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Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
February, 2012, Vol. 12, Issue 02
Freeing the Heart, Part 2: Equalizing the Pressure
By Dale G. Alexander, LMT, MA, PhD
Cardiovascular disease does not happen overnight. It is a progression that evolves over decades and genetic pre-disposition can accelerate this progression dramatically. That is why we read of so many people in the obituary column dying between the ages of 45 and 65 which is the prime demographic age range of so many of our clients.What is rarely considered is how these progressions toward cardiovascular disease figure into chronic somatic profiles that clients present to us every day and can dramatically affect their quality of life.
Two core principles of the Inside-Out Paradigm assert that the body's two imperatives are to allocate resources (oxygen and nutrition) as equitably as possible to all body tissues and to distribute the strains of physical and emotional stresses across as broad an area as possible. The allocation function is carried out by the blood vessels while the body's intricate reflex arc system governs the distribution of strain thesis. It is my premise that all forms of therapeutic massage and bodywork can positively influence these dynamic relationships.
The names that are given to cardiovascular problems are many and varied. The basic categories concern the heart itself and blood vessels. These terms include: heart attack, stroke, angina pectoris, atherosclerosis, arteriosclerosis and high blood pressure; all pathological progressions are labeled as diseases. I will explore other heart progressions that relate to disruptions in its electric rhythmic activity, infections and congenital pre-dispositions in a separate article.1
In order to de-mystify some of these terms, let's review the contrasting definitions of arteriosclerosis and atherosclerosis since even pronouncing them tangles my tongue. According to the Mayo Clinic, healthy arteries are flexible, strong and elastic. Over time, however, too much pressure in your arteries can make the walls thick and stiff and sometimes restricting blood flow to your organs and tissues. This process is called arteriosclerosis, or hardening of the arteries. Atherosclerosis is a specific type of arteriosclerosis. Atherosclerosis refers to the buildup of fats in and on your artery walls (plaques), which can restrict blood flow. These plaques can also burst, causing a blood clot which can either affect your heart causing a heart attack or, if it reaches the brain, may provoke a stroke.1
Functionally then, the term that I propose which makes the most sense to our orientation as massage therapists is "endothelial health."2 This relates to understanding what happens along the internal walls of arteries as a result of increased pressure and the accumulation of calcium and fatty deposits along their inner vascular tubes. Constant high blood pressure hardens and stiffens the arterial walls and makes them more likely to sluff off plaques. Again, it's a progression of deterioration. Pressure is like the Goldilocks fable... too hard, then, too soft, and finally, ah, just right! Instead of seeing pressure as the enemy, let's resolve to learn how we might assist the body to equalize its internal pressure(s) "between" the body's three great cavities and "within its 60,000 miles of blood vessels."3
In 1987, Dr. Jean Pierre Barral DO, inspired my understanding that the pressure within the thoracic cage needs to be "less" than the pressure of the cranial cavity and within the abdominal-pelvic cavity in order for circulation to maintain a normal homeostatic flow of fluids back to the heart.4 With this perspective, our goal as massage therapists is to increase the pliability of the chest wall, especially around the space of the heart, and to also ease the tensions throughout the thoracic cavity. Let's add two steps to the proposed screening protocol from my last article. First, lift the client's head, memorize its weight. Next, palpate the tension of the abdominal wall.
At the end of any bodywork session, not only do we want the chest to become more distensible, we would also like the head to weigh less and the tension of the abdominal wall to ease. All three markers are reliable indicators in my clinical experience that the pressure between the cavities has equalized to some degree.
Let's review one "inside-out" technique that can jump-start the easing of thoracic pressure. Its effectiveness relies on the loosely organized areolar connective tissue along the posterior margin of the diaphragm muscle. Standing on the right side of your supine client, posteriorly contact the opposite side of the spinous processes, beginning at C7, with your upper hand and placing the palm of your lower hand just below the anterior costal arch. Softly anchor C7 with finger tips in contact with the opposite side of the vertebra then stretch the abdominal tissue inferior and medial toward the belly button. Feel for the connectedness between your hands. Your intention is to stretch the internal tissues within the chest so that at the interface of the diaphragm, the downward and medial stretch gaps the loose connective tissues allowing the thoracic pressure to flow from an area of greater concentration to one with a lower concentration. A diffusion gradient is being manually produced. This same procedure can be repeated along each vertebra from C7 - T12. Yes, do both sides.
This approach is not the whole enchilada, but it consistently primes the pump between the thorax and the abdominal-pelvic cavities. And, this technique allows for a two for one potential effect. This same long lever stretching while anchoring each vertebra creates a potential rocker effect to the vertebral/rib complex which is theorized to hydrate and contribute to mobilizing the posterior thoracic spine. Therefore, is my premise that the progression toward all forms of cardiovascular disease is a backstory lurking behind many chronic somatic problems. It is also my assertion that as massage therapists we can make a real difference in the quality of life for our clients as we aspire to comprehend how the human body really works.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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