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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
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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