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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
July, 2003, Vol. 03, Issue 07
To Breathe Again
By John Upledger, DO, OMM
In September 2002, I received a letter from Marilyn Thomas, a physical therapist from Cincinnati, who asked me if I would consider taking a look at her son, Matthew. Before I even got to the end of the letter, I was irreversibly hooked.Born November 15, 1991, Matthew Geier has spent his life struggling with the little things most of us take for granted. Delivered by emergency Caesarean section, Mathew was floppy and blue; his Apgar scores - a quick test performed right after birth to determine the newborn's physical condition - were alarmingly low. Within a few short hours he was intubated and placed on a respirator to help him breathe.
Fifteen days later Matthew was diagnosed with congenital central hypoventilation syndrome (CCHS), a rare breathing disorder characterized by apnea and right-sided heart failure. When he was 18-months old he received a pacemaker, but it didn't help. The doctors told Marilyn her son would be dependent on a ventilator for the rest of his life.
Years later, Matthew's breathing difficulties were compounded by symptoms of attention deficit hyperactivity disorder (ADHD), which made it extremely hard for him to learn. According to Marilyn, Matthew would constantly snap his fingers; flap his hands; walk on his tiptoes; and experience a great deal of anxiety and "racing" thoughts.
Having taken a Cranio-Sacral Therapy (CST) class some years earlier, Marilyn began using CST on Matthew at bedtime to help him sleep. She soon noticed his symptoms improve, so she began working with another therapist to co-treat Matthew every week. Still, being his mother, she wisely recognized that she was too emotionally involved to treat him the way he really needed; that's when she wrote to me.
I first saw Matthew on February 20, 2003, at The Upledger Institute HealthPlex Clinical Services in Palm Beach Gardens, Fla. My evaluation led me to believe that his breathing difficulties were secondary to dysfunctions of his autonomic nervous system and his thoracic and diaphragmatic peripheral nerves. So we set about applying therapy to normalize these neurological dysfunctions.
During his time here, Matthew had a total of about a dozen sessions between me and staff therapists Roy Desjarlais, LMT, CST-D, and Rebecca Flowers Giles, OTR, SCP, CST-D. Together, we "opened up" his fourth ventricle and respiratory diaphragm, giving his body "permission" to do this on its own. Matthew's response was remarkable - even to those of us who are used to seeing the remarkable. For the first time since the day he was born, Matthew began breathing on his own without the ventilator.
Since returning to Cincinnati, Marilyn reports that ongoing CranioSacral Therapy has continued to help. She says Matthew was off the vent for five hours one day and four the next. His attitude has also undergone a dramatic change. I'll let Marilyn tell you about it in her own words:
Thank you, Matthew, for the inspiration you have provided to all of us to continue pursuing the impossible.
Click here for previous articles by John Upledger, DO, OMM.
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