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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
March, 2012, Vol. 12, Issue 03
Relieving the Diseases Associated with Aging
By Sharon Desjarlais, CC
Michael Morgan, LMT, CST-D, witnessed the harsh effects of Alzheimer's firsthand and he couldn't forget. His stepmother and sister-in-law each grappled with memory loss and disorientation before they died, leaving him with a burning desire to help his older clients minimize the diseases of aging.
The Alzheimer's Association, which considers itself the "leading voice in Alzheimer's disease advocacy," claims that more than 5.2 million Americans 65 years and older have Alzheimer's, the most common form of dementia.1 According to Michael, his determination to help that growing population spawned a 12-week pilot research study called "Craniosacral Still Point Technique: Exploring Its Effects in Individuals with Dementia."2 As part of the study, he coordinated the therapists who performed five to 10 minutes of the still-point technique every day, on nine elderly patients in long-term-care facilities who'd been diagnosed with dementia.
"Halfway through the program, about two-thirds of the patients started improving," Michael said. "They became more interactive, more cognizant, and their verbal and social behavior improved. We had one 100-year-old woman begin speaking in complete sentences and feeding herself again." Those are promising results for what amounted to a few minutes of daily hands-on help. So, what is it about CranioSacral Therapy that seemed to work so well? Michael believes that answer lies largely in the patients' prior medical conditions. "When I examined their medical histories, I saw a pattern of what looked like decades-old inflammatory processes that manifested in conditions like diabetes, arthritis and a whole host of problems commonly associated with aging. Our subjects seemed to be sitting on a mountain of accumulated issues." Add to that the drugs that suppress immune-system function and, over time, the immune system's ability to counteract inflammation begins to fail. "That's when the stage is set for an opportunistic invasion of the blood-brain barrier by factors that increase toxicity in the brain, like heavy metals."
Increasing the Flow of Cerebrospinal Fluid to Counteract Inflammation
As a long-time instructor for Dr. John E. Upledger, who's best known for his developments of the biomechanical approach to CranioSacral Therapy, Michael is well acquainted with the benefits of strengthening the flow of cerebrospinal fluid to help relieve inflammation. "Cerebrospinal fluid can help wash away toxins that may have crossed the blood-brain barrier and accumulated in the brain." As people age, their natural production of cerebrospinal fluid decreases, Michael explains. "The body can go from producing as much as 800 milliliters a day down to 400 milliliters a day." The still-point study goes on to state that cerebrospinal-fluid levels in individuals with senile dementia can be as low as 200 milliliters a day. So it makes sense that a hands-on therapy known for increasing the flow of cerebrospinal fluid would have a beneficial effect on aging.
In classes he now offers through his company, Michael teaches therapists and caregivers how to use CranioSacral techniques to counteract diseases of aging. "The techniques that seem to help the most are the still point, direction of energy and cranial pumping."3,4,5 Each one is gentle, yet the benefits are rich. According to the research study, the most challenging aspect of caring for dementia patients is their general state of agitation, because they don't remember that their caregivers are trying to help. At the end of the study, the staff reported that six of the nine participants were more cooperative during their daily caregiving activities.
"In my own experience using CranioSacral Therapy with early-onset dementia, a common first response is that the patient feels more relaxed and less anxious," Michael said. "Caregivers notice this as well, and they often enjoy easier, more meaningful interactions and conversations." Not all dementia-like conditions are caused by inflammation, Michael concedes. "Some people just don't want to remember anymore." But for others, the research indicates that CranioSacral Therapy may be very helpful at relieving common diseases of aging.
Click here for more information about Sharon Desjarlais, CC.
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