Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
December, 2002, Vol. 02, Issue 12
Movement Awareness: Connecting Self with Client, Part I
By Josef Dellagrotte, PhD, LMHC, CFP, RMT
Every massage session is a movement relationship between practitioner and client. Because clients are passive receivers, we tend to ignore their awareness of and responses to what may be happening to their own body image perceptions.We consider our role in this interaction as body use, contact, and application of technique.
Movement organization differentiates between massage as therapy and improvement vs. massage as treatment only, whether as a relaxing or as a myofascial relieving experience. The root of massage practice is in movement itself. The practitioner must move his/her own body in harmony with the inexorable laws of gravity and biomechanics. Massage is not generally considered a movement modality; in reality, it is, and it grows in public significance when it is consciously practiced with self-movement awareness and skill. Sooner or later, the client picks up on whether the message in the massage carries something more. Consider the following:
First, picture a standard massage treatment. The practitioner's actions reveal well-organized movements, or compromised, imbalanced, stressful postures during the application of treatment. There appears to be little client movement, and little equivalent or commensurate response. The client's body absorbs the potentially beneficial forces applied by the practitioner. The neglected, significant question is this: Is the practitioner benefiting? Is he or she getting better or worse?
The general protocol and expectations of a massage session have been shaped by tradition, experience and habit. The passive client comes to a session for the purpose of experiencing relaxation, without movement, or without any self-induced motion except to lie down, remain motionless, and then to get up and leave. The client feels the positive effects, but is minimally conscious of the process. The reality is that the practitioner does most of the moving; the client's body is moved. The effort is distinctly disproportional.
Second, the practitioner's actions reveal active mobilization that resembled work or effort. Any kind of hands-on work must affect one's own body. Physics dictates that any force generated must travel freely, without resistance or torque. To do otherwise is to generate turbulence affecting one or more components: muscle, nerves, myofascia, joints or bones. Whatever the modality used, the body must experience some effect, and this effect must be registered in the nervous system.
Third, the practitioner is moving his/her own body -- but how? The very act of movement involves using vectors of force, direction of force, body tensioning along myofascial planes, and an entire dimension of sensory-motor stimulation through touch. Some of these myofascial pathways of movement have been anatomically described (for example, see Thomas Myers' Anatomy Trains). No matter the technique or style used, the practitioner has to begin with self-organization, in the field of gravity. Technique is secondary to the greater principle: well-organized and efficient direction of movement energy in motion. This can be further broken down into components, such as the core functional movement based on the actions and planes of movement. In essence, every practitioner, either intuitively or by sheer behavioral learning, must use the basic functional components of human biological and biomechanical motion.
When working on a client, a practitioner intuitively recognizes a fundamental need for postural stability; for balance; for transmission of forces from the ground through oneself; for a certain amount of strength; for lengthening of one's own body; for relaxation, and for satisfaction while one works. This means that the practitioner, like the musician, has only natural, core functional motion possibilities: notes, then chords, then melodies or compositions. The notes are single actions of one part. The chords are combinations of notes that form core functional actions of extension, flexion, rotation and lateral bending of the opposite segments. These core functional movements, or colors of the body spectrum, allow joints to perform different actions.
As a functional movement, that action is precise and ideally effortless, not forced. If the articulation, with its corresponding muscle contraction, muscle lengthening, connective tissue or fascial spread, and internal sensory feel, are not resonant and syntonic, trouble ensues. If the movements go well, they combine to form patterns of action, or primary functional actions, the practitioner and the client benefit. As the practitioner moves, so does the client. Where the practitioner is struggling in her/his body, the client absorbs the manual forces, not having a clue (until later, perhaps) as to why a negative reaction was felt. It is rationalized often as: "I felt good, but then the pain came back."
Josef DellaGrotte is a certified Feldenkrais trainer, registered muscular therapist, integrative somatic practitioner and body-centered psychotherapist. He began training with Ida Rolf, then with Moshe Feldenkrais, who named Josef as a training assistant. His interest and practice is in combining therapy with somatic education, taking the client beyond passive experience and dependency into learning and self-care.
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