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The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
August, 2004, Vol. 04, Issue 08
A Look Inside the Craniosacral System and How CST Helps
By John Upledger, DO, OMM
The brain and spinal cord - the two major components of the central nervous system (CNS) - require a carefully controlled physiological environment in order to develop and function efficiently and effectively.The craniosacral system is largely responsible for providing this environment.
The craniosacral system is a physiological system that meets the criteria for classification as semi-closed and hydraulic. It has a watertight boundary largely provided by the external layer of the meninges. This external layer is known as the dura mater or dural membrane. The craniosacral system's controlled fluid inflow is provided mainly by the choroid plexuses, with controlled outflow provided largely by the arachnoid granulation system. The fluid within the craniosacral system is cerebrospinal fluid (CSF), which is extracted from blood by the choroid plexuses and returned to blood by the arachnoid granulation system. The extraction and resorption of CSF are accomplished largely through osmotic pressures and specialized active transport mechanisms.
The functions of the CSF are carried out as it circulates within the craniosacral system. It circulates between the cells of the brain and spinal cord, and fills the spaces between cells. CSF also crosses cell membranes to enter intracellular compartments, though entry is selective. Some components of CSF are excluded. CSF functions include:
The dural membranes of the craniosacral system form the lining for several cranial (skull) bones. These membranes also attach to specific areas of bone in the spinal canal. The spinal canal attachments are much more sparse than the intracranial attachments, which allows for movement of the spine. When dural membrane movements are abnormally restricted for any reason, the craniosacral system may become compromised, with secondary effects on the CNS and/or endocrine and immune systems.
The volume of CSF in the craniosacral system constantly and rhythmically rises and falls at about six to 12 cycles per minute. This ongoing volumetric change requires dural membrane boundaries to continually adapt to avoid excessive fluid pressures on the delicate brain and spinal cord structures. Part of this accommodation is accomplished by the cranial bones opening and closing minutely where they abut each other.
It is now known that under normal circumstances cranial bones do not fuse together at puberty, as was previously taught.1-6 Rather, they are in constant motion to accommodate the changing demands placed on them by the dural membrane as it adjusts to the rhythmical rise and fall of CSF volume.
Disease, dysfunction or injuries may cause loss of bone mobility in the head, spine or pelvis. Such trauma can cause craniosacral system dysfunction, with secondary ramifications in the CNS, endocrine and immune systems.
The Role of CranioSacral Therapy
CranioSacral Therapy focuses on:
Many Systems Positively Impacted by CranioSacral Therapy
CST primarily facilitates processes that enhance the body's innate abilities for natural healing. The therapy focuses on removing restrictive forces and obstacles related to the craniosacral system. Enhancing the mobility of the craniosacral system improves the circulation of both blood and CSF to the brain, spinal cord, pituitary gland, pineal gland and the cranial nerve systems, among other things.
Improving fluid motion and exchange specifically enhances the functions of the brain; spinal cord; autonomic control systems; visual, auditory, olfactory and gustatory sensory systems; motor and motor coordination systems; endocrine system; and the immune system. Less directly, it seems to affect all other body systems; therefore, it is exceptionally useful for most chronic conditions and as a preventive measure.
Click here for previous articles by John Upledger, DO, OMM.
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