resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
September, 2015, Vol. 15, Issue 09
Recovering and Returning to an Active Life After 60
By Don McCann, MA, LMT, LMHC, CSETT
In my previous column, I wrote about people over 60 with injuries, surgeries or joint replacements who want to maintain or regain their active lives. Now we'll look at those over 60 with major health issues or failed surgeries who want to recover their maximum potential for an active life.
Molly, a 73-year-old retired business owner, was diagnosed with Rheumatoid Arthritis (RA) and was told by her orthopedic surgeon and rheumatologist that she needed double knee replacements and hip replacements if she wanted to continue to walk. An MRI showed bone degeneration in both knees and hips along with a torn meniscus in the right knee and a ligament tear in the left knee. The surgeons were pushing for the knee replacements as soon as possible as she was in a lot of pain and hardly able to get around.
Jack, a 76-year-old golfer, had been unable to play golf for two years. He was diagnosed with stenosis in his low back and had surgery to enlarge the foramen where the spinal column passed through. Before surgery, he was able to play golf and walk but would be in pain for several days afterwards. After the surgery, his pain doubled, he could not play golf, and there were days when the pain was so bad that even with medication he felt he couldn't walk. MRI's revealed three bulging discs in addition to stenosis. The surgeons didn't want to operate again because the previous surgery had such negative results. Jack came to the office in a motorized wheel chair and was willing to do anything to get out of pain and walk. He was afraid he wouldn't play golf again.
George, an 81-year-old retired executive, injured his right knee in his 40's and had a knee replacement after a long struggle and numerous surgeries. After surgery, George couldn't flex his lower leg more than 10 degrees. He had several procedures where his leg was placed in a machine that forced it to bend which only resulted in more pain and less mobility. George gave up thinking the knee would work properly and limped around with a cane which was now causing him significant low back pain. George wanted to travel but felt he couldn't until he could depend on his leg and walk normally.
Gina, a 76-year-old with osteoporosis, had several vertebral compression fractures and was in severe pain. Even though the compression fractures had been treated with osteoplasty, the severe pain remained. She was also severely bent over due to the kyphosis and was having trouble with digestion. Gina's chiropractor would no longer adjust her because of her fragile bones, and she was in too much pain to even do water aerobics to strengthen and stand more erect.
All of these clients were in pain either from health issues or failed surgeries and were severely limited in what they could do. Each presented unique challenges, and each wanted to regain maximum quality of life.
Molly told me she had watched her father-in-law go through 10 years of RA and surgeries. She didn't want to live in the pain and misery he experienced. Upon examining Molly, it was obvious that she had a significant collapse of her core distortion. The anterior rotation of her left ilium caused a medial rotation of the knee and lateral rotation of the lower leg. This put pressure on the lateral side of her knee where her ligament was torn and where the MRI showed significant erosion on the bone. This put pressure on the inside of the acetabulum of the left ilium where the cartilage had thinned and the arthritic degeneration was most evident. Her right ilium was rotated posteriorly causing the head of the trochanter to jam into the posterior part of the acetabulum eroding both the bone and cartilage. There was a tear in the meniscus on the medial side of her right knee which was accompanied by bone erosion.
The distortion in Molly's legs was caused by the core distortion, and the RA was most severe in the areas of pressure caused by the imbalances of the core distortion. The Cranial/Structural Core Distortion Release (CSCDR) was applied to bring the iliums out of rotation, equalize her leg lengths, and lessen the distortion in her legs. This was followed by soft tissue protocols to bring the legs further into balance and support, and the iliums further out of rotation. After three sessions, Molly reported that she only experienced about 50% of her previous pain. Upon examination, her iliums showed significant improvement and balance so more attention could be paid to the soft tissue that governed the alignment of the knees. After five sessions, Molly's left knee with the ligament tear was stable and in minimal pain only when she overdid it. Her right knee was pain free except on days when low pressure weather systems were coming through causing pain in the bones from her RA. After 10 sessions, Molly was feeling good enough to start a water aerobics exercise program to strengthen her legs and back. Molly's sessions were scheduled once every two weeks and eventually once every four weeks when she could maintain pain free walking and normal life activities.
Jack was in severe pain the day of his first session. It was difficult for him to stand for a structural evaluation. He had a significant anterior rotation of his left hip and posterior rotation of his right hip along with a severely tipped sacrum. The tipped sacrum resulted in significant lordotic curvature causing his bulging lumbar discs. The rotated iliums created a long leg/short leg imbalance with additional distortions in the legs due to the leg length discrepancy. The CSCDR was applied to bring the sacrum/ilium relationship into weight bearing support, thus leveling the sacrum and reducing the lumbar curvatures which lessened the leg length discrepancy. Soft tissue protocols were applied to further balance the iliums and bring the legs into support and balance. Additional work was done with the muscles directly affecting the lumbar vertebrae.
After three sessions, Jack could walk short distances without severe pain and didn't bring his wheel chair. Jack only had one day of severe pain after the third session which he attributed to picking up a box that was too heavy for him. He was seen weekly for 10 weeks at which time his pain was reduced to 20% of what it had been and he was no longer using the wheel chair. The numbness and tingling going down his legs from the stenosis disappeared and Jack was only in pain when he overdid it putting excessive pressure on his low back. He was seen for 10 more sessions spaced two to three weeks apart. Jack was back to walking and pain free, something he thought might be gone forever. As long as Jack was able to maintain his improved structural alignment, there was no compression on the nerves from his stenosis and bulging discs. He was able to return to playing golf and continue enjoying life. He had occasional treatments to help maintain optimal alignment of his low back.
George showed a significant core distortion with the left ilium rotated anterior, and right ilium rotated posterior. The right leg had significant tension and binding along the medial knee due to the distortion in the leg from the core distortion. The CSCDR was applied which helped equalize the leg lengths lessening the leg distortions. This also took pressure off the medial side of George's right knee. There was immediate improvement in the range of motion and strength in his right leg after the CSCDR. Soft tissue protocols were applied to further balance the iliums and hips, specifically addressing the adhesion, scar tissue and atrophy around the right knee. George noticed changes after every session. After five sessions, he had approximately a 70 degree flexion of the knee. George was able to start walking normally and continued to do stretches and strengthening exercises. His low back pain disappeared when his leg lengths equalized and he stopped compensating for his right knee. After approximately 12 treatments, George was walking normally and in no discomfort.
Gina was in severe pain even after osteoplasty. Structural evaluation revealed a significant core distortion with rotations in the iliums resulting in a tipped sacrum and exaggerated curvatures in her osteoporotic spine. The CSCDR was applied which reduced the rotation of the iliums and leveled the sacrum taking pressure off her spine reducing the exaggerated curvatures including the kyphosis in her thoracic area. The entire thoracic rib cage, shoulders and neck were raised up taking pressure off of the areas of the compression fractures. Additional soft tissue sessions were applied to further release the abdominals that were pulling down on the thoracic area to release the neck and shoulders back. After five sessions, Gina's pain was only about 25% of the previous pain, and she was getting around better than before the compression fractures had occurred. Gina was able to maintain with minimal pain while having monthly sessions for the osteoporosis weaknesses. The structural collapse from the osteoporosis led to the compression fractures, but even after the osteoplasty she was not able to be pain free until structural support was achieved with.
All of these clients spent a lifetime in the core distortion which resulted in conditions that led to a structural collapse causing pain and sometimes surgical intervention. Pain free function was achieved by bringing the body into balance and support integrating the CSCDR with specialize myofascial soft tissue protocols.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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