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Economics of Complementary/Integrative Care
Although this column doesn't usually feature a book review, we're going outside of our usual public health format to discuss a new book written by Patricia Herman ND, PhD.
Medical Payola (Part 2)
Not only has Medtronic made billions selling expensive screws and hardware for highly controversial spine fusions, but a Senate investigation also found Medtronic felt compelled to write and edit medical journal articles attributed to outside physicians that downplayed the risks of the company's best-selling bone graft, Infuse.
Peer Points: Stories of Practice Success
When patients go see Arizona-based acupuncturist Jing Liu, it is to get top care from an practitioner well versed in all aspects of Traditional Chinese Medicine.
History Repeating Itself in Wisconsin?
Thirteen years ago, the Wisconsin Chiropractic Association (WCA) "agreed to settle Federal Trade Commission allegations that [the association] orchestrated a conspiracy among WCA members to increase prices for chiropractic services and to boycott third-party payers to obtain higher reimbursement rates."
You are What You Eat Part II: Integrative Protocols
In the previous installment of this article I discussed important ideas concerning gastrointestinal health and foundational ideas from TCM, which can provide key insights into creating effective protocols for healing the gut.
Happenings in Our Evolving Profession
Good things seem to be happening for our profession and recent developments show we are all on board. Talking about being on board, this September The Veterans Express-Purple Heart Tour is expected to make its way out of the station.
In a previous column, I discussed the history and definition of evidence-based practice (EBP), and expressed concerns with how the concept has been narrowly construed by some academics and payers.
Business Building: What's Your Strategy?
I know some in our profession love to debate about whether or not spinal curvatures change as a result of our chiropractic adjustment, but I have a question that hits a little more close to the belt than that: Are chiropractors capable of change?
Repeating Bone-Density Tests
The U.S. Preventive Services Task Force recommends that women older than age 65 undergo bone-density testing. However, organizations in general have not stated when repeat bone-density testing should be done.
Helping Patients Through Pregnancy Loss
There is a lot of focus in the acupuncture world on fertility and helping women get pregnant. It's exhilarating to hear the news that a patient is expecting a baby. The other side of that is pregnancy loss. That includes abortion, miscarriage or stillbirth.
The Spirits of the Points: The Gall Bladder Official
The Gall Bladder is known as The Official of Decision Making and Judgment. In any given day, this Official makes countless decisions – conscious and unconscious, which influence every aspect of our being.
Let's face it – patient evaluation takes time. Unless you are really into the diagnostic evaluation game, you probably have found the formal exam protocol tedious if not downright annoying.
Herbal Medicine: Go Mainstream
When it comes to practicing herbal medicine in a mainstream setting, there are a number of important points to understand when it comes to prescribing formulas. Some important questions to ask are - what method of prescribing and dispensing is most effective in this setting?
Energy is a hot commodity. Society pays dearly for it and for the expertise of those who know how to cultivate it.
Chiropractic Research: A Moral Issue
This year I've had the opportunity to go to three great chiropractic research conferences; the ACC-RAC, the Fédération Internationale de Chiropratique du Sport (FICS) Congress and the World Federation of Chiropractic Congress.
Exercises for Back Pain: Low-Compression Training Program
This program is intended for two groups of people: 1) those who want to engage in resistance exercises for the major regions of their body without developing back pain in the process; and 2) those who already have back pain and want to do resistance exercises, but consistently re-irritate their back when trying to do so.
Wisconsin Exam in the Spotlight
You've passed your national boards with flying colors, including Part IV, the practical examination, at a combined cost of more than $3,000.
There Are No Secrets: Treating Complicated Conditions with TCM
Including standardized extra points, there are just over 400 acupuncture points on the body. You get 400 and I get 400 - same. Yet, time and time again treatment protocols are coveted as if they were some secret formula only intended for the right and privileged.
Covering Chiropractic as a Profession, Not a Single Service
Recently Dynamic Chiropractic published a front-page article about various state essential health benefits and referred to Oregon and four other states not currently providing chiropractic as a covered benefit.
News in Brief
Cancer Treatment Centers of America Continues Support of Chiropractic; ACBOH Announces 2013 Practical, Written Exam Dates; PCORI Approves Funding for Research on Spinal Stenosis; Macquarie University to Cease Offering Chiropractic Program.
Calcium Supplements and Mortality
When the National Institutes of Health's AARP Diet and Health Study reported that men who took calcium supplements had a higher risk of dying from cardiovascular disease compared those who didn't, it was the third large cohort in six months with alarming findings regarding calcium supplements.
Helping Infertility Patients with the Spirit Essence
As many of you know, when it comes to treating infertility, we are dealing with a patient population that is, generally speaking, in emotional turmoil. These patients often experience fear, anxiety, despair, hopelessness, grief and anger.
Spinal-Cord Injuries: Saying No to Steroids
With steroids, epidural and otherwise, in the news lately for their overuse when treating back pain (and their danger when tainted by fungal meningitis), it was high time for a policy change, and we've got one, from the Congress of Neurological Surgeons and the American Association of Neurological Surgeons.
