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Treating the Lower Pelvis (Pt. 2): Midline Structures and Fascia
My previous article [October 2016 issue] outlined evaluation and treatment of pelvic issues involving the sacrotuberous ligament and the pubic symphysis. Now let's discuss two case studies that illustrate how to address additional problematic areas of the pelvis.
AOM Residency at NUNM
Imagine you're a recent acupuncture graduate, worried about making enough income as you forge your new career and seek more in-depth training in a particular treatment style.
Near-Infrared Therapy for Diabetic Neuropathy
The pain experienced by people with diabetes is a symptom of diabetic neuropathy. The impact on quality of life is significant. Pain makes walking difficult, sleep troublesome, and eventually contributes to a decrease in social interaction.
Correcting Rib Dysfunction: Improve Patients' Pain, Posture and Breathing
As chiropractors, we tend to focus on the spine, and rightly so. Many problems our patients face can be corrected by manipulating the correct spinal level.
The Large Intestine Official
The large intestine (AKA colon) is the great eliminator, or as J.R. Worsley called it, "The Drainer of the Dregs." Dregs are defined as the remnants of liquid with its sediment left in a container, or the basest, least valuable portion of anything.
News in Brief
The American Association of Acupuncture and Oriental Medicine (AAAOM) board members recently met with the Korean Customs Service, which is similar to the FDA, to discuss herbal safety and importation issues.
VF Works / DMX Works Epilogue: Almost Two Decades Later, the Lawsuits Continue
An article in the March 8, 1999 edition of Dynamic Chiropractic examined whether then-VF Works / Nu-Best Franchising was selling its franchises illegally to doctors of chiropractic.
A Brief History of Acupuncture and Oriental Medicine Doctoral Programs
A doctorate in acupuncture and Oriental medicine has been a goal of the profession since its beginnings in the late 1970s. At that time, however, the maturity of the educational institutions and the regulatory environment made it a goal with only a distant completion date.
Latest Cassidy Study on Stroke Risk Published
The latest study to investigate whether a unique association between chiropractic manipulation and risk of cervical artery dissection / stroke exists has yielded similar encouraging findings, with the authors noting "no excess risk of carotid artery stroke after chiropractic care" and no significant risk difference between patients receiving care from a DC or a primary care medical provider.
Helping Patients With Parkinson's Disease
Parkinson's disease (PD), a long-term degenerative disorder of the central nervous system that mainly affects motor function, has a slow onset over time.
Waist Circumference: A Conversation Starter
New estimates suggest more than two-thirds of Americans are either overweight or obese. The medical significance of this statistic is astounding.
The Acupuncture Channel System (Part 2)
The primary channels (main channels) are introduced in chapter 10 of the Ling Shu, these channels are referenced in many chapters throughout the Su Wen and the Ling Shu. The primary channels have become the main channel system used in TCM.
Gather & Grow
I recently attended a faculty seminar held by one of the acupuncture schools. There was a facilitator who led us through some very interesting experiences. The attendees were a diverse group with varying opinions.
4 Things Every DC Should Know About Levels of Care & Prevention
As health practitioners, we help people with their health problems and assist them with health promotion and disease prevention.
Paperwork Done Wrong, Done Right
I was visiting a doctor's office recently and a member of his staff brought a stack of forms to his private office and laid them on the doctor's desk. She informed him he needed to complete the forms for patients and a few third parties.
Spiritual Initiation: Opening Your Higher Healing Abilities
People drawn to the field of acupuncture and Oriental Medicine tend to be those who march to the beat of a different drummer.
Chiropractic in Texas Is Under Attack
The profession of chiropractic faces an unprecedented challenge in Texas, an attack that is more aggressive, sustained and dangerous than anything previously seen. The medical lobby has launched a coordinated, multi-front assault.
Reader Beware: Consider the Source
The aftermath of last year's presidential elections brought a running conversation on the role played by "fake news" that was largely presented via social media.
ICA Goes on the Vaccine Offensive
Have you watched the vaccination documentary, "Vaxxed: From Cover-Up to Catastrophe," by Andrew Wakefield MD, director, and Del Bigtree, producer? This is the documentary Robert DeNiro was pressured to remove from his Tribeca Film Festival.
