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Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
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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