Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
July, 2005, Vol. 05, Issue 07
A Natural Approach to Degenerative Diseases of the Central Nervous System
By John Upledger, DO, OMM
As a complementary care practitioner with a long history in the medical field, I tend to look at trends in medicine with a broader eye than some mainstream physicians. With all the press these past few years on degenerative diseases of the central nervous system (CNS) - Alzheimer's, Parkinson's, senile dementia, and the like - I'd like to weigh in on noninvasive options in therapeutic care.It's vital for clients to have choices.
Research indicates that a significant number of degenerative brain diseases are caused by the accumulation of waste products generated by physiological reactions that involve brain proteins. This particular waste product is called "beta amyloid peptide" (BAP). The peptide is formed from a protein called "amyloid precursor protein" (APP), which is a constituent of the neural cell membranes of the brain, spinal cord and spinal cord roots. Toxic levels of the peptide can also be formed from the accumulation of heavy minerals such as mercury, aluminum and cadmium. (Some authorities suggest this abnormal accumulation of BAP results from genetic mutations. The jury is still out on that concept.)
Beta amyloid peptide products accumulate at toxic levels more often in the brain than in the spinal cord and its roots. Yet when abnormal accumulation does occur in the cord or roots, degeneration that histologically resembles that of the brain does occur. In any case, the formation of BAPs from APPs is physiologically normal; however, when BAPs are neither removed as waste nor neutralized by normal biochemical reactions, CNS diseases can occur.
No matter the reason, the abnormal accumulation of BAPs may result in the formation of extracellular amyloid plaques. The presence of these plaques can then induce the inflammatory response, which facilitates the hyper-phosphorylation of a protein named "TAU." While still under study, we know TAU forms intracellular fibrillatory tangles. Between the plaques and the tangles, the neurons become dysfunctional and may die. In addition to producing plaques and tangles, BAPs can: 1) interfere with the proper functioning of voltage-dependent calcium channels, usually causing neuronal hyperexcitability and ultimately death, and 2) enhance the activity of an enzyme known as "GTPase," the hyperactivity of which then interferes with long-term potentiation at the synaps, which results in memory failure.
The production of BAPs depends on the presence of APP, which is an integral cellular-membrane protein. It has three different isoforms made up of either 695, 751 or 770 amino acids. It also has a large domain outside of the cell. The extracellular portion is connected to a smaller intracellular portion by a part of the molecule that passes through the cell membrane, thus forming a connection between the extracellular and intracellular parts of the molecule. Since both parts have receptors, APP passes information between the extracellular and intracellular domains of the molecule; hence, between the extracellular and intracellular regions. In view of all this, it's clear that the major causes of degenerative diseases of the CNS include the incomplete removal of BAPs and excessive inflammatory responses.
Certainly, biochemicals that have been used to treat these conditions (neprilysin, insulin degrading enzyme, endothelial-converting enzyme and plasmin) have been moderately successful in terms of slowing the disease processes. But what about approaching the situation by using hands-on therapeutic techniques that physiologically remove the culprit molecules, namely the beta amyloid peptides?
It seems to me that using approaches such as massage and CranioSacral Therapy (CST) to enhance the flow of fluids that pass through the interstitial spaces of the central nervous system would be of great therapeutic value. If we could help the body obtain a proper balance through these techniques, the accumulation of BAPs would naturally be reduced. One of the major goals of CST in particular is to enhance the flow of cerebrospinal fluid through the craniosacral system, which surrounds the brain and spinal cord. We accomplish this by releasing any membranous tensions that restrict the easy, natural, rhythmical motion of the craniosacral system. When the craniosacral system is operating at a high level of efficiency, the accumulated BAP waste is flushed from the interstitial spaces of the central nervous system and excreted from the body. Thus, a major contributing cause of degenerative diseases of the brain or spinal cord is eliminated.
Yet even preventing further degenerative changes will not restore neurons, neuronal circuits and glial cells that have already been lost. How can manual therapists help restore these losses? Personally, I incorporate CST with SomatoEmotional Release and dialogue techniques to "talk" with the stem cells that are already numerous in the brain and spinal cord. First, I humbly and respectfully describe the functional losses of the central nervous system to the stem cells.
Next, I politely request that these stem cells replace lost neurons, circuits or what have you, as they see fit. It's important to understand that I do not tell them how to do it. I only describe the problem and ask that the stem cells apply their wisdom and ingenuity to do whatever they feel is appropriate and necessary to restore normal function to the brain and spinal cord.
For those of you willing to venture with me into new areas of thought and therapeutic care, you'll find yourself able to render valuable services to clients afflicted with a wide range of degenerative diseases of the brain or spinal cord. And isn't that where the true value lies?
Click here for previous articles by John Upledger, DO, OMM.
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