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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.
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.
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.
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 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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
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.
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.
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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