resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
February, 2007, Vol. 07, Issue 02
Fragile Eggs, Fragile Legs?
By Elaine Stillerman, LMT
It's called Fragile X, and I hadn't heard of it either.
We used to put our infant son in a bouncy seat that had colorful wooden beads for him to spin and play with. Luke enjoyed hitting them and watching them turn.By the time he was 4 months old, he was still swatting them instead of trying to lean forward and reach for them. When I mentioned this to my husband or to friends, they brushed my concerns aside.
By the time he was 6 months old, Luke still was at the same level. When we went to the pediatrician for his 9-month checkup, the doctor asked typical questions about his development: "Was he sitting up unassisted?" No. "Was he turning over?" No. "Did he babble?" Hardly. "Was he trying to crawl?" No. I remember feeling the blood drain from my face when she said, "It's probably nothing, but let's have some neurological tests done to rule things out."
Thus began our odyssey to find out why Luke wasn't achieving his developmental milestones. It took us to five pediatric neurologists, two or three developmental specialists, speech, occupational and physical therapists, an MRI, an EEG and finally, DNA testing to get an accurate diagnosis: Fragile X. This heartbreaking syndrome is the most common inherited developmental disorder in the world. One in 260 women is a carrier and one in 800 men will pass the defective gene to all of his daughters. (It was my father who passed the gene on to me.) And then, the waiting game begins, because no one can ever really know which generation will carry the full mutation and all that it signifies.
Luke finally started to walk when he was 2 ½ years old, just about the age when we learned his diagnosis. Language and speech, however, still is something I look forward to. Toilet training an 8-year-old has its challenges, and the seizures he suffers positively age me. But, he is the sweetest, happiest and most beautiful boy ever. He also has a wicked sense of humor, something else he inherited from me.
Fragile X affects about one in 4,000 boys and one in 6,000 girls, and most carriers are unaware of their status. Fragile X causes cognitive impairment, pervasive developmental delays, attention deficit, hyperactivity, seizure disorder for one in four, anxiety disorders and autism. All of this occurs because of the failure of a single gene (FMR1) to produce an essential brain protein necessary for normal brain function.
Carriers also have symptoms. Some older men will be impaired by Fragile X-associated Tremor Ataxia Syndrome (FXTAS) and some women are at risk for premature ovarian failure or early menopause. This certainly could impact a woman's decision to delay childbearing, since she might lose that option in her mid- to late-30s. Testing for Fragile X is a simple blood test. The DNA test can predict a woman's chance of having an affected child and can be used to diagnose carriers and affected individuals.
At present, there is no cure. Therapies and appropriate education can make inroads, but don't change the core problems. But there is hope on the horizon. Research tells us that Fragile X delays the brain's development rather than damaging it. So, it's likely that the research can eventually benefit all people who suffer from Fragile X. In addition, fixing this one gene, or its symptoms, could lead to a better understanding of more complex neurological conditions such as autism, Down syndrome and Alzheimer's disease.
When Luke gets back from school this afternoon, he will point to his DVD ("D!") and watch Elmo ("Ehmo") once again, exploring his world. I am looking toward the day that my son, too, will use his friends, his computer and his mother to explore his world.
For more information about Fragile X, visit www.fraxa.org.
Click here for previous articles by Elaine Stillerman, LMT.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.