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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
April, 2008, Vol. 08, Issue 04
Palpating the Craniosacral Rhythm
By John Upledger, DO, OMM
Palpation is the art of using touch to examine the body and explore the structures beneath the skin - their forms, movements and relationships to each other. Through palpation, you can discover the normal or abnormal function of an organ; the mobility of a joint with its muscular, ligamentous and tendinous attachments; the motion of one bone compared to another; and the flow of body fluids. You can even use palpation to monitor the electromagnetic field surrounding the body.
The practice of CranioSacral Therapy relies on your ability to use sensitive palpation to feel the craniosacral rhythm - the subtle pulsation of the craniosacral system as cerebrospinal fluid circulates through it in a dynamic loop. While this skill is taught at CranioSacral Therapy workshops, you can get an idea of what the craniosacral rhythm feels like by palpating your own.
First, you'll need to "calibrate" your touch to 5 grams. You can do this by placing a nickel somewhere on your body, such as your forearm, and then placing your hand next to the nickel. As you do this, lighten your touch until it feels comparable to the weight of the nickel. You also can imagine gently placing your hand on a newborn's face, and then touch your body that lightly. Notice how much softer this touch is than the way most people typically touch or palpate.
Once you're comfortable with your ability to touch with 5 grams of pressure, you can practice palpating the craniosacral rhythm. To do this, simply rest your elbows on a table and lightly place your hands on either side of your head so the full surfaces of your palms and fingers are gently in contact with your head. You can now use that very light, 5-gram touch to feel the movement produced by the circulation of cerebrospinal fluid in the craniosacral system.
Just like a water balloon expands and contracts if the fluid within it increases or decreases, the membranes of the craniosacral system expand and contract ever so slightly in response to the fluid changes within the system. You can feel this movement as the system softly pushes against your relaxed hands when it's expanding and then pulls away from them when it's contracting. The movement is extremely subtle, so if your touch is too heavy it's more difficult to feel.
Once you practice enough to become aware of the craniosacral rhythm, you can begin to notice the characteristics of that movement. Is it symmetrical and balanced? Is it big and strong? Is it slight and weak? Observe whatever you can at the head, and then move your hands to another location, perhaps the thighs, and repeat the process. Palpate the subtle movement and notice its characteristics. Compare the rhythm at the thighs with the rhythm at the head, and then continue that process on other areas.
Observing the differences in the craniosacral rhythm on various parts of the body gives you key information to help you locate areas of restricted tissue. Like a dry sponge placed in a pool of water, nonintrusive palpation allows you to absorb an enormous amount of information so you can more effectively help the tissues release -enabling the body to self-correct on a multitude of levels.
Click here for previous articles by John Upledger, DO, OMM.
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