Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Research: Know What You're Talking About
Have you ever seen a patient in your office with multiple serious health problems you weren't sure exactly how to address?
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Looking Back: Abstracts From Chiropractic History (Summer 2015 Issue)
The following abstracts are reprinted with permission from Chiropractic History, the official journal of the Association for the History of Chiropractic. Chiropractic History is the leading scholarly journal of the chiropractic profession dedicated to the preservation and dissemination of the profession's credible history.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Reverse Digit Span: A Useful Assessment Tool for Patients With and Without Concussion
Reverse digit span is an easily administered test of attention span. It is a component of the SCAT3 test, which is frequently used to assess concussion. It has been part of the armamentarium of cognitive assessment for many years.
7 Reasons You Want a Beacon in Your Office
Have you heard about how "beacons" are transforming the way businesses interact with their customers? Beacons are low-energy Bluetooth devices that have the ability to send information to a smartphone app.
Are You Making the Wrong Impression?
Taking a page from Stacy and Clinton of The Learning Channel's hit television program, "What Not to Wear," we recently published an article in the summer issue of Chiropractic History: The Archives and Journal of the Association for the History of Chiropractic, that explores the evolution of physician attire from prehistoric times to the present.
The Winter of Life: A Personal and Chiropractic Practice Perspective
Last November, my wife and I invited an elderly relative, Uncle Josh, to spend the winter with us. He was 82 years old at the time and turned 83 during his stay. As soon as he accepted our invitation, we began preparing.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Chiropractic Care and Risk of Stroke: The Shoe Moves to the Other Foot
For decades, numerous papers have linked upper cervical chiropractic care to the incidence of vertebral artery dissections and stroke.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
April, 2011, Vol. 11, Issue 04
Putting Insomnia to Sleep: Using Cranial Techniques
By Sharon Desjarlais, CC
Have you ever been home alone late at night when a tiny creak in a floorboard suddenly becomes a gunman breaking in? That's your reticular activating system (RAS) triggering an adrenal response that's preparing you to fight or flee.
The RAS helps the body instinctively deal with issues of fear and survival. Unfortunately, it can't always distinguish between real and imagined threats. And according to Amy Lewis, LMT, an Upledger-trained CranioSacral Therapist, that dynamic is at the heart of much of the insomnia she's seeing now in her clients.
Insomnia, which means "no sleep" in Latin, is one of the most common sleep complaints among Americans. According to the National Center on Sleep Disorders Research at the National Institutes of Health, some 30 percent to 40 percent of adults report symptoms of insomnia within a given year, while about 10 percent to 15 percent report chronic insomnia lasting months or years.
"Insomnia comes in cycles that line up with our stress levels," Amy says. "I see it a lot in clients who present with complex pain patterns. But look at the stress that's happening worldwide. Then take that down to the level of the state, the county, the city, the neighborhood, the family and the individual. Add all that up and you've got recurring cycles of insomnia."
While individual cycles and sources of insomnia may vary, Amy believes it ultimately comes down to the RAS, which Dr. John Upledger referred to as the "reticular alarm system." Located in the ventricular area of the brain responsible for regulating arousal and sleep-wake transitions, the RAS is the filter for everything in our lives that's "coming at us," she says. That's why, with her insomnia clients, she focuses on cranial techniques that are known to affect the RAS.
Three Cranial Techniques That Relax the RAS
One of Amy's favorite techniques for relaxing the RAS is the "CV4." Named for its ability to compress the fourth ventricle, the CV4 is performed at the occiput to subtly stifle the expansion of the craniosacral system as it cycles through the phases of filling and emptying cerebrospinal fluid, which therapists can palpate as the cranial rhythm.
When you bring this rhythm to a "still point," fluid pressure builds in the membranes that surround the brain and spinal cord. By stretching these membranes ever so slightly, the fluid gently flushes the craniosacral system and moves the autonomic nervous system from a highly aroused sympathetic-dominant state to a relaxed parasympathetic-dominant state.
"What's different about using cranial work this way is its gentle, non-invasive nature," Amy says. "If I don't plow in there with my hands, I don't create a backlash or a rebound effect in the tissues, muscles or brain. I'm simply amplifying the parasympathetic nervous system. So we're moving from the adrenal fight-or-flight response to a parasympathetic response. We're just slightly moving that little diode on the scale."
Another technique Amy uses to address insomnia symptoms is called "cranial pumping." To perform this technique, you find a place on the client's body where you're comfortable feeling the cranial rhythm. The rhythm reflects the motion of flexion and extension, which signals the filling and emptying of cerebrospinal fluid as it cycles through the craniosacral system.
Amy likes to palpate at all the cranial listening stations, which are areas of the body that can quickly give you a general evaluation of the cranial motion: the heels, dorsa of the feet, anterior thighs, ASIS, ribs, shoulders and several holds at the cranium.
After feeling the rhythm for about three to five cycles, you begin to gently "nudge" the rhythm a bit further. "But you do it so subtly," Amy says. "There's not even any physical movement. You're really doing it with your thoughts and intention to create what feels like a ripple of Saran wrap over water."
By then tuning into changes in the symmetry, quality, amplitude and rate of the craniosacral rhythm, you can bring the body into greater balance. And that helps expand the internal stress threshold so the RAS is less likely to leap into hyper vigilance.
The Rock and Glide
The third cranial technique Amy recommends for insomnia is called the "Rock and Glide." With the client lying supine, place one hand under the sacrum and one under the occiput. Then tune into the rocking motion the dural tube makes to see how it feels. "I'll follow it for a few cycles and then give it a very gentle nudge, about 1 to 5 grams, with my intention again. This helps release the transverse fascial rings of the dural fascia."
For the "gliding" aspect, place your hands in the same position and focus on the longitudinal glide of the occiput and sacrum as it moves in flexion toward the feet and then back toward the head. "As I tune into the gliding motion and it reaches the sacrum, I begin to nudge with 1 to 5 grams of traction toward the feet while I hold the occiput in neutral. Then as the motion glides toward the occiput, I give another little nudge toward the occiput with slight traction while I hold the sacrum in neutral." You may do this for several cycles.
"The glide helps with nerve roots and lengthening of the dural tube, but I think of it as a relaxing cosmic cradle," Amy says. What a soothing way to help your clients get a good night's sleep!
Click here for more information about Sharon Desjarlais, CC.
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