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5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
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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