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The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
February, 2012, Vol. 12, Issue 02
Impacting Children: CranioSacral Therapy and Pediatrics
By Carol McLellan, CMT, CST-D
Working with children is an art as well as a science. Using CranioSacral Therapy (CST) on a child can be especially gratifying as a qualified CST practitioner can facilitate significant changes that can positively improve the quality of a child's life.It's an exciting experience – but it requires more from the therapist than working with an adult.
Working with a child requires a different set of skills, among which are keen observation and refined palpation techniques. For example, the craniosacral rhythm of a child, as well as messages from the child, is much more subtle than those from older clients. Therapists must sharpen their sensitivities and perceptual skills so they can appropriately respond to these messages. Above all, they must know how to blend and trust and allow the child to be self directed, which will enable the child to feel safe.
Having an awareness of how children develop physically, emotionally, psychologically and socially, and having an understanding of the neurology behind this developmental sequence is also very helpful - especially when there's been a "glitch" in the process. What might these glitches be? What do they look like? Knowing the "science" is important in understanding the child you're trying to help. Also knowing how to work with the dynamics of the family as a unit is an integral part of the child's healing process.
"The inner wisdom of a child is every bit as intelligent as that of an adult," said Dr. John E. Upledger, an osteopathic physician and surgeon credited with developing CranioSacral Therapy (and one of the founding columnists for Massage Today). "It knows what its body needs to correct its dysfunctions. It knows why those dysfunctions are present. It has a softer voice than the adult inner wisdom; therefore the CranioSacral therapist must learn to listen more carefully. Once the connection is made, all the information you need will be forthcoming,"
The gentle nature of CST, as well as the premise of following the child's inner wisdom makes this modality a safe mode of treatment. It is very effective for newborns and babies with misshapen heads, and newborns who do not latch on well to nurse. Children all along the spectrum of autism and learning disabilities, including ADD, ADHD, dyslexia and discalcula also respond well to CST. Other neurological problems that have benefitted from CST include children with cerebral palsy, plagiocephaly, synostosis and seizure disorders.
The number of children who have Sensory Integration Dysfunction/"Sensory Processing Disorder" (SPD) is growing and therapists have reported positive outcomes from the use of CranioSacral Therapy. In fact, its success has led to our adding a class specifically for CST Applications to Sensory Integration to the Upledger Institute International's Pediatric curriculum. Other common dysfunctions and disorders often seen among CST pediatric clients include genetic anomalies, chromosomal defects, allergies, immune system dysfunction and structural issues.
Due to the CST system's intimate connection with the autonomic nervous system (ANS) - the CranioSacral system consists of the membranes (meninges) that surround the brain and spinal cord and surround and traverse the ANS - CST has been quite helpful with abused and molested children. Below is a letter from Connie Treis, RN, LMFT, the founder of a mental health clinic who has suggested CranioSacral Therapy for many children, as she has been very impressed with the outcomes:
"As a Licensed Marriage and Family Therapist, I have worked for 20 years with Attachment Disordered Children using many interventions, (i.e. Psychoeducation for parents, Play Therapy, Eye Movement Desensitization and Reprocessing, Cognitive Behavioral Therapy and nurturing holding guiding the parents. All of this has been done as a collaborative approach in conjunction with the work of Psychologists, Psychiatrists, Medical Practitioners, Social Workers, other LMFT's, school personnel, the juvenile justice system, child welfare system, parents and extended family members (birth, adopted and foster care). All of these means have been very effective, however, when I began to refer some of the children for CranioSacral Therapy, a whole new shift began for treatment. Reactive Attachment Disorder is the most severe form of attachment disorder problems. It means that the break in the bond with the primary attachment figure took place within the first two to three years of life. Children exhibit various symptoms from frozen watchfulness to tactile defensiveness and aggression. All of these children have difficulty trusting and fear being touched and loved, even though they need both desperately to grow up to be resilient, loving adults. Because of CranioSacral Therapy's deep respect for the Inner Physician, the requirement to first ASK at both an inner and outer level BEFORE touching, and the very light touch following the Significance Detector, these children, when they are ready, can achieve deeper and more permanent healing because they are being asked and then allowed to be in control. It is not the only therapy I would recommend for every child. A good psychological and medical work-up should precede the work. These are to rule out differential diagnoses, both medically and psychologically. A mental health professional well-versed in the work with RAD should stay integrally involved, both to monitor the child's psychological welfare and to maintain support and interconnection with the parents."
CranioSacral Therapy has such far reaching effects and is easily blended with other modalities, which makes it an optimal therapy for children. What a privilege and honor it is to be able to help children improve their health and quality of life as well as their families'. CranioSacral Therapy is enabling children to enjoy a healthier life now, and to look forward to a brighter future.
Carol McLellan has a background in health education and bodywork, practicing for more than 20 years - 14 of which have focused on CranioSacral Therapy. She is a CST instructor for Upledger Institute International, teaching worldwide. Carol is also a doula (labor coach) and has instructed doula and prenatal classes. She owns and directs a wellness center in Visalia, Calif., with eight therapists, practicing CranioSacral Therapy, acupuncture and massage.
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