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Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
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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