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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%.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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).
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 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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
October, 2004, Vol. 04, Issue 10
Healing From the Core: A New Paradigm, Part II
By Dale G. Alexander, LMT, MA, PhD
Editor's note: Part I of this article appeared in the September 2004 issue (www.massagetoday.com/archives/2004/09/20.html).
Consider the esophagus.From the mouth to the anus, the human body is one long tube. That tube, the esophagus, is fascially suspended from the sphenobasilar junction of the cranium, which is directly behind the eyes. Hence, tension anywhere in the gut tube may be expressed by the esophagus pulling the head down upon the neck. Obviously, this can affect the craniosacral system's efficiency in circulating cerebrospinal fluid throughout the central nervous system.2
Less appreciated, too, is the anatomical fact that the esophagus is cradled behind the heart in front of the spine. When the esophagus shortens its resting length in response to highly emotional stresses or in response to whiplash-like biomechanical insults, the resulting contracture requires more effort from the heart.
In my clinical experience, the three most important intrinsic muscles are the esophagus, diaphragm and iliopsoas. This triad represents soft-tissue linking pins from the lower extremities through the trunk to the cranium. Thus, tensions overflowing from the viscera into these intrinsic muscles may exert an increasing amount of pull on the axial skeleton, activating and/or perpetuating the influence of the righting reflexes set in motion from traumatic incidents, winding the spring even more tightly. This entire process is layered and insidiously subtle for many.
The body endeavors to physiologically allocate its resources and to distribute the biomechanical strains until the "tipping point" of negative momentum is reached and an episode of dysfunction/pain or illness occurs, which allows the body to reset the resting length of these core muscles.
John-Pierre Barral, DO, developer of Visceral Manipulation, often referred to the diaphragm and iliopsoas as the body's "garbage muscles."3 It took a few years of study with him before I understood what he meant. In sum, the body builds charge in the form of tension, which eventually must be discharged. This notion was helpful in understanding how and why the body uses musculoskeletal episodes of pain and dysfunction to discharge this accretion of tension.
What this paradigm offers is this: There seems to be a logical order to this discharge process - one that offers each of us as massage therapists greater clarity of intention to our quality of touch. With your next client, allow your hands to relate to the basic physiological processes of the body. Seek to enhance your client's central circulation. Where do you sense the "kink" in the hose? Work from the inside-out.
The key question for us to consider is how one activates the homeostatic capacities inherent in the human body. The answer is to enhance the circulation of bodily fluids in all its forms. Consider these four aspects: how fluid is pumped; where its flow is resisted in the tissues; how it is filtered; and how it is re-constituted and/or excreted. The name of the healing game revolves around the central theme of "who gets the blood."
Many extraordinary teachers have influenced the evolution of the inside-out, including Lansing Barrett Gresham; Dr. John Upledger; Dr. Jean-Pierre Barral; Dr. Richard MacDonald; Frank Lowen, LMT; Jon Zahourek; Bill Williams, PhD; and Ellen Gregory, PhD. Read their works for more information.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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