of research linking the mind to the immune system.2,12 A recent small sample study with cellular analysis is consistent with massage having a positive effect on immune function.8 I tend to couple the research on PNI with the research and clinical experience of ideokinesis pursued by Eric Franklin and his predecessors.6 This material connects our mental imagery with creation and activation of our low-level neuromuscular patterns. In juxtaposition, PNI and ideokinesis substantially motivate respecting simple touch and relaxation massage as profound and deep reaching interventions toward managing stress and promoting health.
In a comparison of the co-location of acupuncture points and trigger points, Ronald Melzack and his colleagues found a remarkably high degree (71%) of correspondence.9 They concluded that "this close correlation suggests that trigger points and acupuncture points for pain, though discovered independently and labeled differently, represent the same phenomenon and can be explained in terms of the same underlying neural mechanisms." Based on further research into phantom limb pain, Melzack's group later proposed that we have an inherent neuromatrix, essentially forming an analog body within us.7,10 This neuromatrix acts to integrate our myriad sensory input into a coherent perception of a body. It also has a memory of its current state, helping to explain hypersensitivity towards experiencing benign sensations as painful. As a bit of blue-sky thought, I speculate that this research provides a basis for a western understanding of the meridians of traditional Chinese medicine. In this picture, the meridians don't lie within our physical bodies, but are a kind of circuit diagram of sensory relationships in how we form a cohesive sense of body from an overwhelming input of sensory information. There is no inherent conflict with an acupuncture point having non-local effects, because the important proximity is in neurological processing rather than physical space. There are some remarkable analogies to patterns of communication between individual processors in modern massively parallel computers. I find the possibilities intriguing.
When it comes to statements made about "energy work", I am rather an agnostic. Yet, nevertheless, I have experienced profound effects from such work and cannot discount the genre off hand. At this point, I see no basis for proposing fields of energy beyond the electrical and magnetic, so I return to consideration of these fields as recently reviewed by James Oschman.11
While what Oschman covers indicates that we all project fields around us, it doesn't support a conclusion that we are designed to emit beams of energy. Simply speculating on the maximum gain for the least energy required, suggests to me that something must occur in energy work akin to the improvements of tuning a piano.
Those talented in such work may simply possess perceptive skills akin to perfect pitch.1 Some recent studies with savants indicate that we all have neurological and mental capabilities beyond those to which we normally have conscious access.5 Some simply gain access by having the cloaking superficial layers of consciousness peeled back. These extra perceptional abilities include, for example, the ability to find the "sweet spot" in a room at which the sound from multiple speakers arrives simultaneously.5 There is every indication from such studies and from experience with biofeedback, that we are well-designed to detect and correct differences in "tuning" and coherence if we can perceive them. There is an additional observation that those with perfect pitch have a higher incidence of synesthesia, a mixing of senses. When hearing a sound, some, also perceive it as a color.1 This is suggestive that subtle sensations from bioenergetic fields could map for some into the visual, auditory, or tactile senses, giving person to person field interactions a rational basis. I think it likely that much that is taught about the techniques of energy work is simply a metaphorical roadmap to help train perception and focus the mind appropriately to enable subtle manipulations of bioenergetic fields.
While we must be careful not to interpret the perceptions stemming from cross-sensory mapping too literally, we should be equally careful in not dismissing them. Our neurological capabilities are turning out to be a lot more interesting than once thought, as science explores into the windows facing towards our inner selves. Whether we see two faces or a chalice can simply depend on our perceptions of foreground and background.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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