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A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
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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