Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
March, 2003, Vol. 03, Issue 03
The Practical Pitfalls of Research
By John Upledger, DO, OMM
Werner Heisenberg, best known as a founder of quantum mechanics, gave us the Uncertainty Principle, which took our comprehension of quantum physics a giant leap forward. We began to understand that we may often get what we're looking for.If an experiment is designed to measure particle mass and activities, that's what we get; if the experiment is designed to measure wave activity, that's what we get. If one scientist sees evidence that energy is particles, and a second scientist sees evidence that energy is waves, they might argue. Both would be correct, but the argument might continue ad nauseum.
Heisenberg also alluded to the idea that there is no such thing as a purely objective experiment. As soon as you begin to measure something, the energy of the observer may change the results. I'll share with you a few personal experiences that strongly support this concept.
In the late 1970s, I was conducting research at a center for autism in Michigan. At one point, I got the bright idea that autistic children have different energy fields than nonautistic children. I worked with my co-investigator, biophysicist Jon Vredevoogd, to bring in an arbor-type wooden structure in which a child could stand. We mounted 10 receiver electrodes in the arbor to serve as antennae. The signals they received were passed into a sensitive Keithley Electrometer that gave us a digital printout of the child's electrical field at any given moment.
As I suspected, the electrometer consistently measured higher electrical fields in autistic children than nonautistic children. After we had collected what appeared to be groundbreaking data, Jon took our apparatus to his basement laboratory. He wanted to measure the influence of natural versus synthetic fabrics on the electrical fields of those wearing them. His experiment worked according to his expectations: Synthetic clothing produced a higher electrometer reading than natural fabrics.
One night at about 10 p.m. Jon called me at home. He said he had news that invalidated our results. This upset me. I was sure we were on to something important. Jon went on to tell me that he could sit across the room from the electrometer and its electrodes, and change the printout of the electrical fields using only his mental intention. With practice, he was able to get the exact numerical printout he intended.
Skeptical, I immediately went to his house. I was unable to change the electrometer printout with my intention - but Jon could. I didn't want to be able to change the numbers, so I couldn't. I was convinced that autistic children had higher electrical energy fields than nonautistic children, so they did. Jon didn't have as clear a feeling about his fabrics; he got the results he sort of wanted, then was shown the truth. This was an educational experience for both of us.
Another series of lessons came from my experiments using Kirlian photography in the 1970s. At the time, there was an upsurge of interest in this type of photography, which captures energy emissions on a photographic film or plate. Kirlian enthusiasts would use these images to diagnose everything from cancer to schizophrenia. The assumption was that the corona - the energy emission recorded on the photograph - was relatively consistent for any given human subject, and coronal defects or abnormal patterns reflected disease states or conditions.
Skeptic that I am, I began to investigate, first by photographing the coronas of my patients' fingertips on the same film as my own. The process involved creating a time-controlled, electrical-potential field. I took the photos before and after each treatment session, or between each segment, if I used several modalities. The coronas depicted an apparent interchange of energies between myself and the patient. Frequently, on a first visit, the patient's corona was less dense and expansive than mine; posttreatment, my corona usually diminished, while the patient's corona was enhanced, suggesting some of my energy had transferred to the patient.
As the treatments progressed, the patient's corona sometimes appeared stronger than mine in the pretreatment photographs, while I showed a stronger corona posttreatment. This suggested that the patient energized me. Usually, about the time the treatment series was to be completed and the symptoms were resolved, both of our coronas strengthened. I began to accept these positive changes as indicators that the case was "solved." In this manner, I was using Kirlian photography as an indicator of progress.
I decided to photograph my students' fingertips before and after patient examinations, while I observed and graded the results. I found if I reflected a happy mood, the student's corona was strong. If I warned the student that this would be a tough exam, the corona weakened and reflected flaws similar to those interpreted as diseases by other investigators. If I told the student he or she did well and then re-photographed, the corona was strong again. Some investigators would have used this to indicate a "cure" for a previously diagnosed disease; to me, it suggested that anxiety or fear, no matter how transient, could be misinterpreted as a disease process on a Kirlian photograph.
I went on to test a wide range of variables for their ability to influence a Kirlian photograph. Among our observations: Strenuous exercise caused no significant change in coronas. One person's feelings of happiness toward another caused his or her coronas to blend, while feelings of anger left an empty space between coronas. Temperature differences caused variable corona changes. Acupuncture was used to relieve a toothache in one student, and menstrual cramps in another, and their coronas improved with pain relief. We even studied bloodflow, which caused no change in coronas.
We ended our research after more than a year, and presented our findings at an international Kirlian convention in New York. The results were not warmly received.
In any case, I learned that intention can change the reading on a Keithley Electrometer, while thoughts, moods, anxiety, temperature and pain relief can change a Kirlian photograph. Yes, Mr. Heisenberg, the observer does change the outcome. So, how do you put the observer in the equation, when he or she is an inconsistent factor?
Every session of CranioSacral Therapy, SomatoEmotional Release, Energy Cyst Release, and Therapeutic Imagery and Dialogue requires the therapist to blend with the patient. Moreover, each patient problem and method of treatment is unique. If you follow a standardized protocol, you will not get the same results as if you had blended with the patient and followed the steps provided by the patient's inner wisdom, which is integral to the practice of these therapies. Obviously, you cannot have a double-blind study if no two treatments are alike.
It seems to me that the only studies that can be done to validate the efficacy of such modalities are clinical outcome studies that do not dictate the protocol. The results obtained for given disease diagnoses could then be compared to the thousands of conventionally treated patients with similar diagnoses. To go beyond this in terms of control is to study something that is not CranioSacral Therapy.
I am biased, but I believe I have a right to be. I have worn the moccasins of the rigorous experimentalist. I spent three years as a teaching/research fellow in biochemistry. I spent eight and a half years as a clinician/researcher in biomechanics at Michigan State University. I served for five years on the American Osteopathic Association's Bureau of Research, and two years on the Alternative Medicine Program Advisory Council for the National Institutes of Health.
I have seen both sides, and have come to the conclusion that in health care, it's the outcome that counts, whether you understand the process or not. I have had people tell me I should not use a treatment protocol until I know how it works. My answer to them is to stop using gravity and electricity, until they understand how they work.
Click here for previous articles by John Upledger, DO, OMM.
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