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Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
June, 2005, Vol. 05, Issue 06
The Amazing Fascial Web, Part II
By Leon Chaitow, ND, DO
Editor's note: Part I of Dr. Chaitow's article appeared in the May 2005 issue and can be accessed online at www.massagetoday.com/archives/2005/05/03.html.
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.
To understand how this signaling system works we need to be aware of the role of integrins - tiny projections emerging from each cell, that act like mini-transmitters and receivers.To continue with the story we now need to travel into space. Ingber conducted research (1989, 1993), much of it for NASA, into why astronauts lose bone density after a few months in space. He showed that as cells deform, when gravity is removed or reduced, the behavior of cells changes to the extent that, irrespective of how good the overall nutritional state is or how much exercise (static cycling in space) is taking place, individual cells cannot process nutrients normally, and problems such as decalcification emerge. The cell's communication systems, via integrins, also diminish in efficiency when the cells distort.
What Helene Langevin and her colleagues are now showing is that when deformation of cells and tissues occurs - such as that which happens to all of us when areas of the body are chronically shortened, crowded, compressed, stretched or twisted due to age, disease, trauma or progressive adaptation - the cells cannot function or communicate normally, or even demonstrate normal gene expression.
And consider, from the bodyworker's point of view, the reverse of that scenario. When we normalize tissues that are tense/tight/deformed/compressed by means of massage, stretching, mobilizing, etc., we are not just normalizing the biomechanical aspects of the function of those tissues - so that, for example, the shoulder or elbow or neck or whatever, "feels" better - we are also improving internal cellular function, enhancing cellular communication and gene expression. If that's not a "wow" I don't know what is!
The observation of Langevin et al, (2005) is: "The dynamic, cytoskeleton-dependent responses of fibroblasts to changes in tissue length demonstrated in this study have important implications for our understanding of normal movement and posture, as well as therapies using mechanical stimulation of connective tissue including physical therapy, massage and acupuncture." (Langevin et al, 2005)
Consider the connections I have attempted to put together in this brief communication regarding different elements of our understanding of how the body works:
Our work can really change the way the body works, and not just on the mechanical level. We influence emotion, the mind, the nervous system, immune function, and now we know that we also influence the way cells communicate and nourish themselves.
In a future article for Massage Today, I will highlight another recent "wow" (for me) relating to the presence in fascia of contractile (smooth muscle) cells. The sites where these have now been identified include cartilage, ligaments, spinal discs and the lumbodorsal fascia. (Ahluwalia et al, 2001; Hastreite et al, 2001; Murray & Spector 1999; Meiss 1993). The implications are enormous. For example, Yahia & Pigeon (1993) have observed that: "Histologic studies indicate that the posterior layer of the (lumbodorsal) fascia is able to contract as if it were infiltrated with muscular tissue."
If you are one of the many readers who have had the good sense to read Tom Myers wonderful book, Anatomy Trains, my guess is that the implications of a contractile potential in fascia will be another "wow" for you.
And there's more. One more piece of the jigsaw puzzle has recently fallen into place. German research (not yet complete, on which I will report in a future article) has shown that fascia acts in a sponge-like manner, so that when stretched it loses a great deal of its water content, and afterwards, if the stretch has been long enough and strong enough, and if no more activity occurs over a period of 30 minutes or so, it reabsorbs more water than it lost in the stretch, and becomes stiffer than previously.
Click here for more information about Leon Chaitow, ND, DO.
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