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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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
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?'
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.
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.
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.
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.
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?
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.
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.
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.
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).
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.
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.
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.
December, 2004, Vol. 04, Issue 12
Performing the Initial CranioSacral Evaluation
By John Upledger, DO, OMM
In my last few columns, I've discussed several specific CranioSacral Therapy (CST) techniques. Now I'd like to venture into the "anatomy" of an initial CST evaluation, which is often conducted before a more complete and thorough examination takes place.
In the initial evaluation, the therapist gently palpates the body to sense subtle motions while looking for any restrictions impeding the free motion of the craniosacral system and other body regions, tissues, organs and energies.Similar evaluations are conducted on the vascular and respiratory systems. This evaluation is vital, as the whole body responds to the rhythmical activity of the craniosacral system, which is evaluated for symmetry, quality, amplitude and rate of response. The bodily responses to these systemic activities are significant factors in the search for the patient's primary dysfunction.
Another integral part of the initial CST evaluation involves the myofascial system. Fascia runs like a continuous web of tissue throughout the body and remains somewhat mobile under normal circumstances. Gentle traction applied on the fascia in arbitrary directions from various positions helps localize restricted areas. These areas of restricted mobility are then interpreted to be sites of current problems or residue from previous lesions. Active lesions/problems are differentiated from inactive residual effects by a technique known as "arcing" (pronounced "ark-ing"), which I developed along with biophysicist Zvi Karni at Michigan State University.
Through using mechano-electrical monitoring, we discovered that energies both within and off the body are palpable to the skilled therapist. Arcing requires the therapist to sense the energetic waves of interference produced by an active lesion, which tend to be superimposed over the normal subtle physiological motions of the body, organs, tissues and energies. Practitioners then trace these waves to their source by manually sensing the arcs they form.
When arcing is used, the source of the waves is considered to be the core site of the underlying problem or lesion, which may actually be some distance from the location of the patient's symptoms. Usually the active lesion is disruptive to gross physiological activities, as well as to more subtle energy functions and patterns, such as acupuncture meridians. As sites of dysfunction and disruption are discovered in this way, the therapist may attempt to restore mobility to the involved tissues and energy fields. More often than not, these attempts will be partially, if not completely, successful. In either case, the result is often the appearance of a deeper problem or lesion for which the dysfunction just treated has served as an adaptation.
The therapist then follows these clues, layer by layer, until the primary problem is disclosed. This may occur during the first evaluation, or it may require more than one visit to bring the deepest underlying problems to the surface. The ultimate goal is to clear the entire body of mobility restrictions to achieve the highest level of craniosacral system function.
Click here for previous articles by John Upledger, DO, OMM.
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