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Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
July, 2013, Vol. 13, Issue 07
Freeing the Heart: The Importance of the Vagus Nerves/Cranial Nerve X
By Dale G. Alexander, LMT, MA, PhD
In my clinical work involving clients who typically present with chronic somatic problems, it is truly a joy when markers emerge that reflect, "the means by which" their healing experiences occurred.Since beginning to write this series of articles on "Freeing the Heart," more and more of my clients are regaining their quality of life more quickly.
Additionally, for those clients who have progressions of degenerating physiological function, their bodies are expressing their symptoms in more classic medical ways allowing for clearer and more appropriate diagnosis and treatment. And, for those whose bodies have held sub-clinical infections, many for multiple decades, they are responding so fast that I am in true amazement.
My latest premise about human aging is that the vagus nerves, for many possible reasons, cedes the functioning of the digestive system to the enteric nervous system which is probably overseen by the celiac plexus. The ceding of this responsibility is proposed to be the result of the need for the organism as a whole to concentrate its efforts toward running of the heart/lung complex and its contributions to our ability to speak.
The progression of cardiovascular disease is an exceedingly subtle one until, it isn't. Let's be clear, our bodies are not that different from how we organize our lives. We prioritize and distribute our energies as the obvious needs present themselves, disregarding what we can and delegating to others what we must.
Consider this analogy: Life gets hectic in the family, more money is needed to make ends meet and one or both parents take on a second job to financially keep up with the expanding needs, wants and desires of their children. As a result, one or more of the children is assigned the cooking responsibilities or even does the shopping, planning, clean-up and taking out the trash to accommodate this loss of parental skill and supervision. Most everything gets done but without the finesse, organization or thoroughness of an adult. It's a crude analogy but, in the ballpark for our purposes.
So it is when our autonomic nervous system is evolutionarily focused on the higher priority of getting the next breath and pumping freshly oxygenated blood, digestion becomes a secondary priority. Thus, without the brain's monitoring the Gastrointestinal tract, digestion, assimilation of nutrients and waste removal all happens, but with less coordination and efficiency.
Two years ago, a former student of mine had sent me an article that referenced that the Vagus Nerves were composed of 90% afferent fibers and 10% motor nerves.1 This information was novel, but it floated by in my consciousness without me acting upon it. Then, more recently, I happened upon a book that validated much of what I have asserted over many years regarding the importance of the length and tone of the esophagus and also restated this 90%/10% ratio between sensory and motor supply inherent within the vagus nerves.2
It suddenly dawned on me that the style of stretching I had developed to vent pressure from the thorax might also be stretching the filaments of the vagal nerves. This technique was described in the "Equalizing the Pressure" article of this series (Massage Today, February 2012). Could it be that these gentle stretches might be stimulating the vagal afferent fibers such that the brain was again coordinating the body as a more unified organism? And, could it also be that the immune system was also being stimulated to wake up and began to recognize deteriorating physiological progressions and aggregations of bacteria and viruses that it previously had been too overloaded to notice? Admittedly, it is a curious idea yet, it has very significant positive implications.
Might this be "the means by which" such improvements for clients were being realized? It is a very possible therapeutic response to my constant mantra of the past few years, "if one can restore nerve and blood supply, then almost any healing can occur." Full credit is given to Dr. Richard MacDonald, DO, for presenting this maxim from his long Osteopathic teaching career when I assisted him in his Functional Anatomy courses in 1989 & 1990.3
Let's return to the notion of 90% afferent vagal fibers and 10% vagal motor fibers. Stimulating the afferent filaments is being proposed as a method to assist the central nervous system in re-engaging its full attention to coordinating physiological function inclusive of a more alert and responsive immune system.
The next proposal is that reducing the compressive forces upon the vagus nerves motor fibers is also a part of this re-engagement of normal vagal function. Based on my clinical experience with clients, the most frequent places in anatomy where this compressive force is most plausibly obstructed is where the vagus nerve exits the cranium through the jugular foramen and in the superior sympathetic ganglion immediately lateral to C1, C2 and C3 where there exists an intimate relationship between the sympathetic fibers and the parasympathetic vagal fibers.
The successful long history of upper cervical adjustments by osteopathic and chiropractic physicians in addressing a plethora of somatic and visceral dysfunctions bear testimony to the importance of these anatomical relationships. Then, when one adds myofascial stretching to the fibers of the esophagus and to the stretching of the pleural, pericardial and peritoneal sacs, this is how the proposed stimulation of vagal fibers as they descend into the abdomen is effected. I share these observations and ideas, not because of my certainty that they are absolute facts, but because I desire to stimulate other practitioners in our field to join with me and explore whether these ideas can be reflected in our choices of skill sets and techniques which collectively comprise our profession. Thus, producing more effective results for our respective clients. In doing so, anatomy is our common language.
It has long been my instinct that our profession can make a number of significant contributions to how healing may be realized. It is my prayer that this concept of "Freeing The Heart" may simply be one of many more to come.
Author's Note: Additional credit to John Upldeger, DO, developer of CranioSacral Therapy, for his healing paradigm of lowering sympathetic tone and assisting parasympathetic outflow; to Dr. Jean Pierre Barral, DO, for his premise about the importance of re-establishing normal pressure differentials between the body's three great cavities in its role toward enhancing normal circulatory efficiency; to Lansing Barrett Gresham, founder of Integrated Awareness® for his postulation that since the visceral organs are functioning well before the skeletal muscles are capable of moving the body in a coordinated fashion, that the tensional patterns of the visceral suspensory ligaments play a major role in the eventual range of motion for most of the body's joint structures; and finally to Frank Lowen, LMT, for his contributions as I have an indelible memory of his fascial stretching between the thorax and the abdomen in 1991 in West Palm Beach that I know was part of the inspiration to develop these techniques.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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