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Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
October, 2012, Vol. 12, Issue 10
The Missing Link: A New Paradigm for Soft Tissue Therapy
By Don McCann, MA, LMT, LMHC, CSETT
Are you looking for something really new and revolutionary that will make you a more effective therapist? Repeating the same techniques over and over doesn't always give you the results you would like for you and your clients.Cranial/structural therapy is a new paradigm that is totally different from anything else you have been exposed to or studied. If your mind is open and you are willing to look at some amazing new concepts that will solve some of the oldest and most consistent problems, read on.
Cranial/structural therapy is focused on achieving long-term recovery for your clients and provides structure and support for other soft tissue treatments. It provides weight bearing support for the rehabilitation of 95 percent of musculoskeletal problems with one application. This can totally change the effectiveness and longevity of your clients' rehabilitation from pain and dysfunction.
There are so many variations of soft tissue treatments for painful conditions in the back, neck, knee, foot, arm, hand, all types of headaches, just to name a few areas, that will relieve the pain for a while, yet clients tend to return with the same symptoms over long periods of time. There is nothing wrong with your soft tissue treatments that release your client's pain short term, but what is missing is the component that will allow these changes to last long term. This is true even when high quality techniques such as myofascial restructuring like structural integration, Lomi Lomi, Heller, neuromuscular or other deep tissue treatments are successfully applied. The developers of these techniques recognize that to achieve long-term relief releasing structural distortions is a key component, yet even after numerous treatments their clients will, over time, collapse back into the old structural core distortion. Since approximately 95 percent of musculoskeletal pain is due to the body collapsing further into the core distortion pattern over time, it is unfortunate that none of the other techniques is able to effectively release this distortion.
Enter the Missing Link
The initial discovery of the relationship between the distortion in the cranium and the anterior/posterior rotation of the iliums and tipped sacrum in the 1980's by Dr. Dallas Hancock, D.C., opened the door to the reality of being able to bring the structure of the body into balance long term.
These cranial/structural techniques are very different from craniosacral in application and intent. As the name implies, cranial/structural addresses the structural aspects of the body in relationship to the cranium. The distortion found in the cranium relates directly to the anterior/posterior rotation of the iliums and tippage of the sacrum. Thus, as the soft tissue restrictions that hold the cranium in its distortion are released allowing the cranium to move freely into balance, the rotation of the iliums and tippage of the sacrum are also brought into balance and weight bearing support. In just one application of the specialized cranial/structural core distortion releases, the previously unbalanced ilium/sacrum relationship is able to provide a stable weight bearing support to the whole body. Once released in one application, that distortion doesn't return! The soft tissue restrictions of the cranium won't reform in the same way so the weight bearing collapse at the SI joint does not recur. The effects of unwinding the core distortion out of the structure with the cranial/structural techniques are far reaching.
The anterior/posterior rotation of the iliums in the core distortion results in a long leg-short leg discrepancy which creates imbalances, strains and weaknesses throughout the body in compensation. Each of the legs has a different distortion and compensation in the core distortion. The anteriorly rotated ilium creates a longer leg with a medial knee, laterally rotated foot, and either an inverted or everted arch. Many hip, knee, ankle and foot conditions are caused by this ilium rotation in the core distortion. The posteriorly rotated ilium creates a shorter leg with stress on the medial knee and the soft tissue of the posterior hip, a principle cause of sciatica. Another effect of the core distortion on the lower extremities is that the strain patterns in the soft tissue caused by the core distortion results in a loss of up to 50 percent of the muscle function in both strength and flexibility, and creates weaknesses in the knees, ankles and feet where sprains and strains and other injuries will most likely occur.
Imagine the possibilities of maximum healing and rehabilitation with the application of the cranial/structural core distortion releases. Bringing the iliums out of the rotation distortion into balance brings the legs into better alignment relieving the stress on the knees, hips and feet, reducing the resulting sciatic pain, releasing the strain patterns in the soft tissue which increases the strength and flexibility and greatly reduces the weaknesses where injuries can occur. Now you have a structure that is already moving into balance and the soft tissue is just waiting to be released into that balance.
Spine And Musculoskeletal System
Take a look at the spine and the effect of the tipped sacrum at the base of the spine in the core distortion. With the application of the cranial/structural techniques, the sacrum moves into a level position providing a level base for the spine. This creates a supporting base for the spine and dramatically reduces the amount and of spinal curvatures. This has a dramatic effect on unwinding scoliosis curvatures and lessening the curvatures responsible for degenerative disc conditions. Curvatures of the spine that are responsible for subluxations, disc degeneration, spurring, stenosis, sprains and strains, chronic tension and just about all other musculoskeletal spinal problems are greatly lessened with the weight bearing support and balance of the pelvis that is created with the application of the cranial/structural core distortion releases. It also takes pressure off damaged discs such as bulging and herniated discs allowing them to heal without surgery in most cases.
The distortions in the cervical spine from the core distortion that can cause neck tension and headaches are released with the cranial/structural core distortion releases. As the cervical spine is brought into balance, it is supported by the stability of the balance in the pelvis, which allows full rehabilitation of cervical sprain strain injuries (whiplash), disc problems and reverse curvatures. Thus, most major causes of headaches can be rehabilitated. Cranial/structural therapy also addresses the other causes of headaches from congestion in the cranium and compression of the cranial nerves.
TMJ symptoms and dysfunction are directly affected by the imbalances in the cranium. The application of the cranial/structural techniques restores balance in the cranium which brings the temporal mandibular joints into balance. After cranial/mandible balance has been achieved, additional soft tissue protocols are ten times more effective. This can resolve the majority of TMJ issues.
The unwinding of the thoracic spine with the cranial/structural core distortion releases results in raising the thoracic rib cage, reducing the medial rotation of the right shoulder and releasing tension in the diaphragmatic arch which expands breathing potentials. The reduction of tension in the diaphragmatic arch normalizes the tension on the esophageal hiatus resolving most acid reflux and hiatal hernia issues. The shoulders become more level which takes pressure off the brachial plexus relieving many nerve impingement symptoms in the arms and hands. It also releases the internal rotation of the arms which is responsible for strain patterns, significant weakening in the rotator cuff and muscles and tendons in the elbow, and nerve impingement and adhesions in the arm, wrist and hands causing carpal tunnel and trigger finger, returning strength and balance to the shoulders and arms. Thus, long-term rehabilitation of the arms and shoulders is possible with the application of cranial/structural therapy.
As you can see, applying the cranial/structural techniques to bring the pelvis into stable weight bearing support for the body facilitates long-term changes quickly and, when integrated into soft tissue treatment, long lasting rehabilitation that was previously unattainable can now become a reality. It is now possible to effectively release the old myofascial holding patterns that were previously locked into holding the old distortion patterns due to the lack of weight bearing pelvic stability. Now that the body is being supported into balance, soft tissue work to release the old myofascial holding patterns is more effective and easier for the client, as well as the massage therapist, since rigid holding in the soft tissue is now letting go.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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