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Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
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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