Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
September, 2005, Vol. 05, Issue 09
The Inside-Out Paradigm: Small Facts, Big Implications
By Dale G. Alexander, LMT, MA, PhD
Why do the human neck and back experience pain so often? Because much of what sustains our lives is suspended forward from them. The basic principle is that tensions in the front of the body are transferred to the posterior aspect of the human spine, where the sensory nerves register the strain and stimulate the muscles of the back and neck to contract.Our bodies valiantly endeavor to distribute this strain. Eventually, clients present with musculoskeletal problems that do not resolve, but instead, emerge and persist. Quality of life starts to diminish.
Let's begin at the top. The esophagus is tethered from a slip of fascial tissue that bridges the sphenobasilar junction, right behind your eyes. Contraction, contracture or spasm of this connecting tube between the cranium and the upper abdomen pulls the head down upon the neck, and eventually pulls it forward and down. Wherever the head goes, the rest of the body must follow. The strain might be felt into the neck, upper-back or mid-back regions.
During our embryonic development, the heart and the diaphragm muscles begin their descent from the 2nd cervical segment. During this same descent, the pericardial sac of the heart becomes welded to the diaphragm muscle. Our lungs also hang from the neck via Sibson's fascia, which interdigitate with the scalene muscles as far up as the 4th cervical segment. This has many implications; consider two of the most obvious. Breathing difficulties of all varieties and cardiac dysfunction of any kind will inevitably and literally pull the human neck and upper back forward and down toward the pelvis.
Let's return to the esophagus again. The heart has an indentation for the passage of this muscular swallowing tube between itself and the spine. What might be the effect of contracture of the esophagus on heart function? How might the body attempt to distribute this strain? Where will it be felt? The clinical principle here is that where clients report pain is rarely the true source of its origin.
The colon is suspended from the space between the 9th and 10th ribs and is anchored into the hip bones internally. Consider a contracture of the ascending colon on the right side of the body. Might this exert a strong influence for the spine to side-bend to the right and rotate left, resulting down the kinetic chain in the common observation of a short left leg?
Even less appreciated is the fact that the mesenteric root of the small intestine is suspended forward from the 3rd lumbar vertebra. Given that the length of this crucial organ of digestion is approximately 8-12 feet long and that its weight may exceed 50 pounds, it is little wonder that low back dysfunction is a leading source of diminishing quality of life.
What all these small facts lead to is a need to shift our therapeutic perception to working from the "inside-out." What is happening internally is where the real action is. Our organ systems are what replenish our energy and cleanse our bodies. This does not negate the influence of traumatic incidences that "flash freeze" the body's sense of balance in relation to gravity. Rather, internal relationships and their dysfunctions predispose the lines along which trauma tends to fixate the system. Any locking of the system will progressively reduce the body's ability to allocate its resources of oxygen and nourishment to all of its systems. Aggregately, this creates a breeding ground for all varieties of chronic problems to emerge, and even for pathology to develop.
Our task as massage therapists is to stem this tide - and if possible, to help turn the boat toward assisting the body to redistribute its strain and reallocate its resources more equitably. This is perhaps a functional definition of physical healing.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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