resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
November, 2005, Vol. 05, Issue 11
The Inside-Out Paradigm: Survival vs. Quality of Life Part 1
By Dale G. Alexander, LMT, MA, PhD
Editor's Note: Part 2 of Survival vs. Quality of Life will appear in the December 2005 issue of Massage Today, along with a complete list of references.
The survival-oriented prime directives of our biology and nature's endowments for implementing these directives have reached a tipping point in our collective evolution.They now are competing with our capacity for quality of life and have become contributors to many of our most common chronic ailments. Chronic conditions emerge from how human physiology accretively tends to react to stressful and traumatic circumstances, over time. Let us begin by reviewing a distillation of the research of Hans Selye, M.D., who is considered the father of our modern understanding of stress.
Dr. Selye was an endocrinologist, thus, his initial research was launched with the intent to discover the linkages between chemoreceptors, which were potentiated by hormonal influence. What he discovered were central basics of physiology which continue to be guideposts for our profession today. Most notably, he concluded that the inflammatory process was the body's stereotypic biochemical response to a host of ailments which afflict humans: spanning infections, injuries and trauma.
Selye's notion of stereotypic responses and my 25 years of investigation have inspired me to extrapolate that nature has evolved other similar default responses. Physically, all soft tissues do basically one thing, they contract. Contraction both produces motion and inhibits motion. Consequently, in response to stress or trauma our soft tissues contract, sometimes morphing into varying states of contracture or painful spasm. Mentally, when humans are stressed, they tend to dissociate, allowing nature's primitive programming for fight/flight/freeze to take over. More specifically, we distance ourselves from our bodies and present time awareness is diminished. Conscious choice and taking responsibility for the effects of our behavior also diminishes.
Let's expand even further to explore the survival legacy of human experience. As I see it, the prime directives of biology relate to four survival mandates:
Nature's prime directives are designed help to ensure survival and reproduction, to ward off individual death and species extinction. Of course, nature has provided us with specific endowments which assist the completion of these prime directives: The Mind, creates survival-based models of the world; Hormones, crucial to initiating and lubricating physical growth and reproductive maturity, but significantly decrease between the ages of 35 to 55; Righting Reflexes, nature's hedge against pre-mature traumatic death; and Sympathetic Dominance, which governs our primitive responses of fight/flight/freeze.
Now, let's walk through our biological prime directives and nature's endowments beginning with an infant's first task to Fit In. As babies, we must survive the protracted time of our dependency upon our caretakers. We perceive energetically and feel everything around us. We do not distinguish where we end and others begin. Our experience of events is timeless: always and never. Thus, human learning is an inverted pyramid beginning in utero, more reflective of the energetics and emotions of our caretakers than any symbolic capacity to describe or physical ability to act upon our environment. We are immersed in our environment. There is no separation.
As we grow, we learn through association, building a matrix through our five senses. Somewhere between 2 1/2 and 4 years of age we have compiled enough symbolic sets to develop models of our world and can express them through language. These models grow from sets of "do's" and""don'ts" and associated cause and effect relationships. Sadly, the models typically reflect a massive number of motoric inhibitions. The permissions for exploration that do remain are reflected in the""old saw" that humans only use 10% of their mental capacity. More accurately, the Mind consumes 90% of our neural capacity, leaving only the remaining 10% for curiosity, exploration and experimentation in order to fit into our birth family's social grouping.
The Mind is nature's primary endowment for the creation of these models. It's not wrong or bad. Its goal is survival. We are its beneficiaries. However, the mind is not our brain and spinal cord, nor our psyche, and is certainly not our soul or spirit. It's only a sliver of consciousness: a slice of the pie, not the whole pie by itself. The mind gathers the associations compiled in our early life and retroactively "assigns meaning" to these experiences. This is how the basic models which guide our decision making are initially formed.
Our extraordinary capacity to adapt to the circumstances of our upbringing is a mixed blessing, for it leaves us restrained from updating our models of the world as we age. Consequently, we tend to be""perfectly adapted to circumstances in which we no longer live." A corroborating corollary of this notion is reflected in the difficulty we have with changing our first impressions. What seems to expand this enormous restraint and fixity is new sensory experience through touch and movement and emotional discovery.
The basic apparatus of the mind keeps us playing ping pong with the hurts and self-doubts anchored in the past and caroms us forward in time to fret and fume and worry about future scenarios. Much of our energy and creativity is consumed by this ping-pong, yet it's the self-talk familiar to us all.
Anticipation is a wonderful thing when it's harnessed toward positive outcome. However, its dark side can plummet one's body chemistry into the abyss of inflammatory and/or immune suppressing states with the accompanying feelings of anxiety and depression, doing a dirty dance of inner torture with our physiology. The mind does this by commandeering the sympathetic division of the autonomic nervous system to drive the adrenals. This is another link to Dr. Selye's research, which concluded that the adrenals were neurally driven rather than regulated via the hormones of the endocrine system.
The prime directive of Don't Fall generally is accepted as our species singular genetically linked fear. Our large body righting reflexes are sub cortically regulated, (i.e., we don't think about them, they simply take over in times of emergency). Most of the time they transmute a major accident to a minor scrape. However, in my clinical experience, these reflexes tend to be perpetuators of chronic musculoskeletal dysfunction following traumatic episodes.
The endowments of the mind and the righting reflexes together reflect our species' collective genetic genius to be able to adapt to damn near anything. The problem is that once we have adapted, whether to our family of origin and/or to trauma, our mind and our reflexive calibrations resist new experience, new information and expansion beyond the set of parameters that have come to be considered normal. It's usually only when what used to work becomes very dysfunctional and painful that we look to changing the core elements of our being.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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