resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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?
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.
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.
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.
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.
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 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.
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?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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.
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.
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.
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.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
January, 2008, Vol. 08, Issue 01
Part IV: Chronic Problems Related to Gall Bladder Dysfunction/Disease
By Dale G. Alexander, LMT, MA, PhD
In this article, you are invited to consider the relationship between the progression of gall bladder dysfunction, migraine headaches and the existential questions of life. Chronic headache patterns often have a correlation to the cognitive dissonance of mental and emotional conflict in which one feels split, torn or confused between competing urges, behaviors or decisions in their life.
While the gall bladder is not the only organ that reacts to the stress of emotional and mental dissonance, it is among the first responders.1 And, because of its anatomic centrality, it exerts an enormous influence upon vascular efficiency, especially, I propose, upon blood flow to and from the brain.
I previously have described the body's stereotypical response to stress as a "cringing of the body's sacs and a shortening and narrowing of its tubes." The net sum of these reflexive reactions invariably includes the muscular tube of the esophagus pulling the head down and forward upon the neck. Let us remember that the esophagus has its fascial mooring to the sphenobasilar junction and therefore, may directly communicate gastrointestinal tensions from the abdomen to the craniocervical relationship (the base of the skull to the cervical spine) as its fibers shorten and narrow.2
The gall bladder as an organ is a sac as well. The stress-related effects of its cringing or resulting inflammation can neurologically provoke contracture of the right hemi-diaphragm and the lesser omentum. A shortening of these structures in their relationship to the lower esophagus mechanically adds a downward tension, further ratcheting the head inferiorly upon the neck.3 Additionally, the gall bladder tends to discharge its tensions into the spinal cord through the phrenic nerve circuit, which has its nerve roots between C3, 4 and 5.
Releasing the tensions of these cervical segments often is my first step in assisting clients with migraines. Let us remember that the nerves supplying the longus colli and capitus muscles and the scalene and levator scapulae muscles receive their neural supply from C3 and 4. Also, the neural supply for brachial plexus begins at C5, allowing for a distribution of tensions from the gut tube to be communicated to the neck and upper extremities. Contracture of and from any additional upper extremity-muscles, via their fascial relationships in sum, may further exert a downward pull of the cranium upon the neck.4
Most often, clients describe that their migraines begin as a building tension in their middle-to-upper neck spreading up and forward into the cranium, usually affecting one or sometimes both sides of their head and usually one eye more than the other. When a client reports their pain begins "within or just behind their eye" then moves backward, I request that they go back to their physician or seek further medical testing to rule out the possibility of cranial or cervical pathologies.5
My clinical experience suggests that compression within the intricate matrix of the craniocervical relationship is a significant contributor to chronic migraines. The simplest way to conceive of this is to propose that the brain gets either too little blood (ischemia) to maintain its complex functioning and starts painfully screaming for more supply; or to imagine that the compressive elements described earlier have substantially slowed the drainage of blood and lymph from the brain, creating painful pressure; thus, either ischemia or pressure build up produce the same result. And I propose they may co exist in different parts of the brain.
Earlier, I noted that gall bladder dysfunction has a potential effect upon vascular supply to and from the brain. I already have described two of the mechanisms via its influence upon the esophagus and through the discharge of phrenic neural tensions into C3, 4 and 5 that may impede delivery of fresh blood or slow the venous and lymphatic drainage from the brain.
A third proposed mechanism is the heart's inability to supply the brain and body simultaneously in the face of a congested or inflamed gall bladder, reducing the speed and volume of venous blood flowing into the inferior vena cava and then into the right atrium via the tricuspid valve.
As was noted in my last article,3 the heart's tricuspid valve acts as its primary feedback regulator of pressure and "the important factor determining the amount of blood pumped by the heart is still the rate of entry of blood into the heart."3,6 Thus, it is proposed that reduced speed and volume of arterial blood has a domino effect upon its distribution as it exits the heart through the ascending aortic arch into the subclavian, vertebral, external and internal carotid arteries and through the descending aorta. In response to the intensity of a moment or, more commonly, in response to a protracted period of the mental and emotional dissonance, anguish, confusion or conflict, the neurocirculatory regulators of the heart go on tilt, unable to equitably supply all channels. Some tissues get more blood than others - too many fires to put out simultaneously.
This assertion suggests that lack of blood flow to the brain is more likely to trigger a migraine. I harbored this assumption for many years, yet my clinical experience during the last eight years and escalating success rate in assisting clients with migraines, indicate it is blood being retained in the cranium, which tends more often to be the trigger.
How is this possible? I return to the basics of our evolutionary physiology as humans. Simply stated, the body has developed a tendency to preserve fat, retain fluids and to congest blood (when the flow has been slowed for whatever reason). The notion that the body would congest blood during a disruption of its normal delivery schedule or in response to a gradual reduction of delivery (timing or volume) is similar to how the body tends to respond to even the prospect or the actual experience of famine, by hoarding what it does have.7 This description represents a slight variation of the blocked drainage thesis proposed earlier. Nothing is 100 percent. Both the retention of blood and inadequate supply are accurate postulations within my experience, and other possibilities exist as well.
