Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
CBD for Athletes: The Advantages of Cannibidiol
For athletes, pain is often part of their sport or activity. And to a certain extent, it is to be expected. However, after pushing themselves to the limit, soreness and fatigue set in, hampering their ability to perform and recover.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
November, 2001, Vol. 01, Issue 11
The Role of CranioSacral Therapy in Addressing Post-Traumatic Stress Disorder
By John Upledger, DO, OMM
Author's note: When I wrote this column, the tragic events of September 11, 2001 had not yet transpired. Never could I have imagined the topic I had chosen would become so eerily apropos.With trauma of the magnitude our nation has experienced, we can expect to see an exponential rise in the incidence of Post-Traumatic Stress Disorder (PTSD) in years to come.
Since starting our PTSD program for Vietnam veterans more than eight years ago, it has always been our desire to make the program available to all victims of trauma who may suffer from this disorder. Up to this point, the funding simply has not been available. In light of everything that has happened recently, it is apparent that the time has come to expedite the outreach of this program.
As we begin the healing process, individually and as a nation, our thoughts and prayers remain especially with those directly affected by this tragedy: the survivors of the attacks; the loved ones and colleagues of those taken; the witnesses to the carnage; and the firefighters, police and rescue workers who put themselves in harm's way.
Throughout human history, those who have undergone or witnessed traumatic events have oftentimes experienced ongoing and uncontrollable fear, anxiety, depression, and other life-altering emotions. It has only been in recent times, however, that these symptoms have gained recognition, validation, and a name.
In 1980, Post-Traumatic Stress Disorder (PTSD) was first officially recognized by the American Psychiatric Association in its Diagnostic and Statistical Manual of Mental Disorders, Volume III. Before 1980, the condition existed only as titles such as "shell shock," "battle fatigue," "dissociative amnesia" and "physioneurosis." It was the rather high incidence of PTSD in Vietnam veterans that finally prompted inclusion of the condition as a mental disorder in the DSM III.
Although combat veterans comprise a significant percentage of PTSD sufferers, combat should not be considered the singular cause of the disorder. It can result from any experience a person feels is life-threatening, terrorizing or totally degrading. It can also result from viewing horrible or terror-inducing events that happen to others, especially loved ones.
The symptoms of PTSD may occur days to years after the related event. Once begun, the symptoms occasionally go into remission and then return. The disorder we now call PTSD may continue to affect the victim for years, decades, or the balance of a lifetime. Though classified as a mental disorder, PTSD has distinct physical origins. In our years of research and treatment of PTSD, we have encountered numerous symptoms that respond well to hands-on CranioSacral Therapy. The following are seven of the more prevalent symptoms that the PTSD patient may endure, and how we approach managing such symptoms:
1. Insomnia can result when the joints of the head and neck become jammed due to extreme backward or forward bending of the head during a traumatic occurrence. CST is used to release these pressures and improve the efficiency of fluid outflow at the occipital-cranial base (base of the skull). When successfully applied, insomnia significantly improves.
2. Hypervigilance is a state of heightened awareness in which any surprise or unexpected noise causes an excessive response that the PTSD person cannot control. (This also contributes to insomnia.) We use CST and its offshoot, SomatoEmotional Release, to locate and release energy cysts (contained areas of stress) throughout the body.
We concentrate particularly on the reticular activating system (RAS) of the brain and spinal cord, which is responsible for the secretion of adrenalin and other stress hormones and biochemicals. When we can reduce this system's level of ready alertness, both hypervigilance and hyperresponsiveness are significantly alleviated.
3. Intrusive thoughts continually interrupt a PTSD victim's ability to concentrate, and may even prove intellectually disabling. CST and its offshoots are used to balance fluids and release restrictions on the right and left sides of the cranium, thus enhancing the circulation of both blood and cerebrospinal fluid. As a result, nutritional supplies to brain cells are improved and toxic waste products are removed. The brain areas that help control conscious thoughts are also revitalized and become more effective.
4. Flashbacks involve the mental re-experiencing of the horrific events that caused the PTSD initially. Each time they occur, they are just as terrifying to the person as the original experience. Unlike normal memories, they do not mellow with each recall, nor can the person experiencing them describe them in words. While this kind of response can be considered appropriate at the time of the original traumatic event, it certainly is not appropriate 10 years later in a different and probably safe setting.
Studies have shown that, in PTSD, the left hemisphere of the brain is less functional than the right, and the hippocampus - thought to be an important factor in memory control - is smaller on the left side than on the right. CranioSacral therapists work to equalize the mobility and fluid flows of both sides of the brain. They also pass a lot of energy from right to left, focusing on the left-side speech area (plenum temporale).
Using this approach, we have seen clients become able for the first time to describe the flashback event(s). As this ability improves, the flashback comes under control and the experience can be recalled voluntarily. Eventually, the power of the event fades and the flashbacks discontinue.
5. Panic attacks mark the beginning of PTSD, but they fade and discontinue as hypervigilance, intrusive thoughts and flashbacks are successfully treated.
6. Long-term fear results in a PTSD patient faced with a short-lived, scary episode. On the other hand, the non-PTSD person might well react with momentary fear to the same episode. This long-term fear becomes chronic anxiety. As with panic attacks, this too wanes as the CST takes effect.
7. Depression and suicidal thoughts are common in PTSD-afflicted individuals. Our treatment focuses specifically on releasing abnormal compression at three junctions: where the sphenoid bone and base of the occipital bone meet (floor of the cranial vault); where the joints where the first cervical vertebra and occipital bone unite (base of the skull); and where the lumbar and sacrum come together (lower back into tailbone). Once alleviated, depression lifts and suicidal ideations discontinue.
Using this approach in a study with 22 Vietnam veterans, we found that, at the end of two intensive weeks of treatment, all of them tested much lower on the depression scale. Even the administering psychologist had trouble believing the results of his own tests. It may be difficult to understand how something as light-touch as CranioSacral Therapy could effect meaningful change in an individual suffering from Post-Traumatic Stress Disorder. You are not alone. Those of us who practice the technique still marvel at the responses we often witness. The body is a remarkable mechanism, full of mystery and capable of untold feats of self-preservation and healing.
My hope is simply that this brief discussion helps you gain a better understanding of how CranioSacral Therapy works to aid the PTSD sufferer - and perhaps clears up some misperceptions about this disorder along the way.
PTSD is not an incurable mental disorder. Our research with Vietnam veterans has shown just the opposite, producing some of the most dramatic and encouraging results I have ever witnessed. This is just the tip of the iceberg. I hope you will join our efforts in the years to come, as we seek to eliminate PTSD from the trauma equation.
Click here for previous articles by John Upledger, DO, OMM.
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