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Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
November, 2007, Vol. 07, Issue 11
When a Child Wants to Move But Canít
By Tad Wanveer, LMT, CST-D; guest author for John Upledger, DO, OMM
Editor's note: Dr. Upledger has asked Tad Wanveer to contribute this month's column. Tad has been the guest author for several previous "CranioSacrally Speaking" columns.
Cerebral palsy (CP) is a group of movement and posture challenges that stem from the abnormal development of, or damage to, the motor-control areas of the brain.For more than 20 years, CranioSacral Therapy (CST) has been used to enhance brain function and help those with CP move with greater ease and balance. It can help them reach their highest potential by balancing motion, facilitating brain reorganization and elevating the body's natural self-corrective processes.
The Puzzling Causes of CP
The types of brain injuries that cause CP are not fully understood. The damage seems to primarily stem from congenital problems due to infection, toxicity, genetic disorders, trauma and complications of premature birth.
A common cause is perinatal (five months before through one month after birth) asphyxia, which is when the brain is subjected to hypoxia (deprived of adequate oxygen supply); ischemia (restriction of blood supply); and hypercarbia (abnormally high levels of carbon dioxide in the blood).
Within the brain, consequences of these conditions can include metabolic changes and edema, leading to cell gliosis (the formation of a dense, fibrous network of glial cells in the area of damage), cyst formation and/or fluid congestion.
Brain damage with CP is non-progressive, though motor problems can change. The severity of CP ranges from mild to severe, depending on the amount of brain damage. Some children might experience difficulty with movement and challenges with one or more of these issues: gait, swallowing, chewing, balance, posture, sight, hearing, speech, breathing and sensory processing. Seizure activity also is present in many children with CP.
CP Types and Classifications
There are four types of CP, all named for a type of movement disturbance: spastic, athetoid, ataxic and mixed.
Spastic CP is the most common type, affecting 70 percent to 80 percent of all cases. Characterized by hypertonia (abnormal muscle tightness, rigidity and reduced ability to stretch), it's due to injury to the pyramidal system. This is the network of motor nerves extending from the brain to various spinal cord levels, particularly the cortex and internal capsule. The injury disturbs the brain's ability to modulate motor-neuron activity, and it leads to varying degrees of continuous muscle contraction, also known as elevated deep tendon reflex.
Athetoid CP is characterized by hypotonia (abnormally low muscle tone and strength), or mixed muscle tone (muscles that are sometimes hypotonic and sometimes hypertonic), and abnormal involuntary movements. Athetoid CP often is due to a disturbance of the extrapyramidal system. This network of brain neurons modulates movement and maintains muscle tone and body stability, especially in the basal ganglia.
Ataxic CP is characterized by difficulty with movement coordination. It's often due to damage of the cerebellum, which fine-tunes and controls the timing of movement. Ataxic CP can affect any part of the motor system, including the extremities, torso and speech.
Mixed CP is characterized by a combination of the aforementioned forms. Various parts of the body are affected by CP. They are classified as: hemiplegia (affecting one side of the body); diplegia (affecting the whole body, lower extremities more than upper extremities); or quadriplegia (affecting the whole body, lower and upper extremities equally).
CST Enhances the Child's Natural Body Processes
CranioSacral Therapy can assist the CP client in numerous ways. It can decrease brain congestion, hypertonicity or hypotonicity, and enhance motor-system neurological signaling.
Gentle cranial mobilization techniques can reduce brain congestion by helping membrane layers around the brain move with more efficiency and ease. The membrane motion can travel throughout the brain to enhance tissue and fluid movement, and decrease intracellular congestion, abnormal pressure on the cells and gliosis. It also can increase the availability of nutrients to the cells. All this maximizes the self-corrective potential of brain cells, creating an optimal environment for neuroplasticity - the ability of the brain to reorganize itself by forming new neural connections.
CST helps decrease hypertonicity and hypotonicity through techniques like the delicate tractioning of muscle and fascia, following and assisting body parts into positions of release, directing energy to decrease or increase tone and facilitating tissue movement in synchrony with the craniosacral rhythm. The rhythm is created by the motion of body tissue in response to the filling and emptying of cerebrospinal fluid within the craniosacral system.
All this helps muscles by increasing vascular flow, flushing toxins, increasing muscle fiber length or strength, and decreasing fascial strain. As muscle correction occurs, different sensory signals are sent from the muscles to the spinal cord and on to the brain, where they can encourage it to reorganize existing sensory areas that can stimulate improvement or help form new motor areas and pathways.
CST can enhance motor system neurological signaling through the application of the "direction of energy" technique. This helps neurons and nerve pathways use and integrate neurological information with optimal efficiency by boosting the energy available for cells to work, move and effect change.
Also, the delicate mobilization of the craniosacral system can decrease spinal cord irritation that might have occurred due to overloaded, overactive or underactive muscle reflexes by facilitating the movement of fluid and tissue around and within the spinal cord.
Through all of these processes, CranioSacral Therapy gently facilitates the self-corrective mechanisms through techniques that improve the balanced motion of cells, tissue, fluids and systems. It supports the remarkable plasticity of the nervous system and the extraordinary potential for compensation within the whole body. The result often is newfound movement, balance, expression and freedom for the child with CP.
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 Carolinaís Raleigh-Durham area specializing in CranioSacral Therapy.
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