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Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
June, 2012, Vol. 12, Issue 06
Surgical Intervention Averted with CranioSacral Therapy
By John Matthew Upledger
Imagine going from a diagnosis for which brain surgery is recommended to a diagnosis of perfect health, all within a three-week period. That's what happened to one young man named Matt after receiving just two sessions of CranioSacral Therapy.At the time of treatment, Matt was 14-years-old and had been suffering from a category 9-10 headache for nine months. He had been to see several medical doctors, but none could determine the cause. Extensive testing provided only one conclusive finding: Matt's cerebrospinal fluid (CSF) pressure was far too high.
The doctors gave Matt a diagnosis of pseudotumor cerebri, which basically means that his body was acting as if he had a brain tumor, but he really did not have one. Drugs had no effect. The only treatment that provided some relief was a spinal tap to draw off excess fluid. The procedure was repeated every two to three weeks with progressively diminishing results. The doctors were at a loss for what else to do. That's when they proposed brain surgery to insert a shunt to drain off the excess fluid. There was no assurance that this would help, however, since they still did not know what was causing the problem.
Good fortune intervened in Matt's life at this especially pivotal time. One of the nurses in the ICU where Matt received his spinal taps just happened to be a client of Tim Hutton, PhD, LMP, CST-D, a certified CranioSacral Therapy practitioner. Pulling Matt's mother aside, she suggested that Matt try CST before they resorted to surgery.
Problem Six Years In The Making
By Matt's first visit to CranioSacral Therapist Tim Hutton, he had endured 23 spinal taps along with 23 sedations with a general anesthetic. Tim recalled, "Matt had a horrendous headache; his low back felt like a pin cushion; and his liver and kidneys were struggling to detox all the drugs he had been given. Needless to say, he was not a happy camper." The first order of business was to assess Matt's craniosacral rhythm. What Tim discovered shocked him. There was no discernible rhythm anywhere. "It felt as if the craniosacral system did not even exist," Tim said. "I have never felt that on a client before or since."
Placing his hands on top of Matt's head, Tim felt his hand pulled strongly into Matt's left parietal. That's when Tim asked the pivotal question, "Did you ever hit your head?" The reply was yes. When Matt was 9-years-old he was riding his bicycle when he hit a rock and took a dive over the handle bars. The impact broke Matt's right arm and shattered the helmet he was wearing, directly over his left parietal. A possible connection had been made. This could be the source of Matt's headaches. Tim continued to follow the pull into Matt's jammed left parietal, assisting the bone to unlatch.
"This only took a couple of minutes," Tim said. "Once the parietal released, Matt immediately had good craniosacral rhythm throughout his body. I spent the rest of the session just encouraging things to move." When Matt returned a week later, Tim said, "Things were still moving, so I simply encouraged everything to move a bit further." Within three weeks of his first session of CranioSacral Therapy, Matt was headache free. As you can imagine, Matt's parents were more than a little curious to know what was going on in Matt's body. They scheduled an appointment at the University of Washington Medical Center in Seattle, where Matt received a full medical work-up. After a thorough examination and testing, the doctors declared Matt to be in perfect health. There was no evidence to indicate any problem.
Key To Healing
From a CranioSacral Therapy point of view, Matt's headache is easy to understand. It is founded in the pressurestat model, a theory developed in the mid-1970s by osteopathic physician John E. Upledger with neurophysicist Ernst Retzlaff.
By design, cerebrospinal fluid is a filtrate of the blood. It is filtered out of the high-pressure arterial blood and reabsorbed into the venous system. Through their research, Dr. Upledger and Dr. Retzlaff discovered that the body controls CSF pressure by a mechanism called a pressurestat — a semi-closed hydraulic system with a regulated inflow and outflow — located within the craniosacral system. They theorized that within this environment, fluid reabsorption is constant while fluid production is intermittent.
When fluid production is occurring, the pressure in the skull rises, causing the skull to expand to a very small degree. This stretches the sagittal suture ever so slightly. When the pressure has risen to a certain level, stretch sensors within the suture send a signal to the brain to stop fluid production. Once the production stops, the pressure drops and the sagittal suture closes slightly. Because the CSF is constantly draining away, the pressure receptors eventually trigger the brain to resume fluid production. This entire process is repeated every 5 to 10 seconds.
During each cycle, only about 0.01 ml of fluid is produced. This slowly pushes the CSF through the system, replacing the entire fluid volume three or four times a day. As the fluid moves through the brain and spinal cord, it carries away metabolic waste from the tissue. If the fluid is prevented from doing this, a buildup of waste occurs in the tissue, ultimately resulting in inflammation.
When Matt hit his head, he jammed his sagittal suture, shutting down his pressurestat system. The signal to shut off fluid production was never sent, so the fluid production continued as long as it could. When the CSF pressure matched the arterial pressure, no more fluid could be produced, and the system shut down. The CSF became stagnant and there was a buildup of metabolic waste in the central nervous system, causing inflammation and ultimately Matt's headache. Once Matt's system was freed up and the fluid could move again, it took a few weeks for the body to eliminate all the waste. Once the waste was removed, the inflammation died down and Matt's headache went away.
Tim said, "The most fascinating thing about this case is that Matt hit his head when he was 9 years old, but his headache did not start until he was 14. His sagittal suture was jammed the entire time, but he obviously was able to get enough signal to run his pressurestat. Something happened when Matt was 14 that rendered his pressurestat incapable of compensating any longer." Tim suspects it was puberty — a process that is difficult under the best of circumstances!
"I believe that all of Matt's hormones got stirred up and his body was no longer able to maintain the pressurestat," Tim said. "To me, this one case provides strong evidence for the validity of the pressurestat theory." Matt's case is also a prime example of how our bodies hold tension from every trauma we have ever experienced. So long as we can compensate around those tensions there will be no symptoms. Only when we can no longer compensate do symptoms appear.
John Matthew Upledger is the CEO of Upledger Institute International. For 25 years, he has been actively engaged in all aspects of the organization — from education to clinical services. For more information about CranioSacral Therapy and other modalities offered for study through Upledger Institute International go to www.iahe.com.
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