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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.
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.
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.
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.
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.
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?
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.
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.
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
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?
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.
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.
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.
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.
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.
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.
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.
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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