resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
December, 2011, Vol. 11, Issue 12
Special Considerations for the C-Section Baby
By Sharon Desjarlais, CC
It was the morning of March 14, 1996. An anesthesiologist was looking down at me. "You have a beautiful baby," she said. I was flooded with relief. Nicole, delivered by Caesarian, had been whisked away for evaluation the moment she entered the world. It would be another hour or two before I'd see her face for the first time.
As it turns out, skin-to-skin bonding right after delivery is one of many things that typically don't happen with C-section babies and that makes them prime candidates for CranioSacral Therapy. Missing out on a trip through the birth canal can set up a domino effect of challenges down the road unless they're addressed early.
"The ideal is for the newborn to be placed on mom's belly immediately after birth," says Michael Shea, PhD. "But because of anesthesia issues, C-section babies are usually evaluated first, depriving both mother and child of a critical phase in attachment and bonding that often affects things like breastfeeding."
Even before delivery, going through the birth canal squeezes fluid out of the baby's lungs to kick-start pulmonary respiration, which is critical for the suck-swallow-breathe reflex. "A baby has about five minutes to go from nine months of aquatic breathing to air breathing," Shea said. "Without that squeezing process, you see a lot of issues like colic and even breathing problems and asthma later on."
Roy Desjarlais, LMT, CST-D, sees other potential complications as well. "If the baby was engaged in the birth canal before the C-section, especially if the mother received Pitocin to speed up labor, the baby's cervical spine tends to be compressed. This, too, can cause difficulties with the suck-swallow-breathe reflex later on, because of how the hard palate plays off the cranial base structurally and neurologically." (Editor's Note: In telling her story, the author quotes her former husband, Roy Desjarlais, extensively.)
And in planned C-sections, with no labor involved, babies tend to come out with beautifully round heads, but they miss the natural mobilization of their spinal segments that they would have gotten with a vaginal delivery. "Mother Nature designed the birth process to be a tight squeeze for a reason," Desjarlais said. "To engage and prime the nervous system, and all the other systems in the body, to operate independently from the umbilical cord."
Early Hands-on Help Is Key
"The sooner I see a newborn the better, because it's less time they have to deal with any birth trauma issues," Desjarlais said. "I just finished working with a 10-week old whose mom ended up having Pitocin, so the little guy had been jammed in her pelvis for hours." The result? He spent ten weeks "screaming and crying" and unable to breastfeed.
"In his first session, he turned into a whole different baby," said Desjarlais. "His spine decompressed, his cranial base decompressed, and his suck reflex was suddenly free and engaged. I saw him a week later for a follow-up. He was resting easily, and feeding and eliminating regularly."
Shea thinks it's also critical to include the mom in the first few CranioSacral sessions. "I run into a lot of mothers who feel depressed or upset that the birth didn't go the way they wanted it to, and that can thwart attachment. Children and birth processes are liberal in their ability to repair, so all is not lost. But it's a lot to overcome, so you want to address these issues quickly."
He likes to assess the relationship between mother and child in the baby's first CranioSacral session. "I place one hand on her back and another on her hand as she holds her baby. Gradually I feel a settling, where they just drop into this beautiful stillness that I call the 'bubble of love.' You can actually feel this fluid container around them, like the aquatic environment the baby came out of, with all these love hormones piercing through. It just needs to be settled, so I visualize this container and help it settle by feeling it breathing at the rate of the long tide."
Completing the Biological Process
According to Desjarlais, compounding the psychological effects on the mom are those you might see in a child who didn't have the early experience of making it through a difficult space. "Sometimes that shows up down the road as someone who has a tough time facing challenges and persevering through. It's like they're looking for the easy way out because that was their first experience."
That's why he thinks it's important to give the infant a simulated experience of working through a birth canal to complete the biological process. He does that in a CranioSacral session by tuning into the baby's birth trauma and using an unwinding process. "You create a cocoon and a way out through your hands, which mimics a cervix in the birth canal. Then you allow the baby to gently push their way out. You can feel their whole nervous system release just by having the stimulus of making it through."
And make it through they do. Nicole had the good fortune to receive plenty of CranioSacral Therapy the day she was born. Now a healthy teenager, she's moved through a load of big transitions in her life with relative ease. It's the best kind of adjustment a mother could hope for.
Click here for more information about Sharon Desjarlais, CC.
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