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What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
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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