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Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
December, 2005, Vol. 05, Issue 12
The Inside-Out Paradigm: Survival vs. Quality of Life Part 2
By Dale G. Alexander, LMT, MA, PhD
Editor's Note: Part 1 of Survival vs. Quality of Life appeared in the November 2005 issue of Massage Today.
Biology's directive to Build Fat and Preserve Fluids is a major contributor to our culture's current epidemic of obesity and fluid retention ailments, culminating in our high rate of diabetes, high blood pressure, congestive heart failure and kidney dialysis.Yet, we wouldn't have gotten here without them, as starvation and fluid loss were common causes of death for prehistoric humanity.
Nature's end game, Living Long Enough to Reproduce, is facilitated by hormones to ensure the perpetuation of the species. Hormones are the pesky accelerators of our physical and reproductive growth. Two key factors need to be remembered. Hormones tend to be "dumped into the system" rather than added in measured doses and their production decreases in a similar fashion during mid-life, thus the tendency for unpredictable, variable and unsettling effects.
During adolescence, the intensity and quantity of hormonal cascades produces accelerated growth such that the bones often grow faster than the soft tissues can match for a smooth transition. This sets the stage for many and varied physiological and musculoskeletal problems later in life. Also, hormonal production decreases dramatically as we reach our middle years of 35 to 60. These are the very demographics of the people most likely to become new massage clients. It's no accident that people are turning toward our profession.
Nature's endowment of Sympathetic Dominance relates to the tendency of human physiology to "get stuck" in the overdrive mode. This selection has obvious survival enhancing qualities, especially to fight, escape or avoid detection from a predator or a perceived lethal enemy. However, activity and rest need to be balanced in order for our internal functioning and our energetic reserves to be maintained and renewed. It's a simple notion historically codified and prescribed by most cultures and religions.
At a more precise level, sympathetic overdrive shunts blood (and thereby oxygen and nutrients) to the musculoskeletal system and starves the visceral organs of their fair share. This involves timing, quantity and quality. The shunting of blood sets the stage for the eventual development of pathology. Degeneration and disease emerge from the deprivation of oxygen and nutrients usually resulting from states of fluid congestion and stasis. Reflect on how often your clients exclaim, "I hurt, I am no longer able to, I have little or no energy." Physiology operates very much like a credit card: one can continue to keep spending, yet the interest quickly builds the debt, and eventually, the debt must be paid. Pain, injury, illness and reduced quality of life are the common forms of paying the debt.
Depending on one's mental strategy for survival, certain parts of our musculoskeletal system get more blood than others. But the real questions are why and what function does this serve? Let's again relate this to nature's endowments. Fight, flight and freeze are our reflexive responses to intense or perceived to be threatening stimuli. Our mental strategies generally reflect a tilt toward one of these three orientations, rather than a balanced blend among them. Thus, our bodies and our physiologies shape themselves to reflect this tilt. In sum, some muscles get more than their fair share while the others become ischemic. All chronic syndromes or conditions reflect this skewed allocation of resources.
In my earlier articles, I have outlined what I have clinically experienced to be the path of discharging the tension which builds within us as human beings in response to stress and trauma. It happens from the inside-out, beginning with the sacs and tubes and suspensory ligaments of the viscera, and eventually spilling over into the intrinsic musculature. Next, as the body endeavors to distribute the strain over as wide an area as possible, one or more dysfunctions of motion is created in the kinetic chain of the joints. Then the extrinsic musculature is stimulated to contract or spasm to maintain the integrity of the involved joint(s). Now to the most important question, where does it all begin? The "meaning we assign" to events is the source of our stress. Change the assigned meaning appropriately and one experiences less stress. Let's consider a continuum between threat and pleasure with a feeling of neutrality somewhere in the middle. What usually grabs our attention? That's right, threat and worry.
The mind commandeers blood flow to support its basic survival strategies. It responds to symbolic stimuli in the same fashion and with the same intensity as it would as if that stimulus truly was life-threatening. Remember, the mind creates models for its survival. This results in the application of its survival strategies to questions of right and wrong. We all have experienced how this orientation to being right and the avoidance of being wrong perpetuates conflict. Repeated countless times, this depletes our energetic reserves and diminishes our quality of life. The mind also tilts our selection of life circumstances subconsciously and, thus, we tend to symbolically re-create the need for the defenses which are central to our individual survival strategies. This especially relates to the types of partners we choose and the repetitive conflicts which emerge in our private, social and work lives.
Many of the healing arts attempt to harness the mechanism of the mind to expand beyond this slavish dedication to survival. All help to some degree, yet the mind cannot expand beyond its own fundamental programming alone. It's unable to solve the conundrum: what's life all about? Accessing one's spirit, heart, instinct and the broader expanse of the psyche through expanded awareness is where actual shifts occur. Touch accesses the central circuitry where the mind's meaning assignments are anchored. Touch enhances healing across the spectrum of one's perceptual matrix, assisting reflexive reactions to become conscious choices again.
Our current world circumstances reflect both the best and worst of nature's survival orientation and its endowments. However, biological survival alone tends to be exclusive and ethnocentric. Presently, there is an obvious need to enhance our ability to make more inclusive choices. Because of our sheer numbers on the planet, our collective survival might now depend on this. Curiosity, cooperation and the exploration of options for the common good are what are needed now.
The massage therapy profession actually has an honored place and crucial role in this evolution of consciousness because we touch people and take time with them. We nourish and assist them to update their models through the experience of touch and the quality of our presence. Let us dedicate ourselves to join with others to develop healing models which might light the way for our clients to improve the quality of their lives through this expansion of human awareness.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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