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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.
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.
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.
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.
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.
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.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
April, 2007, Vol. 07, Issue 04
Why Incorporate CranioSacral Therapy Into an Existing Manual Therapy Practice?
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.
CranioSacral Therapy (CST) is a light-touch modality that is remarkable on its own, yet it also is easily and effectively combined with many other forms of therapy.Indeed, tapping into the craniosacral rhythm can add a great deal of insight and precision to any therapeutic process.
Each person's body is unique, and CST can help determine where the individual core issues reside. Feeling the body move in synchrony with the craniosacral rhythm can be used to efficiently locate areas of abnormal motion response. These areas usually require treatment and can be primary to the client's symptoms. With practice, it can take only minutes of light palpation to map the body's restrictive patterns.
Addressing Fascial Restrictions Decreases Abnormal Tissue Patterns
Fascial restrictions often can be the principal source of structural distortion. If not addressed, they may remain as the pattern around which the body organizes and functions. Fascia forms a continuous weblike structure in the body as it surrounds and interconnects each cell. In so doing, it is the substance through which biomechanical and biochemical exchange occurs.
Whether therapy is focused on bone, muscle, joint, organ vessel or nerve, the fascia will be involved. Incorporating CST techniques, which enhance fascia mobility and balance, has been shown to increase the corrective response within the tissue. These CST techniques can be used effectively before, during or after other therapeutic techniques.
Dysfunctional Tissue Can Cause Chaos Within the Body
Traumatic impact, infection and highly stressful situations are some of the causes of energetically chaotic areas within the body that create turmoil in the tissue and exhaust the body's energy reserves.
The CST technique of arcing is used to locate turbulent areas. Regional tissue release (noticing change in the craniosacral rhythm while following the tissue into positions of release) and the direction of energy technique are used to dispel disordered energy. These techniques can be added into an existing protocol, thus freeing the tissue of the constraints of chaos and depletion.
Imbalance and Abnormal Strain of the Central and Autonomic Nervous Systems Often Contribute to Dysfunction
Disorders such as Parkinson's disease, spinal cord trauma, cerebral palsy and stroke bring to searing light the effects that nervous system dysfunction can create. Less obvious abnormal nervous system strain patterns can be at the center of other issues such as repetitive strain injuries, pain syndromes, chronic fatigue, fibromyalgia, wryneck and headache.
Central and autonomic nervous system functions are pivotal forces that organize the body's trillions of cells and processes to flow in an integrated, purposeful, balanced and graceful manner. The cells of the central nervous system and the pre-ganglionic cells of the autonomic nervous system are found within the craniosacral system. Thus, adverse strain of the craniosacral system can cause nervous system dysfunction.
There are specific CST techniques used to address the cranial and spinal components of the craniosacral system. These techniques utilize gentle traction to increase the mobility and harmony of the craniosacral system that may lead to the correction of nervous system dysfunction. The techniques can be added into an existing practice either as an adjunct to the existing treatment regimen or as the primary form of treatment.
Following the Direction of Ease Is a Key to Self-Correction
When a practitioner follows the tissue into the direction of ease (the direction the tissue moves most easily), it allows the client's individual healing process to arise. Assisting and following the tissue while using minimal force enables it to move into unique patterns of balanced tension.
Since the practitioner is supporting this balance, the tissue can release itself from adverse strain and reorganize into a more harmonious state. This is a key element of CST and is an approach that can be used in many manual techniques.
There Are Times When It Is Necessary for the Tissue to Speak
There are times when it is necessary for the tissue to express itself. Some examples of this are trembling of the jaw, utterance of sounds, words spoken aloud, rapid breathing, sweating, moving, shaking and tears. This is a natural and often-observed occurrence in most manual therapy.
It can be a powerful and illuminating corrective process when words are used to help release adverse patterns. CST techniques can aid the process in a delicate and empowering manner.
Elevating the Client's Ability to Self-Correct
CST has few contraindications. It can address an enormous range of dysfunctions in a gentle, time-efficient and multifaceted way. Bringing CST techniques into an existing practice can help open the doors more fully into the realm of client self-correction and healing.
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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