resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
July, 2003, Vol. 03, Issue 07
Mind and Body
By Keith Eric Grant, PhD, NCTMB
Science fiction writer Arthur C. Clarke stated, "Any sufficiently advanced technology is indistinguishable from magic." Increasingly, our technological abilities to create multi sensory virtual realities approac h such magic. On a recent family trip to Disney's California Adventure, I was provided the visual, auditory, kinesthetic and olfactory illusion of soaring over multiple areas of California. Other virtual reality research has created the three-dimensional image of a cat that could be palpated with a special pen to feel bones and muscles.7
As fantastic as these accomplishments are, they still pale before the moment-by-moment magic of our own mind and body in creating our sensory experience of embodiment and presence. If ever you have doubted, even for a moment, how important the touch and human connection you provide can be to others, consider the lessons recently learned from neurological research.
Using functional magnetic resonance imaging (MRI), researchers have been able to track changes in blood oxygen flow to areas of the brain while different cognitive tasks are performed or emotional stimuli is processed. This has provided a window deep into the functional structures of our brain. Other studies of cognitive or emotional losses with brain injuries have yielded clues to the multiple paths by which emotional reactions result from stimuli passed to the amygdala structure of our brain.2,3 Research has shown that we learn to respond to situations, particularly those that are stressful or fearful, in both conscious and unconscious ways. According to Joseph LeDoux, our unconscious memories affect our actions and the way we experience our body:2
Our emotions and senses of having emotional support are shown to have profound effects on our health. Bruce McEwen and his associates have coined the term allostasis for our ability to adapt to the total stress in our lives.4,5 They note the extreme importance of the psychosocial context of our lives on our biological responses:5
David Spiegel has reported a significant relationship between mental attitudes, social support and the progression of cancer.8,9 Similarly, the crucial importance of the mind and emotions on physical health has been extensively discussed by Esther Sternberg and Philip Gold:10
For instance, studies have shown that persons exposed to chronic social stresses for more than two months have increased susceptibility to the common cold. On the other hand, a positive supportive environment of extensive social networks or group psychotherapy can enhance immune response and resistance to disease-even cancer. Women with breast cancer, for instance, who receive strong, positive social support during their illness, have significantly longer life spans than women without such support.
Beyond the process of learning to react to stress, and beyond the effects of our reactions on our health, the mind can integrate all of our sensory input and responses into our sense of self. We are able to build within us a consistency over time and a synthesis of all of our felt input that we identify with - a sense of self that may have been negatively impacted by abuse or trauma, and that can be positively affected by support and caring sensory input. Antonio Damasio hypothesizes how we build this magical sense of self.1
Dr. Vilayanur Ramachandran notes both the construction of our sense of body and that, even as adults, the image that the mind has built remains malleable.6
Given the above, the simple act of reaching out with your touch and presence may reach far deeper than we could have previously imagined. Few come to us unwounded in soul or unstressed by life. In reaching out to give of ourselves, we may well reach the core of each other's being to help reunite mind and body. What we are learning on the forefronts of science says that we have a unique opportunity to make a difference.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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