resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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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