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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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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%.
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.
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.
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.
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.
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.
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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