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How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
July, 2005, Vol. 05, Issue 07
Stay in Touch With...Rolfing®
By Harvey Smith and Ritchie Mintz
"Stay in Touch With..." is a periodic column designed to provide an overview of a particular technique or modality. If you would like to contribute to this column, please e-mail .
What is Rolfing? While massage relieves stress, alleviates soft-tissue pain, and improves circulation, body functions and mental outlook, Rolfing is a specific type of body therapy that re-integrates and realigns the body at a very deep level. It enables conscious control of the body and conceptually allows people to regain the most efficient use of the body by working with gravity rather than against it, thereby improving mental outlook. Serious athletes interested in improving their performance in sports such as golfing and tennis often pursue Rolfing, as do people with chronic orthopedic problems caused by accidents and lifetime poor posture.
Rolfing addresses restrictions modern society imposes on us. We are taught that as we age we lose capabilities. We might actually take on the shape of what we do to earn a living. We learn to accept the pain caused by irregular postural strains on our muscle and skeletal systems. Worse yet, we restrain our breath, and we torture our digestive, nervous, immune and all other circulatory systems, which thrive on natural movement. Rolfing is an approach to remove artificial restrictions, allowing you to recognize the potential within yourself and to grow into who you want to be. Classically, Rolfing entails 10 sessions, each designed for a unique purpose.
The first session in classical Rolfing aims to prepare the body to receive more order. Functional goals are to establish rapport and relationship with the client, to normalize respiration, and begin to order "sleeve," which refers to the external, more superficial parts of our bodies. Structural goals include improving elimination processes and making room for organ expansion, but more importantly, moving the center of gravity of the body backward and into its neutral center, thereby eliminating or reducing the strains placed on the "leaning" structure.
The second Rolfing session aims to improve support from legs to spine, focus on balancing body weight over the arches of the foot, neutralizing spinal curves, and improving erector spinae function. The third session focuses on palintonicity, which is a word created by early Rolfers. Palintonicity is expansion in all directions of the body into maximum potential spatial positions. Palintonicity in the body also assists one's internal sense to expand and let go. Functional goals for the fourth session are establishing the midline - from medial side of legs to visceral core. Structural goals are to free the ischial rami and pubic region; lengthen the adductors; horizontalize the knee; and begin the balancing of inside and out - core and sleeve, intrinsics (deeper muscles) and extrinsics (more superficial muscles).
The fifth session functional goals are balancing relationship of thorax to pelvis; horizontalizing the pelvis; and creating more freedom in lumbars and breathing. The sixth session goals are to free the sacrum, horizontalize the pelvis, and free the spine. Structural goals are organization of the sacrum/coccyx through release of the rotators; release of the sacrum for spinal pumping action; and release of the pelvis from back of legs.
The seventh session goals are horizontalizing the head to go with horizontal pelvis; creating a balanced neck; creating space for highest appropriate mechanical, fascial and spanning relationship of pelvis and cranium; achieving continuity through spine; releasing cervicals for proper positioning; and releasing bones of the skull, especially the sphenoid.
The eighth session goals are to establish the highest level of structural integration possible while encouraging accommodation of the articulary system. The ninth session focuses on assisting the client to realize more order. Key objectives include permitting uninhibited patterned energy flow through the pelvis; balancing and integrating structures through the pelvis; and creating a resilient base for the thorax and shoulder girdle.
The tenth session focuses on setting the client up for "next evolution," counteracting entropy, and understanding "gravity as therapist." Goals are to integrate and balance everything, and horizontalize all hinges (including fascial plane) and dorsal hinge. A goal is to get freedom of the core from the sleeve - a client might understand this as the ability to feel the sacrum swing when the head is held in hands and palpated. Technical details aside, Rolfing makes no judgments, accepts you as you are, and can only bring more appreciation and joy into your life.
Obtainable Results. Obtainable results from Rolfing include more freedom of movement, greater sense of self, and a broader outlook for life. Rolfing can be considered a form of internal and active meditation. People may say that Rolfing hurts, but that can most often be attributed to ineffective communication between the practitioner and client. Rolfing is relaxing in a deep, heartfelt way. Your breathing becomes deeper and more natural. Even the tone of your voice may become more stable and natural with new confidence. Most people who have been Rolfed are measurably taller for an undeterminable time because posture is straightened and allowed to be in a healthier form.
Tension in bodies is similar to tension in other structures. Look at cracks in masonry walls. The blocks became at odds slightly with their footings. When the tension is so great, the wall eventually cracks. Your body resting over your feet is really no different. Our feeling of well-being is encapsulated in our body structures, too. Off-centered and cracked structures are reflected in our perceptions of who we are and how we relate to our world.
My Personal Experiences. One day I observed myself in a storefront glass reflection. I was bent over into a hideous curve, which I grew into not by a disease or accident, but by carrying the misfortunes, lost loves and failures of life on my back. Refusing to appreciate myself had molded me into a disturbingly uncomfortable shape of a man. A short time later, I overcame my doubts and suspicions and called a local Rolfer. As it turns out, I loved the experience so much, I decided to become a Rolfer myself.
There are many holistic and traditional linear therapies, but Rolfing is unique in assisting you in connecting with your true self in a very deep and profound way.
