resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
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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