resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
February, 2007, Vol. 07, Issue 02
The Continuum of Progression
By Dale G. Alexander, LMT, MA, PhD
The progressive continuum linking stress and pathology is theorized to move initially from adaptation to compensation and substitution. It then moves toward injury or illness, finally accreting in degeneration, disease and, ultimately, death.Of course, injury and illness might precede compensation and substitution.
Understanding the paradoxes of this progression allows the practitioner to serve clients with greater clarity. The central paradox is that some clients respond immediately to therapeutic touch, while others take a very long time to even begin to turn the corner and, there also are those, who are beyond our capacity to functionally assist without medical care.
Previously, I have described the physical response of the body to "stress" as the cringing of the sacs and the shortening and narrowing of its tubes (both the tubes within the organs and between them), such that the internal suspension of the organ systems is pulled toward the middle of the body. This cringing, shortening and narrowing reduces the surface area for the activities of physiology. Blood and lymph drainage becomes labored and congested. Arterial pumping requires more effort.1
Physiology struggles in its prime directives to distribute strain and allocate resources equitably. Needless to say, the external structure of the body goes into distress when this occurs. The flexor and extensor reflex systems become confused and, over time, forget how to cooperate with one another. An insidious discoordination emerges to the point where our very sense of balance in gravity is subconsciously in question with every movement we make. Succinctly, this often is the degenerative progression of the human structure in movement as we grow older.
When a client's somatic profile is principally the result of "stress-related" difficulties they will make some - no matter how slow or stuttering - progress along the dimensions of perception, energy and movement capacity. The most reliable markers for the initiation of healing are when clients shift the focus and sites of their ailments and report a positive change in their perception, energy level and movement capacity. What I propose underlies such shifts is that the body and psyche are re-prioritizing the allocation of resources and re-organizing the distribution of the internal strain patterns.
The good news is that the body can get used to damn near anything. Adaptation as a concept infers that one is able to adjust to changing circumstances internally and externally, such that all functional activities of living remain the same. Adaptation infers that one's capacity has not been drained. Compensation and substitution are notions that the body is able to maintain its function, but at a potentially high price.
The price typically is reflected by how we perceive ourselves and the world (usually more negatively); the sense of energy we experience to do what we want (usually less); and by the degree to which our movements become limited or painful. In short, the quality of our lives becomes insidiously, and sometimes drastically, reduced. It's a continuum.
Let's explore this further. When one becomes ill, we slow down, do less and rest more. This allows the body time to catch up with itself such that the surface area within the organ systems and within their tubes re-expand and lengthen again. It also allows our consciousness to reflect upon our lives: who we've become and questions related to "Do I like my life?" and "Where do I want to go from here?" Sometimes, new and radical decisions are needed.
When we injure ourselves, we discharge energy and, depending on its severity, we also reflect, slow down, do less, and rest more.2 I would propose that both injury and illness are nature's way of assisting our bodies to re-organize whatever compensation and substitution patterns have become too rigid. They function to throw the marbles up into the air so that a new pattern may emerge.
The Oriental healing arts suggest that it's very interesting where people hurt themselves and/or which illnesses emerge, and they relate this information within their philosophy and maps of healing.3 In my recent phrenic circuit articles, I was endeavoring to describe a set of relationships that has helped me to serve my clients. Other maps and systems to explore include: The Body's Map of Consciousness®, chiropractic and osteopathic spinal correspondences, applied kinesiology relationships, reflexology, Travell's trigger point maps, craniosacral relationships, visceral manipulation relationships as well as many others.
Using a map, however, can be like painting by numbers, where we have a pre-conceived notion of the outcome. Though incredibly useful as a starting point, maps are not the actual territory. Chronic problems defy such simple external representations by the fact that they persist. They keep us on our toes, searching for and distilling information from all the maps as we broaden our perceptual skills and deepen our capacity to touch with compassion as well as grace.
Degeneration and disease reflect the two prevailing theories of evolution - subtle changes over a very long time and sharp cataclysmic changes that happen abruptly. Usually the former precedes the latter and we simply didn't notice, don't want to notice, or haven't developed the perceptual skills to notice. This is what learning and education are all about for us, as well as for our clients.
I would further assert that we are actively in the process of turning nature's emphasis on survival toward a more inclusive willingness to become aware. The common sense of "an ounce of prevention is worth a pound of cure" is increasingly becoming cost-effective. Our profession is part of this shift in consciousness, assisting our clients to develop the ability to notice and to relate to the basics of physiological processes. We are on the "front lines" as educators in the health care delivery system not because we know so much, but rather because we genuinely care.
Let us consider death as we explore degeneration and disease. Basically, most humans expire as a result of some kind of cardiopulmonary disease, cancer or trauma. What's important to learn is how the tributaries flow into the rivers of these processes. To develop ways to describe the relationships, which are the subtle events that so often go unnoticed. Nature's emphasis on survival contributes to the veiling of degenerative and pathological declines. Consider that part of the healing partnership we forge with clients includes becoming part of their early detection team.
When a client senses that something is amiss internally or you instinctually do so yourself, become a Dallas Cowboy cheerleader for them to have a well-baby check. Swing those pom-poms. Express concern and a desire for them to be thorough. Acknowledging our limitations enhances their trust of us rather than decreasing their confidence in us. It's the information, education and compassionate reflection offered to clients that distinguishes the therapeutic touch profession. The simple process of taking the time to be "in presence" with clients, to touch with open hearts, and to listen without preconceived notions is often under-estimated in the healing process and is a necessary ingredient to assisting clients to unravel the knot of their chronic problems.
Hold the paradoxes of how problems progress over time. Place your consciousness, intent and willingness "inside the body." This is where the action really is happening. Shift from "doing to," and begin to allow the body to guide you. Build a library with each client from the "inside-out." Give their body access to your library of all that you have learned. The contribution of reflecting back to the client takes many forms. Dedicate yourself to reflecting their wisdom because it's their life. It's the inherent gift of conscious touch.
Osteopathy stuck a flag in the ground more than 120 years ago in its creative distillation that the relationship between disease and healing is largely defined by "who gets the blood." This central intention relates to any therapeutic touch style, approach or technique orientation. What's important is to assist the body's capacity to circulate its fluids, all of them, everywhere. It's at the core of physical healing. Tissues denied their fair share of blood do not heal.
In conclusion, I would like to publicly honor Dr. John Upledger, DO, and Dr. Richard MacDonald, DO, for the actual personal and professional risks they, and others, took to open the libraries of osteopathy through their personal teaching, and for Dr. Upledger's continuing commitment to invite innovative teachers from around the world to share the many dimensions of healing with our profession and others. True to another central tenet of healing, their efforts have embodied a clear intention to be inclusive of all who are sincere in their desire to assist the healing process.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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