resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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."
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...
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.
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.
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!
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.
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.
February, 2007, Vol. 07, Issue 02
Scoliosis and CranioSacral Therapy
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 in this month's column. Tad has been the guest author for previous "CranioSacrally Speaking" columns.
Most cases of scoliosis are considered to be of unknown origin (idiopathic).CranioSacral Therapy helps unravel the mystery by seeking the cause within the craniosacral and fascial systems of the body. Compromising strain patterns of those systems can be major contributors to the creation and persistence of scoliosis.
The craniosacral system surrounds, protects, nourishes and cleanses the brain and spinal cord. The spinal portion of the system is a tube-like structure within the spinal canal that envelops the spinal cord and spinal nerve roots. This is called the dural tube. (See Figures A and B.) The membrane layers that form the dural tube are continuous with the membrane layers within the cranium. The outermost layer is the dura mater membrane. Within the cranium, it's attached directly to the bones and folds inward to form intracranial separations. In the spinal canal, however, it's normally attached to bone at only a few sites.
The spinal cord is a longitudinal cord of delicate and intricate nervous system tissue requiring protection, while at the same time possessing a degree of mobility. Therefore, it's surrounded by numerous tissue tubes within tubes: three layers of membrane (the dural tube), a cerebrospinal fluid tube, an adipose tissue tube, the spinal column bony segmental tube, as well as tubes and layers of fascia and tissue. The spinal cord communicates with the body by way of horizontal projections (nerve roots) that send and receive information. The nerve roots travel through the intervertebral foramina of the spinal column. The dura mater membrane surrounds the nerve roots and creates a seal with the peripheral fascia before the nerve roots exit the foramina. This can create an avenue by which abnormal strain patterns may travel from the body and spinal column into the dural tube or from the dural tube into the spinal column and body.
Therefore, dural tube strain patterns, such as lack of mobility, compression, side-bending, torsion and stretching, can migrate into the spinal column, surrounding fascia and tissue, causing the structures to reorganize into abnormal shapes. This can lead to some of the common issues encountered in the clinical practice, such as nerve root compression, cranial base compromise, spinal stenosis, facet compression, herniated disc, coccyx pain, bone spurs and scoliosis. Dural tube distortion can be the primary cause of scoliosis. When this is the case, mobilizing the dural tube, as well as the spinal column, fascia and surrounding tissue, is essential in aiding the body to correct the condition.
Yet the primary cause may lie elsewhere. Actually, it might be found anywhere in the body. Perhaps intracranial membrane strain, scar tissue or imbalance within the musculature of the torso has formed, causing the spinal column to curve abnormally. Usually, all of the structural "tubes" surrounding the spinal cord can be involved to some degree. It's important to address the scar tissue, tissue imbalance or other primary cause that is acting as the anchor, holding the scoliosis in place. It's equally important to mobilize the dural tube even after the soft-tissue and bony patterns have been mobilized. If adverse dural tube patterns are not addressed, a tendency to maintain the scoliosis will remain deep within the body as a powerful mold, actively forging abnormal tissue shape.
CranioSacral Therapy gently addresses compromised tissue patterns surrounding and within the spinal column, adipose tissue and the dural tube through techniques such as mobilization of fascia, gentle traction and enhancing the mobility of the body tissue in response to the motion of the craniosacral system. The craniosacral system normally moves the entire body in a rhythmic motion. The practitioner uses the tissue response to this movement to assess areas of compromise and localize core restrictive patterns. Tissue response to the craniosacral rhythm also is used during therapy as a tool for dynamic change by assisting the body in moving more fully and freely, in synchrony with the vital rhythmic current of the craniosacral system.
Structural interconnections, interactions and dysfunction within the body can be baffling at times. CranioSacral Therapy embraces the infinite possibilities of interrelationships that can occur and uses the craniosacral and fascial systems as precise and powerful tools in identifying and facilitating the correction of compromising tissue patterns. In this way, scoliosis and many other conditions relating to the spinal column can be efficiently assessed and effectively addressed.
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.
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.