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Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
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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