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Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
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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