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Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
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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