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Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Correcting Pelvic Rotation Around the Long Axis: Adjustment Protocol
The pelvis can be considered a ring that can misalign on the sacrum rotating around the long axis. The following is a description of an adjustment that helps to correct sacroiliac rotation around the long axis.
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
August, 2009, Vol. 9, Issue 08
Massage Today Reader Discovers "Anything’s Possible"
By John Upledger, DO, OMM
Terri, a normally healthy 62-year-old woman, was recently scouring the Internet for help when she ran across a Massage Today article that she said "literally saved my life." She was suffering from severe anemia that doctors at two different hospitals couldn't explain.
Her health had started degrading a year earlier when she found herself dramatically short of breath. "I couldn't get dressed in the morning without having to sit down and rest," Terri said. "I couldn't even walk to the bathroom from my desk at the office."
Doctors suspected Terri had a rare form of asthma, but that didn't sit right with her. "I wasn't wheezing at all. I just had shortness of breath." Nonetheless, they put her on a steroid for six months to try to clear it up. "It didn't do anything except make me gain a lot of weight," she said.
Then last November, Terri's right foot and big toe went numb and turned blue. She immediately checked into the hospital, but this time she was told she probably had peripheral artery disease. The surgeons began preparing for an angioplasty. "In the process, they asked me to sign a release that gave them permission to amputate my foot!" she exclaimed. Fortunately for Terri, her intuition told her that something wasn't quite right with this picture. So against doctor's orders and pleas from her daughters, she signed herself out of the hospital and found her way to a different doctor, one she hoped would finally listen to her.
After a battery of tests ruled out plaque around the heart, doctors gave Terri a new diagnosis. "Your big toe is broken," they said. "What's wrong with that?" she asked. As it turned out, plenty. She was also suffering from something the other doctors hadn't mentioned: severe anemia.
Anemia occurs when you don't have enough healthy red blood cells, or when the red blood cells don't have enough hemoglobin to transport oxygen to the organs. For men, a count of less than 14g per deciliter is worrisome. In women, anything less than 12g is a problem.
By the time Terri went back to the hospital five days later, her hemoglobin was at an 8. But she still wasn't prepared for what her doctors recommended next: a blood transfusion. "I was shocked. I had no idea it was that bad," she said. "But it was all too much. I told them I had to go home and think about it."
Unfortunately, within a of couple days, her hemoglobin had dropped to the dangerous level of 6 and she collapsed.
Back at the hospital, Terri received four consecutive blood transfusions. "They say one every few months is the norm. But that's what it took to get my hemoglobin level back up to an 8," Terri said. Assuming she must have been bleeding internally, the doctors ordered another round of tests. Everything came up negative.
By January Terri's hemoglobin was back down to a 7, but the doctors still didn't know what was wrong. So they gave her another transfusion. Finally, they told her it was just too dangerous to continue doing that. They were going to wait until it got down to a 6 before giving her any more.
"I was playing with my life," Terri said. "I thought, at this rate, I might just not wake up one day." Her doctors agreed and actually advised her to get her affairs in order. "They still didn't know what was causing it. They even suggested chemotherapy just in case it was a cancer they couldn't find."
When Terri went home that day, she decided to take her health care into her own hands. She started by searching for clues on the Internet. The last time she had looked, she was reviewing the prosthetics she thought she'd need after her foot was amputated. But this time she was determined to "sit there for 24 hours if that was what it took to find some kind of treatment for anemia."
She began Googling. That's when she found a Massage Today article called "Unwinding Meridians to Reverse Anemia" by Dr. Kenneth Koles (April 2009 issue). In it, Koles talks about combining acupuncture with CranioSacral Therapy to treat a woman named Helen who was suffering from anemia like Terri was.
CranioSacral Therapy rang a bell with Terri. "I have a friend who's a massage therapist and she was trained in cranial work, too," she said. So she quickly called Laura Gomez, Ms.T. Coincidentally, Laura had just read the same article, and she immediately drove to Terri's for her first treatment.
"It didn't feel like any massage I'd ever had," Terri said. "It felt more like acupressure to me. It was strange, I remember hearing in my right ear the sound of blood flowing. It sounded like the ocean." Laura continued to work on her for two hours, coming back several times in seven days.
Terri went to her doctor to have her blood checked once again. "I was so depressed. If this didn't work, I didn't know what I was going to do." To her surprise, her hemoglobin count actually went up two-tenths of a point. "That doesn't sound like a lot, but normally I'd go down five-tenths every week. So to me, that was more like seven-tenths of an increase!"
Hopeful for the first time in months, Terri had two more CranioSacral sessions the following week. Her next blood test was even more promising. She was up to a 9.3. "It went up six-tenths of a point! And my iron levels went up one whole gram, and I wasn't eating spinach or anything. I had just started taking iron pills, but the doctor told me they wouldn't have started working for months."
"My doctor said it's a miracle," Terri said. And when she told him about CranioSacral Therapy, he commented, "I suppose anything's possible." Fortunately for Terri, with the help of hands-on therapy, he's right.
Click here for previous articles by John Upledger, DO, OMM.
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