resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why You Should Include the Single-Leg Stance Test in Every Patient Assessment
The single-leg stance (SLS) test, also known as the single-limb stance test, unipedal stance test or one-legged stance / balance test, is often used in the geriatric population to assess static postural and balance control.
Remembering Clarence Gonstead and 50 Years of the Gonstead Clinic
Dr. Clarence Selmer Gonstead (1898-1978) took chiropractic practice from back-alley bone setting to an understandable biomechanical science. His life was dedicated to clinical competency.
Physical Exam 101: The Hands
I am sure you are familiar with the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
By the Numbers: 3 Common Financial Mistakes With Major Consequences
Warren Buffett is on record for sharing the hidden art of becoming wealthy and making it simple enough for anyone to grasp.
The Science of Stretching
In 1986, Rob DeCastella set a course record by running the Boston Marathon in 2:07:51, just 39 seconds off the world record.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Knee Pain From the Kinetic Chain
As practitioners of manual medicine, chiropractors often treat patients suffering from knee pain.
Immunizations by Colorado DCs: Really?
You probably didn't hear about it, but back on Nov. 21, 2013, the Board of Directors of the Colorado Chiropractic Association (CCA) adopted "immunization authority" for Colorado DCs as its No. 2 legislative goal.
Vaccines and Chiropractic: Evidence-Based Medicine or Medical Dogma?
Right or wrong, the chiropractic profession has historically been against vaccinations. However, a growing trend within the profession is seeking to reverse this position.
Fibromyalgia: Put the Pain in Its Place
While some fibromyalgia patients respond favorably to regular chiropractic care, others experience minimal relief. Unfortunately, many of these patients must rely on pharmacological management to relieve their constant pain.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Coding for the Subluxation: ICD-9 vs. ICD-10
When I attended chiropractic school, I was taught that chiropractors approach health care differently than the traditional medical establishment.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Curbing Label Overwhelm
For the average consumer, reading a food package can be overwhelming: natural, organic, non-GMO, gluten free, free range ... you get the picture.
Are You a Bad Chiropractic Patient?
My father was a great DC. In fact, as you might expect, he was the doctor of chiropractic I measured all other doctors against. Sadly, he died at age 61 when I was in my early 30s.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
March, 2013, Vol. 13, Issue 03
Pain Rehabilitation Associated with the Head, Neck and Shoulders
By Don McCann, MA, LMT, LMHC, CSETT
Are your clients showing up with painful TMJ symptoms, shoulder issues, headaches, neck pain caused by whiplash, tension, arthritis, disc issues or even stenosis? Are you looking for new answers so you won't have to repeat the same techniques over and over again? If so, and your mind is open to looking at new and unique concepts, you will discover answers in this article that will resolve most of the oldest and most persistent painful symptoms that your clients have been experiencing related to the head, neck and shoulders. There is a unique approach that is significantly different from what you have been exposed to or studied.
Structural Energetic Therapy utilizes a "golden nugget" called cranial/structural therapy which is a missing link that achieves long-term rehabilitation by providing total structural support from the feet to the head with one application for your soft tissue treatments. The head, neck and shoulders are at the top of the spine. If there is no weight bearing support for the spine, then maximum rehabilitation is extremely difficult to achieve. By applying cranial/structural therapy, you can bring the pelvis, legs and feet into weight bearing support at the base of the spine for rehabilitation of head, neck and shoulder issues at the top of the spine. This weight bearing support totally expands the effectiveness and longevity of all therapeutic and rehabilitative massage techniques for the rehabilitation from pain and dysfunction found with head, neck and shoulder issues.
There are so many soft tissue treatments that relieve painful conditions found in the head, neck and shoulders temporarily, yet clients tend to return with the same symptoms. There is nothing wrong with these soft tissue treatments, but what is missing is the structural component that will allow these changes to last long term. This is true even when high quality techniques such as myofascial restructuring, structural integration, neuromuscular or other deep tissue treatments are successfully applied. All of these techniques seek to achieve long-term relief by balancing structure. Yet, over time, their clients tend to collapse back into the old structural core distortion. Cranial/structural therapy releases this core distortion and brings structural balance and support to the body that was previously unattainable.
What became apparent from years of treating clients with structural imbalances was that there was a basic distortion in the body. Anyone who specializes in structural bodywork will agree that this distortion exists even though it may be called different names – i.e. spiral distortion, core distortion and the like. The foundation of this distortion is a rotation of the iliums, resulting in a lack of support for the sacrum. This lack of weight bearing support for the sacrum results in the sacrum being tipped so there is no level support for the spine, which is the basic cause of exaggerated spinal curvatures. This is important when viewing issues in the head, neck and shoulders. Like a flagpole, when it is off slightly at the bottom it will be further off the higher up the pole you go. Thus, there are greater distortions in the head, neck and shoulders at the top of the spine due to the lack of weight bearing support in the pelvis. This rotation of the iliums also creates a long leg/short leg with distortions into the feet that further complicates achieving long-term balanced support for the head, neck and shoulders.
