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Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
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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