resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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?
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.
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).
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.
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.
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.
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.
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?'
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.
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.
October, 2004, Vol. 04, Issue 10
The Significance Detector
By John Upledger, DO, OMM
CranioSacral Therapy (CST) relies on the therapist's ability to palpate subtle body sensations, particularly the rhythm of cerebrospinal fluid (CSF) as it pulses through the craniosacral system at about six to 12 cycles per minute.That rhythm is a key indicator practitioners use to locate and release restrictions in the membranes that surround the brain and spinal cord.
Another important way therapists use this rhythm is to gauge the significance of different types of internal physiological events. When a client's body is involved in a significant process, it has long been observed that the craniosacral rhythm will come to a sudden stop. We call this abrupt halt of the craniosacral rhythm the, "significance detector."
Unlike a "still point," in which the CSF seems to gently and naturally come to a rest, with the significance detector it feels as if the fluid has run into a solid obstruction. This sensation generally indicates that the client's body is going through some type of significant underlying event. It could be one of self-correction, practitioner-assisted correction, self-discovery or even practitioner- assisted discovery.
Whatever the case may be, as a CST practitioner, you can use the significance detector to determine when a client's physiological reactions are crucial to the therapeutic process and not merely resistance or a superficial distraction arising from the client's defense mechanism.
I take the significance detector to mean that something good is happening in the client's body, and whatever it is has either just arrived in the patient's conscious awareness or is just outside the boundary and about to enter. The instant I feel the craniosacral rhythm stop, I might ask the client, "What is in your mind right now?" I tell the individual not to worry about how silly it may seem, but ask them to tell me what was in their mind the instant I asked the question.
The client usually has some difficulty answering. It may feel like the thought was more like a dream, gone from awareness in a fraction of a second. It's a little like playing musical chairs. The music stops, and you awkwardly scramble for a chair. With practice, however, you get better. Soon, when the music stops, you know precisely where you are in relation to the chair. The same is true with clients and the significance detector. Initially, the client may not be able to tell you what is going on at the precise instant you ask, but with practice he or she can improve.
Often, when the craniosacral rhythm comes to an abrupt stop, it signifies that the client is in the same body position in which a physical trauma originally occurred. Again, it is common at this point for the client to begin receiving internal memories, visualizations, and even sounds.
When these therapeutic images occur, we offer them the chance to transmit their meanings by gently initiating dialogue with them. We do not use a demanding, questioning form of dialogue, but rather a friendly, conversational approach that allows the client's inner wisdom to lead the way. The stops and starts in craniosacral rhythmical activity then allow the practitioner to explore yes-and-no health-related questions in an effort to get to the root of the physiological problem.
Over the decades that I have used this system of exploration and verification, it has proven to be extremely reliable. It is also used and trusted by most practitioners of CST at the intermediate level and above. Clearly, the significance detector enables each client who receives CST to be a teacher to the therapist. Thus, the therapist experiences new adventures every day.
Click here for previous articles by John Upledger, DO, OMM.
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