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Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
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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