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News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
February, 2006, Vol. 06, Issue 02
Exploring the Therapeutic Value of CranioSacral Therapy
By John Upledger, DO, OMM
Throughout the course of human history, great discoveries frequently have met with resistance before acceptance. Today, we take for granted that the world is round. Yet people in the 15th century not only believed the world was flat, but that anyone who sailed beyond its limits would vanish off the edge of the earth.
The exploration of the human body has proven no different.While no one questions the value of the cardiovascular and respiratory rhythms in modern medicine, there was a time when their very existence was debated worldwide. Even now, medical approaches to these systems are as varied as medical practitioners themselves.
For more than 30 years, I have been a proponent of using the rhythm of a different body system to evaluate and improve health and well-being. I have dedicated my life to teaching the therapeutic value of the craniosacral system to health care professionals worldwide, physicians and nonphysicians alike. How can many different types of practitioners benefit from understanding one physiological system? And what evidence supports the value of therapy focused on this system? Please allow me to explain.
While the craniosacral system has only been scientifically defined within the last three decades, it has existed since the beginning of time as we know it in every human being and animal possessing a brain and spinal cord. Forming in the womb and functioning until death, it extends from the bones of the skull, face and mouth (the cranium) through a system of fluid hydraulics and membranes to the lower end of the spine (the sacrum). Because the craniosacral system surrounds and protects the brain and spinal cord, restrictions in its membranes can directly affect all aspects of central nervous system performance, from motor function to emotions. Fortunately, such problems can be detected and corrected by a skilled therapist using simple methods of palpation.
The History of CranioSacral Therapy
The roots of CranioSacral Therapy date back to the early 1900s, when William Sutherland, DO, was struck by the unusual idea that the bones of the skull were structured to allow for movement. For more than 20 years, he explored this concept, performing makeshift experiments on himself with helmet-like devices designed to impose variable pressures on different parts of his head. His wife then recorded personality changes he displayed in response to different pressure applications.
In the early 1930s, Sutherland published the first article about his work in the Minnesota Osteopathic Journal under a pseudonym. Based on his experiments, he developed a system of examination and treatment for the bones of the skull that today is known as cranial osteopathy. With some patient success, Sutherland organized a small group of osteopaths who studied cranial work with him. Because so little was known about how it worked, and the results at times seemed miraculous, his system acquired an understandably esoteric reputation.
Personally, I knew very little of this history when I observed the rhythmic movement of the craniosacral system firsthand in 1970. I was assisting a surgery on a man named Delbert and had only one job to do: hold the membrane that surrounds the spinal cord still while the surgeon removed a calcium deposit from its surface. As simple as it sounds, I couldn't do it. The membrane kept pulsing at a rate of about eight beats per minute, which didn't correspond to his breathing or heart rate, both of which were being monitored. Delbert made it through surgery, and I discovered that the pulsing motion I witnessed was new to all of the doctors there, not just me. We didn't know it at the time, but what we were seeing was the rhythm of cerebrospinal fluid pumping through the craniosacral system. The system itself hadn't even been named yet.
A few years later, I attended a workshop on cranial osteopathy developed by Dr. Sutherland. The course focused primarily on the bones of the skull and the fact that they weren't fused as doctors had been taught in medical schools, where anatomy was studied using embalmed and calcified cadavers. Instead, Sutherland's material demonstrated that skull bones continue to move throughout life. While this phenomenon has since been widely documented (see references for examples), widespread acceptance has typically been a slower evolution.
So here we were at the seminar, all palpating the motion of the bones, when people started asking about this rhythm they were feeling. That's when I realized I had seen the driving force behind these pulsations during Delbert's surgery. I put that episode together with what I was feeling now with my own hands. They seemed linked, yet no one knew how. That lack of information enticed me to continue developing my palpation skills and experiment with different methods of connecting with the rhythm of the craniosacral system. Yet instead of focusing on the skull bones as Sutherland and other cranial osteopaths had, I was continually drawn to work with the membranes of the system itself.
News of my work spread, and in 1975 the Osteopathic College of Michigan State University invited me to lead the world's first task force to study and verify (or debunk) the mobility of cranial sutures and bones. It was an exhilarating time. For the next five years, I led a team of anatomists, physiologists, biophysicists and bioengineers, all testing the potential for performing therapy on the craniosacral system.
Together we conducted research, much of it published, that formed the basis for the modality I went on to develop and name CranioSacral Therapy. Yet we continued to take a different approach than the osteopaths who came before us. Again, instead of focusing on the bones of the cranium, we were working with the fluids and membranes of the system within the skull and spinal canal. By blazing this new path, we finally were able to explain the function of the craniosacral system. We then went on to demonstrate how it could be used to assess and relieve numerous health problems involving the brain and spinal cord.
How CranioSacral Therapy Is Performed
CranioSacral Therapy is a gentle, noninvasive approach to whole-body health. Generally using about 5 grams of pressure (roughly the weight of a nickel), the practitioner evaluates the craniosacral system by testing for the ease of motion and rhythm of cerebrospinal fluid. Simple manual techniques are then used to release restrictions in fasciae, membranes and any other tissues that influence the craniosacral system.
Experienced clinicians are able to feel the craniosacral motion anywhere on an individual's fully-clothed body. Valuable information can quickly be gained by palpating the rhythm for rate, amplitude, symmetry and quality. Lack of symmetry, for instance, can help localize a pathological problem that might relate to musculoskeletal dysfunctions, inflammatory responses, adhesions, trauma, surgical scars, vascular accidents and many other conditions. As the asymmetry is eliminated and normal symmetrical craniosacral motion is restored, the problem is often resolved or in the process of being resolved.
Consider, too, that fascia is a slightly mobile sheath of connective tissue that runs continuously from head to toe, surrounding every somatic and visceral structure in the body. This fascial system is in constant motion, corresponding to the craniosacral rhythm by both direct connections and common osseous anchorings. With this in mind, it's easy to see how loss of tissue mobility in one area can be used to trace the location of the disease process that caused the original lack of mobility.
Ultimately, CranioSacral Therapy focuses on solving physiological problems at their source by using the individual's inherent self-corrective mechanisms. It has been shown over and over again, in thousands of cases, that it enhances general health, reduces accumulated stress, strengthens central nervous system function and improves resistance to disease.
I encourage you to continue to explore this therapy's potential for improving health, well-being and quality of life. Let your proof be in your results. And if you're faced with skepticism for your efforts, take heart. You might well be ahead of your time.
Click here for previous articles by John Upledger, DO, OMM.
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