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Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
February, 2013, Vol. 13, Issue 02
CranioSacral Therapy and the Multiple Therapist Approach
By John Matthew Upledger
One of the qualities of CranioSacral Therapy that has always fascinated me is how well the modality lends itself to multiple therapist work. I have watched, as well as experienced, the coming together of two or more therapists as virtually one set of hands, assessing and responding to areas of restriction within a client's body. Through the process I have seen exponential improvements in a person's health.
The approach always reminds me of a concept I learned while working as a waiter in college. The restaurant brought in a wine expert to teach us about the "synergistic" effect of pairing certain foods with different wines. He explained that, while the food and wine were very good individually, when the right ones were combined they were even better.
I like how Sue Cotta, MSPT, CST, describes it in terms of the practice of CST, "In multi-hands work, one plus one equals more than two. More gets accomplished when two therapists treat for one hour than when one therapist treats for two hours." A longtime proponent of the multiple therapist approach, Cotta regularly joins with fellow CST practitioner Susan Steiner OTR/L, CST-D, to work on each others' clients. While they maintain their own practices in separate locations, Steiner in Providence, R.I., and Cotta in Swansea, Mass., they have developed a partnership of sorts, born of more than 20 years each of practicing and teaching CST.
Two of their most challenging cases on which they collaborate are a boy, now 4, with cerebral palsy (Steiner's client) and a girl, now 10, with microcephaly (Cotta's client). For both of these children, life has been a succession of medical and therapeutic interventions; it will be that way throughout their lives. Yet, in the years that each child has received CST, there have been profound breakthroughs — the kind that can't be attributed to anything but CST Cotta says.
Steiner remembers the first time she saw Robbie (name changed). Six months old at the time, he presented with cerebral palsy and severe brain damage due to anoxia resulting from birth trauma. His behavior was characterized largely by screaming and posturing, particularly when placed in a seated position. Just getting him into a car seat to get to the appointment was almost impossible for his frazzled mother.
Assessment showed that Robbie held a restriction, like a whiplash, in his neck. His dural tube was so tight that his hips curled forward and his back arched, causing him to go into spasms. Through the course of the session, Steiner felt Robbie's neck restrictions begin to release and his dural tube to elongate. By the end of the first session, he was able to sit in the car seat without crying. "That was a huge change in quality of life not just for Robbie, but for his mother, too," Steiner said. "Imagine being able for the first time to drive your child around without him screaming."
In the case of Carla (name changed), the challenges to treatment were just as great. Legally blind and fitted with tracheostomy and gastrostomy tubes, the then 2-year-old reacted to her initial sessions in an unexpected way. "She would go upside down almost every session and wanted to stay that way the whole time," Cotta said. Asking the mother about her daughter's birth, Cotta was told that Carla had gotten stuck in the birthing canal. When the delivery actually occurred, she came out so quickly that her clavicle was broken. By going into the upside down posture during sessions, "It was like she wanted to relive her birth except slow it down this time," Cotta said.
CST treatments with both children over the years have been a combination of individual and dual therapist sessions focused largely on their dural tubes and cranial membranes. "To paraphrase Dr. John E. Upledger," Cotta says, "The cranium is like the foundation of a house. If we can get that foundation corrected, it will help the house to be balanced." In other words, "We'll improve the ability of the brain to function (more efficiently)." Over the course of time, both Robbie and Carla have experienced improvements and reached milestones that no one expected.
With Robbie, there is a visible decrease in his tone and pain, and an increase in his ability to sleep and eat. His facial structure has become symmetric and the quality of his skin is much better. His mother described the effect of CST on her son as being "intensely calming" and helping him to "transition from a traumatized, defensive, clenched being into a more relaxed baby, better able to absorb some of the world around him."
Carla, who started with vision of 20/1200 is now at 20/132 and no longer considered legally blind. Doctors are working to reverse the tracheostomy because the tracheomalasia (softening of the trachea) is no longer an issue. She also has seen improvement in the areas of digestion and communication. Just as significant as these physical and functional improvements are the issues that haven't manifested. For example, Carla hasn't developed scoliosis, which doctors expected to happen because of the severity of her diagnosis. Steiner says, "We may never know all the issues that have been prevented because of the cranial work."
Working In Tandem
When working as a part of a multiple therapist team, Steiner and Cotta emphasize that a key to success lies in letting go of ego. Just as in an individual session, the multiple therapist CST experience is about blending and meeting the client where they are. "If both therapists think of themselves as one therapist with four hands, you treat what you find," Cotta says. "Susan and I don't treat independently. Our hands are an extension of the other person's hands."
By working this way, Steiner says, "There is an increased energy and awareness, and more areas of the body can be addressed in one session. Oftentimes, Sue will have the neck and I'll have the sacrum. Sometimes there's a tension involved, and one will have to stabilize while the other mobilizes. We end up being able to treat the entire structure."
Robbie's mom describes the experience from her vantage: "As an observer, the sessions feel like a dance to me. There is an indescribable energy in the room, something that brings about an emotional fluidity, the same way music can strike your soul. The difference between the individual session and the multi-hands session seems to me like the difference between a dancer dancing alone to swinging with a partner. There is a mutual support between the therapists that both broadens the treatment and heightens the awareness of the client."
"Parents who bring their children to CST feel like their children are being touched and seen in a way that is important," Steiner says. "Sometimes we think of CST as helping those who have a pain or want a better quality of life or wellness. These cases show how CST is valuable for anybody with any challenge. When you meet the individual at the place where they are and treat from there, great things can happen."
So whether you are pairing the right wine with dinner or pairing the right therapists for a treatment, the concept that I learned back in my college days holds true. As these cases attest, CranioSacral Therapy and the multiple therapist approach has a synergistic effect.
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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