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In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
November, 2012, Vol. 12, Issue 11
CranioSacral Therapy and the High Performance Athlete
By John Matthew Upledger
The life of a high-performance athlete has always amazed me. The grueling training schedules. The intense focus. The sheer athleticism. There is a commitment level to this kind of competitor that I can't begin to fathom.I was reminded of this as I watched the 2012 summer Olympic games from the air-conditioned comfort of my living room couch.
Of course, with that drive to excel can come a sacrifice of health as the body is continually pushed to the limits of its potential. This got me thinking about athletes in general and how they can benefit from CranioSacral Therapy. I found a prime example in a competitive athlete named Rick*.
CST keeps cyclist centered
At 49, Rick is in peak physical condition. A professional cyclist and adventure racer for much of his adult life, he maintains an extremely active lifestyle. Along with cycling, he is an avid runner, skate skier and back country skier.
Rick's training regimen is intense, to say the least. There is mountain biking and trail running, which subjects his body to severe elevation gains and losses. There are marathon sessions on a rowing machine. And there are rigorous plyometric exercises he undergoes to boost his performance. The idea of plyometric movements is to push the muscles to exert maximum force in a small amount of time in order to develop muscular power and improve overall speed. By any definition Rick is a high-performance athlete.
For six years Rick has been the client of Dominique Tardif, MT, in Boise, Idaho. He first came to Dominique looking for sports massage to keep his body "tuned up" and operating at peak performance. Then one day, Rick came in commenting that he didn't feel "centered" on his road bicycle. Chalking it up to a problem with his bike, he said he was going to take it to a mechanic for an assessment. Suspecting that Rick's bike was not the problem, Dominique suggested a new approach. She had recently taken her first CranioSacral Therapy class and thought the techniques would be beneficial given the symptoms he described.
Rick initially had a hard time wrapping his mind around the value of what Dominique described: a technique that used only about five grams of touch. How could something that gentle help him? By the end of the session, Rick was a believer. Using the CST 10-step protocol, Dominique said, "I found restrictions at every listening station! He experienced significant releases throughout his system that day, predominately at his sacrum, thoracic outlet, parietals, temporals and sphenoid." Later that week, Rick sent Dominique an e-mail saying that he was perfectly centered once again on his bike, without the help of a mechanic. "I dare say that caught his attention!" she said.
Since that time, CST has become a regular addition to Rick's sessions. During a recent appointment, Dominique began her assessment, taking Rick's heels in her hands. "I felt a strong pull cephalad on his left side," she said. "At his left ASIS I felt an anterior medial pull. I asked him if he was feeling any pulls or strains in his body." Rick mentioned that he felt a left side/off-center pull. Dominique continued through the listening stations, arcing and assessing for fascial restrictions and facilitated segments. "I used a variation on the 10-step protocol," she said. "I added in CST-based, light-touch deeper fascial work with direction of energy and nonverbal dialoguing with the tissue. The biggest releases were at his sacrum/SI joint/ hips/legs. The final polish was added with the cranial vault holds."
Immediately after the session Rick reported that he felt fully centered and evenly planted through both feet. Nine days later he went on what he called his "first hard run in a long time" — a seven-plus mile run in hilly terrain. He wrote Dominique to say, "I felt totally centered — like a metronome or a set of pistons—balanced and relentless."
Tips for working with athletes
As Dominique discovered with Rick, the application of a light-touch technique such as CranioSacral Therapy often requires a new understanding of how the body responds to gentle, directed touch — or at least a willingness to give it a try. That goes for both the client and therapist! Dominique says, "CST taught me how to have a different conversation with tissue. I find that I can get deeper releases with a lighter touch. I work with a lot of athletes, and I find them generally to have a higher awareness of their bodies than the average person. If there is a challenge it is to convince them that one does not necessarily have to dig deeply into their tissue for them to benefit from the session." Rick says, "Dominique has made me aware that a CranioSacral Therapy session can be a key part of overall maintenance and healing in addition to deep-tissue sports massage."
Appointments with Dominique now almost always include CST — even if it's simply doing a still-point induction to start the session, she says. In Rick's case, sessions average 90 minutes and are scheduled to coincide with rest days in his training. "I always encourage athletes to schedule their sessions with me on a planned rest day in their training regimen and only to do a light workout or just yoga/stretching the following day," she says. "When Rick is feeling a need for a thorough combination, I will split the session between CST and massage. At times we have gone two hours if he wants a full CST session and a full massage."
Working with other clients within a standard hour-long massage session, Dominique is still able to maximize CST's potential. She will quietly arc and assess their Craniosacral rhythm at the beginning of the session and then bring in whatever aspects of CST the body guides her to do. "CST has been invaluable in my practice," Dominique says. "It has given me another modality to expand my practice and client base. It has deepened my conversation with the body and tissue, teaching me that often less is more. And it has encouraged me to ‘get out of the way' and let the client be the guide."
This approach to bodywork can benefit people in all walks and seasons of life—whether they're an elite athlete, a weekend golfer, or a guy cheering on his favorite Olympians from the comfort of his living-room couch.
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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