resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Chiropractic: The Right Choice for Relieving LBP
"Low back pain (LBP) is a common threat to medicine and a reasonable threat to all national health care systems. ... Reducing ineffective treatments is necessary to decrease the LBP associated costs."
Why You Should Get to Know the National Vaccine Information Center
Barbara Loe Fisher has been a diligent advocate for providing parents with the information necessary to make informed decisions regarding the usage of vaccinations for their children.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Are They Finally Fixing Medicare Reimbursement?
Even with federal sequestration cuts taking effect in March, including a 2 percent reduction in Medicare reimbursement to health care providers, hope may be on the horizon in the form of a much-anticipated, perpetually suggested overhaul of Medicare's Sustainable Growth Rate formula, which serves as the basis for determining physician reimbursement.
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
The Potter's Wheel: Reflections on Practicing in a Technology-Driven World
In my very early years of practice, an older patient named Cora would call me at home, usually late Sunday night after she had consumed an unknown quantity of beer.
News in Brief
Controversial Florida PIP Law Under Review; D'Youville Chiro. Students Learning Art of Co-Managing; And the Award Goes To...; F4CP Recognizes Major Contribution by ChiroTouch.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
Medicine Presents: A Great Opportunity
The changing nature of health care presents both opportunities and challenges. While we tend to focus on our profession, we can sometimes forget the impact other health care professions can have on us.
Have a Heart: Say No to Soda
It's not enough that soft drinks and other sugar-sweetened beverages have been linked to cavities and weight gain, among other negative health consequences.
What the Science Says About Magnesium Stearate
It's often been said that scientific studies can be used to support just about anything. But discoveries are never made one study at a time.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
SOAP Notes: It's Time for a Cleaning
I have been planning for some time to write an article about how traditional SOAP notes do not fit chiropractic practice, and the unfairness of holding DCs to a model clearly created for and primarily applicable to medical physicians.
Going Shoeless: The Pros & Cons of Barefoot Running
With the subculture of barefoot runners and the products catering to them growing daily, just about every chiropractor has been asked at one point or another about their opinion regarding barefoot running.
Remembering Joe Weider (1920-2013)
With the death of Joe Weider, the world's most famous body-building visionary, crusader, fitness magazine publisher and icon, on March 23, 2013, chiropractic has lost one of its greatest friends and supporters.
We Get Letters & E-Mail
Patient Perception and the Farce of "Fast Relief"; A Fly in the Ointment; Persecuted for Choosing to Practice Chiropractic.
What They Don't Say Could Hurt You
I have written previously regarding the difficulties of drawing information from patients who are poor historians, forgetful or just plain uncooperative. The thought to revisit the topic occurred recently during preparation for an upcoming seminar.
Some Thoughts on the TMJ
The temporomandibular joint is an interesting and dynamic articulation that can cause a lot of problems.
Correcting Kid Logic in Health Care and Research Design
A recent broadcast on public radio described a fascinating phenomenon known as kid logic.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Side Effects From Big Pharma: Wellbutrin – Dangerous for You and Your Baby
Are some of your pregnant patients taking Wellbutrin? If so, it could be a danger to them and their baby. This drug is extremely popular, but it has a serious history.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
Research Abstracts From the Journal of Manipulative & Physiological Therapeutics
Effect of Pain Relief on Lumbar Muscle Function and Activation; Effects of Thrust Amplitude and Duration of HVLA Spinal Manipulation; Immediate Effects of Upper Thoracic Manipulation on Cardiovascular Response.
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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