From the description above, it is apparent that for long-term successful treatment and rehabilitation of head, neck and shoulders symptoms, this structural imbalance needs to be addressed. Otherwise, the effectiveness of any therapy will be extremely limited when looking for long-term relief. This is where cranial/structural therapy comes into play.
There is a torsion distortion in the cranium that is related to the anterior/posterior rotation of the iliums and tipping of the sacrum – the core distortion. The discovery that releasing this core distortion in the cranium will release this distortion in the pelvis and bring the sacrum/ilium relationship into weight bearing support, gave birth to cranial/structural therapy. The core distortion in the cranium is a cranial torsion with the sphenoid tilted down on the left and the posterior ridge of the occiput tilted down on the right.
This cranial torsion is held by soft tissue which governs the ranges of motion of the cranial bones just like any joint in the body. Cranial/structural therapy releases these soft tissue restrictions within the cranium, allowing the cranial motion to move into balance. This is what brings the ilium/sacrum relationship into weight bearing support with a leveling of the sacrum that will support the spine and reduce the curvatures in the spine all the way up to and including the cervical spine. Much more happens throughout the entire body including the feet, but here we are concentrating specifically on how to improve the effectiveness of therapy for head, neck and shoulder conditions.
The torsion imbalance in the cranium creates a very definite imbalance in the temporal mandibular joint. If you treat TMJ with soft tissue protocols without first releasing the torsion imbalance of the cranium, you are not addressing the principle cause of TMJ dysfunction. However, if you release the core distortion in the cranium first, the majority of TMJ imbalance disappears, and any additional soft tissue treatment for TMJ can be very specific and create further maintainable balance and function. Thus, TMJ is a significant part of the core distortion.
There are many types of headaches and most of them relate to the core distortion in both the cranium and the body. Migraine headaches tend to have congestion issues inside of the cranium. The imbalance of the cranial motion does not allow for efficient movement of cerebral spinal fluid or detoxification of the brain, so releasing the distortion in the cranium can very effectively address these symptoms. The most common severe headaches relate to a C1/occipital jam with pressure on the brain stem. This is due to the torsion of the occiput which is part of the cranial core distortion and is very effectively released with the cranial/structural core distortion release. Headaches caused by compression of the trigeminal nerves under the temporalis muscle relate not only to TMJ imbalance, but also to the imbalance of the temporal bones when the cranium is restricted in the core distortion.
The severe headaches behind one eye result from the optic nerve being compressed or irritated, again due to the distortion of the cranial bones in the core distortion. Tension headaches result from imbalances in the neck causing chronic tightening and tension within the neck muscles compressing nerves - a result of the core distortion in the neck. As you can see, most headaches relate to, or are at least partially caused by, the core distortion in the cranium and the body. Thus, releasing the cranial core distortion first by applying the cranial/structural core distortion releases before applying soft tissue protocols, allows you to directly release the cause of many of these headaches.
Neck pain caused by tension, disc problems, arthritis, injuries, nerve entrapments, or stress related directly to the core distortion with its curvatures in the cervical spine due to lack of balanced support for the spine. Applying soft tissue protocols to bring the neck into balance are limited in effectiveness if there is no weight bearing support in the iliums and sacrum creating a level base for the spine when the client stands up. This weight bearing support is achieved by applying the cranial/structural core distortion releases which will reduce curvatures in the cervical spine in just one treatment. This provides structural support for the neck for soft tissue protocols to further release the myofascial holding patterns and soften and normalize the adhesions and scar tissue. The result, as found with Structural Energetic Therapy, is that soft tissue treatments are substantially more effective and long lasting.
Even severe stenosis and disc problems can improve when a more balanced structure is able to be maintained and supported. Degenerative disc conditions, which can result in arthritis symptoms, are caused by exaggerated curvatures of the spine putting imbalanced pressure on the discs. This process is halted and the spine and discs become more balanced with the application of cranial/structural therapy so that the uneven pressure on the discs causing the degeneration is dramatically lessened. The incidents of nerve entrapments, arthritic spurring and lipping, and the buildup of adhesions to compensate for the imbalances are all diminished, and range of motion and function are often restored.
In the core distortion, one shoulder is raised higher than the other and one is rotated medially. The greater the core distortion, the more the shoulders become distorted and the more severe the chronically tightened muscles, pain and dysfunction become. This imbalance creates weakened muscles called strain patterns which can lead to additional complications and injuries. Again, you are limited in treating the soft tissue symptoms without first releasing the torsion and the high/low shoulder patterns caused by the core distortion no matter how good your soft tissue treatment is.
The whole ribcage is also in distortion affecting the shoulders as governed by the whole body core distortion. The cranial/structural core distortion releases will release this torsion not only out of the pelvis, but also out of the ribcage and the shoulders. Starting your therapy session with the cranial/structural core distortion releases will provide a more balanced structure and support for your soft tissue treatments for long term improvements and results.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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