resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
July, 2005, Vol. 05, Issue 07
Plastination Reveals the Craniosacral System
By Julie McKay
Author's note: This article is for educational purposes only. I have no financial connection to or other vested interest in the Body Worlds exhibit. I only encourage others to take advantage of the exceptional educational opportunity it offers.
For those of you who would love to attend a dissection class to explore the craniosacral system, this article is for you.If you have already seen the Body Worlds exhibit of perfectly preserved cadavers created by Dr. GŸnter von Hagens, you may have realized that it is even better than a dissection class. If you have yet to see the Body Worlds exhibit, I have three words for you: Go see it! Body Worlds is an exhibit of perfectly preserved human anatomy specimens using a technique called plastination. The exhibit features whole bodies, individual anatomical specimens and transparent slices.
I have been practicing CranioSacral Therapy (CST) since 1998. It's the work that I love. As a CST teacher's assistant and study group leader for the Upledger Institute, anything pertaining to the craniosacral system gets me excited. When my husband, who is also a massage therapist, told me about the Body Worlds exhibit, I had no idea how much I would learn about the anatomy of the craniosacral system by attending.
The exhibit is currently on display at the Chicago Museum of Science and Industry and takes about two hours to go through. I realized within the first five minutes of walking into Body Worlds that something amazing was about to be revealed to me. After seeing the exhibit the first time, I had to tell everyone interested in the craniosacral system or CST to see it. Why? Dr. von Hagens has preserved delicate anatomy that is rarely done justice in anatomy texts or dissection classes. This exhibit displays many wonderful views of exposed cranial bones; intra- and extra-cranial membranes, including dural tubes, dural nerve sleeves, tentoriums and falxs; and lots of cranial nerves.
Around the exhibit entrance is a display of horizontal body preserved by epoxy resin. The item that caught my attention was the sagittal slice of the cranium and neck allowing an unusual view of the orientation of the occiput, atlas and axis. Once in the exhibit area, cases and upright specimens are on display with over 200 specimens in all. The first full plastinate is "Cartilage-Ligament Skeleton." (623)* Walk around to the back and stand on your tiptoes. You will see your first up-close look at the falx cerebri and tentorium of the intracranial membrane system. Also easily viewed are the sagittal and straight sinuses.
In the display case (203) the smallest bones of the body are displayed - those of the ear. Seeing them up close allows you to realize why the mechanisms of hearing are so sensitive - it does not take much to affect them, as they are so tiny and light. Their close proximity to the temporal bones allows us to appreciate how a blow to the head can have a negative impact on hearing and how CST can allow the body to restore balance to this delicate mechanism.
Look at the suboccipital region of "Muscle Man with Skeleton." We can get a good visual of the extensive muscles and connective tissue that need to be softened to have access to the atlas, C1, which is used in an atlanto-occipital or cranial base release. "Torso with Severely Deformed Spinal Column" (205) helps us to understand the effects of Wolfe's Law, how bone grows or changes to accommodate the stresses it is placed under. We see that the ribs, vertebrae, illia, and even the coccyx have accommodated the stress of the body, but still allow the internal organs to be protected.
Have you ever seen a wormian bone? A wormian bone is a small, irregular bone that forms along the cranial sutures. Well, take a good look at the lamdoidal suture of "The Runner" (614). At first glance everything looks normal. But upon closer observation you'll realize that there is an extra bone above the occiput and between the parietals. Usually, wormian bones are small but this one is probably the largest one that most of us will ever view. I'd hypothesize that either the infantile occiput did not fully ossify into one bone or at some point in time the occiput was stressed and a "crack" or additional suture developed. The craniofacial nerves can be viewed around the left temporal region of "The Runner." We can also see a wonderful view of the psoas. By seeing where it attaches we realize that doing respiratory and pelvic diaphragm releases can affect this muscle. The view of the brachial plexus helps us realize how restrictions can be released with a thoracic inlet release.
Spend plenty of time observing the intra- and extra-cranial membranes and cranial nerves of "Poised Plastinate of Nervous System" (604). The posterior view reveals the exterior side of the dura mater and the interior side of the arachnoid mater of the dural tube. Additionally, a rare view of the vomer bone is offered.
In the brain specimen cases, there are wonderful views of the ventricles (252) where cerebral spinal fluid is produced. And check out the brain slice of the cerebral cortex showing black marks due to Alzheimer's disease. Viewing this brain slice we can understand that if the cerebral spinal fluid does not optimally flow around the brain, it does not have the opportunity to chelate, pick up, and remove the deposits, which can lead to Alzheimer's disease.
My favorite display is the "Chess Player" (603). The posterior portions of the vertebrae have been removed to reveal the dural tube and spinal cord. You can view where the brainstem ends and the superior portion of the spinal cord begins, as well as the cauda equina, nerve roots and dural sleeves. Looking closely, you may also be able to identify some denticulate ligaments and the termination of the dural sac. Other nerves of note are the sciatic nerve and the left trigeminal nerve. We can better understand the major impact that facilitated segments can have on the body by being able to observe this complex pathway of nerves. I am absolutely fascinated by how intricate our bodies are.
Moving on to the arterial specimens, "Arterial-Skeletal" (351) shows the carotid artery's entry into the head through the carotid canal. The sphenoid, temporal and occipital bones form the carotid canal. Viewing this gave me a better appreciation for how making sure that these cranial bones are properly moving can help improve the delivery of arterial blood to the brain. "Torchbearer" provides a beautiful view of the hyoid bone, the only floating bone in the body, and its muscular attachments. Viewing this specimen can help those who have difficulty locating the hyoid during CST sessions by giving us a visual to reference.
Hanging is "Representative Series of Slices, Female." We can view in these transparent slices how the tentorium attaches to the temporal bones and how the falx attaches to the parietal bones. This allows us to visualize and realize how temporal ear pulls and parietal lifts, respectively, can engage the intracranial membrane system. Toward the end of the exhibit hangs "3-D Slice Plastinate" (620). Examine both sides of the 3rd and 4th slices in particular. The intracranial membrane is visible, particularly the tentorium's attachment to the temporal bones.
Last, but by no means least, is the "Cyclist," an expanded body that provides space to better view the relationship between the bones, organs, and muscles of our bodies. I often feel how big a cyclist looks after receiving a CST session, when a lot of my restrictions have been released. Afterward, I feel bigger on the inside, as if I have more space available to me.
For anyone interested in the workings of the body and what lies beneath our skin, Body Worlds is a must see exhibit! It is well worth making the effort to see regardless of where you live. I hope you enjoy the exhibit and walk away with a better understanding of what lies beneath your hands when you work with your clients. It certainly has opened my eyes and allowed me to better realize what I am affecting when working with my clients, "craniosacrally" speaking.
For more information on Body Worlds, visit www.bodyworlds.com.
*Parenthetical numbers refer to the audio tour discussion for that specimen. I use these numbers as an additional means of identifying a particular specimen. I recommend the advanced level audio tour.
Body Worlds 2:
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