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Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 2
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Your Billing Questions Answered
I hear a lot of the following questions: I am afraid I may doing something illegal. I have heard I cannot have different fees for the same service.
F4CP Making a High-Impact Impression
The Foundation for Chiropractic Progress has released details of its 2016 strategy, certain elements of which are already in play. The strategy includes ads, posters and other resources available to all F4CP members.
North Carolina Acupuncture Board Files Dry Needling Lawsuit
In early September, the NCALB filed a complaint against the North Carolina Board of Physical Therapy Examiners over the issue of dry needling, a form of acupuncture that uses solid needles to puncture the skin and muscle tissue to relieve pain.
Born to Energize the Human Spirit: Recollections of Sig Miller
Sig Miller, longtime executive director of the Association of New Jersey Chiropractors (ANJC), passed away on Sept. 17 after a long battle with cancer.
Making Sense of an Increasingly Obvious Conclusion
Where's U.S. health care heading? Like it or not, the list of telltale signs is growing to a point that stands out to even the most myopic observer. Consider this list of facts as you look into the future of health care in the United States:
Omega-3 Fish Oil: An Underappreciated Element of Men's Health
As a clinician with many male patients -- and as a man myself -- I am all too aware of the fact that we like to convince ourselves that we are doing great, when that may be the farthest thing from the truth.
Footsteps of the Sages: An Apprenticeship with Dr. Kezhan Zhang
When I met Dr. Kezhen Zhang in May 2013, I was his translator and the integrity, creativity, and passion he demonstrated as a practitioner and advocate of the medicine convinced me to travel to Beijing to study with him.
Which Way is the Energy Going? Are You Burning Yourself Out?
One of the simple methods that I use to define Yin/Yang theory to patients is to ask the question, "Which way is your energy going?"
The Concussion-Subluxation Complex
In the Aug. 1, 2014 issue of Dynamic Chiropractic, I reviewed some of the literature demonstrating the role of the chiropractic adjustment in post-concussive care.
Chinese Herbs and Pulmonary Fibrosis: A Case Study
"Mary M."* recently celebrated her 90th birthday. Even the former sheriff dropped by to kiss the hand of this diminutive retired teacher, to honor the years she interpreted for him during interviews with Latinas and Latinos.
Designing a Fitness Plan (Part 1)
It doesn't matter if you come to my practice for pain relief, weight loss, healthy aging or something else. The formula I talk about for each patient's fitness strategy is pretty much the same.
Targeting the Bad Apples in the Bunch
While everyone was focused on the conversion to ICD-10, the Office of Inspector General for Health and Human Services released a new report on chiropractic titled "CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services."
One Size Does Not Fit All: Exercise and Nutrition According to Your Yin/Yang Body Type
There are countless new exercise and nutrition plans out there, emphasizing the latest ground-breaking research and claiming to revolutionize the way we view health.
Mechanism: Experimental Approaches to Understanding Acupuncture, Part 1
The clinical benefits of acupuncture are difficult to ignore, but also can be difficult to explain to a Western audience. For nearly 50 years, relentlessly inquisitive scientists and physicians have been working toward a conceptual model to explain acupuncture.
The Modern Application of Ancient Mei Rong
Chinese Medical Cosmetology (Mei Rong) has a well-documented and venerated history dating back to the Qin (221-206 BC) Dynasty.
It's Time to Review
It is amazing to see the changes that are occurring in the acupuncture profession. Let's look at some of the news and events that have contributed to this growth and awareness.
Syncretism: Acupuncture and Public Health in Cuba
"Syncretism" is defined as a union of diverse tenets or practices. On a recent trip to Cuba designed to demonstrate the integration of Traditional Medicine and biomedicine, our group witnessed this union firsthand.
Acupuncture and Oriental Medicine in the West
We know acupuncture and Oriental medicine as the indigenous medicine of East Asia; in particular China, Korea and Japan are the countries of origin of this wonderful healing system.
Too Many to Remember: Tips to Revive Your Ortho / Neuro Test Skills
When I was at Palmer in the mid-1980s, we were given a set of notes in one of our diagnostic courses. The notes covered approximately 70 orthopedic and neurological tests for various regions of the body.
Tailor-Made Knee Pain: The Sartorius Muscle
A patient was referred to my office after receiving treatment from various providers with no results. The patient was training for the Olympics as a marathon runner and was unable to run or walk without severe medial knee pain.
Dietary Fat and Prostate Cancer: An Important Update
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Diagnose Sprain Injuries in MVA Cases With Dynamic X-Rays (Pt. 1)
Am I the only person to notice hospitals are doing a seemingly insufficient job lately in their initial radiological workup of motor vehicle accident (MVA) victims?
August, 2014, Vol. 14, Issue 08
A Look at Compression, Congestion and Dis-Coordination
By Dale G. Alexander, LMT, MA, PhD
I want to propose that compression, congestion and dis-coordination are the cornerstones of the physiological processes which perpetuate chronic somatic dysfunction. Understanding this triad of dysfunction will allow you to describe the sources of the problems that many of your clients who are struggling to regain their function and quality of life are facing on a daily basis.
