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Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
August, 2003, Vol. 03, Issue 08
Releasing the Energy Cyst
By John Upledger, DO, OMM
Have you ever had a client whose injury seemed to cause problems long after the site had healed? That is not as unusual as one might think. Research I conducted in the late 1970s with a biophysicist named Dr.Zvi Karni led us to discover that the body can retain the imprints of physical trauma in the tissues. These imprints, which can also include intense feelings that occurred at the time of injury, actually leave a residue embedded in the body. I call these areas of restricted or disorganized energy "energy cysts."
The idea behind this is: When an accident occurs, the energy of the accident enters the body. This fits with the laws of thermodynamics, which tell us that energy cannot be created or destroyed. They also tell us that the natural tendency of atoms, molecules and energy is toward disorganization. When this external, disorganized energy - the "energy of injury" - is forced into the body, it penetrates into the tissues to a depth determined by the amount of force versus the density of the tissues. This force is countered only by the density of the tissues it is trying to penetrate.
A blow to the foot or ankle might penetrate through the leg all the way to the pelvis. Once it reaches its depth of maximum penetration, it stops and forms a localized "ball" of energy that doesn't belong there. If your body is vital and able, the "energy of injury" can dissipate and normal healing can occur, but if your body is unable to dissipate this energy, it is compacted into a smaller and smaller ball in order to minimize the area of disruption to tissue function. As it becomes more compressed and localized, the disorganization within this compressed energy increases until it becomes an "energy cyst."
A person can adapt to energy cysts; however, over time, the body needs extra energy to continue performing its day-to-day functions. As years pass and the body becomes more stressed, it can lose its ability to adapt. This is when symptoms and dysfunctions begin to appear and become difficult to suppress or ignore. Fortunately, a technique called "Energy Cyst Release" can help the skilled therapist deal with these particular challenges. It is an effective way of encouraging your client's body to release those areas of blocked energy and accelerate a full recovery.
Energy Cyst Release is a component of CranioSacral Therapy, which addresses restrictions in the craniosacral system that surrounds the brain and spinal cord. Using a light touch, the practitioner monitors the rhythm of the fluid coursing through the craniosacral system to detect potential restrictions and imbalances. Delicate techniques help release those problem areas and relieve undue pressure on the brain and spinal cord.
As part of that process, the body will sometimes spontaneously return to the same position it was in when the injury was first sustained. As this occurs, the therapist can feel the tissues of the body relax as the energy cyst is expelled. Then the body is free to fully return to its optimal levels of functioning.
This is what happened after a woman named Rebecca* was involved in a severe automobile accident. She visited a CranioSacral Therapist to help relieve the constant pain she had experienced for eight months. Though her fractures had healed, she was left with severe headaches that occurred almost daily, and her neck and lower back hurt constantly. The therapist first tried to find a structural reason that would account for the severity of the pain. Restrictions were cleared in her craniosacral system, which helped with her head and neck, yet her back continued to hurt.
During the tenth session, Rebecca was seated on a treatment table with her back to the therapist. He had one hand on her back and the other on her head as he tested the spine for subtle movements. Suddenly, Rebecca began to push hard against the hand on her back. After a few minutes she slumped forward. Rebecca reported that she had suddenly remembered an incident several years earlier when she was hit by a fist in the middle of her back. The resistance she felt from the therapist's fist enabled her to release the energy of the blow and of the accident injury spontaneously. Her life turned around after that session. Within a month, her pain was minimal.
This is a case in which the tissues had been released, but the energy cyst still resided within them. By returning her body to the precise position it was in at the time of injury, the mass of disorganized energy that had been forced into the tissues from the original trauma was suddenly given an escape route, which was also the same route of its entry into the body. It is possible, after you've become experienced practicing these techniques, to release energy cysts without using the client's body position as the facilitating factor, but that approach requires a lot more work on your part, and it is much less natural. It is always better to work with the client's body, than against it.
*Name changed to protect confidentiality.
Click here for previous articles by John Upledger, DO, OMM.
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