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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.
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.
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.
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%.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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).
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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).
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.
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.
August, 2007, Vol. 07, Issue 08
How the CranioSacral Therapy Paradigm Applies to Other Modalities … and Life
By Roy Desjarlais, LMT, CST-D; guest author for John Upledger, DO, OMM
Editor's note: Dr. John Upledger has asked Roy Desjarlais, LMT, CST-D, to share his insights in this month's column.
I took my first CranioSacral Therapy (CST) seminar in 1997, as a disillusioned art director.I lit up with a profound knowledge that there was an exciting world for me to explore through this human experience of CST. I began understanding the mechanics of CST; that is, feeling the craniosacral rhythm, sensing fascial restriction patterns, learning to differentiate suture from membrane structures and more. However, I soon realized that CST is more than just mechanics and its greater understanding came at a much deeper level. Once I learned that this approach was symbolic and it represented a powerful way of addressing all modalities and life issues, my search for a fulfilling career was over.
The following concepts are at the core of CST. Over the years, I've heard many other therapists share how this paradigm translated to other modalities and areas of their lives as well.
It's difficult to do much of anything without an intention being involved. To me, intention is like a boat pulling a water skier, creating a smoother wake for easier travel. The more consciously I use my intention, the better the results. This translates in sessions, with my children and in all of my relationships. Each situation can have its own intention that frames the event to create a smoother wake. To quote my mentor, Dr. Upledger, "The shortest distance between two points is an intention." When you consciously use intention, you make a choice to switch off autopilot and be present with what is happening around you.
Sometimes the most you can do for a person is to simply be present. Words and actions often aren't even necessary. Being present is a practice much like meditation or yoga - some days are easier than others. You enjoy the easy times and persevere during the challenging times, relying on your intention to get you through. With repetition, you can become more comfortable being present in varied situations.
As I've seen throughout my life, presence can be used in degrees as well. You can be too present for someone's process. Have you ever experienced people so intense that you felt uncomfortable talking with them? Have you ever had someone make too much eye contact? Just like heavy hand pressure can be uncomfortable for a client, so can too much presence. They might not be ready for or want that much attention with their process.
By starting with a lighter touch, the person you're addressing is more likely to respond in a positive way. The possibility of eliciting a guarding response diminishes to near zero. If you apply aggressive pressure to tissue or situations, you're likely to learn how well people protect themselves. As a therapist, this is counterproductive since your overall intent is to help people let down, open up, rebalance and heal.
Presence is a useful skill if you inadvertently use too much pressure because you quickly can become aware if there's a negative or resisting response and make adjustments accordingly. Many people are reluctant to speak up for fear of offending you. Being present allows you to make a change with your pressure and intent. The result often is a client who feels more appreciative and trusting since you were paying attention without needing to be told.
Blending or melding is a form of connecting that helps you tune in on many levels. It requires presence, intention and attention to sensory input. Therapeutically, I blend with my clients in general. I also blend with their desire to rebalance their inner wisdom, their structural and energetic restriction patterns and their emotions - all with the intention of facilitating their process to a healthier state. In a non-therapeutic setting, blending helps us understand situations, dynamics, dangerous settings, traffic issues, relationship challenges and more. We all blend to some degree on a daily basis. How consciously we do it is an individual choice.
Just sit in a busy mall and observe people sometime. What can you pick up from blending with them at a distance? Are they happy, distracted, frustrated or content? What about their health? Are they struggling with part of their body? Do they have pain and if so, how intense? All these answers can come from blending through intention and trusting the feedback you receive. Now imagine how much more information you could get by blending hands-on in a session.
Integrating Grounding, Boundaries and Neutrality
Grounding: There are many philosophies about how to be grounded - whatever works for you is great. For me, being grounded means being present without a non-therapeutic agenda. Am I thinking about a disagreement I had earlier before the session? Or, am I willing to let my personal stuff go so I can be fully present and fulfill my role as the therapist?
Boundaries: Standard definitions talk about lines of demarcation. My personal take brings it back to intention. Am I in the most therapeutic space to facilitate someone's process?
Neutrality: Another great intention for grounding is to be neutral. I define this as being nonjudgmental, nonreactionary, present and compassionate. In this framework, the antithesis of neutral is being analytical, enmeshed, "taking on," "feeling bad for," or any other emotional reaction.
Being neutral as a therapist, friend, parent or significant other allows the person you're blending with to have a clear space to communicate and just be. There's no agenda other than supporting how they wish to proceed. There's a popular concept in therapeutic circles about holding the space for clients. In my 20 years as a therapist and instructor, I have found that being neutral with intention is one of the most powerful ways of "doing" that I've ever experienced.
The Bottom Line
CranioSacral Therapy can be a subtle art. That's why it's vital to align with your inner self as much as your hands. If this resonates with you, try working with these concepts. Commit to practicing them for awhile and monitor your thoughts as you observe the results. Your clients and everyone else in your life will love the results.
Click here for previous articles by John Upledger, DO, OMM.
Roy Desjarlais is vice president of clinical services for The Upledger Institute and a certified CranioSacral Therapy instructor and staff clinician since 1994. He manages all aspects of operations for The Upledger Clinic.
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