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If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
September, 2008, Vol. 08, Issue 09
Straight Talk on Scoliosis
By Ken Piercy, MTI, CST-D; guest author for John Upledger, DO, OMM
Editor's Note: Dr. John Upledger has asked guest author Ken Piercy to write this month's column.
Scoliosis is an abnormal lateral curvature of the vertebral column, most often found in younger girls and women.It's generally considered either "fixed," as a result of muscle or bone deformity, or "mobile," usually as a result of unequal muscle contractions.
It's important to note that mobile scoliosis can lead to fixed scoliosis, since unequal muscle contractions can cause alterations of the internal architecture over time, especially in weight-bearing structures. This is known as Wolff's Law. As a muscle pulls on a bone, it can draw the bone in the direction of the strain. The longer this process continues, the more pronounced it becomes. Fixed scoliosis can be the result, which is why it's critical to catch this condition early.
Understanding the Underlying Architecture
As human beings, we essentially are upright bipeds. That's who we are and what we do. We stand up and walk. Hardly a news flash, yet understanding the architecture is important to resolving scoliosis. We each have two legs, hips, a sacrum and a vertebral column tethered together. Structurally speaking, look at the hips and sacrum as the top of an arch and the legs as the support; with the vertebral column or spine centered on top of the arch like a tower. We have a complex structure we generally take for granted.
Numerous muscles and ligaments attach the hips and sacrum to the vertebral column. In tower terminology, these would be "guy wires." They pull and hold the tower upright. If the base of the tower (sacrum) shifts or if some of the muscles get too tight, the tower begins to lean. As we get off-center, the wires attached further up the tower pull us back toward the center. The body is a self-correcting mechanism. It wants to be an upright biped, but now we have a curvature of the spine.
The bodies of young women go through significant changes preparing them for the future endeavors of the female anatomy. As teenagers, they're also having the time of their lives in gymnastics, dancing, cheerleading, volleyball and basketball, playing around with all kinds of activities that can be stressful to the architectural structure.
Think about dropping an arch on one support with the center tower balanced up one side, much like jumping up to spike a volleyball and landing on one foot. A structural engineer would say, "Oh no, you can't do that. If you drop an arch on one side, the tower will lose its structural integrity and collapse." But the volleyball coach would say, "Great job!" Add to this the fact that the hips are expanding and the attached ligaments (wires) are stretching and this might be a good time for structural concern.
Helping Amelia Avoid Surgery
A 13-year-old girl, "Amelia," came to my office after being diagnosed with scoliosis by her pediatrician. He indicated she might need surgery and would likely be wearing a back brace 23 hours a day. The doctors said she had a spinal distraction 20 degrees to the right and 10 degrees to the left. They told her she didn't need surgery just yet, but they wanted to keep an eye on her to see if the condition worsened. At 30 degrees, she'd be a candidate for surgery. They also referred her to a neurologist for her headaches and dizziness.
As a soft-tissue practitioner, I don't have an X-ray machine and I rarely carry a protractor. But I could see her lower thoracic spine was pulled laterally about 1.5 inches, and her cervical spine went about .75 inches the other way. For headaches and balance issues, it should be noted that the cervical spine connects directly to the cranial base, including the temporal bones that house the inner ear, semi-circular canals and vestibular system. Tension from the muscles attaching the base of the skull to the neck can impede balance and produce headaches.
After I performed a CranioSacral Therapy 10-step protocol, Amelia was visibly more relaxed. She reported her headache was gone. You also could see the lateral distortion in her spine was now less than half an inch. As the tower/spine begins to straighten and the muscles/wires release the tension needed to hold the body upright, the cranial vault functions improve, diminishing headaches and enhancing balance.
Amelia also was pleased to notice she could see the curve of her waist on her right side, something she could only see on her left before that session. The right side of her torso, which had been a straight vertical line, now had more of a tapered shape.
After a second session, Amelia took two weeks off to go on vacation and a week-long dance camp where she studied classical ballet. Upon her return, at the beginning of her third session, she reported she had a headache. I also could see a slightly increased lateral distortion of her vertebral column. At the end of that session, Amelia was headache-free once again and the lateral distortion of her spine was visibly diminished. Since then, her mom reports Amelia's self-esteem has soared. I think that's significant in a 13-year-old girl.
A few more sessions should alleviate Amelia's condition and a watchful eye will be far more productive than surgery. Before they brought her to see me, Amelia's family paid $23,630 to conventional medical doctors to treat her scoliosis and headaches. The cost of her CranioSacral Therapy: $300. A mother's relief: Priceless.
Click here for previous articles by John Upledger, DO, OMM.
Ken Piercy, MTI, CST-D is a diplomate-certified CranioSacral therapist with a thriving private practice in Dallas. To learn more visit www.kenpiercy.com.
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