resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
January, 2016, Vol. 16, Issue 01
For Complete Rehabilitation, Look Beyond the Norm
By Don McCann, MA, LMT, LMHC, CSETT
According to radiologist Dr. Terry Yokum, an expert in radiographic imaging, everybody has a pelvic imbalance which consists of the left ilium rotating anteriorly, right ilium rotating posteriorly and a tippage of the sacrum.Dr. Yokum's findings show a 20 degree ilium rotation in a 1-year-old as being normal. This is a significant rotation in the iliums. The fact that this is seen as "normal" indicates that it is not being viewed with concern. However, when examining this rotation of the iliums and its impact on structural balance, it stands out like a red flag. In my 40 years of therapeutic bodywork, I have observed that this imbalance impacts the entire musculoskeletal system and is responsible for 95% of musculoskeletal issues. The typical 1-year-old will have life experiences, accidents, developmental muscle patterns, stresses, etc., that usually results in an increase in this imbalance. I refer to this imbalance as the core distortion.
The first point of concern is the relationship of sacrum to the anterior/posterior ilium rotation. The anterior/posterior rotation of the iliums causes the sacrum to be tipped, and the greater degree of rotation of the iliums the greater the degree of tippage of the sacrum. Many of the chiropractic and osteopathic schools describe this tippage differently based on their points of view. However, they all agree that the tipped sacrum creates an imbalance at the base of the spine that affects the curvatures throughout the whole spine - lumbar, thoracic and cervical.
As the curvatures of the spine increase due to the rotation of the iliums and tippage of the sacrum, uneven stresses are put on the discs. This initiates uneven wear and tear on the discs which can eventually lead to thinning, bulging and herniations over time. Thus, the majority of people are set up for major disc issues from the core distortion that has been developing since childhood. In addition, lipping and spurring of the vertebrae occurs, a degeneration that leads to arthritis, to compensate for the uneven balance. This condition is commonly referred to as degenerative disc disease.
Years of treating clients using Structural Energetic Therapy to reduce the rotation of the iliums bringing the sacrum back into support has given greater balance to the spine and has helped clients even with severe herniations. It has also reversed many developing spinal conditions. The weight bearing support given to the spine by reducing rotation of the iliums and leveling the sacrum have allowed a reduction of the curvatures of the spine taking the uneven pressure off the discs and allowing the body to heal the damages. This has been effective even after spinal surgeries. If you don't bring support to the entire spine when working with cervical spinal issues, as soon as the client stands the uneven base of the spine (tipped sacrum) will not support the changes to the cervical vertebrae and the conditions will continue or possibly worsen. It is important to view cervical spinal issues as needing full spinal and pelvic balancing for rehabilitation.
Another major condition with the rotation of the iliums is the posterior rotation of the right ilium causing excessive stress and tension in the fibers of the gluteus maximus, posterior fibers of gluteus medius, piriformis and rotators. The sciatic nerve passes under these muscles and quite often is compressed due to the stress and tension of these muscles. If the ilium is not brought back to balance then long term sciatic problems cannot be resolved. By bringing the iliums back into balance and releasing the tension in these muscles many severe and long term sciatic problems have been fully rehabilitated.
A second point of concern is when the left ilium rotates anteriorly and the right ilium rotates posteriorly a functional long leg and short leg occurs. Looking at the x-rays of the one year old this condition is already present due to the rotation of the iliums. When examining the structure of the core distortion and the long leg/short leg issue we will see how the body compensates in the way that the structure of the legs is affected. First, looking at the musculature in the glutes we can see that when the left ilium is rotated anteriorly (long leg side) the medial fibers of the gluteus medius will be overworking, overdeveloped, and shortened, often leading to degeneration of the posterior part of the hip socket. On the right side, where the ilium is posteriorly rotated (short leg side), the gluteus maximus, posterior fibers of the gluteus medius and rotators are overworked, overdeveloped, and shortened. This often leads to sciatic nerve compression, uneven pressure and degeneration on the anterior edge of the hip socket. The uneven wear in both hip sockets often leads to degeneration, arthritis and possibly hip replacements. Fortunately, reducing the rotation of the iliums can rehabilitate a degenerating hip and prevent arthritis and replacements.
