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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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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?
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.
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.
April, 2009, Vol. 09, Issue 04
Unwinding Meridians to Reverse Anemia
By Kenneth R. Koles, PhD, DSc, RAc, LMT; guest author for John Upledger, DO, OMM
One of my patients has a mother, who we will call "Helen," out of respect for privacy. She was in the hospital recently for heart surgery. At 87 years old she was in fine health, but she had been feeling a bit rundown. Nonetheless, her doctor recommended she go ahead with the surgery because she was "so healthy."
While the operation went well, within a few days Helen was suffering from anemia. Either she was leaking blood internally or her bone marrow was no longer making blood. Her doctors gave her a transfusion and she said she felt better, but only for several days. Then she had another transfusion and another, and a pattern began repeating itself: transfusion, anemia, transfusion, anemia.
Finally, the dear woman had enough. She refused any further transfusions and was preparing to die when her son called me to treat her with a combination of techniques from acupuncture and CranioSacral Therapy (CST). Together, these two modalities are highly effective at strengthening the flow of energy throughout the body. If you think of the cranial rhythm as ocean waves, acupuncture meridians would be ocean currents. Combining the two can dramatically increase your ability to resolve a wide range of medical issues.
When I first worked with Helen, I focused on "unwinding the meridians" using the craniosacral rhythm as my guide. To unwind an acupuncture point along a meridian or energetic pathway, you simply place a finger on the point using virtually no pressure, just allowing light energetic or electrical contact. Then you feel for the craniosacral rhythm. You might experience this as a very subtle wave that flows first in one direction then in the other for three seconds each way.
Once you feel the craniosacral rhythm, you blend and harmonize with it to encourage it to move more easily and fully. Enhancing the craniosacral rhythm this way is like using your legs to pump yourself back and forth on a swing. As you move in one direction, you swing your legs up at the height of the arc to go higher. Use this same principle to enhance the craniosacral rhythm by adding your intention to the flow of energy through the points, moving in the same direction of the craniosacral rhythm.
Energizing the Sea of Marrow and the Sea of Blood
The first time I treated Helen, I focused on stimulating blood production at the sea of marrow, where blood and cerebrospinal fluid are created. The sea of marrow encompasses the acupuncture points named governing vessel 20 (GV20) and governing vessel 16 (GV16), which are both in the middle of the skull.
GV20 is on the sagittal suture at the approximate midpoint of the line that would connect the top of the two ears. There's a slight depression on the suture at GV20. GV16 is at the base of the head just below the external occipital protuberance (the bump at the base of the skull on the midline). I unwound Helen's Sea of Marrow by first harmonizing with the cranial rhythm at one point, then the other, then harmonizing both points together.
The second time I treated Helen, I focused on unwinding her sea of blood to make sure I covered all the bases. The sea of blood includes the stomach 37 (ST37), stomach 39 (ST39) and bladder 11 (B11) points.
If you measure using the widest part of your thumb, ST37 is six thumb widths below the base of the patella, and one thumb width lateral to the crest of the tibia. ST39 is three thumb widths below stomach 37, and one thumb width lateral to the crest of the tibia. And B11 is one-and-a-half thumb widths lateral to the spine at the level of the base of the first thoracic vertebra.
Shortly after her second treatment, Helen said she was feeling fine. She was finally making and circulating enough blood to go to rehab and then return home. With a combination of light touch and healing intention, I was able to help strengthen her flow of healthy energy, allowing her body to create more blood and reverse her anemia. Having the privilege of supporting Helen as she moved from a state of not wanting to live to being up and ready to go is a tribute to the wisdom of the meridians and the craniosacral rhythm.
Click here for previous articles by John Upledger, DO, OMM.
Kenneth R. Koles is a certified Upledger Institute instructor who teaches "Unwinding Meridians: Applying Acupuncture Principles to CranioSacral Therapy." To learn more visit www.upledger.com.
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