I have previously noted the importance of having clear and simple ways to describe the intentions of clinical massage therapy and bodywork to prospective clients, and to the public in general. Learning to describe this triad will greatly assist you in this pursuit. What prospective clients really want is an indication of the depth of your competence and your comprehensive understanding of how the human body really works.
Compression within our human structure, congestion of our bodily fluids and dis-coordination of our nervous system are inevitable outcomes of long-term, repetitious and intense periods of stress. These same variables are at play in response to trauma, extended illness, pathology and the aging process. Accompanying these variables, there may also be elements of scar tissue formation, derangement of joint structures and soft tissue compensations from impacts, falling or surgical interventions. Any of these may trigger the influence of the righting reflexes.1
In my January article, "The Sacs & Tubes Theory of Stress," I proposed that the sacs around organs, the menninges, pleurae, pericardium, peritoneum "cringe" in response to stress while the tubes within and between organs "shorten, narrow and twist." That old colloquial phrase of "feeling twisted up inside," has more reality to it than those who have used it realize.2
The very organization of the major internal viscera being slung "down and forward" from both the cranium and the anterior neck are suggestive to how and why so many clients present with posterior chronic symptoms related to their neck, upper, middle and lower back.2 As well as, how and why clients are challenged with postural dilemmas when faced with the progression of osteoporosis as they age.
Cringing, shortening, narrowing, and twisting of the structural elements related to the heart/lung complex, the diaphragm muscle, the liver, the uterus, the esophagus and the small and large intestines all activate "a war between the flexor and the extensor reflexes" to my sensibilities. The intrinsic visceral connections that activate this war between reflexes exist between the occiput and the anterior neck all the way to the sacrum.2
Consider that this resulting tension between the reflex systems is communicated down the length of the axial spine. Also, let us remember that these reflexes are governed by subcortical structures within the spinal cord and brain stem.1 As human beings, whether client or practitioner, we do not conceive of these reflexes, let alone are aware of their effects upon our moment to moment complex movement patterns. Most have never heard of them. We may notice the slump in our posture. And, we really notice when an involved joint goes "tweak" and the soft tissues dedicated to protect it reflexively spasm. That is the one positive function of pain, to get our attention. Understanding how this process happens so frequently is what this article is describing.
Congestion of the body's fluids is an inevitable result of compression within the human structure. The transverse diaphragm's at C0-C1(occipital /cranial base), C7-T1,T2 (thoracic inlet), T12-L1 (respiratory diaphragm), L5-S4-coccyx (pelvic diaphragm) are actually designed to distribute these strains yet, these same areas are where the flow of fluids and nerve transitions between body cavities and structures are most vulnerable.3
Using the C0-C1 junction as an example, consider the impact of compression upon the delivery of arterial blood to the brain, as well as its influence to slow the venting of venous blood and lymphatic fluids from the cranial vault. One theory of migraine headaches suggests just this juxtaposition of reduced arterial flow and inhibited venous return from the brain.3
Dis-coordination within the human nervous system may occur in many ways and places yet, the superior sympathetic ganglion located lateral to the uppermost cervical spine is easiest to reference as any downward and forward pull to the cranium and neck will add distortion to the occiput, atlas and axis resulting in many forms of autonomic confusion which usually results in disruption of blood supply.4 Dis-coordination within the sensory-motor systems usually relates to spinal cord compression, also known as stenosis.5
Stimulating blood toward a particular portion of anatomy is easily accomplished by all forms of touch therapies whereas stimulating the system as a whole to re-distribute blood and nerve flow within the entire body typically requires additional skill sets.
One such orientation to systemic re-distribution that has shown promise in my clinical experience was described in the last article of this column in which the body's central linkage was described from occiput to sacrum and the crucial role of the ankle/foot complex was emphasized in propelling blood and lymph back to the heart/lung complex.6 Many additional therapeutic perspectives are possible.
The crucial factor is that the body needs freshly oxygenated and nutritious blood containing the necessary hormones and effective nerve supply to all tissue structures to heal and to balance its healthy function. As the nerves hitch a ride on the arteries and arterioles, this therapeutic goal is one and the same though techniques differ in their orientation to stimulate circulation or neural expression.7
Compression relates to any structure which has a superior to inferior attachments. Compression eventually interferes with both blood and nerve supply to all body tissues.
Congestion infers that the body's fluids are impeded from flowing to their natural outlets, primarily back the the heart/lung complex. Congestion adds pressure to delicate peripheral nerves exiting the the spinal cord from the occiput to the sacrum.
Dis-coordination occurs both within the neuro-circulatory matrix of autonomic reflexes which direct blood supply and between the sensory-motor divisions of the central nervous system which coordinates gross and fine motor movements through its peripheral nerves to the extremities.
In summary for now, allow these ideas to distill through your own clinical experiences with clients. Consider the triad of compression, congestion and dis-coordination. Create your own synthesis for how the body heals. Create your own description of how it progresses into physiological difficulty and pathology. The ability to verbally articulate these processes is more important than any marketing tool. Re-emphasizing what was stated earlier in this article, "What prospective clients really want is an indication of the depth of your competence and your comprehensive understanding of how the human body really works."
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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