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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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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%.
September, 2004, Vol. 04, Issue 09
Healing From the Core: A New Paradigm, Part I
By Dale G. Alexander, LMT, MA, PhD
Since ancient times, we have endeavored to describe the essential elements of how the body and psyche dance together in the healing process. Inherent in my life's purpose is the desire to contribute to this momentum and to ideas that illuminate the many dimensions of healing.Sometimes ideas come together into simple, obvious paradigms that have not been clearly defined. In this spirit, I invite you to consider a new paradigm that reflects my learning over the past 23 years.
Conceive of working with the body from the "inside-out." Imagine a quality of touch that accesses the body's core and assists the discharge of its tensions more effectively. Consider an approach that helps to unravel the body's sophisticated capacity for distributing strain, thus bringing to the surface physiological problems that have been degrading your clients' quality of life for years. Appreciate your sense of satisfaction when clients, whom you have sensed needed additional medical intervention, actually receive this care. Feel confidence in your competence when clients make steady progress in healing from chronic problems. This article serves as an introduction to this "inside-out" paradigm. The short form has four basic tenets:
When a client comes to your office with an acute or chronic muscle spasm, or other problem without evidence of recent injury or illness, the sequence described above has predated its occurrence. Thus, when our attention is focused principally on the extrinsic musculature, we are only working with the tip of the iceberg.
All touch techniques assist the body to "feel" itself, enhancing the feedback loops, which stimulate the body's self-corrective capacities; however, I propose that the models that govern most technique applications are incomplete.
The premise of this new paradigm, which advocates working from the "inside-out" postulates that "healing from the core" involves enhancing the suspension and function of the visceral organs. Their improved efficiency represents the "tipping point" in building momentum toward healing. Without the appropriate absorption of nutrients, oxygen and the timely elimination of wastes, one cannot help but lose ground in the face of traumatic incidents, immunological challenges or the grinding effects of daily stress.
The visceral organs are central to our ability to survive as infants. They are composed of smooth muscle, the first kid on the neocortical block, since the job of a baby is to ingest, digest and excrete during the phenomenal growth of infancy. The functioning of visceral organs is key to an infant's capacity to thrive. Infants have no psychological sense of separation between self and other. They are physically dependent and vulnerable, yet they experience everything around them as an extension of themselves.
Consider how an infant reacts to family tension and conflict. It becomes upset, its body contracts and writhes, it cries and screams. What is happening to the visceral tissues? They are contracting -- it is the smooth muscles that initiate those movements. This does not suggest that the baby's extrinsic musculature has no tone or function; rather, the visceral smooth muscle is predominant.
In my opinion, this is what has been overlooked in our focus on the musculoskeletal system and on structural models that view the human body from the "outside-in," rather than developmentally from the "inside-out." Contracting visceral smooth muscle predisposes the eventual capacity for gross-motor movement.1 It is a simple idea with many implications related to human development.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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