TCM & the Caregiving Population: Treatment Considerations & Our Vital Role
Informal caregiving is increasingly a reality for many Americans who find themselves providing unpaid care for a loved one or a family member with a long-term, terminal, or chronic illness.
House Calls With Dad
My father was a chiropractor and he did house calls. On Wednesday nights, while my mother attended the weekly women's meeting at the Odd Fellows and Rebekahs hall in our small town, dad loaded up the portable adjusting table, fired up the Pontiac and drove off to treat a few patients in their homes. I went with him.
Getting Unstuck: Healing From Trauma With TCM, Qigong & Movement
We all come into this world vulnerable, with seeds to grow into our strength. Some of us — through a combination of good fortune (i.e., family and culture we are born into, constitutional inheritance, or ability to learn) grow with minimal interruption from traumatic injuries and experiences.
November, 2007, Vol. 07, Issue 11
Cervical Disc Herniation
By Whitney Lowe, LMT
One of the most important aspects of assessment in massage is to determine if it's appropriate to work on a specific condition. While massage is safe in most cases, there are some instances where harm can be done if inappropriate treatment is applied.A cervical disc herniation is just such a condition. It's important to identify this condition, as it also should be evaluated by another health professional to make sure massage is appropriate. However, if performed appropriately, there are some beneficial massage approaches.
A herniated disc (also called herniated nucleus pulposus or HNP) results from sudden or long-term compression loads on the spine. Herniations are more common in the lumbar region than in the cervical, but can still produce significant pain or disability when they occur. Cervical disc herniations produce pain or neurological dysfunction in the neck or upper extremities. They are relatively common and frequently occur in asymptomatic individuals, so presence of a herniated disc does not necessarily imply a pathological problem.1
The intervertebral disc is designed to absorb shock and cushion compressive forces transmitted through the skeletal structures of the body. The center of the disc is composed of an inner gel-like substance called the nucleus pulposus. The nucleus is surrounded by concentric layers of collagen that make up the outer disc boundary, called the annulus fibrosus (Figure 1). When compressive loads are placed on the disc, the nucleus presses against the walls of the annulus. As the pressure increases, annulus fibers begin to tear and the disc changes shape (Figure 2). The disc usually is pushed in a posterior-lateral direction. Unfortunately, the cervical nerve roots are very close to where the disc herniation occurs, so the herniation frequently presses on the nerve roots producing sensory or motor nerve dysfunction.
Cervical disc herniations are most common in the lower cervical spine. The nerve roots in this region make up the brachial plexus. The nerves of the brachial plexus eventually course down through the length of the upper extremity, so nerve compression symptoms commonly are felt down all or part of the upper extremity.
In some cases, the disc herniation is an acute injury with a sudden load on the cervical spine. For example, herniations develop when an individual hits their head on the bottom of a shallow swimming pool after diving in. In other situations, a disc herniation may develop from significant compressive loads over time, such as those that occur from chronic forward head posture.
The primary symptoms from cervical disc herniation include pain, paresthesia or weakness in the neck or upper extremities. Pain or paresthesia can occur throughout the entire upper extremity or only in part of it. Muscle weakness may be evident in any of the upper - extremity muscles innervated by fibers of the affected nerves. Because symptoms may occur in any region of the upper extremity, it can be challenging to distinguish a cervical disc herniation from other nerve compression pathologies that occur in the upper extremity, such as thoracic outlet or carpal tunnel syndromes.
Suggestions for Treatment
While surgery was once considered almost essential for this condition, it's not as common now. Research shows that disc herniation problems may heal spontaneously without surgery or other invasive procedures.2 Some rehabilitative exercises are suggested to encourage the disc to return to a normal position away from affected nerve roots.3 It's important to consult with a physician or other health professional for recommendations on treatment.
While massage is not absolutely contraindicated for disc herniations, treatment methods should be used cautiously. The transverse processes protect the nerve roots from further compression during most massage techniques, but symptoms could be aggravated by minor vertebral movements that occur from pressure applied to the region. Massage is helpful to decrease muscle tension in the area and may reduce compressive loading on the disc. However, this massage also should be performed carefully and only once the extent of the disorder has been clarified.
Click here for more information about Whitney Lowe, LMT.
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