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Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
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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