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Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
March, 2007, Vol. 07, Issue 03
Helping the Brain Drain: How CranioSacral Therapy Aids ADD/ADHD
By John Upledger, DO, OMM and Tad Wanveer, LMT, CST-D
CranioSacral Therapy can have a profoundly positive effect on brain and spinal cord function. It has been used successfully in the treatment of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) since 1975.
Our clinical experience suggests that structural restrictions in the body, especially in the bones and membrane layers surrounding the brain and spinal cord, may be the primary factor in a significant number of such cases.These restrictions can interfere with the normal movement of fluids and vital nutrients into and out of the brain, which enable it to function properly.
In a gentle manner, CranioSacral Therapy can help release restrictions to naturally enhance brain function, decrease levels of ADD and ADHD, and in many cases, alleviate the disorders altogether.
Fluid Movement Is Essential to Optimal Brain Function
For each task a person undertakes, multiple sites and integrated pathways within the brain are required to operate in harmony for normal function to occur. Often, in cases of ADD and ADHD, some of these areas actually are performing at abnormally high (hyperactive) and/or low (hypoactive) levels.
What could cause such a dysfunction? It might well be a lack of fluids moving within the brain tissue. It's essential for fluids to move in an unrestricted manner throughout the brain for it to perform optimally. Fluids (blood and cerebrospinal fluid) transport the vital and essential elements required by the cells, while also removing harmful waste products. When the delicate cells are unable to receive what they need, or they are unable to live in an environment free of toxic waste products, dysfunction may occur.
Abnormal Strain Upon Openings and Vessels Can Compromise Normal Fluid Flow Into and Out of the Brain
Traveling through openings in the base of the skull are vessels that supply blood to the brain, and vessels that drain blood and cerebrospinal fluid from the brain. Approximately 85 percent of this drainage occurs through two vessels that pass through two openings (jugular foramina) and become the jugular veins.
Sometimes stressful physical events such as the birth process, trauma or whiplash can cause the base of the skull to jam forward on the top segment of the spine. When this occurs, it places strain on the bones at the base of the skull and the membrane layers within the skull, especially in the area that forms the fluid-drainage openings. The neck muscles also chronically contract to prevent further jamming. This often will maintain the compromised positions of bone and membrane, even for a lifetime.
What happens when such adverse strain patterns are placed on the jugular foramina and the jugular veins? Abnormal vein pressure can occur, which decreases drainage and causes fluid back-pressure to build up in the brain. Such pressure can lead to cell congestion, intracranial toxicity, abnormal pressure on cells and diminished blood flow to the brain. Stress such as this placed on the brain cells may cause them to react by becoming hyperactive in response to the strain, or hypoactive due to the injurious condition; or the same cell or cell groups can be hyperactive at some times and hypoactive at other times. Any of these responses can lead to a myriad of conditions, such as headaches, motor planning issues, speech issues, and one or more of the principal characteristics of ADD and ADHD: inattention, impulsivity and hyperactivity.
CranioSacral Therapy Relieves Strain Patterns and Enhances Fluid Flow
CranioSacral Therapy is a light-touch manual therapy that addresses restrictions in the craniosacral system, which consists of the membranes and fluid that surround and protect the brain and spinal cord. This vital physiological system extends from the bones of the skull, face and mouth, which make up the cranium, down to the sacrum, or tailbone area.
This gentle, hands-on method of care is highly effective in relieving adverse strain patterns and restrictions, thereby enhancing the movement of fluid throughout the brain, spinal cord and the body as a whole. The stronger fluid motion helps brain cells receive normal levels of essential nutrients so they can function efficiently and in synchrony with other cells. It also creates a brain environment that is constantly flushed of waste products and toxic irritants. When the stress of compromised fluid flow is relieved, the areas of the brain that have been overactive and/or underactive can normalize.
The results often are a central nervous system of greater balance and mobility, and a body that is able to return to its peak levels of performance. By helping the body make the biomechanical corrections necessary to allow the brain to function at its best, CranioSacral Therapy can help relieve ADD or ADHD that can cause great difficulty at any age.
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.
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