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Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
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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