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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.
July, 2009, Vol. 09, Issue 07
Dialoging With the Nonconscious Mind
By Ken Piercy, MTI, CST-D; guest author for John Upledger, DO, OMM
Recently, I conducted a CranioSacral session that took an unusual turn. "Serena" (name changed to protect privacy), a woman about 50 years old, was in for the second time. As she got on my table and began to relax, she became quiet and still.I was instantly drawn to the left side of her abdomen, where I placed my hands. I sank in a little deeper, focusing on the energy cyst I was feeling. An energy cyst is a highly compressed ball of disorganized energy that originally entered the body in the course of an injury or trauma. Essentially, it's the "energetic imprint" of trauma, and it can contain emotional as well as physical energy.
Within minutes, Serena spontaneously began telling me that she could see a little girl, but she could only see her head. She said the girl was in a yellow light, and that her hair was matted and unkempt. The little girl also had no eyes.
My training taught me that it's essential to get permission from the client's Inner Physician before proceeding. This ensures that it's always the client who sets the agenda. It's not up to the therapist to decide to go into a client issue. It's up to the client, and that includes her conscious and nonconscious mind.
After getting the green light from Serena's Inner Physician, I moved gently into using therapeutic imagery and dialogue. I asked Serena what the little girl was doing. She told me the girl didn't have any spark, that her brother had taken it away. Suddenly, Serena said, "He shouldn't do that to me, a 6-year-old girl."
After 10 years of practicing CranioSacral Therapy and SomatoEmotional Release, I've come to learn that a shift like this - from third person to first - is usually significant. So I asked Serena, "Do what?" She said, "He was behind me. He snuck up and squashed me." She went on to describe the scene in the woods, the pain, the violation of trust. Then she said her brother told her, "If you tell mom, I'll kill you."
The Ego Takes a Back Seat
This was obviously a traumatic experience for a little girl. I could feel the tension build in Serena's body. With my saying nothing more than "Tell me about it," she was able to discuss the scene in enough detail to gain some clarity around it. As she did, I could feel her tension begin to dissipate.
That's when I asked Serena what she wanted to do with this experience. It was her experience, after all; it wasn't my place to tell her what to do. Surprisingly she said, "Don't go to the forest. You'll leave me there!" Of course I hadn't mentioned the forest, and my own ego immediately began thinking that I would never leave her there anyway. But this session belonged to Serena, not to me. It was no place to defend what I thought I would do.
Indeed, the therapist's ego has no place in the treatment room. Whether I understood what was going on for Serena or not is irrelevant; I was just looking for signs in the tissue that my client was in some way releasing the energy of emotion that's embedded there. The therapist must adapt to the client's pace, never the other way around.
So instead I simply asked, "Is there a place that's safe for you to take this?" Serena thought for a moment, then said, "There's a place for the pain in the ocean. Look! There are ocean people." I'm not sure who the ocean people were or what they looked like, but it wasn't important at the time. She brought them up and they could take the pain. That was good enough for me.
Feeling the shift in her body, I asked Serena what she was experiencing. She said, "One of them took the pain and put it inside of him. Then they all went back into the ocean with the pain and now they're fine."
After sensing the relaxation come into Serena's body, I inquired, "So, where are we now?" She talked about a young girl who went to a gorgeous garden and was happy to stay there. She didn't want to leave, so I suggested that we could come visit whenever we want.
The Conscious Mind Returns
Throughout all this, I had spent the entire session on the left side of Serena's abdomen, never moving. It felt like the right thing to do. After a few minutes of allowing the peaceful feeling to permeate, I felt Serena move her arm. She said, "Wow, I must have drifted off." I was surprised by her comment, but it indicated to me that her nonconscious mind had not connected fully with her conscious mind.
A few weeks later, Serena came in for another session. She told me that after the previous session, she had woken up in the middle of the night and suddenly remembered it all quite clearly. She shared her surprise that she had spent years in "talk therapy" about that very issue, and yet it still came up through her body. Note: Even when something may seem unresolved from a session, it's important to remember that the therapeutic process continues long after the client leaves your table.
I was grateful to Serena's Inner Physician for allowing the imagery and dialogue to play out at her speed and her understanding. And I was happy to have learned from Dr. John Upledger and Stan Gerome, LMT, who both facilitated my understanding of using therapeutic imagery and dialogue in a CranioSacral session. To learn more about SomatoEmotional Release (SER), read Dr. John Upledger's article "Releasing Emotions Trapped in the Tissues" (June 2008 issue).
Click here for previous articles by John Upledger, DO, OMM.
Ken Piercy, MTI, CST-D is a diplomate-certified CranioSacral therapist with a thriving private practice in Dallas. To learn more visit www.kenpiercy.com.
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