resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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?
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.
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."
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.
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 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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
November, 2005, Vol. 05, Issue 11
Stay in Touch With ... How to Make a Human House A Home With Hellerwork
By Tucker Sharp
While taking a new route to work the other day, I noticed a new housing development going up in my neighborhood. The sign in front of the development project read "56 new quality homes coming soon.Models available for viewing." I thought, "Those are not homes yet; they are merely well-built structures." No one is living in them. There is no life inside these structures. It's the life inside that makes the structure a home.
One thought led to another, and before long, I had more than a few analogies regarding houses, homes, and humans. I found myself making a comparison between these houses not yet occupied and so many of us. We have bodies we don't seem to occupy much of the time.
The Hellerwork Practitioner assists people in being not only balanced and at ease in their bodies, but also more present. In other words, we help people to become comfortable and at home in the physical "structure" that carries them around. This structure is the vessel through which we human beings animate and express ourselves.
Each Hellerwork session consists of three very distinct components: 1. Structural Integration Bodywork; 2. Postural and Movement Education; and 3. Mind-Body Awareness. In this article, I will elaborate on all three of these components, clarifying what each component has to do with being at home in our body structures.
A house and a human body are similar in that they both are physical structures standing within a field of gravity. Both are subject to the laws of gravity. Consider any new house for example. It has a foundation with four corner stones on which the entire structure rests, evenly balanced and supported. Much like the house foundation, the body also has a foundation - the feet.
Now, suppose one of the cornerstones of the foundation of a house were to drop. How do you imagine this would affect the house? In no time, there would be stress cracks in walls, doors and windows might be stuck shut/open, and quite likely, the roof and the pipes would begin to leak. In short, the house would soon be unstable. If this structure could tell you what it was feeling, it would probably say, "I'm miserable! Please somebody get me balanced again!"
It's quite literally the same situation with the human body. The house left in unstable condition after one of the cornerstones was dropped can be "righted" with professional know-how, properly applied. The same is true of the human body. It can be re-aligned and "righted" again, just like a house.
It's important to keep in mind the human body is a complex, interrelated organization of bone, muscle and connective tissues. When organized appropriately within earth's gravitational field, the body actually is supported in gravity. When, on the other hand, the joint systems of the body are imbalanced, these same gravitational forces negatively impact the fascial system.
Under imbalanced conditions, the fascia shortens, dehydrates and literally laminates itself to any neighboring body part. The bones stay the same length and the muscles still function, but the shortened connective tissues pull the body into compression and rotation patterns. The body responds to these imbalances by decreasing mobility. Over time, this pattern becomes "the new you." Many so-called "debilitating conditions" are the result of this down-spiraling phenomenon. The good news is it can be reversed through Structural Integration Bodywork.
Houses have stories; one, two or three. Similarly, the human body has "stories." The "stories" of the human body are defined by the weight bearing joints of the ankles, knees, hip and pelvic complex, and the spine. You could even say each vertebrae of the spine is its own story. For a balanced distribution of weight and omni directional tension, each vertebra needs support from, and provides support to, the vertebra above and below.
When viewed from this perspective, the body becomes something more like a thirty-story building with each joint system creating a new story for the next to find balance and support. As you might imagine, it can be a bit tricky to maintain balance in a thirty-story skyscraper, like the human body. It is quite miraculous when you stop and think about it.
What holds us up comfortably? Most people think it's our bones. But if you were to remove the myofascial system (muscles and connective tissues), the skeleton quickly would end up in a pile. The bones act as the framework for the body and as attachment sites for the myofascial system. It is the myofascia that holds us together, keeps us upright, and either allows or inhibits movement.
Structural Integration Bodywork systematically uses slow, specific, deep strokes and manual manipulations. These manipulations, over time, unglue, rebalance and lengthen the multidirectional rotation patterns that rigidify in the body. The body changes because these compression imbalances in the tissues are reorganized.
This systematic approach of relating the body to gravity, through the myofascial layers, naturally aligns and improves posture. Length comes into the body allowing the reorganized muscles the space to work and joints the freedom to function. The shrinking so commonly associated with age is arrested and feelings of discomfort and pain vanish.
