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Talking to Patients About Medial Branch Neurotomy (Part 2)
Even when lumbar facet denervation (medial branch neurotomy) is successful, relief is rarely complete or permanent. Smuck, et al., reviewed 16 articles and found the average duration of >50 percent pain relief for an initial procedure was nine months.
Trouble in the Wellness Waters?
Call me old-fashioned, paranoid or just old, but I do remember graduating from chiropractic college in the late '70s in the midst of the Wilk v AMA lawsuit.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
News in Brief
Dr. Frank Nicchi Receives Award at ACC-RAC; Sherman College Expands International Influence.
If Your Pro-Chiropractic Governor Resigned, Would You Be Prepared?
John Kitzhaber, MD, recently re-elected to a historic fourth term as Oregon governor, has resigned among alleged ethics violations by his fiancée' and first lady, Cylvia Hayes. I developed a personal friendship with John and consider him a good friend.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Teach Your Patients About External Healing Applications
Since the skin is the body's largest organ, and is able to respond to both internal and external stimulations, communicate sensations to the brain, protect the body, breathe and even excrete toxins, it can be an excellent source of healing.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Make Every Day Mother's Day
May is a special month for many reasons. After a long, harsh winter, spring is at last in full swing. Memorial Day helps us honor those who have fought and fallen in the name of freedom.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Apple Takes a Bite Out of Research
The more than 700 million iPhone users have just been given the opportunity to "do their part to advance medical research."
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
Applauding a Legacy of Leadership
Founding Palmer West President, John Miller, DC, HCD (Hon.), FICA (Hon.), a 1954 graduate of Palmer College of Chiropractic, passed away March 8, 2015 at age 83.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
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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