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AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Blaming the Gluteus Medius, Overlooking the Deltoid
The gluteus medius (Gmed) is commonly written about, strengthened and blamed for many conditions, and rightfully so. After all, the Gmed plays a role in pelvic stability, hip motor control and lower-quarter dynamic movements.
Help Patients Achieve Optimal Vitamin D Levels
Much research has been done on vitamin D levels and their impact on health; optimal levels have been correlated with a reduced risk of developing numerous conditions.
Saying No to Medicine
An interesting article recently appeared in Men's Journal titled "When to Say No to Your Doctor." The article begins with the summary statement above and effectively arms readers with information that will help them "take more responsibility for your own health care, because you can't be sure anyone else is.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Understanding and Identifying Pediatric Growth-Plate Fractures
In general, fractures in children heal well with little intervention as long as the alignment is good. Fractures involving the growth plate, however, are a different issue. In fact, growth-plate injuries are the primary reason for the subspecialty of pediatric orthopedics.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Talking to Patients About Healthy Aging
I've noticed that a particular category of patients seems to make up more and more of my practice – they work out, but still experience lots of degenerative joint disease (DJD) issues.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Web Marketing: Content Is King
Google's sweeping updates to its search algorithms over the past few years have brought a paradigm shift in how you can optimize your chiropractic website to gain maximum marketing leverage.
5 Ways to Occupy Occupational Health
Despite the progress that has been made to better protect workers, occupational health and safety remains a priority area for many national governmental organizations due to the widespread problem of occupationally related morbidity and mortality.
Calcium Helps Prevent Colorectal Cancer
Over the past 25 to 30 years, studies have suggested calcium may confer protection against colorectal cancer.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Transparency and Accountability: Q&A With the CCE
Every profession needs an organization dedicated to upholding the quality and integrity of its degree programs and educational institutions.
January, 2013, Vol. 13, Issue 01
Freeing the Heart: The Role of the Autonomic Nervous System
By Dale G. Alexander, LMT, MA, PhD
This series of "Freeing the Heart" has evolved to offer our profession and other touch and movement therapies a conceptual framework for how we may collectively contribute to slowing the progression of cardiovascular disease.These ideas are extrapolations of my clinical experience that have assisted clients with cardiovascular problems and those that present with persistent chronic somatic problems. A descriptive summary of the concepts "Enhancing Central Circulation" is detailed at the end of this article.
From my point of view, the basic problem the human body faces in the aging process is that many variables combine to slow the "return of raw blood products to the heart" in the process of freshly oxygenated blood being reconstituted and delivered to all tissues and cells. Both the "quantity and the timely delivery" on both ends of the vascular system are key functional components of the heart's capacity to contract 100,000x's a day and to send blood efficiently over the estimated 60,000 miles of vessels.1 Obviously, the build up of fats inside the walls of these vessels is a primary component of the resistance to the efficient flow of blood, which I propose happens for most of us, not just some.2
Here is an anatomical interpretation of the progression of cardiovascular disease and I propose that the autonomic nervous system (ANS) has evolved three cards to play in its efforts to offset the inefficient flow of blood back to the heart.
I also propose that most progressions toward pathology will be accompanied by a decrease in the volume of freshly oxygenated blood. Whether it be a chronic somatic dysfunction, chronic illness, cancer or cardiovascular decline, such progressions reflect a compromised capacity for the body to manufacture in a timely manner and to deliver the nutrients, hormones and oxygen so desperately needed to maintain our health, contribute to our vitality and support our capacity to move, dance and sing.
In this theory, the autonomic nervous system has basically three cards to play at its reflexive disposal to keep up with the demands of producing and delivering freshly oxygenated blood. I am further proposing that these typically occur in sequence over the course of one's life. First, The heart works harder, and in some people, the left ventricular muscular wall may become thicker and stiffer and is most often identified as left ventricular hypertrophy. Second, the blood vessels narrow to push the blood through faster which, in many people, is identified as hypertension or high blood pressure. And third, the delivery of freshly oxygenated blood to "all body tissues" is decreased. My premise is that this latter progression is related to many chronic somatic conditions associated with the aging process, including most joint degradations, and might play a role in setting the stage for other illnesses including cancer.
Let's examine the concept of the heart working harder first. This happens when we exercise. It's normal, up to a point. However, if the resistance to the heart's expansion increases and, especially when this happens over a period of years, then the muscular wall of the heart's left ventricle thickens in its attempt to pump more blood. Many factors may contribute to the creation of this condition: internal tensions within the thoracic cage, atheromatous plaques made up of fat and cholesterol, scar tissue, extrinsic myofascial tension, reflexive righting reflexes and emotionally related identity and stress factors combine in my experience to provoke the dual innervation of the heart to strain in its efforts to provide enough push to send the blood throughout the vascular system and back to itself. Again, the time required to complete the loop and in sufficient quantity are the crucial variables that maintain circulatory efficiency.
At a certain point in the thickening of left ventricular wall, the additional effort of the heart actually decreases the amount of the blood being ejected. This is why left ventricular hypertrophy (LVH) is considered a very real risk factor in the progression of cardiovascular disease.3 In my view, increasing the force of the heart's contraction is the first card that the ANS plays as it spans both normal function and the possible progressive stages of dysfunction into pathology.
Considering hypertension and high blood pressure, what I sense has been overlooked is that the 60,000 miles of our human vasculature is principally innervated by the sympathetic division of the ANS as contrasted to the heart's innervation by both the vagus nerves from the brain and the sympathetic nerves from the spinal cord.4 This suggests to me that the narrowing of the vasculature system is the second card that the ANS plays in its reflexive efforts to push and rush blood back to the heart/lung complex in order to keep up with the process of producing freshly oxygenated blood. There appears to be no question that high blood pressure is a significant risk factor in potentially provoking plaque to break free and thereby triggering a heart attack or stroke.5
The third card that the ANS has to play is to prioritize moving the blood back to the heart as it's end goal and, by necessity, sacrificing the delivery of freshly oxygenated blood to some tissues along the way. Might this be reflected in the frequency of chronic somatic dysfunction that increases as we age? Further, this might contribute to the predominance of joint problems including the need for spinal surgeries, hip, knee and shoulder replacements as we age. I speculate that this is an under-recognized variable in the progression of many persistent chronic somatic dysfunctions. The consistent delivery of fresh blood containing its full constituents (oxygen, nutrients and hormones) is necessary to maintain vital human function and the health of all our various tissues.
Defining the problem more clearly often leads to targeting possible solutions. The following is an updated distillation from the previous article, "Enhancing Central Circulation" from the August 2012 issue of Massage Today.
The take away here is for us to turn our attention toward enhancing the central circulation of the human body. In the many and varied ways that touch and movement therapies have evolved and continue to improve their effectiveness, each may contribute their measure. Let us all commit to this direction and seek to assist as many clients as we can.
Author's Note: Many thanks to Annie Dundon, Glenn Gaffney, Katie Truax-Alexander and Dr. Ed Charlton for their editorial support and guidance.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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