resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Changes in Herbal Medicines from Ancient Times to the Present
The classical literature of Chinese medicine remains highly relevant in the modern era, as many of the basic theories and herbal combinations emphasized in clinical practice were first established in texts that are nearly 2000 years old.
Home Sweet Medical Home
While the Affordable Care Act (ACA) has received its fair share of praise and criticism since its adoption, few question the value of its emphasis on collaborative, patient-centered health care.
Deciphering the New CMS-1500 Claim Form
Q: I am confused about how and when to use the new 1500 form, particularly block 14 and block 15. What is required and how do I properly fill out these fields? And do I actually have to use this new form or may I continue using the old version?
Wellness: A New Buzzword at the Aging in America Conference
Aging in America is "the nation's largest gathering of a diverse, multidisciplinary community of professionals in healthcare, social service, government, business and philanthropy with expertise in providing services and products for older adults."
Don't Trust What Your Patients Say
When a patient presents to the office for care, they typically have a specific complaint – lower back pain, whiplash, sinus congestion, sciatica, etc. They are often not interested or engaged in what they consider "unrelated" personal health history.
The Boston Benevolent Chiropractic Clinic: Standing Up for the Needy
Our chiropractic assistant, Bridget, greeted an arriving patient at the Emmanuel Church in downtown Boston. She said, "Hi, Michael, good to see you. It's been awhile. Have a seat and Dr. Ken will see you soon."
Don't Trust What a Patient Says
When a patient presents to the office for care, they typically have a specific complaint in mind – lower back pain, whiplash, sinus congestion, sciatica, etc.
News In Brief
Pacific College of Oriental Medicine obtains grant funding from NIH; Yo San University of Traditional Chinese Medicine Announces New President; Kentucky Gets Licensed; PCOM Receives Approval from WASC to Offer FPD.
Halt Allergies With Moxibustion Therapy
An allergy is an immune system disorder in which the body is hypersensitive to normally harmless substances in the environment.
CRREW Rallies for Ongoing Acupuncture Relief Effort in the Philippines
On November 8, 2013, Typhoon Yolanda (Haiyan) made her way through the Philippine Islands, leaving in her wake at least 7,000 people dead, millions homeless and complete communities destroyed.
Replenishing and Restoring Jing
I learned an important principle from my great Taoist Master Sun Hak. He taught me that all people "leak" Jing, and that we can mitigate or stop this leaking, and as a result strengthen our life force, develop enhanced adaptability and lengthen our life.
Employers Need Chiropractic First and Sooner
From the Journal of Occupational and Environmental Medicine comes a study that gives excellent direction to employers (and insurers) regarding the management of low back problems (LBP).
New Leadership Era at the WFC
The World Federation of Chiropractic recently announced not only a new president, as is customary every two years, but also an incoming secretary-general, marking the first time since the WFC's inception in 1988 that someone other than David Chapman-Smith, Esq., will serve in that capacity.
The Search for the Origin of the Wiggle Technique
When Bob had adjusted me previously, most of the time I knew what he was doing. But this time, he had me lie on the treatment table in the usual side-posture position, and he "wiggled" my sacroiliac with the fingers of both hands, while stabilizing my pelvis with his forearm.
The Importance of Knowing Mainstream Lingo
There is a secret lingo within mainstream medicine of which the vast majority of acupuncturists and Chinese medical professionals are unaware.
Working With The Yuan-Source Level: Resonance and the Extraordinary Vessels
How do we stay fresh with our medicine? As healers, how do we balance our medical selves with creative artistry? Chinese Medicine is not a fixed dogmatic entity, but a living system, reliant on a mysterious force called "resonance."
Shared Mechanisms Between Computer-Assisted Mechanical Adjusting and Contemporary Acupuncture?
Can contemporary acupuncture provide clues to the mechanisms responsible for pain relief provided by computer-assisted mechanical adjusting instruments, and clarify whether certain mechanical frequency combinations are superior to others for modulation of acute peripheral pain?
Medial Knee Pain: 11 Potential Causes (and Corrections)
We have all seen patients with medial knee pain that either has no traumatic origin or lasts well beyond when it should be resolved. How can we help these patients? Here is an overview of clinical scenarios and how we can provide conservative care.
Vibrational Medicine: Frequency Micro-Current and Color Acupuncture
Vibrational medicine involves the application of various forms of energy frequencies to the body for pain relief, healing and rejuvenation. Vibrational medicine will become a major growing trend in our medical systems for the following reasons:
"Doctor ... Always Do the Right Thing"
So says "Da Mayor" in the iconic Spike Lee movie. As a fresh grad questioning in-network versus out-of-network, it struck me that some doctors have explicitly skirted the issue, while others have argued adamantly for the latter and "sticking it to the man."
News in Brief
D'Youville Vet Program Gets High Praise; A Moment of Silence for Dr. Paul Reginald ("Reg") Hug.
Medical Qigong for the Heart: Part I
According to the Center for Disease Control and Prevention, heart disease is the leading cause of death in the United States, affecting people of all ages and backgrounds. Coronary heart disease, in just the United States alone, costs close to 109 billion dollars a year.
