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TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
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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