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The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
September, 2006, Vol. 06, Issue 09
Understanding the “E” Word in Bodywork
By John Upledger, DO, OMM
Even in nontraditional healthcare circles, it's interesting to note how uncomfortable some therapists get around the "E" word - energy. They might be intrigued by your philosophy and impressed by your protocols, but mention energy and you can almost feel half of them check out of the conversation.(Ironic, isn't it?)
That's why it's helpful to be reminded of the physics of energy to better grasp why it plays such a central role in bodywork. I have a good friend who is a talented CranioSacral Therapy practitioner and instructor. He also happens to have a doctorate in theoretical physics. Indeed, before Tim Hutton, PhD, LMP, CST-D, became a massage practitioner in 1994, he worked in experimental physics at the Massachusetts Institute of Technology.
Tim spoke at length on the subject of energy at Beyond the Dura 2005, an international health care conference held every two or three years in south Florida. As he pointed out, energy means different things to different people. So, it's worth looking carefully at the term to help therapists find common ground in understanding the concept of energy in manual medicine.
Following is a highly abbreviated version of what Tim shared with more than 300 therapists at the 2005 conference. It serves well to highlight the science behind a concept that might, at first glance, appear unconventional in a therapeutic framework. As you'll see, it is anything but.
As therapists, we define energy as a physical sensation, like the vibration or heat we experience when we work. While we may not all feel the same thing, we can generally agree on when energy is being put into something and when it's being taken out. Energy in bodywork is sense-oriented.
In physics, energy has a precise definition: The ability to do work or to make something change. Energy is conserved - it can never be created or destroyed, just transformed or moved around. This concept of "conservation of energy" unifies every experience in life, from throwing a baseball to boiling water, and it allows you to see the connection.
Along with another concept ("conservation of momentum"), the conservation of energy forms the foundation of modern science and technology. So, to physicists, energy is neither elusive nor sense-oriented, but the fundamental principle from which all of science arises. Everything around us is a result of this dance of energy being transformed. Energy is encountered in several forms: kinetic, potential and heat. Kinetic energy is the energy of motion, like that of a baseball when you throw it. Potential energy is stored energy that has the potential to be used. Heat is the kinetic energy associated with the motion of all the atoms inside an object.
Imagine a roller coaster going over two hills. If the car starts at the top of the first hill and rolls down, it gradually picks up speed until it reaches the bottom. It takes the potential energy it has by being a certain distance from the earth (gravity) and converts it to kinetic energy to accelerate to the bottom of the hill. Then it slows down and continues up the next hill, converting kinetic energy back into potential energy. Because the car started at a higher point on the first hill, it still has enough energy to go over the second one. But energy was not lost or gained in the process, just transformed. So, what if the car starts halfway down the first hill? It accelerates but doesn't have enough energy to get over the second hill, and ends up oscillating back and forth between the two. To get the car over the second hill, energy would have to be added from outside the system to help push it over.
Energy is stored, moved or manipulated by one of three forces: nuclear, electromagnetic or gravitational. Nuclear force holds the nucleus together inside an atom. Electromagnetic forces provide the interaction between atoms. Gravitational force is the mutual attraction between masses. Since humans don't have much direct connection with nuclear force, what we experience in daily life are electromagnetic interactions in the field of gravity.
Physics dictates that anything conducting electricity has an electromagnetic field, including the human body. When you bring your electromagnetic field close to another person, the two fields interact. With training, you can learn to perceive your own field, and through this interaction, the field of another. This forms the basis of energy work.
To better understand this, let's add the concept of entropy - the degree of disorder or chaos in a system. Imagine a game of pool. You take the balls, place them into a triangular rack and set them neatly on the table. Then you strike the rack with the cue ball, scattering the balls across the table. The entropy of the table has increased - there is more disorder.
Globally, the universe tends toward increased entropy, toward chaos. Locally, however, a system that's strongly interacting with its surroundings tends toward equilibrium.
Thus, by putting energy into a system, it is possible to decrease entropy. Consider the pool table. How did you get an ordered state to begin with? By placing the balls exactly where you wanted them. You put energy into the system to increase order on the table.
The human body tends toward order, toward healing. If we cut ourselves, the body tries to knit itself back together. Life is a system for decreasing entropy. So what is energy in bodywork? It's one person adding energy to another through the interaction of electromagnetic fields, helping to decrease entropy in the body and return it to a more ordered state.
Consider that roller coaster with the car stuck at the bottom. You'd have to put energy into the car to move it past the barrier of the hill. In the same way, you connect to help your clients move past barriers toward better health. It's a concept supported by science.
- Tim Hutton, PhD, LMP, CST-D
Click here for previous articles by John Upledger, DO, OMM.
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