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Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
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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