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The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
February, 2010, Vol. 10, Issue 02
Giving Voice to the Issues
By Sharon Desjarlais, CC
A therapist once asked me in a CranioSacral session if I wanted to talk to my ovaries. I didn't, thank you. I was afraid they'd talk back. But, I did become intrigued with the art of dialoguing, a feature made popular by Dr. John Upledger in his particular model of cranial work.
I recently caught up with Dave Tomlinson, RMT, CST-D, a certified instructor who teaches dialoguing skills in his "Become a Better Therapist" classes through the New England Center for CranioSacral Therapy. "Dialoguing is much easier than many therapists make it out to be," Dave said. "It's just another tool to help the body release the story it's holding onto."
Easy? Sure, some CranioSacral Therapists seem to take to it like kittens to catnip. But, I've seen others struggle, not sure where to start, what to say or whether the process will lead to huge emotional releases they don't feel comfortable facilitating. So, I asked Dave if there's always a major emotional component to dialoguing, a verbal process some therapists use in their hands-on sessions.
"I actually think the emotions play a smaller role in dialoguing than most therapists assume," Dave said. "Certainly they're a huge part of our clients' well-being, and sometimes they're front and center in a session. But more often than not, we're simply dialoguing to get the story out, to help people relax into the process and feel what's going on in their bodies.
"There are months when I'm only using dialoguing to get someone into their tissues. I can be hanging out in an area with a restriction and the tissues just aren't releasing. For me, that's a sign to initiate dialoguing to help the client become more aware of what's going on. Even if it's just saying, 'Can you come on down and be here more?'"
"I don't think everything needs to be significant one-hundred percent of the time," Dave commented. "Sometimes people need to drop in, feel what's going on, talk about it, then come out and talk about baseball."
The Hallmark of the CranioSacral Dialogue
As you're getting comfortable dialoguing in your CranioSacral sessions, Dave believes the most critical point to remember is to "stay out of your own head and let the client's tissues lead you. The questions have to come from the client. Yes, we can bring different words and phrases together into an idea, but it all has to come from the client."
According to Dave, that's one of the factors that differentiates the Upledger model of dialoguing from some of the others. "We never introduce an agenda," he said. "It's the client's experience of what happened in whatever way they want to process it."
Now I was confused. How do you initiate a dialogue but still have the questions come from the client? "The questions just pop into my hands," Dave said. "The same way you can feel restrictions releasing in the tissues, you can feel the questions come in. I'm not forcing anything. Even if it's a really awkward conversation, there's a flow to it."
And if you don't know which questions to ask? "I just sit and I'm quiet," he said. "I think that's one of the big things a lot of therapists need to learn. The most effective dialoguing begins when you're quiet, because that's when you can feel the questions come in."
Out of the Mouths of Babes
"When I was living in Ireland, a mom brought her 6-year-old son to see me once or twice," Dave said. "The first time he had full-blown pink eye. I looked up at his mom and asked, 'Why is he here?' She said, 'We know you do weird stuff and I thought you could help.'"
"That was right about the time Dr. John was getting into dialoguing with the immune system, so I thought, why not? She's open to weird. I'll give it a try it. So I talked to her little boy about what his immune system does and how his thymus works. And I told him he could have his thymus come and take a look at what his infection needed to get well."
"As we were dialoging, he had this whole conversation going with vampires and pirates and ghosts. Were there actually vampires and pirates and ghosts inside of him? I don't know. But it doesn't matter. It's the client's story. It was significant for him and it worked. He had a 50-minute treatment. By the time he left his pink eye was gone. As he walked out the door he looked at me and said, 'You know Dave, this might mean I never have to be sick again.'"
"That's a big part of cranial work, too," Dave said. "Empowering our clients to learn how to use the work to take care of themselves. We initiate a process that teaches them how to dialogue internally with their own inner physician to find out what they need to heal."
So how can therapists become more adept at dialoguing to bring the client's inner physician to the table? "Work with a more experienced therapist," Dave suggested. "There are so many good CranioSacral Therapists now in every corner of the globe. Offer to work with them, shadow them. That's how you learn, because you don't have the pressure of having to come up with the right question at the right time."
"Most importantly, let it be easy," Dave added. "That's the true gift of the work."
Click here for more information about Sharon Desjarlais, CC.
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