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Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
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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