Low Melatonin Linked to Risk of Advanced Prostate Cancer
Epidemiological and experimental studies suggest the hormone melatonin, which plays a role in regulating the sleep-wake cycle, may play a role in the development of prostate cancer, as lower melatonin levels have been associated with an increased risk of prostate (and breast) cancer.
April, 2012, Vol. 12, Issue 04
Freeing the Heart Part IV: Reducing Resistance to the Heart's Expansion
By Dale G. Alexander, LMT, MA, PhD
Studying anatomy and reflecting upon what helps my clients to feel and function better are the foundation for what I am writing in this series. With that said, let's delve into the anatomy of the esophagus a bit further to set the stage for understanding the implications of its postulated tendency to re-set its resting length in response to physical injury or intense emotional experience.
The superior esophageal fascial mooring is anchored directly to the spheno-basilar junction to my perception through the buccopharyngeal fascia/pharyngeal raphe.1 This anatomical interpretation suggests that the entire length of the gastrointestinal tract (GI) is suspended downward and forward of the cranium. Consider this notion and its implications. My speculation is that a shortened esophagus with a superior strain being pulled on from below by any manner of GI disturbance will eventually contribute to the incompetence of the hiatal sphincter. It also makes sense to me that hiatal hernias might be the natural evolution in the progression of dysfunction to such opposing tensions over many decades. The maximal strain point of the esophagus is proposed to include the portion of the tube enfolded by the heart just before it pierces the diaphragm muscle.
The association of heart troubles and GI disturbance are considered a possibility by some2 yet, most often in the literature heart troubles and esophageal dysfunctions are described as if they are completely unrelated. This defies common sense to me. The intimacy of the anatomical enfolding of the heart around the esophageal tube is a related variable; structurally, if the esophageal fibers are contracted or go into spasm and, as a chemical irritant, when chronic gastric reflux is considered.3 Since no one pays attention to such variables, this might be one way that we may contribute to our clients' quality of life, as well as to possibly slowing the advance of cardiovascular disease.
Another implication of such strain along the length of the esophagus is that its tension can literally pull the head down upon the neck and is an influence contributing to the head being pulled forward which will inevitably activate the extensor reflexes of the spine.4 Might this be related to your clients chronic neck and upper back pain? Let's remember that the superior sympathetic ganglia and the vagus nerve have their most intimate communication between the occiput and the 1st cervical vertebra, the atlas.5 Compression of this autonomic interface can have far reaching influences on sympathetic and parasympathetic coordination of physiology, including that of the heart function to my sensibilities. Enhancing the ease within the space between the occiput and the atlas is one of my most reliable markers that a therapeutic effect has been achieved during a bodywork session.
With the head being pulled forward and the extensors of the upper back reflexively tightening, guess which segments of the spinal cord provide sympathetic supply to the heart, T1, T4 or 5? Could both of these compressions add to an over stimulation of the heart neurologically, a kind of structural squeeze play that begins with a functionally shortened esophagus. How many of your clients present to you with pain and muscle spasm between their shoulder blades? Loosening the tension of the pericardial sac is another contribution to "freeing the heart." My proposed definition of stress has been that in response to the intensity, repetition or duration of what is experienced by an individual as a stressor will result in the body sacs cringing and that the tubes within organs and between organs will shorten and narrow.6 This might happen either in response to a sudden occurrence or insidiously, over a long period of time which might include multiple events.
Many technique orientations might assist the pericardial sac to loosen. Those which I most commonly employ are unwinding and recoil techniques. The basics of unwinding were learned from Dr. John Upledger, developer of CranioSacral Therapy and the recoil techniques from Dr. Jean Pierre Barral the developer of Visceral Manipulation.7,8 Dr. Barral would want me to acknowledge the he learned recoil technique from, Dr. Paul Chauffour, the developer of the Mechanical Link approach to osteopathic manual therapy.9
A rather curious phenomena has occurred five times over the past 10 years where I actually felt the heart shift its position between my anterior-posterior placed palms when using a combination of unwinding and recoils techniques in a rhythmic fashion. The reason I mention it is the exceptionally positive response of the clients for whom this happened. All reported fewer somatic ailments and increased energy in their daily lives. Whether this was a shifting of position between the esophagus and the heart or a rotation, side shift or caudal or cranial slide of the heart as a whole, is unclear. Yet, it did happen and the clients felt much better. In this series, I am recounting what may be possible, not what can be predicted.
Another technique I have found to be helpful to lessening resistance within the thorax is the fascial stretching of the pleural sacs of the lungs. This is accomplished by softly anchoring the pleural dome of the lungs and caudally stretching the tissues adjacent to the sternum and just above and below the breast area. The intention here is to assist the sliding of the pleural sacs and to assist the ease of movement between the pericardial and pleural sacs.8 Reducing the resistance within the thoracic cage is the therapeutic goal. If the heart has less resistance to its expansion, it is my conjecture that it's coronary arteries are more likely to expand as well which may reduce the speed or quantity in the build-up of plaques within these crucial arteries. A river with a steady current has less sediment accumulation. Are our arteries really that different from other natural containers of moving fluid? To reprise, my clinical experience suggests that applying our palpation efforts to the structures "inside" the thoracic cavity is the most efficient way toward easing the tensions that the heart must overcome during its expansion phase. Such efforts positively contribute to "freeing the heart."
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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