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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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.
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%.
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.
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.
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.
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.
June, 2008, Vol. 08, Issue 06
Mapping Body Into Motion
By Keith Eric Grant, PhD, NCTMB
"I found that when I made certain expressions, I was flooded with strong emotional sensations. It wasn't just any expression, only the ones I had already identified as universal to all human beings. ... Over the next ten years, we did four experiments, including one in a non-Western culture, the Minangkabau of Western Sumatra.When peopled followed our instructions about which muscles to move, their physiology changed and most reported feeling the emotion. Again, it wasn't just any facial movement that produced this change. They had to make the muscular movements that our earlier research had found were universal expressions of emotion."3
There is a deep and seemingly inherent connection between our bodies and our emotions. Based on more than 40 years of research into human emotions, Paul Ekman characterizes many of our emotional responses as unconscious reactions to triggers that affect (or may have once affected) our welfare.3 Some are inherent, but the differences in individual responses to similar situations indicate many are learned. Ekman and his colleagues discovered that the process of mentally revisiting events from memory retriggered the emotions and bodily responses (such as increased heartbeat, blood pressure, respiration and sweating) that occurred during the original event. The memory "movies" we run in our heads - the events we habitually revisit in our mind's eye - have profound effects on the state of our bodies.
Perhaps even more interesting, from the perspective of massage practice, Ekman found that making various facial expressions would bring forth strong emotional responses. The associations between the expressions and the emotions were observed to be universal across cultures, indicating they are an intrinsic part of how we are "wired" as human beings. There is thus strong support from research that the muscles we activate and the bodily sensations we experience are as much generators of our emotional state as our emotions are influencers of our bodily state.
The ability to positively affect emotions via massage appears to have an extensive foundation in the research literature. In a meta-analysis of previous massage literature, Moyer reported consistent emotional benefits.5 "Reductions of trait anxiety and depression following a course of treatment were MT's largest effects. The average MT participant experienced a reduction of trait anxiety that was greater than 77 percent of comparison group participants, and a reduction of depression that was greater than 73 percent of comparison group participants."
Similarly, in a previous column, "Searching for Medical Massage" (October 2005), I noted that a large number of applications of massage in a medical context were reporting psychological and emotional benefits leading to increased well-being.4
In their recent book, The Body Has a Mind of Its Own, Sandra and Matthew Blakeslee report on neurological research that touches on the mechanisms of such body-mind interactions. The research concerns both how the mind creates our inherent sense of our body and how we map the space immediately around our body into extensions of our body. For example, we use tools as if they were actual parts of our body, extending our sense of touch to include our tool's contact with the outside world. Such mapping may form the scientific basis for the "connection" of touch and for the healing powers of touch.2
"The scientific method has never been able to confirm that qi flows or other mystical vital energies are real and present in the mind and body. Yet the experiences of these things are so palpable for so many people that it would be a cop-out to dismiss them out of hand as 'nothing more than' wishful thinking. Perhaps science, having banished these energies from the account of reality, can nonetheless explain the sensory awareness that people have of them. The brain's touch, movement, and peripersonal space maps go far in explaining many key elements of these beliefs and experiences."2
The Blakeslee's accounts of body maps are in congruence with my own observations from multiple forays into research. There are features and reactions of the body that are not explicitly physical, but stem from the immense pattern-matching and mapping processes of our brain. In some cases, what we perceive might be both a mapping of the peripersonal space and a mapping from one sensory mode to another. Abbott, for example, reports recent research on mirror-touch synesthesia, in which a touch seen literally is felt by the observer.1
The bottom line is that, as humans, we are neurologically wired to respond to and be part of the sensory world immediately surrounding us. As massage practitioners, this opens the door to helping our fellow humans cope with transitions and traumas, and for sharing their joys. Our emotions map into our body, but just as surely, our bodily experiences map into our emotions.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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