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The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
We Get Letters & E-Mail
Imagine What More Could Be Achieved With Your Support; A Lesson in Hygiene: What Do You Do in Your Office? Open Letter to the Profession.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
July, 2008, Vol. 08, Issue 07
Getting Comfortable With Postural Analysis
By David Kent, LMT, NCTMB
We all recognize the importance of getting our cars serviced regularly so they run at their optimal level. Not surprisingly, the same is true of the human body. In fact, there is a very useful car-related analogy we can use when it comes to describing postural analysis: front-end alignment and wheel balance.
The word posture is derived from the Latin verb ponere, meaning "to put or place." The word analysis comes from the Greek word analyein, meaning "to break up." Therefore, postural analysis is simply the process of "breaking up" the body to determine where it should be "put or placed." This article reviews body positioning for the purpose of taking a standing (static) postural analysis so you can custom-design your clients' therapy sessions.
When a vehicle's alignment is off, it manifests as uneven tread wear and loss of tire life. Likewise, when a car's tires are not balanced properly, ride quality is diminished, tire life is shortened, and bearings and shock-absorber performance suffer. When one's posture is off, the human body also experiences a range of problems: restricted range of motion, pain, organ dysfunction, and joint, tendon, ligament and muscle stress, to name a few.
The body, like tires, has an ideal position. It also must be balanced to run smoothly and last a long time. For a mechanic to assess and adjust the front end of a vehicle, they must first check wheel positioning for deviations from the norm. To do this, they set the wheels in a standard position and conduct an evaluation. In massage terms, this is the equivalent of taking a postural analysis. A mechanic's objective findings also are reported in terms we can relate to the body. For example, what the mechanic refers to as "toe-in or toe-out" is what we call "internal or external rotation." What a mechanic calls "camber," we call "tilt."
When we report to a mechanic that the tire tread on our vehicle is wearing unevenly and the steering wheel is vibrating, we have given our subjective complaints. The mechanic hears this complaint frequently and knows exactly what needs to be done. Before they can conduct their evaluation, however, they need to use the proper equipment to access and design a repair plan according to the car model's specifications.
In the same way, clients often make subjective complaints to us about headaches and neck and back pain. Just like a mechanic, we need to use the proper equipment to access and design a customized therapy session to meet each individual client's needs, focusing on both short- and long-term goals.
The "manufacturer specifications" for the human body include the anatomical planes that show us the ideal positioning of joints and bones. While individuals are not expected to be positioned perfectly, we want to facilitate the best posture possible through massage therapy. According to Muscles: Testing and Function, "Ideal skeletal alignment ... involves a minimal amount of stress and strain and is conducive to maximal efficiency of the body." Moreover, "the intersection of the sagittal and coronal midplanes of the body forms a line that is analogous to the gravity line. Around this line, the body is hypothetically in a position of equilibrium. Such a position implies a balanced distribution of weight, and a stable position of each joint. When viewing a posture in a standing [position], a plumb line is used to represent a line of reference. ... Since the only fixed point in the standing posture is at the base where the feet are in contact with the floor, the point of reference must be at the base," or the foundation of the body.1
Whether you work in spa, clinic, medical office, fitness center or some other venue, there are certain things you must do to conduct an effective postural analysis.
Postural Analysis Checklist
[ ] Hang a plumb bob approximately 3 feet in front of a postural analysis grid chart. The plumb bob should be approximately a quarter inch off the floor.
[ ] The client should be:
[ ] Position the feet in relation to the plumb line:
Now, stand a few feet back from the plumb line. Using a digital camera, move from side to side (right to left) until the plumb line is lined up with the center line of the grid chart. Take a photo of the client and make any necessary notes for your objective findings.
We all know the saying "A picture is worth a thousand words." In images #1 and #3, it's easy to see how the right shoulder is higher then the left. We see the torso and head are to right of the mid-saggital plane. In the image (#4 and #6), it's easy to see the forward head posture and the right shoulder posterior to the coronal plane. These deviations have numerous origins. A muscle-movement chart will help quickly determine which muscles are shortened and which ones are lengthened, helping you design a customized treatment plan.
There are many advantages of taking postural photos including:
When you take the time to administer a precise posture evaluation for your clients and devise a customized treatment plan, you will gain their respect and earn a reputation as a top massage therapist. Your clients also will appreciate how you utilized the information to educate them.
Don't let the idea of conducting a postural analysis intimidate you. There are many things we do every day that we once learned to do for the first time. Once you get comfortable with posture, it will be easier to think about each client as an individual and know how to develop special treatment plans for each person. Over time, posture analysis becomes easy - second nature. You just need to start doing it.
Click here for more information about David Kent, LMT, NCTMB.
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