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Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
June, 2011, Vol. 11, Issue 06
Reflections on the Two-Person Biology
By Sharon Desjarlais, CC
Daniel Goleman was only a toddler when a momentary encounter in a grocery store mirrored a neurological concept that's subtly advancing the nature of CranioSacral Therapy today.
As Daniel wandered down the aisle with his mom, a woman passing by gave him a warm smile. Instantly, he felt his own mouth involuntarily curving up to match it. "It felt as though somehow my face had become puppet-like, drawn by mysterious strings that widened the muscles around my mouth and puffed out my cheeks," he says in his latest book, Social Intelligence. "I distinctly felt that my smile had come unbidden – directed not from within but from outside of myself."
That inexplicable mirroring of smiles is now recognized in scientific circles as the reflection of "mirror neurons" in two brains synchronizing, a development that has promising implications in the light-touch treatment room.
According to Michael Shea, author of Biodynamic Craniosacral Therapy, this synchronization between two people reflects the emerging field of interpersonal neurobiology. "When two brains come together like they do between an infant and caregiver, their neurons synchronize to create a two-person biology that enables the child to begin processing emotions effectively."
Remarkably, those same neurological dynamics take place when two adults come together in a therapeutic relationship, creating a brain-to-brain bridge in the treatment room. This phenomenon emphasizes the need for clear and healthy boundaries between practitioner and patient. And, in Michael's eyes, that's the therapist's primary responsibility. "You have to spend more time paying attention to your own body in session, because a self-regulating therapist literally creates the neuronal pathways for a self-regulating client."
The new science on the subject also stresses the need to balance focused attention – what you're doing when you're tuning into a client's body hands-on – with unfocused attention, because that's the way the autonomic nervous system of the client develops, Michael says. "There are periods of approach behavior, like the contact and attachment that occur when your hands meet a client's body, which is mediated by the sympathetic nervous system. And then there are periods of withdrawal, when attention is moved away from the client, which is mediated by the parasympathetic nervous system. So, what we're doing as therapists by balancing focused with unfocused attention is mimicking the way the nervous system develops, which increases empathy and compassion."
Three Focal Points
How can CranioSacral Therapists make good use of these scientific developments in practice? Michael recommends incorporating three focal points in every hands-on session:
Focal Point 1: The Slow Tempo
In Biodynamic CranioSacral Therapy, the therapist attunes to a very slow body tempo called the "long tide." Michael believes you should start each session by synchronizing your attention with this slow tempo. "Tuning into yourself to activate the circuits of a two-person biology cannot be done quickly," he says. "It's a function of tuning in to the rhythmic balance interchange between the slow tempo and the natural quiescence that inherently exists in and around the body. Embryologists now recognize this natural stillness for its organic ability to bring order and integration to the human body as a whole." In a cranial session, he suggests you start by looking at the whole and synchronizing your attention with this natural stillness, because "that's how the whole gets organized. Then there's a dynamic later in the session when you can focus on parts that are holding a restriction."
Focal Point 2: Your Heartbeat
Next, Michael recommends tuning into your own heart. "As you sit by your client's side, take a moment to orient to your body three-dimensionally, like sensing the total surface of the skin. Then gradually shift your attention to the center of your chest and the movement of your heart and blood, a process called 'interoceptive awareness.'"
There's no need to take your pulse manually, he adds. "It's more important to sit still and feel the motion of the heart and blood as it moves through and around the heart and fluid body three dimensionally from head to toe." If your mind begins to wander (and it will), simply bring yourself back to your heart. "That alone changes brain structure and gives you the ability to differentiate yourself and your own internal processes from that of the client, and again, it deepens empathy and compassion."
Focal Point 3: Nature
Another natural way to balance focused and unfocused attention is by intentionally connecting with nature during each session. As you're working hands on, "move your attention out the window to the sky or to a tree for a minute," Michael says, "then bring your attention slowly back to your hands and your own body." When you're able to do this rhythmically, it helps reset your autonomic nervous system, which in turn resets your client's.
If you don't have a window in your treatment room? Bring in a potted plant or hang nature pictures on the wall. Michael says images of the horizon, like a sunrise or a sunset, are especially powerful. "It triggers the neurological head-righting reflex, which supports the vestibular system." And when you support your vestibular system, you naturally support that of your client's.
As new advances in interpersonal neurobiology appear on the horizon, science likely will continue to confirm that hands-on therapists have a deep and enduring impact on clients, in and out of the treatment room.
Click here for more information about Sharon Desjarlais, CC.
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