resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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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