Lost A Sale, But Initial Phone Consultations â€” A Big Part Of Brilliant Customer Service
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Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
September, 2007, Vol. 07, Issue 09
Autonomic Nervous System Dysfunction
By Tad Wanveer, LMT, CST-D; guest author for John Upledger, DO, OMM
Editor's note: Tad Wanveer, author of this month's "CranioSacrally Speaking" column, has been the guest author for several previous "CranioSacrally Speaking" columns.
Dysfunction of the autonomic nervous system (ANS) may be central to impairing the quality of one's life and contributing to severe illness.CranioSacral Therapy (CST) has been shown to balance and correct dysfunctions of the ANS through gentle manual techniques.
The nervous system can be simplified into five basic branches dedicated to sensory processing, muscle planning and activity, memory processing, emotional processing and basic survival. The ANS is a component of the basic survival branch. It controls the body's vital functions, working to maintain homeostasis (a steady internal state) and optimal conditions for cell and tissue function. The ANS has two divisions, each having motor and sensory components: sympathetic division (known as fight/flight/freeze) and parasympathetic division (known as rest/relax/renew).
Both divisions innervate the internal organs, smooth muscles, cardiac muscles, exocrine glands and metabolic cells. The sympathetic division also controls blood flow, sweat gland activity and hair follicles. The ANS partly mediates the regulation of immune and inflammatory responses within the gut, lungs and skin.
The ANS divisions continually work together to maintain optimal function and create the most balanced operation of bodily systems. Normally, when one is more active then the other is less active, as in the control of blood pressure. If blood pressure suddenly rises, parasympathetic activity to the heart increases and sympathetic activity decreases. This slows the heart rate and brings the blood pressure back down. If blood pressure is low, sympathetic activity increases and parasympathetic activity decreases, which helps blood pressure rise.
There are times when a division becomes chronically hyperactive (overactive) or hypoactive (underactive). The cause might stem from physical trauma, stressful experiences or biomechanical strain, to name a few. The effect is a body functioning in a non-optimal state, with its cells and systems excessively strained and overworked. The bodily stress can become enormous, leading to conditions ranging from mild chronic pain to devastating illness.
All organs, vessels, glands, nerves and cells of the ANS and every other part of the body are wrapped in fascia. The craniosacral system (CSS) is a specialized container that envelops the fluid and tissues of the brain and spinal cord within three continuous and interrelated layers of fascia.
The parasympathetic division also is referred to as the craniosacral division of the ANS because its motor cells originate in the brain stem and sacral portion of the spinal cord. The vagus nerves (there are two) are the primary parasympathetic nerves. Their route to the viscera begins in the brainstem. They exit the cranium by passing through the jugular foramina (two openings at the base of the skull) and traveling to the organs. Abnormal fascial strain may exist anywhere along the route of the vagus nerves, affecting the brain stem and spinal cord and resulting in altered structure and compromised function of the tissue with which it communicates.
CST techniques are used to locate and reduce adverse strain of the fascia. As the fascia returns to normal patterning and motion, neurological strain can subside and diminish the adverse strain on the smooth muscles, heart muscle, glands, blood vessels and organs. In response, the sensory input from the viscera to the nervous system can greatly improve.
Enhancing the mobility and balance of the CSS, also can increase the efficiency by which cerebrospinal fluid cleanses irritating elements from the brain and spinal cord tissue while delivering nutrients to the cells. These changes can help correct and improve the function of the ANS, which can significantly increase health and vitality.
Common causes of strain on the sympathetic division are stress, chronic illness or infection, scar tissue, traumatic impact and anxiety. Another is experiencing a highly stressful situation that the body is unable to process adequately. Sympathetic division strain can lead to dysfunction of central processing areas of the ANS (within the brain and spinal cord), particularly portions of the limbic system (emotional and memory processing area), the hypothalamus (internal regulatory area) and the reticular alarm system (vital function area). A chronic internal state of fight, flight or freeze can occur, causing relentless challenges leading to dysfunction and illness.
CST can help correct ANS dysfunction by reducing adverse biomechanical forces that are straining the harmonious movement of body fluid and tissues. For example, strain of the dural tube (the CSS membrane layers surrounding the spinal cord tissue) can cause sympathetic division cells to become irritated and overactive, leading to chaotic neurological communication and visceral dysfunction.
Another example is abnormal strain on the muscles at the base of the cranium, which can strain the vagus nerves and compromise the body's ability to regenerate and heal. A third example is when disruptive information embedded in the tissue causes flashbacks. The flashbacks usually occur in response to some form of sensory input that brings about a reaction in the compromised tissue and ANS. This causes certain cells to communicate in a way that unexpectedly triggers the recall of past events.
CST, as well as a spontaneous therapeutic process called somatoemotional release, helps the body find tissue-movement patterns that can liberate and integrate disturbing cellular patterns to normalize neurological, vascular, biomechanical and biochemical processing. Since overall health is realized within the parameters set by the function of the organs and systems controlled by the ANS, increasing ANS function this way helps elevate the body to its optimal levels of vitality, well-being, balance, self-correction and harmony.
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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