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Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
March, 2009, Vol. 09, Issue 03
CranioSacral Therapy for a Multitude of Health Problems
By Nancy Westphal, LMT, CST-D; guest author for John Upledger, DO, OMM
It was an unseasonably warm day in October when my plane landed in Montana. I had just flown in from South Florida at the request of fellow craniosacral therapist Cindy Kafka. She had a patient whose injuries, she believed, were beyond her level of skill. A farming accident had left "Bill" (name changed to respect privacy) a quadriplegic; his neck, back and arms had been broken, possibly shattered. When paramedics first got to him, his body temperature was so low that they had to pour warm water onto his forearms (veins) just to keep him alive.
When I reached him he was rehabilitating in a nursing home with little hope of recovery. His sole goal with CranioSacral Therapy was simply to gain enough function to operate his computerized wheelchair. Yet it quickly became clear to us that any improvement would be welcome. So at the approval of the nursing home, I led a "multi-hands" CranioSacral Therapy intensive program. I worked with Bill alongside multiple therapists for 2 weeks: 5 hours a day, 5 days a week. Kafka had arranged for several practitioners to join us; each one had basic craniosacral training and experience. My intention was not only to support Bill in his process, but also to help Cindy and her colleagues strengthen their skills and feel more confident in their ability to work with him on their own, after my departure.
Simple Techniques in Several Hands
At our initial evaluation, Bill's gray complexion indicated very poor circulation; his cranial vault had the sensation of being fused; and there was no palpable craniosacral rhythm. He had a serious infection in his toes. And he told us that for 6 months, doctors had been unable to control his raging bladder infection. He couldn't pass a normal bowel movement without pharmaceutical help. And as you would expect from dealing with a multitude of health problems, he was depressed.
As a therapeutic team, we blended together to support Bill in what would become a transformational journey. We listened deeply to his body, helped release restrictions in his craniosacral and fascial systems, encouraged the whole-body flow of fluid, and supported him in his process in whatever way he needed. Our job was to trust the work, trust our hands, and trust Bill's body to lead us through his unique healing sequence.
"Cranial pumping," a simple technique taught in entry-level CranioSacral Therapy, quickly proved invaluable. Essentially, the therapist tunes into the craniosacral rhythm while using gentle pressure to nudge the end range of flexion and extension. By day three, this technique had helped Bill's coloring change so dramatically that his night nurse, who had no idea what we were doing during the day, insisted on checking his temperature.
Bill's fluid circulation continued to improve every day. As he slowly gained more vitality, he became stronger, his outlook improved, and he began interacting more positively with everyone around him. On the fifth day of therapy, the infection in Bill's toes was gone, and he also reported that he had finally started relieving his bowel independently.
A New Level of Hope
Week two was full of even more encouraging change. Bill's nursing staff and fellow patients began giving him glowing compliments. His friends told him how great he looked, saying he seemed to be "back to his old self" again. Around town, people were even stopping us (his therapists) to mention how terrific Bill looked and how grateful they felt. This man was obviously loved.
Toward the end of his intensive-therapy program, Bill began to exhibit far more mobility, strength and control in one arm than we had expected. He wasn't able to write yet, but he wasn't far off. He also had finally stopped talking about how miserable he felt and started imagining his future again. For the first time in months, he was making plans for a new life.
I flew home deeply gratified to have been a part of such a profound healing and mentoring experience. In all the years I've been working in multi-hands intensive-therapy programs, I've never lost the significance of being blessed to witness the metamorphosis of another human being.
A week later Cindy told me she had checked on Bill. The bladder infection that had plagued him for 6 months was gone. As she left the room, he was sitting in his computerized wheelchair surrounded by friends...and laughing.
Click here for previous articles by John Upledger, DO, OMM.
Nancy Westphal, LMT, CST-D is a diplomate-certified craniosacral therapist with two decades of experience. She is a clinician and mentor for therapists who want to improve their skills and help patients move past their plateaus. To contact Nancy or learn more visit her Web site at www.nancywestphal.com.
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