And current medical opinion is conflicted about the exact etiologies of migraines. According to a recent Mayo Clinic Health Letter, "the cause of migraines isn't fully understood."8 Thus, our clinical postulations as a profession may actually shed light on a human vexation that has lived in the shadows for millennia.
The most common profile of clients who have come to my office with migraines have been people experiencing some kind of exquisite life transition and redefining who they are (e.g., loss of long-term employment; leaving someone they truly loved in order to regain their health and/or experiencing a nasty divorce; a serious injury or illness; the death of a loved one, etc.).
Exquisite life transitions unearth the existential questions of life. They rock our carefully constructed world. And these transitions often tweak the gall bladder. Eighteen years ago, I personally experienced the theorized notion that the gall bladder consistently demonstrated itself to be highly correlated with the emotions and thought patterns of blame, bitterness and resentment proposed by Lansing Barrett Gresham, the founder of Integrated Awareness.8 He had developed his empirical model through the use of energetic touch with different body sites and specific organs relating the emotional, mental and spiritual themes of what his guests would address during, after or between appointments. Over the ensuing years, I repeatedly have confirmed these associations with clients along with many additional correlations introduced in his second book The Body's Map of Consciousness, Volume I: Movement.9
Let's consider the number of colloquial phrases within the English language that reference the human neck and cranium as a bridge to how existential questions may participate in the gall bladder's progression toward dysfunction and its relationship to migraine headaches: "You're a pain in the neck"... "You give me a headache every time I see you,"... "I get a splitting headache whenever I have to go to work/school/(fill in the blank for yourself)"... "I'm fed up to here (hand raised to one's chin)." These phrases clearly communicate elements of blame, bitterness and resentment.
To my sensibilities existential questions reflect the cornerstones of our identity - how we perceive our relationship to self and others. What do we believe in our heart of hearts is possible for us to feel, experience or achieve? Who am I now and who do I wish to become? What is my life's purpose? How do I desire to contribute to humanity? Did I choose to be here in the first place?
Quite often these foundational queries are veiled - unconsidered and unanswered in the web of a client's chronic somatic profile. I find that exploring such questions with clients is a major contribution that allows them a context for reconsidering, refining or redefining their sense of self and what is possible for them. Commonly, I encourage clients to seek out qualified therapeutic counseling to more fully delve into these queries.
Existential questions of life reflect the full scope and continuum of consciousness including whatever one considers as sacred or divine. Among the many possible there is one question that to me reflects the bookends of the continuum: Did I choose this life?
I have experienced this question to be the most important. I used to imagine this was only a question of one who lives in California. Time and experience have shown to be universally relevant. When we accept the premise and embodiment that we actually choose this life, then most of what we blame and resent others for is placed into a larger perspective of personal ownership. We more naturally gravitate toward accepting the responsibility and willingness to risk creating a life that works for us. We recognize our ability to co-create our reality and we accept that randomness exists as well. The process of embodying this premise can take some time.
The other bookend of the continuum is represented by our belief that we are a biological accident, sent back to "earth school," rejected by God or any other rationale that dispossesses us of the inherent capacity to choose and learn from the positive or negative consequences of our choices. These inevitably lead us into a spiral of victim-consciousness, feeling as though life happens to us with varying emotional flavors and behaviors of compensation, hiding, comparing one's self to others, blaming others and resenting them - making excuses for what we have or haven't done and feeling less worthy than others.
It is my personal and professional experience that we all wrestle with this alligator and others. Having specialized in working with chronic ailments, it continues to be my experience that the inclusion of a client's existential cosmology is a significant variable to the healing process. In response, clients report their awareness expands toward a more spacious possible future, one in which they perceive new choices and options for themselves. Further, the more at peace we are within ourselves, the less (I postulate) we feed the inflammatory cycles that so often are associated with chronic conditions.
It is quite interesting that in ancient Hebrew the word "reconciliation" means to "change through the gut."11 Reconciling the deep losses of life with its seeming inherent unfairness and to come out the other end without blame, bitterness or resentment is a process for which we all can experience compassion and challenge.
For the record, it's not the gall bladder per se, rather its anatomic centrality in the dance of psyche and soma that characterizes its importance. I am not proposing that if one can dial up with the right answer to the existential questions of life that they will be happy, age gracefully and won't be hit sideways by some random event. There is no inference of causation stated here, only the postulation in common sense that protracted internal turmoil participates in the stress and progression of gall bladder dysfunction and chronic migraine headaches. It is how we perceive life and what is possible for ourselves (based on our answers to existential questions) that is central to the degree to which we experience the ongoing grinding effects of degenerating stress toward various pathologies.
In conclusion, allow me to acknowledge that I have fallen short of my stated goal to be able to distill all that I wished to share in this article and to complete the gall bladder series with a crescendo. Instead, I am surrendering to how I perceive anatomy, physiology and consciousness elements work together, by sliding the focus of our attention from one arena to the next, recognizing their inherent interconnectedness and relatedness is simultaneous and ongoing as a unified sentient organism.
My next series of articles will build upon elements of this one and will describe another progression toward dysfunction/disease of similar stealth and insidiousness - one that has been anecdotally estimated to affect approximately 80 percent of the population. Stay tuned.
I wish to acknowledge Katie Truax, Glenn Gaffney, LMT, and Jake Rutherford, MD, for their editorial assistance.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.