resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
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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