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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."
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.
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."
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
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.
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.
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.
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.
July, 2007, Vol. 07, Issue 07
Autism Spectrum Disorder: How CranioSacral Therapy Can Help
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) has been shown to help the autistic individual find greater ease, both within themselves and in the world around them, by decreasing structural stress and strain on their central nervous system.
Autism spectrum disorder (ASD) is estimated to affect one child in every 150 births.It's the fastest growing developmental disability, with a diagnosis rate rising 10 to 17 percent each year. ASD is considered to be a result of biological and/or neurological disorders that affect the functioning of the brain. To date, there is no known single cause of ASD.
The CST Model of ASD
Dr. Upledger's recent model of autism is based on his hands-on experience with autistic children and their responses to therapy. It's supported by research at Johns Hopkins University showing "increased levels of proinflammatory cytokines, neuroglial activation and inflammatory changes" in the cerebrospinal fluid of the autistic patients studied.1 Simply stated, ASD is partially caused by a loss of flexibility and probable inflammation of the membrane layers surrounding the brain.
This compromise can create restrictive force on the brain tissue leading to adverse strain on the internal body-regulating components of the hypothalamus, the reticular activating system and the autonomic nervous system; irritation and hypersensitivity of neurons, glial cells and neurological pathways; abnormal pressure change within the brain tissue; adverse affect on the limbic (emotional) system; over-heightened central nervous system immune response; brain tissue congestion and toxicity; and endocrine system compromise.
What is observed as typical ASD behavioral impairment in social relationships, social communication and imaginative thought might be the effects of inner chaos created by the abnormal grasp, squeeze and irritation of the membrane on the brain. Combining the extreme tension caused by an abnormally inflexible brain container with inflammation can lead to a brain confined within biomechanical and biochemical turmoil.
The CST Approach to ASD
The focus of CranioSacral Therapy is to enhance the balanced motion of:
When working with an ASD individual, the initial focus often is on the cranium to locate an area that has the greatest motion response to the craniosacral rhythm. Delicate release and pumping techniques are used to create more motion in that area.
The increased motion is used as a dynamic biomechanical tool - one hand is used to continue to increase motion and direct fluid flow, while the other hand is used to encourage motion in non-moving areas. Little by little, small changes create larger changes that enhance the mobility of the brain's container (the craniosacral system).
Increased balanced motion of the membrane surrounding the brain helps flush toxins and inflammation out of the brain tissue. As this occurs, it naturally can elevate biochemical processing, which increases the function of neurons and neurological pathways.
Newfound motion of the brain tissue and fluid helps decrease the abnormal and often enormous strain the brain has been under. This allows the brain cells a greater ability to process and react to information of all sorts. As Donna Williams states in her book, Autism: An Inside-Out Approach, "When I was an infant, my senses didn't work right and my response to light and sound and touch were not just meaningless, but too acute. I could not only, not understand the world, but I also could not stand it."2 CST gently can help the ASD person come to newfound levels of tolerance, understanding and response within themselves and with the world around them.
While this article has been focusing on the brain, CranioSacral Therapy also is directed to the whole body, since tissue restrictions anywhere can adversely affect the membrane surrounding the brain. CST helps elevate the body's natural healing and compensatory mechanisms by facilitating neurological function. This, in turn, can elevate the structure and function of the body as a whole, thereby aiding the correction of dysfunctional systems such as the digestive and immune systems that seem to often be involved in ASD.
CranioSacral Therapy also combines well with and can enhance other forms of therapy the ASD person might be using, such as sensory integration therapy, neurodevelopmental therapy, speech therapy, occupational therapy, physical therapy, diet programs, detoxification programs and homeopathy. When working with a child, it's helpful to maintain a program of consistent CST, since there is a tendency for the membrane of an ASD child to tighten as growth spurts occur.
CST Is a Sensitive Pathway to Nervous System Correction
CranioSacral Therapy gently and fully embraces each individual as unique. Through this type of acceptance, sensitive touch and delicate application of technique, pathways of change can form. CST can help the brain decrease levels of abnormal inflammation, sensation, tension, toxicity and chaos. This can lead to greater ease and efficiency of nervous system processing, which often manifests as a reduction of ASD symptoms.
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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