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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.
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.
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.
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.
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%.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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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