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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.
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.
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."
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.
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."
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.
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.
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.
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.
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.
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.
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.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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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