Telecommuting and Technology: Ergonomic and Worker's Comp Considerations
As our world becomes more and more reliant on technology, equipment becomes more dependable and we become increasingly more comfortable with e-mail, the fax machine, the Internet and the smartphone, it is becoming easier and easier to work away from the office.
The Pallof Press for Core Stability Evaluation
Many people become injured because of instability, weakness and poor neural-sequencing patterns in the core. Lack of bracing and support from the inner core cylinder during coronal and transverse movements makes the body vulnerable to compensation injuries.
June, 2012, Vol. 12, Issue 06
Dissolving the Grip of Addiction with CranioSacral Therapy
By Sharon Desjarlais, CC
Martha Tassinari was married just a few short years when some unusual transactions in her bank account tipped her off to a major problem in the relationship. "Our money was dwindling," she says."The next thing I know the police called. My husband was arrested for possession." That's the day Martha discovered she was married to an alcoholic and drug addict. At the same time, she began suffering from severe pain in her low back and neck that wouldn't respond to traditional treatment. A physical therapist herself, she tried CranioSacral Therapy at the recommendation of a colleague. "I was amazed at what came up," she says. "My pain was subsiding. And I was able to get back into work and exercise."
What she didn't expect was the emotional release she also got out of it. "I started to see that I didn't deserve what was happening in the relationship. I tried to help the marriage. But when that didn't work, I realized I had to help myself." Martha ended the marriage and started taking classes in CranioSacral Therapy. Now in a healthy new marriage nine years later, she specializes in using CST to help women in pain and stress who have a history of alcoholism or addiction, whether their own or someone else's.
Common Trends and Techniques
What symptoms and conditions are these women presenting with that point to a history of drug or alcohol abuse? Surprisingly, they usually aren't global issues like chronic fatigue or fibromyalgia. Instead, Martha says they're more localized issues, like low-back pain, headaches and TMJ. "The jaw pain," she adds, "is huge. That's our avenue of expression so we hold a lot of anger there. If our father tells us to be seen and not heard, it feels like we don't have a voice. We have to keep the family secrets. We have to put on a brave face that says, 'Everything's fine. No problems here.' The trouble is, that stress builds in the tissues. And it won't go away without help."
Just as Martha sees trends in the symptoms her clients tend to show up with, she also finds certain hands-on techniques especially helpful. "Every case is unique, of course. But I almost always start a session with diaphragm releases. I also tend to do a lot of dural tube techniques like the Rock and Glide, L5/S1 Decompression and the Cranial Base Release."
Reducing the Emotional Scars
Even more poignant than the physical releases are the emotional releases Martha witnesses. "It's typical for my clients to bury their memories of an addiction for a long time, often since childhood. But if that memory or issue isn't acknowledged, it'll keep lingering in their tissues. So I try to get to the core feeling they're having around those memories." As she has her hands on her clients, if she suddenly feels their cranial rhythm come to an abrupt stop, she knows they've hit on something significant. ''What's happening for you right now?" she'll ask. It may be memory from childhood or from three weeks ago. And that's where she starts the process of therapeutic dialoguing.
As they dialogue back and forth, Martha simply mirrors what her client says, giving her space to voice the next thought. "I might say, 'Tell me more about that,' or 'Can you give me an example?'" she says. "By being neutral and non-judgmental, my clients feel acknowledged and safe. So the walls begin to come down." There's never an agenda, Martha stresses. "I've learned over the years that we may think we know what a client needs or wants. But the body knows more than we can imagine. So I never lead or try to solve anything for my clients. I just give them an avenue to express themselves and be heard."
What's critical, she says, is to resist the urge to rush past the dialogue and just get to the tissue release. "In my experience, the client can't release their memories until they're acknowledged," she says. "A lot of therapists and self-help books talk about releasing the anger and fear. But if you don't give yourself room to acknowledge that you have those feelings, they're only going to be released at the conscious level, not at the non-conscious level or the tissue level. "You have to give them space to step into their power and say, 'I am feeling this. This is real. And this is what it's doing to me.'"
To help give her clients an added level of comfort and security, Martha always starts her sessions with grounding techniques to help them relax deeply and feel what's going on in their bodies. "As they're lying on the table, I have them imagine that their feet are on the ground and they're soaking up healing energy from the earth," she says. "Then we scan their whole body, from the feet to the crown. I ask them to just notice any tension they might find. Not to judge, just to notice. That's the first step."
Once they fully get into the session, that's a different story. "They may have emotional releases like crying or anger or even laughing. As they're doing that, I stay hands on. In the past I wanted to grab a box of tissues for them. But over the years I've learned that once I take my hands off their body, we've lost the process. So now I always stay hands-on and let them go through their process completely." While every case is different, Martha says a typical client needs anywhere from 10 to 20 sessions to make a leap in their healing. "Then I like them to see me every month or so to stay on track." She's also big on urging them to connect to other healthy resources, whether they're AA or Al-Anon meetings or psychological counseling.
The most important point, however, is to give her client the experience of having a safe and sacred place for them to express themselves completely. "My treatment room is like Vegas." Martha smiles. "What happens here stays here."
Click here for more information about Sharon Desjarlais, CC.
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