The Hellerwork Series generally consists of a minimum of 10 sessions of progressively balancing bodywork. Each session focuses on a different area of the body which furthers the releasing and balancing process of the previous session. The results are cumulative. When the whole body has been structurally integrated, one moves more freely and feels lighter and younger.
The human body is built to move within gravity with equal tension between the flexor and extensor muscle groups throughout the body, producing buoyancy and balanced fluidity in movement. The body must move to enjoy optimum health. This is why the postural and movement aspect of Hellerwork are important.
Postural and Movement Education
Once the body is reorganized and back in balance, the person needs some postural and movement re-education to maintain the "new and improved" lengthened alignment. What Joseph H. Heller (the founder of Hellerwork) noticed, was that unless people were educated about how to move more effortlessly and efficiently, old habits would re-assert themselves, pulling them back into old patterns.
While it's true that form creates function, it's also true that function creates form. It works both ways. That is why each Hellerwork session has a corresponding postural/movement re-education aspect to help support the body's changing alignment.
To understand this, you might try the following postural awareness lesson. For this awareness lesson, it's necessary to acquaint you with your "pelvic bowl." The front of your pelvic bowl is an imaginary line from the front of your hips, across your lower belly under your navel. The back of your bowl is from side to side across the top of your buttocks. The sides are defined by the most lateral edge of the upper hipbones, with the landmarks of the bottom of the bowl being the anus and genitals.
Stand up and place the palm of one hand just below your navel (on the front of the bowl) and the other at your low back (on the back of the bowl). This is your pelvic bowl."Imagine this bowl is full of soup. See whether you can find that place where your bowl is nearly horizontally balanced front to back, with the front of the bowl tilting slightly forward. The front hand should be a bit lower than the back hand.
Now notice what happens when you tip your bowl back (spilling your soup). It causes the back hand to go down and the front hand to come up. This will result in some very significant postural changes. Below I list several possibilities, see which of them you notice.
Now consider this: What I have outlined here actually is a simplified version of the whole compensatory picture. Quite literally, every aspect of the body is impacted by this one postural imbalance. Without education designed to alert us to the many ways we unknowingly misuse our bodies, we create multiple compensatory patterns.
This will lead to bodily stress and limited range of motion. This is why each individualized session of the Hellerwork series features several postural and movement lessons.
So, we now have our bodies back in balance. We have learned how to move our bodies in a way that supports and maintains the new balance. So why do we need the body-mind dialogue aspect of the Hellerwork Session? Simply put, we need it because we, as human beings, have a reciprocal body-mind system. Our bodies are the instrument through which we experience life. We cannot have a mental or emotional experience without its corresponding bodily experience. This doesn't mean, however, that we always are aware of every aspect of ourselves or our bodily feelings. There is no evidence we are conscious of all our feelings, and much to suggest that we are not.
As Hellerwork Practitioners, we are not interested in turning our sessions into psychotherapy sessions. Our intention, in terms of this third component of the session, simply is to open up some form of dialogue regarding the connection between one's mental and emotional experiences and the corresponding bodily experience.
For example: Notice how you feel as you are reading this article. On a scale of 1 to 10, how relaxed are you in your chest, neck, throat, shoulders, stomach, etc.? Take your time. Then, when you are ready, think back to one specific life-altering event. Think of something you did, or something that was done to you, or something you experienced that you feel profoundly altered who you were something that left you feeling significantly different than you felt before the event occurred. Now, as you think of this event, what happens in your body? Do you find yourself tensing certain muscles? What else happens in your body? Does it feel as though you can no longer sense certain parts of your body? As Hellerwork Practitioners, we are interested in this type of awareness. It's these kinds of bodily responses we want to help you to discover. We want to help you discover these responses because we human beings are a mind-body reciprocal system.
It's this kind of awareness the awareness of what happens in your body when you think certain thoughts or have certain emotional experiences, which will again, much like the movement component, help you to maintain the balance in your body that occurred as the result of the Structural Integration Bodywork.This awareness component, much like the movement re-education component, helps support the body's changing alignment.It's, much like the movement re-education component, one of the three components that helps make the physical structure that is your body into a comfortable home a home full of life!
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