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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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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.
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.
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.
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.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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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