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Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
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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