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Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
April, 2006, Vol. 06, Issue 04
For Better Client Outcomes, Just Add Water
By John Upledger, DO, OMM
If you have been following this column since I first began writing it back in 2001, you probably already know how passionate I am about working with dolphins. Since 1954, when I was in the Coast Guard and first had the opportunity to swim with wild dolphins, I have had a deep inner urge to do more with these wonderful creatures.
In an article called "The Magic of Dolphins" (from London's Sunday Express, April 2, 2000), Jane Phillimore said, "After swimming with dolphins, many people report not just a sense of well-being, but also improved learning and cognitive abilities, concentration, communication and social skills - which seems to last for weeks, even months." We explored this potential firsthand in 1996, when The Upledger Institute set up a pilot therapy program treating clients with CranioSacral Therapy at the Dolphin Research Center in Grassy Key, Fla.We were so encouraged by the results that we now hold Dolphin-Assisted Therapy intensive programs every summer in the Bahamas.
Yet for those practitioners not near dolphins, we have found equally dramatic results when we simply work with clients in water. "The relative weightlessness of the body in water lets you tap into an environment that can boost the effects of CranioSacral Therapy," said Upledger Institute Vice President Roy Desjarlais, LMT, CST-D.
David Dolan, LMT, who developed Ocean Therapy, a four-day experiential UI workshop also held in the Bahamas, agrees. "What the ocean water adds to light-touch, subtle-energy techniques is multifaceted. Water in itself is a healing medium that reduces gravity and friction, making three-dimensional movement almost effortless. As joint range of motion increases, the nervous system is able to move into a parasympathetic response (relaxed state). Muscles lengthen, tensions release, and internal natural healing processes begin to work more effectively."
"Everything we do in the treatment room is multiplied when working in the water," said UI staff clinician Sheryl McGavin, MBA, OTR/L. "For clients who have hit a plateau in their progress or have particular body issues hampered by the confines of the massage table, the water adds that extra element that can gently urge them to their next stage of healing."
Sheryl said she was first attracted to this aspect of therapy when working with Bob, a client who had fallen 40 feet off the stack of a tugboat onto the deck below. He had multiple cranial fractures, a ruptured kidney that was later removed, and numerous extensive injuries. He also had been in a coma for quite a while. Sheryl found the treatment table simply wouldn't allow for the movements Bob's body seemed to want to make in an effort to release his tissue' restrictions. But in the water, all that changed. When his body had the freedom to move wherever it wanted, the results started coming much more quickly.
"Bob had a lot of back and neck pain and stiffness that severely affected his gait and sleep patterns," Sheryl said. "This area improved tremendously for him after our work in the water, making walking much more effortless." Secondary to his original injuries, Bob also had lost most of his vision and was considered legally blind. "Surprisingly, his eyes started to track together after each water session," Sheryl said. "Now we're seeing great improvements in his vision. That was something none of us expected."
If you feel inspired to add the benefits of water to your therapeutic repertoire, I offer you these tips:
Whether you choose to work alongside dolphins or simply to add the benefits of water to your therapeutic sessions, I encourage you to follow your instincts. The more we learn, the more our clients benefit in sometimes surprising yet always welcome ways.
Click here for previous articles by John Upledger, DO, OMM.
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