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Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
September, 2009, Vol. 9, Issue 09
How a Child's Drawing May Enhance Hands-on Comprehension
By John Upledger, DO, OMM
Can a simple picture of a person, a house and a tree help you become a better CranioSacral Therapist for kids? Amy Lewis, LMT, CST, is exploring that concept by using an exercise drawn from the fields of psychology and Waldorf education to gain a better understanding of where her youngest clients may be physically restricted.
Amy frequently works with children who are struggling with a spectrum of conditions, from anxiety and ADHD to school transitions and developmental delays."The cranial work helps them let go of whatever they're holding on to from the inside so they can become calm, focused and grounded," she says. Before she ever puts her hands on a child, she gives them a set of crayons and asks them to draw a picture of a person, a house and a tree.
"I want to get an imaginative imprint of the child's relationship with his body and the space around him," Amy explains. "I start by having him do a clapping exercise that elevates the heart rate just a bit. After the clapping, even if the child is usually good at drawing, you'll get a great snapshot of what the non-conscious mind wants to bring forth about where he's stuck in his body."
Adding to the Therapeutic Picture
According to Amy, everything in the drawing, from the colors to the shapes, has meaning. "The tree trunk and limbs can represent the nervous system, the lungs or breathing. The foliage is the life force and how the child is bringing that in.
"And the person tells me where he's physically blocked. If there's no neck, he may be in compression. If one arm is shorter, longer or smaller, it may not be innervated or something there may be blocked. If there are no arms, hands or feet at all, that tells me something, too. And the house indicates the relationship between the child and his environment."
Amy first learned about the person-house-tree exercise from the Waldorf schools her two daughters attended in Hawaii and California. Developed by Rudolf Steiner in 1919, Waldorf education relies on a deep understanding of human development to better address the needs of children as they grow. Out of this educational model grew a concept called "The Extra Lesson," which is designed to aid children who may have physical blocks that are compromising their ability to learn.
"In this Waldorf environment, teachers use the person-house-tree drawing to see where the child is developmentally," Amy says. "To me it's a tool, an indicator that's just like tapping into the cranial rhythm. The picture gives me information that comes from the child's non-conscious mind, where the truth resides."
A Young Boy Gets Stuck in His Head
Recently, Amy has been working with a 5-year-old boy. "He colored his whole picture in green," she says. "That tells me he's probably too intellectual, especially at age 5. He drew his body floating in the air like a cloud. His tree wasn't in the ground and its limbs were chaotic, giving me an indication of what might be going on in his nervous system. His house had no door, no windows, and a roof with four dots in it but no chimney."
Amy combined all these indicators with what she was picking up from his cranial rhythm, and she went to work. "After a few sessions, I asked his parents for a new picture so I could get the child's impression of where he was going with all this. In the new drawing he has one foot touching the ground, but his hair is barely attached. In our sessions now, he doesn't want me to touch his head.
"His tree, his nervous system, looks better. And he has a window in his house now, but still no door. The door shows me how he's bringing in and filtering information from his surroundings. So this is telling me he still feels like he has no filter. But he did draw grass, a sky and a rainbow across the top. That tells he's getting some symmetry above and below, and he's bringing in more life force."
A Teenage Girl Finds Balance
Another one of Amy's clients, a 15-year-old girl, drew herself on a swing in her picture. "In real life she was having trouble standing up," Amy says. "Her parents brought her to see me because she was always bumping into things. It was all on her left side.
"It turns out that when she was in utero, the doctor did amniocentesis and she kicked the needle with her foot. She still has tiny white lines on her left foot from the needle. It affected her L4 and L5, and there's a break in her vortex. But she's been working through it. Her balance is starting to come back in."
Amy says she likes to begin a series of six CranioSacral Therapy sessions with the person-house-tree drawing. "It's a nice way to start the therapeutic connection as soon as a child comes into my office."
As an assessment tool, "It's just an indication, an additional source of information," she adds. "I always tell parents, 'It's not set in stone. It's information based on this particular school of thought.'" Yet it's one tool Amy continues to learn from as her CranioSacral skills evolve.
Click here for previous articles by John Upledger, DO, OMM.
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