Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
February, 2013, Vol. 13, Issue 02
Helping Babies Heal from Difficult Births with CranioSacral Therapy
By Janine Blanchard
Newborns and infants express themselves by gurgling, crying and wailing. But what if you feel like you can't satisfy their needs or simply don't know what's going on? In CranioSacral Therapy, we "listen" to what a baby has to say with our "thinking, feeling, seeing, knowing fingers," a term that the founder of Craniosacral Therapy, W.G. Sutherland, coined. We use touch to learn how trauma or difficult experiences have left their mark on the baby. This gives us important information about what's happening with a baby who seems upset or unhappy.
As a CranioSacral Therapist, I work with different tides in the body associated with a child's nervous system. I am able to palpate subtle rhythms in the body, similar to, but more subtle than the breath and heart beat. This helps me discover what might be inhibiting a child's balance or state of well-being. For example, with my knowing hands and fingers, I can find restrictions in parts of the skull. These can occur where a complicated or long birth process causes cranial bones to move and position themselves on top of each other. I can then help the body correct these problems.
Take newborn Amelia, for instance. Her family brought her into my office because she was in respiratory distress after birth. She spent weeks in the newborn intensive care unit so that her breathing could be monitored. After examining Amelia, I concluded that her breathing was shallow. Her little lungs felt like they were not using the room they had to unfold and breathe deeply. Her ribcage was not expanding all the way. We call these "underinflated" lungs. I see this in cases when the baby will attempt her first breath while the torso is still in the birth canal and only the head is delivered.
I worked to settle Amelia's lungs. First, I placed my fingers on her sternum and confirmed the "under-inflated" feel of the tissues under my fingers. I sensed the shock and trauma involved in this part of her body. I could feel pent-up energy, which I worked to release. After this, Amelia took a deep breath and fell into a deep relaxation. To help heal Amelia's trachea, which was irritated by medical procedures, I brought the tissues involved into a "point of balanced membranous tension," a physiological process that allows the tissues to relax. The next time I saw Amelia, the newborn didn't show symptoms of respiratory difficulties and all family members were less worried about their baby.
When newborns like Amelia experience difficult births, they can move away from what CranioSacral Therapists view as the ideal state: to be in the here-and-now, grounded in the present. Babies can move away from this state before and during the birthing process if they're exposed to fear. Fear can cause infants to disconnect from the present moment and function in the "fear" mode — worried and unsettled. They operate under the influence of the sympathetic nervous system, the system that kicks in the fight-or-flight response when in danger.
This process can begin in the womb. Imagine your baby in your womb. The close physiological connection between mother and her embryo influences the unborn and may set the stage for how the baby perceives and responds to challenging situations throughout life. This connection is known as prenatal programming. It is possible that a mother with constantly raised levels of cortisol, released under stress during her pregnancy, may well produce a child with hyperactivity or behavioral problems.
For this reason, it's important for pregnant mothers to reduce stress during pregnancy. What's more, creating the right birth environment is critical. Leaving the womb is an intense process and, ideally, babies should enter an environment that's as similar as possible to the physical environment of the womb. Babies should be welcomed by soft light, familiar voices and the warmth of the mother's arms. Such conditions stimulate the production of oxytoxin – also called the "love hormone" – to reaffirm the bond between mother and child.
A baby's first moments have an enormous influence on the weeks and possibly years or decades after labor. Ideally, we want mother and baby to feel as much skin-to-skin contact as possible. This also will release oxytoxin, a neuro-hormone that is naturally released in an intimate relationship. It is the hormone produced during orgasm, and it is an important hormone for breastfeeding mothers. This magical love hormone is stimulated in the mother by her infant's scent or by pheromones (chemicals sensed by smell).
When we don't provide a nurturing birth environment, the baby can experience trauma, physical problems and emotional imbalances. When baby cannot be close to mom after birth and is exposed to strangers, sharp light and loud noises, baby falls into a state of fight-or-flight. But the child is too small to react the way adults would. The baby's sympathetic system stays in high alert and the newborn in high stress and anxiety. This can result in symptoms like restlessness, digestive problems or sleeping difficulties.
Since a baby's nervous system is growing so rapidly at this point, the negative experiences can biologically follow the child through life, making it hard for the child to adapt comfortably to change and new beginnings. It is always amazing for me to see and feel how infants can slowly let go of their history of trauma and move back toward health. In a CranioSacral session, babies can unwind, which is a term for moving one's own tissues into a more adaptable state. Babies can literally re-experience parts of their birth process, "telling" us their birth story. Sometimes they will move their bodies the way they did coming through the birth canal, but this time giving their tissues the opportunity to avoid getting stuck or traumatized.
Tony, for example, had to be delivered by vacuum extraction because of birth-related complications. He was a rather fidgety, restless newborn and had digestive problems. Medical findings were inconclusive. In our first session, I noticed tension in his cranial bones. There was also an irritation on the vagus nerve, which is the major nerve for controlling our digestive system and parasympathetic nervous system. I treated him by releasing tension in the cranial bones, freeing the vagal nerve and regulating the autonomic nervous system to function freely. During the session, Tony's system settled and his little body relaxed.
The tension in Tony's system was most likely caused by direct pressure on his head from the vacuum extraction. A natural birth usually involves less direct and more equal distribution of force. After a few more sessions working with other birth-related issues in his system, Tony became more content in everyday life and his digestive system started to settle. It's possible this therapy helped him avoid problems later in life. For example, we often find food sensitivities and attention disorders in children who experience births like Tony's.
In a therapy session, we have the opportunity to provide the most nurturing environment, correcting the initial traumas the body innocently embraced. In this way, babies' sense of presence is strong and healthy again. They no longer operate in the fear state. By re-establishing proper states in the body, old, unhealthy patterns fade and the infant is set to welcome new experiences and opportunities for growth and love.
Janine Blanchard is a European Osteopath and CranioSacral Therapist in Portland specializing in pre- and postpartum care, infants and children. For more information about her work, visit www.janineblanchard.com.
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