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Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
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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