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Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
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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