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A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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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