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Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
May, 2014, Vol. 14, Issue 05
The Body's Core Line and Central Linkage
By Dale G. Alexander, LMT, MA, PhD
Consider the last ten clients on your treatment table. What were their somatic complaints? Now, imagine that you could loosen and lengthen the central linkage of the human body from occiput to sacrum.And, that the effect of this loosening and lengthening would assist and improve the therapeutic effect of almost any style of massage treatment.
Consider how this might simplify and potentiate the desired outcomes for these same ten clients? This is a premise I have been exploring and empirically testing for the past year and it seems to work exceptionally well for clients.
The Starting Point
Here are the anatomical ports of call I have been addressing: decompress the occiput upon the atlas, lengthen the esophagus, stretch each hemi-diaphragm and decompress the tissues around the heart/lung complex, stretch the ligament of treitz, mobilize the mesenteric root of the small intestine and finally, enhance the range of motion within the ankle/foot complex. These changes may be achieved using any manual therapy modality you have learned to effectively utilize.
There are numerous additional steps that could assist this proposed protocol to be even more effective yet, as described, it succinctly addresses the body's core line. It traces the linkage from the occiput to the sacral base to the ankles. It reduces the resistance to the heart's expansion. It eases the diaphragm's vertical and downward excursion and it revives and enhances the capacity of blood and lymph returning to the heart from all areas of the body below the diaphragm.
This protocol addresses the body's three major innate pumps for moving its fluids: the heart, the diaphragm and the ankle/foot complex. Mobilizing the heart/lung complex reduces compressive resistance to expansion of the heart muscle itself and stimulates the function of the root of the lung allowing more surface area for the production of new blood. Mobilizing the mesenteric root of the small intestine also increases its surface area, allowing for more absorption of nutrition. Increasing the mobility of dorsiflexion/plantarflexion of the ankle/foot facilitates the movement of blood and lymph back to the heart/lung complex. Osteopathy considers the ankle/foot complex as the body's 2nd heart.1 Together, these manipulations are proposed to reduce compression throughout the axial spine.
As a profession, I invite all bodywork educators to pool their collective intelligence and creativity toward developing other therapeutic protocols that facilitate the range and efficiency of these movements and functions. Also, consider how this proposal allows those in our profession to define what they do. Simply stated, "therapeutic massage stimulates your body's inherent capacity to move its fluids along their 60,000 mile journey from the heart and back again." Not a bad one-liner when speaking to a prospective client.
The philosophical shift here is to transform our therapeutic intent from manually enhancing the flow of venous and lymphatic fluids to specifically assisting the body to "re-calibrate its ongoing capacity" for self-perpetuating healthier function. The process becomes more analogous to tuning-up one's engine. The results continue with the client and contribute to their quality of life over a longer period of time. With the present emphasis on national health care, our ability to describe the benefits of what we do is what will make the difference in how we are regarded as effective health care practitioners. We know everyone benefits from bodywork and massage yet, we need simple ways of describing "how."
If any of these anatomical structures initially described are unfamiliar, please Google them, seek out your most recent continuing education teacher or ask around among your professional peers. Most of what has propelled me in this therapeutic direction was learned at the Upledger Institute from Drs. John Upledger, Richard MacDonald and Jean Pierre Barral. The Institute supports many excellent teachers.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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