resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
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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