Evolution Revolution in Olympic Performance
For over a year, I have had the pleasure of Rolfing Olympic-level swimmers. They originally came to me for the usual reasons that athletes seek therapeutic bodywork - muscle soreness, flexibility, recovery following competition, etc. I chose to give those reasons a sideways glance and took the rare opportunity to literally create a new form of athletic body structure that rarely occurs in nature. It also presents alternatives to the current paradigm of athletic training.
The current paradigm of athletic training features resistance workouts on the premise that strength translates into more performance (speed, in the case of swimmers). So, these athletes spend almost as much time in the weight room as they do in the pool. This works to the extent that the paradigm is correct. But I was seeking nothing less than a complete paradigm shift.
In the current paradigm, the hip and shoulder girdles are seen to connect to the body trunk at the hip and shoulder joints. Seen this way, the hip and shoulder joints and the attaching musculature are the attach points of the legs and arms into the body trunk. Powerful muscles such as the glutei and deltoids drive the girdles to propel water backward (or whatever athletic task is being performed). Therefore, it makes perfect sense that strengthening these muscles will translate into more speed.
Unfortunately, in my world, the word "strengthen" also means shorten. This operates on every body level - locally, regionally, globally and universally. All that weight lifting tends to stick the girdles to the trunk and shorten the whole body in a way that prevents a deeper system of muscles from working properly or at all. Imagine an egg with a head, arms and legs attached to it. In the current model, this egg-athlete is swimming entirely from its shell, using an external muscle system that wraps around the body but does not work through the body. Furthermore, the legs and arms act from the attach points at the joints. In Rolfing Structural Integration jargon, we say that Eggy is "swimming from his sleeve."
Ah, but another model is possible. Rolfing is about a lot of things, but its primary mission is body alignment with gravity. One of the many ways we align bodies with gravity is to release the sleeve from the deeper underlying musculature we Rolfers call the core. In the hip girdle, these are the iliopsoas and other associated structures. In the shoulder girdle, it's the rhomboids and other associates. Here is the essence of the new paradigm athlete: By releasing the sleeve from the core, you allow the legs and arms to attach not from the hip and shoulder joints but from the spine. Let's look at each girdle.
The sleeve muscles of the hip are the glutei, quadriceps, hamstrings, abductors and adductors. Tightening and shortening these muscles actually restricts the free movement that athletes seek. Individual muscles grab onto one another and act like one big muscle. Muscles and their groups lose the specificity of recruitment required of demanding performance. All the power starts at the hip joint and the moment arm of propulsion is measured from the hip socket to the foot.
In a balanced Structurally Integrated body, the muscle attachments at the hip are released from their fixations in a way that allows the legs to attach to and swing from the lumbar spine all the way up to the respiratory diaphragm. The trick is to free and engage the iliopsoas tract to be part of the power train. Now, the movements begin at the center of the body and the legs hang from and are powered by core muscles, as well as from the sleeve. For the first time, our athlete can swim from the core. Now, the moment arm of propulsion is measured from the diaphragm to the foot - a distance approximately half again longer. This is a huge factor that cannot be overlooked.
The shoulder girdle works exactly the same way. The sleeve muscles of the shoulder are the deltoids, biceps and triceps. Weight training tightens and shortens these muscle groups into one big undifferentiated muscle that resists specific recruitment and prevents core muscles from participating in the movements. The moment arm of propulsion is measured from the shoulder socket to the hand. I strove to release the shoulder sleeve from the core structures and from each other in a way that connected the movement through to the thoracic spine and engaged the rhomboids to be part of the power train. In this model of swimming, there are not two separate arms pumping from the shoulders. Instead, both arms wrap around the back and attach to the spine like a continuous V-belt. Thus, movement runs uninterrupted from fingertip to fingertip and the movement arm of propulsion is increased by over a third. For a swimmer, this is enormous.
These descriptions are super simplistic compared to the complex realities of human movement. For example, we not only connect the girdles to the spine but also to each other. In this model, the arms and legs relate to each other like a fan system you see in some older restaurants where there are multiple ceiling fans run by one motor. The motor and the fans are connected by one long serpentine belt that integrates and relates the movement of all the components. Now expand that vision to include every structure of the body. This paradigm paints the picture of a smooth, fully integrated movement propulsion system instead of individual unrelated parts struggling with each other in their restrictions.
This new paradigm of the Structurally Integrated athlete is completely under the radar of the current athletic training model. There is not one shred of scientific evidence that anything I just wrote is true or correct. In fact, the first page into this new paradigm has yet to be written. The kind of scientific research that needs to be done bears a daunting price tag that few could afford. Until science validates these ideas, the demand for this type of therapeutic bodywork will come not from the universities or teams but from the individual athletes themselves. If they are convinced that this new evolution of body structure betters their performance, they will come for the work even if they pay for it themselves, which many do.
A caveat, if you please. Increased athletic performance itself is not the sole goal of Rolfing Structural Integration and it is hard not to feel congratulated when it happens. The real goal is to accelerate our evolution toward upright carriage. We create a sturdier, more effective human being, which aligns and works with the gravity field of the earth instead of fighting the inevitable losing battle with it. It makes sense that such a human body structure will operate better at the limits of performance.
The funny part of it all is that these competitive, hardworking athletes came to me for the benefits of a good massage - stress relief, soreness, flexibility, recovery from competition and training, etc. Interestingly, all those goals got met by directly addressing none of them. What they really got is something they didn't expect or even know existed: a whole new way of relating to their body, their sport and their expectations of what is now possible in their athletic performance.
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