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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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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).
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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).
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%.
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.
April, 2004, Vol. 04, Issue 04
Discovering Mastery in the Art of Connective Tissue Massage, Part II
By John Latz
Editor's note: Part I of this article appeared in the March 2004 issue of Massage Today at www.massagetoday.com/archives/2004/03/02.html.
Principles of CTM Body Mechanics
Fascia is finicky about how it changes.Connective tissue needs a significant amount of energy to facilitate the biochemical process of fascial hydration. The optimal way to add this energy is to let your own relaxed body weight lean into your hands or forearm as you work; pushing or exerting effort with extrinsic musculature will not work. This slower, more deliberate and intentional power comes through you only when your core is connected to your movement. It is a sensation of openness and expansion - an effortless flow of energy from practitioner to client.
The practitioner's core energy evokes deep intrinsic openness from the core of the client, without using invasive intention. Fascia must be approached and touched at an oblique angle (less than 45 degrees). This angle minimizes downward compression. Pressing straight down into the connective tissue compresses and closes the core space of the receiver's body. It feels invasive and evokes a natural response to engage the sleeve and self-protect.
Connective tissue massage also uses balanced extrinsic/intrinsic movement while working on a client. Balanced movement is best achieved when the practitioner is maintaining a body alignment that naturally allows slow, intrinsic lengthening to happen, while at the same time minimizing use of the faster, grosser extrinsic muscles of the body. The slower rate of intrinsically powered movements matches the rate of change acceptable to the connective tissue, and it responds by softening, stretching and lengthening. This balanced core/sleeve body movement is the ideal method of working, according to Ida Rolf.
When working with this core, intrinsically powered intention and focus, one could argue that CTM practitioners become the "Fred Astaires" of bodywork. This evokes images of massage therapists working effortlessly and dancing around their tables. We see great form in professional athletes and performers; we admire their movements because they make it look easy. Why wouldn't form be just as important when performing bodywork? Often, we become achievement-oriented, rather than form-oriented, only to misguide our bodies away from balanced movement patterns.
Dr. Rolf spoke about this: "As a child or young person, if you want to learn a skill, you study form. You study with a teacher who insists you must use your fingers this way or hold your elbow this way, to learn the skill. You may not realize that the teacher is trying to instill into you a reverence for form. In any art, if you can once get to a high degree of form and work with it, being conscious while you're working at what you are trying to do, you've got it made. This then becomes the method of choice to you, because it's easy. It's easy because, in this position, the body can work with an expenditure of less energy. This is what form is about."4 As bodywork practitioners, we need to assess our forms while we work, if for no other reason than career longevity.
Using a Line Of Intention
When I work on clients, my body feels like a "line of intention." I can elongate by intention along that energetic line; I have a sense of my self as elastic. I grow bigger, three-dimensionally, and tap into a greater power that exists within my core whenever I need to transfer additional power into my client. Ida Rolf spoke of a vertical line, which is evoked during the 10 sessions of structural integration. The line is continuous, passing from the top of the head through the bottoms of the feet; it represents a relationship of physical structure with the gravity field of the earth.
My CTM students learn how to utilize this axis of intention so they can access more power. The movement that occurs is initiated intrinsically, giving us a sense of vertical lift as we simultaneously lean forward. This integrated movement realigns our structure while we are working, giving us a greater sense of well-being. In other words, we don't have to be tired, drained of energy, or worn out when we work. It's like practicing yoga while we are doing bodywork.
Yoga elongates the connective tissue and transforms human structure through precise balancing postures. These postures create intrinsic/extrinsic balance in the body and allow the practitioner's core-space to emerge. The result is physical and emotional growth, and spiritual evolution. From practicing yoga, I realized I could accomplish a similar lengthening while practicing CTM. I took elements of yoga and applied them to body mechanics.
We borrow a term from physics to further explain "line of intention." "Vector" is a term used to describe a line of force having direction and magnitude. CTM body mechanics rely on a concept of changing vectors to maximize our physical and energetic contact with the client's body. Our alignment is like a relational posture to our client. That posture becomes a vector that can be shifted readily to improve the power transfer. Herein lies the artistry of the CTM body mechanics. Mastery of the CTM system demands an inner awareness of one's own body and core.
Unlike yoga, which can take many years of practice to achieve a core connection, the CTM approach allows us to grow into that core connection at an accelerated rate. Every time I elongate along that line of intention, and every time I point my line, I get that tangible sensory feedback from the client's tissue of deep and significant fascial response.
By learning to point my line of intention, my old ideas have become restructured, and I now have a new line of intention for my life. That's an idea that Ida Rolf strove to convey to her students: "Some people will tell you a man is a something built around a stomach. Some people will tell you a man is a something built around a skeleton. Well, I'm here to tell you a man is a something built around a line."5
This is the paradigm I've now integrated into my life and work. That is the spiritual truth that will lead you to your core connection. Where are you pointing your line?
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