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What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
February, 2003, Vol. 03, Issue 02
Movement Awareness: Connecting Client With Self, Part II
By Josef Dellagrotte, PhD, LMHC, CFP, RMT
Editor's note: Part I of this article appeared in the December 2002 issue, available online at www.massagetoday.com/archives/2002/12/04.html.
The Essential Qualities of Human Movement
When the practitioner moves well, it indicates that forces are being transmitted along pathways of contraction and lengthening - an interplay of force vectors matching up with myofascial pathways of lengthening, such that the net effect is both postural uplift and neutralization of torquing stresses.An observer would see smooth motions and a relaxed, satisfied client. Movement is a science, a skill, an art form which, when well executed, affords practitioners a better chance of working without the attrition rate of injuries associated with the profession; a sustained pain-free practice; and more-satisfied, better-managed clients.
The Essential Skill of the Practitioner Is in the Quality of Movement
The real science and art of massage begins with the practitioner's awareness through movement, which has higher-grade value than simply learning several external techniques. Movement is the very condition of life and all life activities.
There is no escape: If the practitioner does not have awareness of movement and how she/he is being affected, it is only a matter of time before the gravitational stresses of life lead to structural and functional disorders in the form of musculoskeletal or myofascial pain. Disorder, the dreaded entropy of the body, sets in. Will power and determination are no match for these forces. The practice life of the bodyworker is cut short; damage and pain becomes recurrent - and all the unnecessary result of poor learning or weakened kinesthesia!
Moshe Feldenkrais, the somatic innovator and pioneer, observed that life without movement is inconceivable. Ida Rolf understood that structure was the key to stability, balance and mobility. Several somatic innovators have developed new learning approaches, so that not only the practitioner, but also the client can experience basically efficient movement, leading to the maintaining of supported upright posture. The field of somatic study has moved outward, from treatment to educative therapy.
Once again, historically speaking, the client has another chance at self-learning and self-maintenance. Once aware that the way we move is a major key to practice, we can look into the detail of primary functional movement actions. What I'm referring to are species-based activities of daily life that have a purpose, satisfy life needs, and even share a species commonality, to some extent. For example, people all over the world must lie down, get up, sit, stand and walk.
What Practitioners Need to Know
To be structurally, functionally and even psychophysically well-integrated, every person needs the essential movement nutrients: resonant movement; lengthening through the spine and along myofascial pathways; stretching of local connective tissue pathways; strengthening of muscle groups in a balanced way; relaxation responses, which are built into every movement activity; feelings of satisfaction and enjoyment from movement activity; and clarity of direction and intention. We may not get the full complement at any one time; as when taking vitamins and minerals into our bodies, it can take place at different times.
The bodyworker needs to be able to access lengthening, which is how energy is being transmitted through the body. Every position we assume when working on clients requires this lengthening. Otherwise, shortening or harmful compressions start to take place by default. When you work, you are either lengthening or shortening; there is no in-between.
Stretching is an essential component, but a highly misunderstood one. Ideally, stretching takes place when we slowly move one local myofascial area. For example, yoga stretches work so well because they take place in slowed down, stillness time, with breathing, relaxation and focus.
Strengthening takes place whenever we move in concentric fashion against gravity. We also can focus on conscious strengthening through particular exercises. Doing massage work can strengthen, but it also can weaken. (I have done therapy with many practitioners who were getting weaker in certain areas of the body, especially the shoulder girdle and upper back.)
Resonance, or smooth movement, is an essential quality that represents everything working together, with forces being distributed without internal turbulence or damage. Resonance derives from physics: the resonant frequency-of-motion principle, represented in pendulums, coils and springs. All living bodies seek and enjoy resonant movement.
Relaxation is an internal physiological experience. The response has been described and documented by many. How does it occur in movement? Whenever movement is resonant, the points at which we move through our own center of gravity (the neutral place), we experience a millisecond of effortlessness, even enjoyment.
Psychophysical (Somatoemotional) Dimension: Empathic Touch
The client who is being moved well unconsciously responds and registers positive somatophysical or psychophysical well-being. This response is enhanced further when the client begins to notice improved sensation when sitting, standing, walking, or performing other activities. Whenever the client notices that, following a session, something has carried over, and that some function has improved, this has significance. Whenever the nervous system has an experience which is not imposed upon it, but is suggested through a empathic touch contact that matches the client's need state, there is likely to be not only healing, but more: improvement of function, and with this a further move in the direction of health and wellness.
Whenever the client notices that something beyond temporary alleviation of discomfort has occurred, he or she is far more likely to return. The massage therapist who follows this path soon has not only a regular clientele, but also a set of learners and movers who are ready to reclaim their bodies and actively take charge of their own wellness.
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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