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A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
February, 2003, Vol. 03, Issue 02
CranioSacral Therapy and the AIDS Patient
By John Upledger, DO, OMM
CranioSacral Therapy relies on extremely tender, supportive hands-on contact, accompanied by a sincere intention to assist the patient in any way possible. The therapist serves as a facilitator to the patient's own healing processes.In my experience, this delicate, caring approach is highly welcomed by the majority of AIDS patients.
Consider the messages you send a patient through the use of intentioned touch. Combine that with the fact that this corrective work is done on a core physiological level, applied directly and indirectly to the craniosacral system, and it seems clear that CranioSacral Therapy can potentially effect change on many different levels in a patient's body.
The craniosacral system is essentially a semi-closed hydraulic system. Its boundaries are formed by the dura mater within the cranial vault and vertebral canal. The system includes the dural sleeves, as they invest the spinal nerve roots outside the vertebral canal as far as the intervertebral foramina, and the caudal end of the dural tube, which ultimately becomes the cauda equina, and blends with the coccygeal periosteum.
Cerebrospinal fluid (CSF) flows within this semi-closed hydraulic system. Fluid inflow and outflow are regulated by the choroid plexuses within the brain's ventricular system, and by the arachnoid granulation bodies. The latter structures are located largely within the venous sinuses that service the brain's circulatory system.
To qualify as a semi-closed hydraulic system, fluid inflow and outflow must be regulated. The model that essentially explains the control mechanisms for inflow involves a feedback system from intrasutural stretch and compression receptors. These receptors communicate via the nervous system to the choroid plexuses, and provide a rhythmical on-and-off activity for CSF production into the system.
While CSF outflow is not rhythmically interrupted, its rate may be adjusted. This is done through intracranial membrane tension patterns that are broadcast primarily via the falx cerebri and tentorium cerebelli to the anterior end of the straight venous sinus, where an aggregation of arachnoid granulation bodies is located. This concentration of arachnoid granulation bodies is known to affect venous back pressure, which in turn affects the reabsorption of CSF into the blood-vascular system. The craniosacral system also includes all of the bones of the cranium; the second and third cervical vertebrae; the sacrum; and the coccyx.
Clinical research and observations have demonstrated that dysfunctions of the craniosacral system can manifest as a wide variety of syndromes, symptoms and degenerative processes. The craniosacral system influences the physiological milieu in which the central nervous system lives. It also has powerful influence over the pituitary and pineal glands, due to their anatomical intimacies. Therefore, it has powerful effect on brain and spinal cord function, and the endocrine system.
Indeed, CranioSacral Therapy has been shown to have positive effect on a diversity of brain dysfunctions, ranging from seizure problems to dyslexia and attention deficit disorder. It also has positive effects on the autonomic nervous system, both through the central control nuclei in the brain stem, and the spinal cord's segmental effects on the sympathetic nervous chains and ganglia.
The latter effect comes from CranioSacral Therapy's ability to desensitize spinal cord segments that have become hypersensitized or "facilitated" secondary to chronic excessive input. These hypersensitive segments often result from such conditions as chronic localized infections or painful musculoskeletal or myofascial dysfunctions.
Hypersensitive or facilitated segments send unwarranted and excessive outflow to their related end organs. These organs, in turn, send excessive sensory input back to these already hypersensitive segments. In this sense, the situation becomes self-propagating. In addition, the sympathetic system input from the related hyperactive segments is increased, raising total sympathetic tonus with all of its attendant problems.
Using thermography, I have seen that hand warming occurs during CranioSacral Therapy. This indicates a reduction of sympathetic tonus. Concurrently, blood pressure and cardiac rate, when elevated, as is often the case in sympathetic hypertonus, move toward normal. Subjective pain improves almost invariably as the CranioSacral Therapy treatment progresses.
In my experience, it is clear that AIDS patients, with their multitude of painful visceral, neuromusculoskeletal and myofascial dysfunctions, can be made more comfortable and functional by the regular application of CranioSacral Therapy. In addition to the positive effects already mentioned, it appears from clinical observations that CranioSacral Therapy can enhance fluid motion on an interstitial level, and across cell membranes. It also seems to enhance arteriovenous and lymphatic activity, as evidenced by the reduction of clinical edema during the treatment process. This result is probably largely the result of its effect on the autonomic nervous system.
This enhancement of the microcirculation of all fluids undoubtedly has a positive effect upon the toxic effects of accumulated waste products within static fluids. All patients, including those with AIDS, benefit when fluid stasis is transformed into fluid motion.
Another benefit of CranioSacral Therapy is its apparent positive effect upon the immune response - for example, the reduction of virus-induced fever characteristic of many childhood diseases. Following CranioSacral Therapy, it is not uncommon for the child to suffer no further febrile episodes subsequent to the fever reduction. Instead, he or she simply begins the recovery phase.
It seems that AIDS patients might best be served by methods that allow them to rechannel energies from dealing with pain and secondary dysfunction, into directions more constructive in terms of body-resistance enhancement. CranioSacral Therapy would seem to be one of these methods. There is still much to learn in this area, but we certainly seem to be on the right track.
Click here for previous articles by John Upledger, DO, OMM.
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