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Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
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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