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In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
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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