resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
June, 2013, Vol. 13, Issue 06
Freeing the Heart: Protection of the Hip and Shoulder Joints
By Dale G. Alexander, LMT, MA, PhD
As we continue with this current series of articles on Freeing The Heart, if we consider the basic physiology of the human circulatory system, it seems evident that when the heart and lungs reach full expansion with a minimum of resistance, the heart will eject more blood and at a greater velocity.When more blood exits the heart with greater speed, these variables increase the probability that freshly oxygenated and nutritious blood will reach all body tissues. Thus, as massage therapists, focusing our attention on reducing resistances to the expansion of the heart and lungs is one clear way that we may assist our clients with chronic somatic dysfunction; including those with either identified or unidentified cardiovascular disease.
In previous articles of this series, the major "intrinsic resistances" to the heart's expansion have been described. However, there are three additional "extrinsic" variables that reflexively contribute to the chronic tension of the thoracic cage. The first two are hip and shoulder subluxations, while the third is known as a Lateral Trauma Reflex.1,2
Typically, massage therapists do not use the word subluxation, yet this is what I consistently find in the hips and shoulders of most clients with chronic somatic dysfunction. To my perception, the generic definition of a subluxation in this regard is when the head of the femur or the humerus has moved far enough to the edge of its joint capsule so that the potentially unstable position stimulates the reflexive protection of the surrounding myofascial elements whose job it is to prevent dislocation. These subluxations may be mild, moderate or severe in my experience. Since first identifying and tracking these dysfunctions as significant variables to therapeutic progress some 25 years ago, more than 70% of my clients have presented with one or the other or both of these dysfunctions.
I have a theory about the reason why these subluxations occur as often as they do. My speculation is that our primate ancestors developed a more flexible anterior shoulder capsule and a more flexible posterior hip capsule as a functional adaptation to their day to day reality. Should they fall from a height, say from a tree, these joint capsule adaptations would assist their ability to tuck and roll suddenly (anterior shoulder going forward while the opposing posterior hip moves backward), creating a spin of their bodies such that upon impact their chances of survival would be enhanced and therefore their genes passed on.
When either femoral head slides posterior, then the job of weight bearing shifts to the sacroiliac joints and the lower three lumbar vertebrae with attendant splinting of the deep lateral rotator and gluteal myofascial structures of the pelvic girdle. Weight bearing also continues to shift up the kinetic chain to the deeper paraspinal structures which are designed to guide normal vertebral motions. This shift in weight bearing distribution has implications for the high incidences of low back dysfunction, sciatic syndromes, hip or knee degeneration and may also influence the internal function of the bowel, bladder or reproductive organs. These implications will be addressed in future articles.
My premise is that when a hip subluxation occurs, a subcortical reflex is set off that subtly stimulates the person to pull their arms against the sides of their chest. This, of course, becomes yet another resistance to the heart and lungs to reach their respective full expansions.
I owe a debt of gratitude to Thomas Hanna, PhD, for introducing me to the power of our subcortical human righting reflexes.1,2 And, what I have briefly described acknowledges the wisdom of Ida Rolf's famous statement that, "when the body is not supported from below, it will attempt to hang from above."3 Andrew Still, the father of osteopathic medicine, placed great value on the integrity of the hip joints inferring that all physiological processes worked better when their function was efficient and proper.4
In the shoulder joint, if the head of the humerus slips forward enough to stimulate the protective reflexes of either or both of these joints, then the result is the same. The body will pull the arm against the lateral chest and usually the same sided scapula will lose its ability to slide freely. The loss of ability of the scapulae to move freely has many implications for respiratory efficiency, as well as thoracic inlet inflexibility, cervical dysfunction and other upper extremity difficulties. Any or all of these symptoms contribute to an extrinsic resistance to heart/lung expansion.
The 3rd subcortical reflexive protection that I have clinically observed and treated repeatedly since 1988, is what Dr. Hanna called the Lateral Trauma Reflex. It is hypothesized that this reflex is most often stimulated by sudden movements like a severe fall or the act of being thrown through the air such as snow skiing, or being ejected from a car in an accident, being thrown off a motorcycle, bicycle, water skiing or jet-skiing.1,2 Certainly, other events may trigger this reflex as well.
One can easily assess whether this reflex is lingering in your clients by requesting that they out-stretch their arms over their head while grasping their wrists and gently pulling superiorly. If this reflex is present, then one side will resist normal elongation not only at the shoulder, but down along the full side of their body.
Dr. Hanna's explanation was when stimulated by sudden movements such as the ones described above, the subcortical elements within the brain stem reflexively contract tissues such as the latissimus and the abdominal oblique myofascial structures to create a generalized state of contraction.1,2 My clinical experience suggests that this reflex participates in the perpetuation of recurring hip and shoulder subluxations.
As it relates to the full expansion of the heart and lungs, the internal result is the same. The reflexive protection of the shoulder(s) or of an entire side of the body increases the resistance that these organs must overcome to reach toward full expansion and ultimately requires the heart to work harder.
I would speculate that as "successful adaptation" is the hallmark of our species, both the good news and the bad news is that the heart alone can only work harder for so long before the autonomic nervous system activates its back-up plan which is to systemically narrow the blood vessels (known as hypertension and high blood pressure) and finally resorts to racing the blood back to the heart. This final adaptation progressively is proposed to decrease the delivery of freshly oxygenated blood to various tissue sites usually the larger joints and various organ structures in a fashion that perhaps only genetic predisposition, psycho-emotional possibilities and a client's trauma or illness history might help us to understand.
The irony here is that the innate righting reflexes which evolution provided in order to survive long enough to reproduce may also "reduce our quality of life" as we age far beyond our childbearing years. The intention of this series has been to unravel the "mystic of cardiovascular disease progression" and empower us in our profession to realize and understand how we may positively contribute to our clients' quality of life.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.