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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
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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