resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
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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