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The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
December, 2010, Vol. 10, Issue 12
Soft Tissue Manipulation and Pelvic Pain
By Leon Chaitow, ND, DO
There is accumulating evidence for clinical focus on key muscular and fascial structures with the potential to influence pelvic pain and dysfunction.
Lee, Lee & McLaughlin (2008) have noted: "The abdominal canister is a functional and anatomical construct that synergistically work together [involving] the diaphragm, including its crura, and by extension the psoas muscle, whose fascia intimately blends with that of the pelvic floor and the obturator internus muscle, the deep abdominal wall including transversus abdominis, and its associated fascial connections, anteriorly and posteriorly, the deep fibres of multifidus, the intercostals, the thoracolumbar vertebral column (T6-12 and associated ribs, L1-L5) and osseus components of the pelvic girdle (innominates, sacrum and femora)."
The pelvic floor and the respiratory diaphragm are seen to be structurally and functionally bound together by fascial and muscular connections; and just as dysfunctional breathing patterns influence pelvic function, so the reverse is true. Rehabilitation of the functions of the thorax, pelvic girdle, and pelvic floor may be enhanced by more normal physiological breathing patterns, while improving these patterns is aided by pelvic functionality, whether achieved through exercise, breathing retraining, postural reeducation, manual therapy, or other means. (McLaughlin 2009, Chaitow 2007)
Within the patterns of overuse and misuse that characterise chronic and acute insults to the body in general, and the low back and pelvic regions in particular, the evolution of myofascial trigger points is a common feature within a background of hypertonicity, induration and fibrosis. (Travell & Simons 1999, Anderson 2009, Key 2008, Fitzgerald 2009)
In this same context Prather (2009), Cox (2005), Janda et al (2007), Fitzgerald (2009) and many others, have implicated dysfunction involving: psoas, iliacus, quadratus lumborum, piriformis, hip adductors, rectus abdominis, abdominal obliques, scalenes and intercostals.
A focus on these and other adaptive soft tissue (and inevitably joint) changes, without due regard to etiological features, would offer short-term benefit at most. However, it is suggested that postural or other functional rehabilitation, without attention to such soft-tissue changes, would offer equally short-term results. (Chaitow et al 2002, Fitzgerald 2009)
Bialowsky (2009) reports that the effects of soft-tissue-focused manual therapies includes:
Manual Therapy Approaches
The listing below of a selection of currently utilised manual therapy approaches that address fascial and myofascial dysfunction takes for granted that there would be simultaneous or subsequent focus on etiological features. Also, the seven modalities listed should not be regarded as definitive, as there are many other variations. However, those listed (and briefly discussed) represent a variety of validated biomechanical approaches, some of them novel and others well established.
Click here for more information about Leon Chaitow, ND, DO.
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