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Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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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