The imbalance in the structure of the long left leg usually results in a medially rotated and hyperextended knee, and in some circumstances the leg is pulled out from under the body by the tension on the anterior and middle gluteus medius fibers. To further compensate for the imbalance of the long leg we usually find the lower leg rotated laterally to the medially rotated knee. This puts uneven wear and tear on the cartilage in the knee and additional stress on the lateral knee ligaments setting them up for injury and excessive wear and tear. This also puts stress on the hamstrings which can lead to strains, pulls and tears. Again rehabilitation of knee and hamstring issues is successful when the imbalances of the core distortion are addressed.
When observing the left foot and ankle of the long leg we can see that the foot is rotated laterally to the knee creating stress and lack of support at the ankle and significant stress across the medial arch. The arch appears to be collapsing and often plantar fasciitis occurs due to continued stress on the plantar fascia. Another compensation for the stress on the medial arch can be seen when the weight is focused on the outside edge of the back of the heel creating a higher arch with the potential of causing heal problems like bone spurs. This imbalance again is due to the anterior rotation of the left ilium resulting in the long leg. When the imbalance of the core distortion is released bringing the leg into balanced support these conditions of the foot and ankle can be rehabilitated.
When observing the structure of the right leg which is shorter due to the posterior rotation of the ilium, the body is often shifting undue weight to the right. This creates a different set of compensations which are not as dramatic as on the left. One of the principle ones is the medial knee and hamstring relationship. The peroneus and lateral plantar fascia creates increased stress on the medial knee making it prone to injury, arthritis, ligament, cartilage, and tendon issues which stem from this imbalance. Additional problems can occur with the lateral rotation of the foot putting more weight on the posterior heel leading to bone spurs. These are some of the most common and universal issues with the short leg. When these issues are combined with the imbalances in the glutes and rotators they are all responsible for the majority of sciatic pain and are big players in knee/foot/ankle conditions and injuries. Again, these can be rehabilitated long term by releasing the core distortion.
Kinesiology reveals a big discrepancy in muscle function throughout the body caused by the core distortion. An imbalance in any joint greater than 15 degrees produces a dramatic weakening of muscle strength and function as verified with functional kinesiology. Using both functional and applied kinesiology, half of the muscles around each joint that stabilize and create movement are compromised by the imbalances and operate at 50% or less strength. In my experience, releasing the core distortion dramatically reduces the imbalances at the joints allowing the weakened muscles to significantly increase in strength and function.
The core distortion is a full body pattern of structural imbalance and for long term rehabilitation, the entire body needs to be treated. The missing link has been the cranial imbalance that previously was unknown and thus not addressed. There is a very strong relationship between the imbalances of the cranial bones (sphenoid and occiput) and the rotation of the iliums and tipped sacrum. In addition, the soft tissue of the cranium relates to the myofascial planes throughout the body. Cranial/structural techniques address this very important cause of the core distortion throughout the body. A significant amount of torsion is taken out of the cranium and the structure of the whole body using cranial/structural techniques. When this is applied in the first session, the iliums shift to less than 15% rotation providing a leveling support for the sacrum. The reduction of the rotation of the iliums evens out leg length discrepancy, reduces the compensations in the legs, and provides support for a more balanced spine. There is also a significant increase in strength in the weakened muscles around each joint including the vertebrae. This increase in strength is often brought up to almost 100% providing stabilization and function of muscle groups and joints.
By combining cranial/structural techniques with myofascial techniques to release old holding patterns, adhesions and scar tissue it is possible to have a structure that is much stronger than the 20 degree ilium rotation evaluated by Dr. Yokum as normal. By bringing our client's structure to "better than normal" many long term musculoskeletal issues that have previously been extremely difficult to resolve are now able to be fully rehabilitated long term.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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