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Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
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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