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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.
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.
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.
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.
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.
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."
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.
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."
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.
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.
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.
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.
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.
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."
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.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
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.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
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.
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.
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.
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.
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.
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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