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Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
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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