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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.
November, 2004, Vol. 04, Issue 11
The Still Point
By John Upledger, DO, OMM
In my October column (www.massagetoday.com/archives/2004/10/14.html), I spoke about how CranioSacral Therapists use the rhythm of cerebrospinal fluid to gauge the significance of different types of internal physiological events by relying on a key indicator called the Significance Detector.If you'll recall, the Significance Detector involves an abrupt halt of the craniosacral rhythm, which indicates that the client's body is going through some type of significant underlying event.
Another important way in which CranioSacral Therapists use the craniosacral rhythm is in the case of the Still Point. Unlike the Significance Detector's sudden rhythm stop, the Still Point is indicated when the cerebrospinal fluid gently and naturally comes to a rest in what can best be described as an extended pause.
A Still Point can occur spontaneously or it can be induced by the CranioSacral Therapist to help facilitate the release of restrictions in the membranes around the brain and spinal cord. It works quite simply. The delicate interruption of fluid flow causes a momentary buildup of fluid in the system. When the tissues are subsequently released and the fluid begins to flow again, it gently "flushes" the system, causing the membranes to stretch a bit and release tissue restrictions or adhesions.
The results, which also include increased blood flow to the brain, can have a therapeutic effect on the central nervous system and the entire body. Some other highly beneficial effects include headache and muscle pain relief, a reduced state of stress and ready response, a deep state of relaxation, and a general sense of well-being.
A Still Point represents one of the few times a therapist actually intrudes upon and alters the functioning of the craniosacral system. To illustrate how this occurs, it is important to understand how the terms "flexion" and "extension" apply to CranioSacral Therapy.
In the flexion phase of the craniosacral rhythm, the whole body externally rotates. The head actually widens, and the base of the sacrum moves posteriorly. In contrast, the body rotates internally in the extension phase. We theorize that the flexion phase of the rhythmical cycle is created when the input of cerebrospinal fluid (CSF) into the semi-closed hydraulic system, formed by the dura mater membrane, exceeds the outflow. During the extension phase of the rhythm, the input of CSF is either shut off completely or is significantly less than the outflow. Thus, we might say that the flexion phase is one of filling, and the extension phase is one of emptying.
Therapists can induce a Still Point by using manual techniques to resist either the flexion or extension phase. Generally, it is easier and more efficient to resist the filling (flexion) than the emptying (extension). Still Points can also be self-induced using either a homemade tool (two tennis balls placed in an athletic sock and knotted at the end), or a simple device called the Still Point Inducer, made of soft latex material (available through The Upledger Institute at www.upledger.com).
Simply choose a comfortable surface (sofa, bed or floor) and lie on your back. Place the Still Point Inducer under your head, in line with your ears, and allow the weight of your head to rest on it. Then close your eyes and relax for 10 to 20 minutes. A Still Point Inducer can be used by most people up to four times a day. It is contraindicated only in cases of internal bleeding in the head, acute stroke, acute head trauma or a brain stem tumor.
Click here for previous articles by John Upledger, DO, OMM.
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