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Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols & treatment Timing
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
A Conversation With Dr. Betty Edmond
This month's column is an exclusive interview with Betty Edmond MD, newly elected CEO/President of the AOMA Graduate School of Integrative Medicine in Austin, Texas.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
February, 2011, Vol. 11, Issue 02
NMT: Two Versions Defined
By Leon Chaitow, ND, DO
When I was studying osteopathy and naturopathy in London in the late 1950s, I was taught neuromuscular technique (NMT) as part of our soft-tissue assessment and treatment course. The version of NMT that I learned had been developed in the 1930s by my father's cousin Stanley Lief, ND, DC, assisted by his cousin (my uncle), Boris Chaitow, ND, DC.Lief had modified a traditional Asian technique, taught by a Dr. Varma, an Ayurvedic physician working in Paris. It may be of peripheral interest to know that among the people who contacted Varma at that time was Ida Rolf; although, whether she incorporated any of his work into hers is not known.
Varma believed that his manual treatment method (he called "Prana-therapy") was capable of identifying and treating local areas of obstruction to the free flow of energy, using finger or thumb strokes and pressure.
In contrast, Lief used modifications of Varma's approach - which he called NMT - to assess and treat soft-tissue dysfunction, preparing joints for mobilisation or manipulation. And this is why we were taught NMT in our training at the then British College of Naturopathy and Osteopathy (now, the British College of Osteopathic Medicine).
At the time of my training,the early work of Janet Travell was available and we began to speak of trigger points as one of our targets in NMT assessment and treatment.
Simultaneously, the work of Raymond Nimmo, DC, was becoming more widely known. Nimmo had worked in parallel with Travell (and subsequently, David Simons) in describing localised soft-tissue changes that could generate local and distant pain. His terminology was different to Travell's, as were his treatment methods (which he called "Receptor Tonus Technique"). He came to England to teach briefly in the early 1960s and I was privileged to attend his classes.
Lief's (European) NMT incorporated this knowledge into a superbly effective soft-tissue assessment and treatment protocol, usually directed at Lief's original objective of mobilising soft tissues prior to joint mobilisation as well as for locating and deactivating trigger points. The delicacy of the finger or thumb strokes used in Lief's NMT allows for extremely fine work to be performed involving intelligent contacts that do not overwhelm restrictions, but insinuate ("melting") their way into them, teasing and releasing, rather than aggressively forcing change.
In the United States, neuromuscular therapy evolved in a direction that was far more focused on myofascial pain in general (influenced by Travell, Simons and Nimmo), and trigger points in particular.
The modalities used in American NMT comprise soft-tissue methods developed by practitioners of massage therapy, osteopathy, chiropractic, physical therapy, manual medicine, naturopathic medicine, and others. These include methods such as effluerage (gliding strokes), trigger point release (compressive force), myofascial release, muscle energy technique, positional release, cranial manipulation and others.
Both forms of NMT utilise standard orthopedic assessment approaches, as well as their own individual methods of assessment. Additionally, both forms of NMT incorporate moving and stationary pressures to tissues in both assessment and treatment modes, using variable pressures to achieve objectives, including inhibitory (ischemic) compression, cross-fibre friction, gliding and stretching methods.
NMT's Broad Perspective
Despite its predominently physical/biomechanical approach to treatment of pain and dysfunction, American NMT has broad objectives. For example, in conditions involving pain and dysfunction, attention is given to adaptation demands resulting from a wide variety of influences, including:
Note: While therapists using NMT techniques aim to take account of biochemical and/or psychosocial features, such as those listed - insofar as they may impact on the condition of the individuals consulting them - there is no suggestion that NMT is appropriate in treating these.
Two Versions Combined
In the mid-90's, in an attempt to marry these transatlantic NMT cousins, Judith (Walker) DeLany and I decided to put together a textbook. Four years later, Volume 1 (Upper Body) of our textbook Clinical Applications of Neuromuscular Techniques (Churchill Livingstone 2000) appeared, with Volume 2 (Lower Body) arriving in 2002. A revised and expanded second edition of Volume 1 appeared in 2008, while the revised Volume 2 will be published in mid-2011.
Also published in 2000 (and republished in its 3rd edition in 2010) was my book, Modern Neuromuscular Techniques, which evaluates and describes Lief's NMT alongside the modalities used in American NMT - incorporating a chapter on this by Judith DeLany. The rationale for writing this book (Modern NMT) was that there was a need for a more compact description, since the combined Clinical Applications texts run well over 1,000 pages. For more on NMT, see other resources listed below.
Click here for more information about Leon Chaitow, ND, DO.
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