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Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
November, 2006, Vol. 06, Issue 11
Chronic Pain and CranioSacral Therapy, Part 2
By Tad Wanveer, LMT, CST-D; guest author for John Upledger, DO, OMM
Editor's note: Dr. John Upledger has asked Tad Wanveer, LMT, CST-D, to share his insights on CranioSacral Therapy. Click here to see Part 1 of Tad's article as it appeared in the October issue of Massage Today.
Can you recall a time you experienced a paper cut or were pricked by a thorn? Remember how sensitive your finger was to touch or perhaps to the slightest movement? The pain receptors in the area became easily stimulated, even with slight pressure.Yet, in a few days, the sensitivity decreased.
With chronic pain, the sensitivity does not decrease. Entire areas of the body might stay in a state of overwhelming sensitivity and pain. Nervous system tissue reacting in this way is referred to as being "facilitated," which means the pain cells and pain pathways are overly reactive. Excessively reactive pain cells will tend to lose their ability to modulate input. It's as though a magnifying glass is amplifying a vast and abnormal amount of sensory information into the area. This can then cause abnormal changes in the structure and function of the tissue innervated by the area of the affected spinal cord neurons, thus maintaining the sensation of chronic pain.
The facilitated sensory input might even cascade into other regions of the spinal cord and brain. The overflow of signals can irritate brain regions, leading to the ongoing perception of pain and the symptoms that often accompany chronic pain. Disturbance of the sympathetic division of the autonomic nervous system (sympathetics) often will lead to widespread bodily dysfunction. The sympathetic turmoil also contributes to chronic pain. "The sympathetics control the caliber of most of the vessels of the body. When the sympathetics are hyperirritable in a given area, in a given segment or in a peripheral distribution, there is a tendency for either exaggerated vasoconstriction or vasodilation. This contributes to chaos and the perpetuation of pathology. When you control the blood supply to a given area, you control its life; you control its capacity for recovery, its capacity to survive and maintain its integrity as a tissue."7
The vascular stress caused by sympathetic nervous system imbalance can lead to more tissue aggravation and pain signaling. Also, "the sympathetic nervous system is an important participant in the maintenance of splinting."8 Splinting is one way the body tries to avoid feeling pain - by rigidly contracting the muscles so minimal movement will occur. In these many ways, the unbridled responsive region(s) of the central and autonomic nervous systems might maintain the feeling of pain. This process also can produce a vast adverse affect on tissues such as nervous system cells, vascular structures, skeletal muscles, smooth muscle, cardiac muscle, glands, connective tissue, fascia, osseous tissue, skin and viscera.
What does all this mean to the bodywork practitioner? Simply put, normal tissue mobility is essential for this healing process, which is critical in addressing chronic pain. Enhanced mobility can help normalize vascular flow, decrease metabolic waste buildup, aid normal neural structure and function, de-facilitate affected spinal cord and brain areas, decrease adaptive body patterns that might be maintaining chronic-pain signals, and normalize autonomic nervous system function, thus decreasing abnormal strain on the associated somatic and visceral structures.
All this can help the body decrease the enormous strain chronic pain places on it, and help free the body from related suffering. In this highly individualized way, CranioSacral therapy might enhance the body's ability to naturally correct the imbalance and dysfunction that might be contributing to painful patterns. CranioSacral therapy can assist the body in changing abnormal tissue-strain patterns residing in the depths of the brain and spinal cord, throughout the musculoskeletal system, and in the body as a whole. CST also can be used in combination with massage and other manual therapies as an effective treatment for chronic pain conditions.
References (for parts 1 and 2)
Click here for previous articles by John Upledger, DO, OMM.
Tad Wanveer, LMT, CST-D, is a certified instructor for The Upledger Institute, where he was a staff clinician for more than five years. He earned his diploma in massage therapy in 1987 from the Swedish Institute of Massage and Allied Health Sciences in New York City. He currently runs a private practice in North Carolina’s Raleigh-Durham area specializing in CranioSacral Therapy.
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