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The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
July, 2014, Vol. 14, Issue 07
The Existential Question and Talking the Walk
By Gerry Pyves
You don't need to be a psychotherapist to talk to your clients or find out why they are coming for a treatment. This is perfectly within your legal "scope of practice." By training to become a psychotherapist, I learned to say much, much less to my massage clients.I learned to let the touch really do the work. I also learned to let the client define their own reality.
You can get plenty of "psycho babble" at every coffee shop in the land. However, I do need to know just why my client is here.
Eric Berne, the founder of Transactional Analysis called this, "asking the existential question." He asked himself: "Why is my client here and not having fun doing sex, drugs and rock and roll?" He also asked himself: "Why am I here and not somewhere else, having fun doing sex, drugs and rock and roll?" It was the sixties, after all. But you probably get the point.
If the client has a tight shoulder, what difference will it make to their life if it is alleviated? How important is it to them? What caused that structural problem? They are made of soft tissue that is more affected by energy, emotion and thoughts than any other substance on the planet. Do we just ignore this fact? If they have a knee problem, what was happening when they injured it? Were they under stress? Was life hard?
Is any of this psychotherapy? Of course not - it is simple human interest. It only becomes invasive if it is done invasively. If you cannot tell the difference between a client keen to share their story and one who is uncomfortable talking about themselves, then it is time to take up another profession. The art of all healing therapy is to know when the time is right to invite the client to share more about themselves.
Symptomatic Or Causative?
Asking questions is how we care for another human being. It is also discovering the essential causative factors of their symptomatic pains. To simply accept a tight shoulder as a structural problem is no better than calling poverty "a shame." These things all have causes and history. Like Sherlock Holmes, we must trace each symptom back to its historical cause, if we wish to be more than some kind of "Mr Fixit dullard." That is not healing touch. It is squashing human beings into a tiny "physical only" box.
Every human deserves to be seen and heard and to be touched. Do you really know why they have invested this money and this time in coming to see you? Do you dare to ask the existential question? Likewise, at the end of the session, do you dare ask, "Did you get what you came for?" In my previous article, I talked about asking the client to walk around at the end of the session. To do this well, requires three basic protocols.
Getting Out The Way
The first protocol is to get myself out of the way both physically and psychologically. Some clients are uncomfortable at first with the idea that they should know anything at all about their own bodies. The harder they find it to put words to their experience of walking, the more important it is to both therapist and client that they do this. If they want you to be the expert on their body, you better plan on moving into their house and living with them, and help them get dressed in the morning.
Listen To The Body
The second protocol is to encourage the client to feel how their body wants to walk. Most illness and tissue compression simply arises out of "the head" dominating "the body." If people rested when they were tired and ate when they were hungry and stopped eating when they were full, we would have a much healthier nation. The key here, is to follow the body.
We encourage the client to feel from the inside just how their body wants to walk. Some clients have had such massive structural shifts from the massage, that they actually walk like babies learning for the first time. The cerebellum has not yet caught up with the changes in muscle, tendon and ligament configuration. Some wobble as they walk. Some notice that they are more than mere structure. Some will connect with their energy or their emotions. Others will feel their spirit or discover a new clarity of thought.
The Rest Of The Day
The third protocol is to ask, "How will this walk affect the rest of your day, compared to when you came in?" If our touch does not make a difference to people's lives then we should probably do something else. Touch done well always make a massive difference - if only we let the clients really feel the power of beautiful healing touch.
Soft Magical Tissue
Once clients start to "talk their body's walk," they start to describe how their body is actually feeling. It is very different from some kind of intellectual chiropractic structural analysis. It is a feeling thing. Nothing connects us with the truth of our deepest inner feelings better than massage.
Find out why your clients have really come. Challenge them if they think they are just a mechanical problem waiting to be fixed by experts. We are not cars. We are human beings made of the most incredible and magical soft tissue that will find its own balance if touched with gentleness and respect. So please stop prodding and poking me. I do not need fixing. I need respectful, gentle touch. Then I will release my compressions - if I am ready.
Whose life is it, anyway?
Gerry Pyves lives in West Yorkshire, in the United Kingdom. He holds an MA from Oxford University and qualified as a massage therapist in 1984. He became a UKCP registered Transactional Analysis psychotherapist in 1999. He is the founder and creator of NO HANDS® Massage. He is currently looking for instructors to teach NO HANDS® in the U.S. For more information, visit www.nohandsmassage.com.
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