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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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).
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.
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%.
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.
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.
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.
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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