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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
October, 2008, Vol. 08, Issue 10
The Iterative Process: A CranioSacral Approach to Health and the Human Body
By Eric Moya, MS/MFCT, LMT, CST-D; guest author for John Upledger, DO, OMM
Have you ever had a client ask, "How many sessions will it take for my pain to go away?" or "Why am I feeling pain in this part of my body when the problem is somewhere else?" At some point, you probably have had your clients ask these questions.With these issues in mind, I'd like to illustrate a couple of important factors about health and the human body from a CranioSacral Therapy (CST) perspective.
To better understand CST, consider the seemingly simple process of tuning a guitar. Whenever you put on a new set of strings, you have to tune the guitar many times over days before the strings hold their tune. Why? Because when you tune one string up to pitch, it stretches out and goes flat, so you have to retune it. Eventually, the string will stretch out completely and be able to hold its pitch. But then, with tension on the strings, the guitar itself actually changes. The neck may be stiff, but when you load it with asymmetrical tension in the form of strings, it bows a bit and throws the strings out of tune. That means you need to go back and tune the whole thing all over again.
As you can tell, it's impossible to tune a guitar perfectly the first time around. Instead you have to retune it over and over again, continually moving closer to the end goal of having a perfectly tuned instrument. It's simply a process of making minute changes until you reach your desired solution. This kind of problem - one in which it's impossible to find the solution through direct or linear means - is called an "iterative" problem. Iterate means to repeat. It's also the root for the word reiterate, which also means to repeat. (Isn't it strange that we have two words that both mean "to repeat"?)
In mathematics, an iterative problem is one in which you can't arrive at the solution using linear means. Instead, you must continually adjust the data, getting closer and closer to the solution until it's finally revealed. Structural health is also an iterative problem. With our vast interconnections of anatomy from the perspective of muscles, bones, fascia, lymphatic system and more, it becomes increasingly difficult to look at the body as a collection of parts. It's actually an integrated ecosystem in which any minuscule change affects the entire system.
Looking at fascial anatomy alone, there are innumerable ways in which a pull on one part of the fascia can affect other parts of the body. Practically, this means your client can have right-shoulder pain while the source of the problem is far removed from the shoulder. Although it would be important to work the shoulder girdle in your session, if you don't locate the original source of the shoulder pain, it's bound to recur.
Initially, this situation becomes a defeating conundrum for many manual therapists. Trying to intellectually figure out such problems is a staggering task. Fortunately there's an easier way, and it comes from the lineage of Andrew Taylor Still (the "Father of Osteopathy"), William Garner Sutherland (the "Father of Cranial Osteopathy") and John E. Upledger (the "Father of CranioSacral Therapy"). Their philosophies deviated from the standard allopathic approach of looking at the body in terms of problem and solution. Instead, they each viewed the body as an interconnected web that is continually trying to heal itself.
In CranioSacral Therapy, we cultivate techniques based on following the body. Because the body is continually trying to self-correct, even hidden problems become accessible when you know how to follow the body's cues and let them show you where to work. In CST, we align ourselves with the body's attempt to heal itself naturally. This involves working the entire body using a range of techniques based on tissue, energy, emotion and cognition.
Back to iterative processes. Let's say a client comes to see me with right-shoulder pain. I don't need to know whether the shoulder pain is a result of one or two restrictions or a whole lifetime of accumulated tensions. As a CranioSacral therapist, my job is simple. I follow the tissues into their restrictions and help them release using whatever techniques are at my disposal. With each release, the whole ecosystem of the body adjusts slightly. And with each change we get closer to a pain-free shoulder until we finally reach the solution - just like tuning a guitar.
So whenever clients ask me how many sessions it will take to "fix" their problems, or if they wonder why I'm working on areas that don't seem to hurt, I help them appreciate how complex and interconnected their bodies are. Then I help them recognize the shifts that have already taken place.
Once they realize they're getting better, even in ways they didn't realize were connected with their problems, they usually become intrigued and excited about their process. And why not? Feeling better is a magnificent thing.
Click here for previous articles by John Upledger, DO, OMM.
Eric Moya is a licensed mental health counselor, an Upledger-certified CranioSacral Therapy instructor and president/founder of The Ripple Effect: Center for Mind and Body Therapy in Albuquerque, N.M. Currently he is acting dean of integral education at the Esalen Institute in Big Sur, Calif.
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