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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
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.
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.
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.
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.
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.
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.
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.
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.
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.
May, 2004, Vol. 04, Issue 05
CranioSacral Therapy: Who Shall Do It?
By John Upledger, DO, OMM
In 1977, while I was preparing to conduct a research project involving the use of CranioSacral Therapy (CST) with learning-disabled children, a superintendent of special education suggested that one in 20 children (5 percent) in the Michigan public school system suffered from some form of brain dysfunction.I found this statement utterly astonishing, and very sobering.
This educator was only guessing, but he had been in the school system for over 25 years, so his "guess" carried a lot of observation, experience and wisdom. Even if he was more than 100 percent pessimistic in his estimate, how would we ever be able to offer quality CST to even one in every 100 (1 percent) of the millions of public-school children in Michigan and the rest of the country?
My initial hypothesis suggested that about 50 percent of brain-dysfunctional children could receive significant benefits from CST. (By "brain dysfunction" I mean a wide spectrum of problems, ranging from attention deficit disorder and hyperkinesis to debilitating seizure disorders and cerebral palsy, as well as dyslexia, dyscalcula, speech and motor function disorders, autism and childhood schizophrenia.) However, the children would all have to be CranioSacrally evaluated to determine who would benefit from a full course of treatment.
In Michigan in 1977, there were fewer than 10 osteopathic physicians who were functionally familiar with cranial osteopathy. There were only three or four who were familiar with our brand of CST, which is quite different from the osteopathic and chiropractic versions of cranial manipulation. CST focuses on the membrane as the most common source of craniosacral system dysfunction, and hydraulics (dictating the flow of cerebrospinal fluid through the system) as the means of evaluation and treatment.
A few months earlier, I had presented the second of a series of five-day CST seminars to a group of clinical staff members at the Menninger Foundation in Topeka, Kan. My purpose had been to introduce the pediatric group to CST as an expansion of its program for the treatment of dysfunctional children. It was during this second seminar that I devised the "10-Step Protocol," which could be used by nonphysician clinical staff members. This protocol was essentially a "cookbook" method that, if carried out by a therapist on a patient, would serve several purposes:
The rest was taken care of in the design of the 10-Step Protocol. We introduced the underlying anatomy and physiology during the CST seminars we presented at Menninger, but it was not necessary to have extensive knowledge of these principles in order to practice the protocol on a patient. This practice is safe and beneficial to the patient, and instructional to the student therapist.
I also developed the 10-Step Protocol because it was clear to me that the psychiatrists and other physicians at the Menninger Foundation would not (and probably could not) take time to do 30 or 40 minutes of concentrated hands-on therapy with a patient one-on-one, in addition to their psychotherapeutic talk sessions and psychopharmacologic-management responsibilities. Also, some expressed the opinion that "touching the patient" in the way we prescribed in CST would interfere with their objectivity as attending psychiatrists.
My second Menninger seminar was, therefore, largely attended by nonphysician therapists whom would do the hands-on work with pediatric patients. It was my first attempt to teach CST techniques to nurses, physical therapists and psychologists; it seemed successful. The interest was high and the work they were doing in the seminar was of good quality. During the following weeks, I received several telephone calls from nonphysician therapists who reported exciting successes with a variety of patients through the use of CST.
With this recent experience in mind, I saw a possible solution to the problem of how to provide CST evaluation and therapy to such a large number of Michigan public-school children. If the special-education superintendent was correct, we needed to be able to evaluate 5 percent of all public-school children enrolled in Michigan. If I was right, 2.5 percent of those enrolled in public school needed in-depth CST.
I discussed the problem of the lack of CST-qualified physicians with the dean of the College of Osteopathic Medicine at Michigan State University (MSU), where I was then a full-time faculty member. I described my positive experience teaching CST to nonphysician therapists at the Menninger Foundation, and obtained permission to explore the possibility in Michigan. As things have a way of happening, there was a school for multi-disabled children in Lansing, Michigan; CST, and my use of it, had become a major topic of conversation among its staff, because there was 4-year-old boy enrolled there whom I had treated in France earlier that year. During the series of CST sessions in France he had progressed rather dramatically - from hemiplegic to slightly motor impaired. He and his mother followed me back to Michigan for further treatment. By "coincidence," one of the physical therapists at this school had seen this little boy a year earlier at the Bobath Center in England. At that time the child was hemiplegic; now he wasn't.
My reception at the school was warm. The mother and therapist had both described the boy's progress to the staff members, who were waiting with open arms when I came in, and suggested that I teach them CST. We worked through the university. I initially taught the course one night a week for one university quarter. MSU provided the enrollees with postgraduate credit for course completion. Soon, we expanded the CST curriculum to two quarters.
The course enrollment began to include therapists of varied backgrounds from other centers for disabled children around the state, and from Ohio and Indiana nearby. (I discovered news travels very fast on the disabled-child network.) The enrollees were physical therapists, occupational therapists, nurses, special-education teachers, school psychologists and the like. Within a short time, there were a few physicians and chiropractors, as well.
At the same time I was teaching these open-enrollment courses, I was also teaching CST to full-time osteopathic and medical students within their respective colleges. This dual activity offered me an excellent chance to compare progress in the use of CST between the two groups. I taught essentially the same material to both.
In general, I found the nonphy-sician therapists a little better at learning and applying the evaluation and therapy techniques than the osteopathic and medical students. I think this was largely due to the differences in actual hands-on work experience, and the dedication of practicing therapists that develops as they see disabled children improving under their hands. The osteopathic and medical students did not have these experiences and motivating factors available to them. I also found a higher level of manual sensitivity in the majority of experienced therapists that the student physicians did not possess. This manual sensitivity is extremely necessary for the high-quality practice of CST.
The results obtained with patients (which is what it should be all about) of nonphysician therapists from a wide variety of disciplines were excellent. Since those first experiences, I've gone on to train thousands of massage therapists and other professional health care providers, who have done very well with CST. Now, we often teach the parents of disabled children to do this work on their children. After all, our goal is to help those in need.
So the question remains: Who can do CranioSacral Therapy? The answer is simple. Anyone who is motivated, compassionate, sensitive, and willing to subordinate his or her ego so that the patient is the most important factor.
Click here for previous articles by John Upledger, DO, OMM.
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