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Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Pro-Con: Swaddling for Newborns
The practice of swaddling has been used for thousands of years and was popular until the 1700s, when it was slowly abandoned by many cultures that considered it old-fashioned or barbaric.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
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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