resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
September, 2012, Vol. 12, Issue 09
Navigating Ethical Boundaries
By Suzanne Scurlock-Durana
In the next decade, as a profession we would be wise to cultivate the deeper level of ethical action that occurs when we are more embodied. Most of us currently have a good basic knowledge of ethics that clearly delineates both what we do and don't do, in and out of the treatment room.I want to explore the territory beyond that – what we find when we move into the integrity of the navigational system of the body as the ground of our knowing about what is ethical in any given situation. This means knowing when someone has crossed a line even if we cannot put it in words at that moment. It is also what tells us when something is "spot on" in terms of our confidence and creativity.
What I am referring to here is the process of embodiment as a primary tool for navigating ethical boundaries and establishing and maintaining ethical therapeutic relationships. This requires that we have the basic skills to be connected to our environment, our clients, etc. And that we connect in a healthy manner, that we know how to connect with, but not invade another person's personal space and that we know how to hold our own boundaries firm when needed so that others respect and honor our personal and professional space.
Building from this foundation is the deeper level of integrity and ethical behavior that emerges as we ourselves become more grounded in our own bodies and in our own inner wisdom as practitioners. In my three decades in bodywork and teaching, my experience is that we all have access to this innate wisdom, but many have never consciously recognized it. Let's explore how to bring this inner wisdom to conscious awareness, and to engage with it.
STEP 1: Dropping In
To engage this inner wisdom, first allow yourself to drop your awareness down into your body, doing so with an openness to discovery and a willingness to meet whatever you find inside with as little judgment at possible. Any meditative system that helps you explore your inner landscape will work here. Not a guided visualization, which tells you what to find inside, but a system that helps you ask questions of your internal landscape and then encourages you to notice what sensations, visual hits or inner knowing show up. So questions like, "What is the temperature of the air as it enters my nostrils; and is it effortless to breathe today, or is there a catch anywhere in my inhale or exhale? And, what sensation would feel most nourishing to my lungs right now?"
When you ask yourself these "sensation questions," you are engaging parts of the brain that Dr. Daniel Siegel names as the cutting edge of conscious awareness. Our neurons fire in a more integrated, full-brained manner when we open up to bodily sensations and drop in to explore what is there.
Step 2: Expand Your Internal Awareness
Next, allow yourself to expand to a more full body awareness. If the container of who I am – in my body and mind – is fully present, it means that I am actually conscious of my boundaries. I am "at home" at the border where who I am ends and the rest of the world begins. If someone tries to cross my boundary, I am a lot more likely to sense it immediately. If, on the other hand, I live primarily in my head or only by the dictates of external sources and rules, then I am not as available for the wisdom my boundaries may be signaling to me. I am not able to self-reference.
Another example of this is when we fail to do the basic self-care that keeps us full and energized as therapists. When we are "running on empty," it is easy to miss signals from our deep wisdom (or any other part of us for that matter). Most of us intuitively know this, but the stressors of life can cause us to forget these important facts.
Step 3: Own Your Inner Wisdom Places
So what does this deep wisdom of the body have to teach us about integrity and ethics and how can we tap into it more regularly? First of all, we now know that every cell in the body has its own intelligence that when healthy, operates in conjunction with all the other cells in our bodies. In this dynamic process, I have found that certain areas of who we are seem to have certain kinds of wisdom. Let me give you a few simple examples.
There has been lots of research recently on the "gut brain" or the intelligence of the lower torso area of our bodies. Think of how powerfully it signals you when something is really "off" in your world. "My gut sense is that this is a bad idea." Or alternately, "I don't know why, but this feels really right!" The pelvis/gut area of the body has it's own wisdom and when you listen to it, it can keep you safe and move you in more life enhancing directions.
How about our hearts? This area is the center of our cardiovascular system and also what makes us human. Deep inspiration often emerges from our hearts. We fall in love through our hearts. Our hearts register our inner world and how we are feeling in any given moment. When something in our life touches us deeply, you hear the expression, "Oh, my heart!" "Or, "My heart aches for you."
Our feet and legs seem to have wisdom about how to move through life's thorny issues if we engage them. When I am mulling over a problem or wondering how to resolve something, if I can take a walk (engaging my feet and legs), I often come back with the issue resolved even if I didn't think about it on my walk!
And so, we have three examples of different general areas of the body, each with their own flavor of wisdom. If you can learn to engage them, you are on your way to having the integrity of full body presence, and navigating in your world from the wisdom of your inner landscape. How can we do this?
First, by engaging the heart. Allow yourself to relax and breathe naturally into your heart area. Notice what whispers of wisdom are there, without judgment. The signals can be quiet initially. Do not let your linear mind over rule what you are hearing. Best used in conjunction with the wisdom of the gut.
Second, engage the gut. When you enter the treatment room, notice what your gut is signaling to you about this person's situation. Do they need you to approach them firmly or gently? Do they need you to engage verbally or remain silent? It is often as clear and simple as that. Again, do not let your linear mind automatically override what you are hearing. Once you have a clear hit from your gut, you can assess the facts of the situation as you know them and decide on the wisest actions to take in that session.
And third, engage your feet and legs. As you enter the treatment room, feel the sensation of your legs supporting your upper body. Feel your feet under you. Wiggle your toes if you need to feel more sensation. As you go through the session, return your awareness to your legs and feet and to the ground under you for support and steadiness.
The key here is to remember that optimally all our cells - and thus all parts of us - should be connecting with each other. My heart may tell me what is going on inside of me emotionally, but my gut will tell me the truth of the situation, and my feet and legs will help me "walk in the world" in a more powerful, clear manner. Think about falling in love with the wrong person - your heart may feel so full in the moment, but when you ask your gut it gives you a big internal "no – this person is a schmuck." Your feet and legs can help you take action with our inner wisdom fully manifesting. So if engaged, we can take an action and walk away from that circumstance that was bad for us.
When we are more fully embodied, it means that there is more communication between all the parts of who we are. In that, there is a synchronicity that is far greater than the sum of the parts. Navigating from within ourselves – mind, body and spirit – only makes sense with what we do for a living. Ethical actions follow naturally when we are fully present. Isn't it time you stepped into the integrity of your full body presence?
Suzanne Scurlock-Durana is a 20-year veteran in the field of conscious awareness and its relationship to the healing process. An expert at integrating right- and left-brain understanding, she teaches therapists around the world how to develop their therapeutic presence through her Healing From the Core training series offered by The Upledger Institute.
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