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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."
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
October, 2013, Vol. 13, Issue 10
Understanding Core Distortion: Unlocking Your Potential
By Don McCann, MA, LMT, LMHC, CSETT
At birth, we have many yet to be developed potentials and talents that will shape the outcome of our lives. Will we be successful, healthy and pain free, or will we be limited, unsuccessful and battling painful conditions for a substantial part of our lives? The answers to these questions are already somewhat predetermined if we do not have some help.One look at the amount of over-the-counter and prescription pain killers lets us know that a lot of people are not living their lives pain free and are limited by the conditions causing their pain. The good news is help is here.
Renée, a state champion gymnast at the age of 13, has never had a serious injury and is known for her unwavering balance during her gymnastic performances. Charlie, age 60, who had knee, spinal disc and shoulder problems from his teens to age 55 is now pain free, even when playing golf and doing yard work. Ann, an 86-year-old massage therapist who had severe back problems in her late 50's and 60's and was told to retire from her massage practice, is still practicing massage at 87 and going on kayak and travel adventures around the world. Jan, a 53-year-old Ironman competitor for the last 30 years, is told to retire due to spinal disc, hip and leg conditions that probably would need surgery, is able to compete three months later in the Hawaiian Ironman competition and take an hour and a half off her previous best time, achieved when she was 35. Jack, a 40-year-old with 20 years of neck problems from three whiplashes, feels better and can do more now than he could at the age of 20.
What all these clients have in common is they have received Structural Energetic Therapy treatments that brought into balance the core distortion, a structural imbalance that is present in all people. What is also apparent is that when the core distortion is released bringing the body structure into support and balance there is a dramatic increase in potential in the lives of the recipients.
A fetus at 16 weeks of age has an observable pelvic rotation with one ilium anterior and one ilium posterior. By the time a baby is born, this rotation has affected the curvatures of the spine and the functional lengths of the legs. The exaggerated curvatures of the spine affect the rib cage, resulting in a torsion and a slight tippage of the right rib cage down towards the ilium. This, in turn, affects the shoulders resulting in a medial rotation of one shoulder and external rotation of the other one, which also results in one shoulder being higher and one shoulder being lower. The neck is part of the spine, which sits upon an uneven sacrum that is tipped due to the rotation of the iliums, and is also distorted coming forward and tipping to one side. This is the classic core distortion that is evident in babies at birth. Even though research is subject to bias and non-standardized evaluation techniques, in essence there is agreement that we are not born in perfect alignment and that the alignment deteriorates throughout life. There are very few exceptions, if any, to a loss of structural support and loss of height as people age.
If we look at the core distortion from the standpoint of functional kinesiology, we not only see a structural distortion but also a significant loss of muscle strength and function (strain patterns). This can be evaluated with muscle testing. When there is a misalignment of the bones, there is a weakening of the functional muscle strength (strain patterns). When testing a client who is in the core distortion, up to 50 percent of their muscles will test in a strain pattern with 50 percent or less in strength and function. Due to the torsion spiral of the core distortion, there is a testable weakness or strain pattern on one side of every major joint.
This can lead to premature deterioration of joints from an inability to stabilize under stress, resulting in injury; or an imbalanced movement and support pattern, resulting in premature deterioration of cartilage and ligaments on the side of weakness and imbalance. This is loss of potential. This loss of muscle strength and function prevents people from achieving maximum success in a sport, or recovery in accidents or sports; or leads to an earlier retirement from a physical activity such as massage. These strain patterns equal loss of potential. This is preventable.
When viewing lost potential due to the core distortion, let's look at the earliest phase of our lives. Our ability to manipulate our environment and become mobile as infants has a direct relationship to our ability to develop life skills and IQ. Every infant is operating with a significant loss of function and motor skills in this extremely important developmental stage while in the core distortion. The infants who have been fortunate enough to be brought out of the core distortion at an early age have their whole lives changed just by bringing their musculoskeletal system into balance and function and releasing the strain patterns.
Therapeutic bodywork and massage have long sought to bring the body into weight-bearing support and restore the lost potential caused by the core distortion. While they have been somewhat effective in relieving pain and achieving a degree of balance, they have not been able to achieve a long-term rehabilitation of the core distortion because the relationship of the distortion in the cranial motion to the rotation of the iliums and weight-bearing separation of the sacrum were not being addressed. With the advent of the cranial/structural core distortion releases, which release the soft-tissue restrictions holding the distortion of the cranial motion, the rotation of the iliums causing the weight-bearing separation between the sacrum and iliums can finally be corrected long term. This has been the missing link in treating musculoskeletal problems. The cranial/structural core distortion releases provide a structural support for further musculoskeletal rehabilitation of the rest of the body.
Ninety-five percent of musculoskeletal pain and dysfunction results from the lack of support within the core distortion. When treating clients with pain or other significant structural problems, if we can bring the core distortion into weight-bearing support and restore the strain patterns in their muscles that were functioning at 50% or less efficiency, then we are well on our way to long term rehabilitation of even severe problems. This has proven to be extremely effective with scoliosis, degenerative disc conditions including bulging and herniations, and cervical spine injuries, even after surgeries have failed. The balancing of joints and restoring strength to stabilize both sides of a joint have rehabilitated many injuries and avoided the necessity of surgeries including joint replacements. Even after injuries and joint degeneration have occurred, the restored muscle strength and function that has been absent since birth has unlocked a higher level of performance potential for clients than they had before the injury.
When looking at athletic performance releasing the core distortion using these techniques at an early age restores the muscle function and balance so that these young athletes can excel at their sport and avoid injuries. An athlete who is treated later in life while trying to achieve maximum performance, will still benefit by unlocking a significant amount of muscle strength and function that was previously unavailable. This can be measured in strength tests and performance tests related to their athletic performance. Other athletes have been able to rehabilitate form chronic injury patterns and actually come back stronger than before the injury due to the improvement in function and strength after having the core distortion corrected. Athletes who are serious about performing at their highest level, fully rehabilitating from their injuries long term without limitations, and maximizing the length of their career, need to look at having the core distortion released from their structure.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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