resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
November, 2005, Vol. 05, Issue 11
By John Upledger, DO, OMM
Osteoporosis has become a "popular" problem over the last decade or so. While it's traditionally discussed in terms of post-menopausal women, more recently it's been showing up in increasing numbers of men.It commonly manifests as compression fractures in the spinal vertebrae in the elderly, and seems to relate to declining sex hormones and the inability to exercise the musculoskeletal system at least moderately.
In osteoporosis, we see a demineralization of bone and a reduction of bone mass. The bone itself has a negative calcium balance thought to be caused by hormonal imbalances, inadequate dietary intake of calcium and faulty metabolism of protein, which might be secondary to inadequate protein in the diet. Osteoporosis also might be secondary to the prolonged use of therapeutic steroids or heparin.
While many other causes have been considered, I believe a considerable number of osteoporosis cases fall within an etiologic model that can be effectively treated with CranioSacral Therapy and related techniques.
Osseous tissue constantly is reabsorbed by cells called osteoclasts. In turn, the boney tissue that's reabsorbed continually is replaced by osseous tissues synthesized by cells called osteoblasts. It's estimated that under normal circumstances, our skeletons are totally renewed every 10 years or so, and maybe even remodeled a bit to adapt to the demands of our evolving lifestyles.
However, when osteoclasts reabsorb more bone than osteoblasts replace, we see bone thinning and demineralization known as osteoporosis. If the balance shifts in the opposite direction - if osteoblasts outperform osteoclasts - we see the formation of bone spurs, spinal stenosis, malignant and benign bone tumors and more.
How do osteoclast and osteoblast activities relate to CranioSacral Therapy?
First, CST is aimed at generally mobilizing body fluids, neuronal-impulse conductions, cellular communication and the like. More recently, I've seen CST favorably interact with the immune system and many of its activities.
For instance, a cytokine named interferon beta is produced by a wide variety of immune cells. Interferon beta also inhibits the activity of osteoclasts. So an increased flow of interferon beta gives osteoblasts an opportunity to produce more osseous tissue than what can be reabsorbed in any given time period. This makes the CST approach to enhancing the production of interferon beta a valid treatment for osteoporosis.
The communication between the immune cells and you, the therapeutic facilitator, takes place not only through hands-on work and blending, but also by actually dialoguing with cells and tissues. Remember, intention is everything.
If the problem is overproduction of osseous tissue, the therapeutic approach simply is reversed. I have asked immune cells to reduce the production of interferon beta. I also have asked osteoclasts to reabsorb or liquify abnormal osseous structures that are interfering with the body's health and well-being. The results were well worth the conversation.
It seems almost too simple, I know. But I've seen it work. And why should we discount something just because it's simple?
Click here for previous articles by John Upledger, DO, OMM.
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