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Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
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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