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U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
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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