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Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
May, 2005, Vol. 05, Issue 05
The Amazing Fascial Web, Part I
By Leon Chaitow, ND, DO
Author's note: Research information summarized in this article has been drawn from content in the 2nd edition of my book, Clinical Applications of Neuromuscular Techniques: Volume 1[Churchill Livingstone, 2001], due for publication early in 2006.
I don't know about you, but "wow" moments seem to be on the increase for me.I guess we all have our own sense of what's exciting, important, "new." For me, it is when different strands of our knowledge-base collide as a result of new research or insightful observations; when connections are made between apparently different aspects of what we know and do, as we attempt to assist our patients/clients towards better health. My intention in this short communication is to share a few of the most recent of these synchronous pieces of information, in the hope that you might experience some of the excitement that research into the way the body functions appears capable of regularly delivering.
Helene Langevin, PhD, is a research scientist working at the University of Vermont. What she and her colleagues are doing is nothing short of revolutionary, and we owe gratitude to them for the new vistas that are opening as a result. Another researcher of importance in this story is Donald Ingber, PhD, whose work on bone-density problems in astronauts, on behalf of NASA, is part of a marriage between ancient Chinese concepts, modern molecular research, and the space program!
Let me start somewhere else, and to then try to bring the focus back to the work of Drs. Langevin and Ingber. Many years ago (early to mid 1960s) as a young-(ish) osteopath working in London, I completed my acupuncture training, and found myself experiencing a sense of deep frustration at my inability to integrate traditional Chinese medicine (TCM) concepts with my understanding of anatomy and physiology, based on Western scientific tradition. The solution for me was to write a book on the subject (Acupuncture Treatment of Pain, Healing Arts Press, 1976).
I have often found that when a subject confuses me, or when I have partial knowledge of an area of my work, the best way of really getting to grips with the problem is to write a book about it - a process that virtually guarantees sufficient research and study to really understand it by the time the book is finished!
To be sure, the writing of the acupuncture book and of a number of "soft tissue manipulation" books did offer some enlightenment; however, there remained until recently a gray area of confusion surrounding just where fascia and myofascial trigger points fit into the acupuncture/TCM story.
Most people nowadays are aware that acupuncture points in TCM are thought of as being linked along invisible lines (meridians) that apparently connect anatomical areas and organs, and along which energy (chi) is thought to travel. Obstructions to this flow, leading to areas of congestion or deficiency, are seen as contributing to health problems, and that these can be relieved by appropriate needle application (or manual treatment of the points - as in shiatsu). Please forgive this simplistic outline of what is in fact a far more complex theoretical construction, but it may help in my attempt to eventually get to the "wow" moments from Vermont and outer space.
Apart from the hundreds of "official" acupuncture points, lying on these meridian maps/lines, another class of acupuncture point has always fascinated me. This is the so-called Ah shi point. These are areas that become spontaneously tender/painful in response to local problems (strain, draughts, etc). They (ah shi points) become "eligible" for treatment in acupuncture (needles or acupressure) when they are sensitive. Now anyone who knows very much about Simons, Travell & Simons' (1999) work on trigger points might be forgiven for thinking that these points sound like those points...if you see what I mean?
Since we already know that approximately 80 percent of the main trigger point sites lie on points located on the meridian maps (Wall & Melzack 1990), the conjunction of these two areas of study (TCM/acupuncture points and myofascial trigger points) should not come as a surprise. Indeed, many experts believe that trigger points and acupuncture points are the same phenomenon (Kawakita et. al. 2002). Whether this is so or not, it suggests that in trying to understand trigger points better, we need to pay attention to research that tries to explain the processes of acupuncture, and the structural aspects of these invisible points.
Dr. Langevin and her research colleagues have helped to clarify the situation, having shown that acupuncture points, and many of the effects of acupuncture, seem to relate to the fact that most of these localized "points" lie directly over areas where there is a fascial cleavage, where sheets of fascia diverge to separate, surround and support different muscle bundles (Langevin et. al. 2001).
It seems that the meridians may, in fact, be fascial pathways. This is not too surprising, since we know the fascial network represents one continuum from the internal cranial reciprocal tension membranes to the plantar fascia of the feet. Now we know that acupuncture points (and it seems the majority of trigger points) are structurally situated in connective tissue, but how does application of a needle or pressure in one part of the fascia translate to distant sites? How does the fascia communicate with other parts of the body?
Well, the Vermont researchers have also shown that connective tissue is a sophisticated communication system, of as yet unknown potential:
Are you are experiencing minor "wow" tingles? I know I am just writing about it again!
Editor's note: Read part II of Dr. Chaitow's article in the June issue.
Click here for more information about Leon Chaitow, ND, DO.
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