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Are You Really a Healthy Eater?
I always giggle a little bit (to myself) when someone comes into my office and informs me that they are a healthy eater. What exactly does that mean? Does that mean they eat sugar in moderation? And what's that, exactly?
Finding Balance in the Clinic
This past December, I celebrated 11 years in practice. I seriously don't know where the time went. I feel beyond blessed and grateful to be practicing our profound and beautiful medicine and to be helping guide my patients restore a state of optimal health.
It might have been a miserable start to the day in the heart of downtown San Diego. A heavy rain had soaked the large homeless population congregating near the intersection of Third Avenue and Ash Street as they waited for a free breakfast to be served at the First Lutheran Church on the corner.
Neuroscience: Where Western Medicine and Chinese Medicine Can Come Together
The recent advances in neuroscience are truly incredible. With this expansion of scientific knowledge, I would like to see even more research into the neuroscientific basic of acupuncture and Chinese Medicine.
We Get Letters & E-Mail
We Have Come a Long Way – But There's a Long Way to Go; Grounded and Connected.
Adjusting the Occiput on the Atlas
You may never see a particular set of patients in your office – the ones who are either afraid of neck adjustments or have had a bad experience. A vast majority of those who had a bad experience did not have a life-threatening vascular event.
Leg Length and Pelvic Fixations
A common component of low back pain is sacroiliac joint dysfunction. Signs of SIJ dysfunction can include fixation with reduced range of motion, and localized pain or joint laxity and inflammation.
Connections Worth Making
"If most doctors are like me, [they are] isolated physically and professionally. I do not make the time to connect with other doctors and also a lot of doctors do not want to be connected for a lot of reasons. Dynamic Chiropractic keeps me grounded and connected.
The Top Seven Website Mistakes Clinics Make
The majority of acupuncture clinics finally have a website for their business. Having a website is crucial for being found online through Google, Facebook and review sites like Yelp.
Acupuncture and Homeopathy: Bioenergetic Brothers
Acupuncture and homeopathy share an important healing principle: bioenergetics. "Bio" means "life," so bioenergetics is literally "life energy."
Joint Supplements for Athletes (Part 1)
Maintaining joint health should be a daily focus for athletes. Joint health is a complex issue for everyone, but for athletes it poses a greater concern.
It's Time to Create a Strong Acupuncture Footprint
Footprints in the sand. Footprints in the snow. Where do these footprints go? Some are big, some are small, but footprints are made by all.
Put the Social Back Into Social Media
Social media is more than a passing fad, it is definitely here to stay. Social media apps and channels of distribution may evolve, but the concept of social media is now big business and a part of all our lives.
A New Era of Injury Awareness Means a New Focus on Prevention
Despite a dramatic Super Bowl last month, the National Football League has taken quite a few hits lately concerning player injuries, particularly concussions.
Reflections: The Art of Teaching Asian Medicine
Over the past three decades, my global workshops have been translated into German, Swiss German, French, Romansch, Spanish, Lithuanian and Xhosa. Time to offer you new teachers a few tips!
Old TCM Sayings: Treat the Front to Treat the Back
Chinese medicine college was, and always will be, a memorable time. It was a time of massive personal and professional growth.
What's Triggering That Point?
An orthopedic friend recently saw a patient of mine. He felt an injection of a trigger point (TP) at the upper trapezius and surrounding areas was necessary, since that was the patient's area of chief complaint and there was a tender, radiating nodule.
Online Efforts That Convert Traffic Into Patients
Most chiropractors are using "dinner with the doc," "refer a friend," customer appreciation days, grand openings, health fairs, chamber of commerce meetings, and other networking events to get new patients.
The Easy Way to Learn How to Document ICD-10
The 2015 Work Plan for the Office of the Inspector General (OIG) includes a focus on chiropractic services. This means chiropractors can expect to see more audits and reviews in the coming year because private payers pay attention to the OIG's focus as well.
Case Histories from Bali: Treating Balinese Chidren with TCB and Shonishin
When I moved to the island of Bali in 2005, I offered my services in Bumi Sehat, which means Healthy Mother Earth, a free birthing center for poor and disadvantaged local women located in Ubud.
April, 2010, Vol. 10, Issue 04
Pain Caused By Low Back Ligaments
By Ben Benjamin, PhD
Q: An injured sacrotuberous ligament can cause pain down the back of the leg. True or false?
A: True. This is its referred pain pattern. The sacrotuberous ligament is a thin, fan-shaped structure that runs obliquely downward from the posterior-superior and posterior-inferior iliac lines and the lateral margins of the sacrum and coccyx, inserting on the ischial tuberosity of the pelvis (the bone you sit on). (Figure 1)
Each structure in the low back has a specific referred pain pattern associated with it (Figure 2). For example, the sacroiliac ligaments generally refer pain straight across the lowest portion of the back. The ilio-lumbar ligament refers pain on one side of the low back across the top of the ilium, the lateral hip, and the groin area. The sacrotuberous ligament has a distinctive pattern. It refers pain down the central portion of the back thigh, and if more severe, down the central portion of the calf into the heel. This injury is frequently confused with a hamstring injury when the pain is felt only in the lower buttock and down the back of the thigh.
There are a few easy steps to check whether this type of pain is originating in the hamstring or in the sacrotuberous ligament. First, have the person bend forward with the knees straight. Note the pattern of pain. Pain down the back of the thigh can be caused by either structure, but only the sacrotuberous ligament refers pain into the calf.
Now, have the client lie down and hold the knee at a 90° angle. Ask them to pull the heel toward the buttock as hard as they can while you resist with equal force (Figure 3). If this test is painful in the hamstring region, you know there is a hamstring injury, because resisted tests place stress on muscles and tendons, not on ligaments.
If you suspect an injury to the sacrotuberous ligament, a final step in assessment is direct palpation. Injury to this structure usually occurs at the lateral margins of the sacrum, rather than the attachment to the ischial tuberosity. You can access the ligament with the client lying prone, but it is more easily accessible with a client in a side-lying position with the knees drawn up.
Click here for more information about Ben Benjamin, PhD.
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