A New President for AOMA: A Conversation With Mary Faria
Dr. Faria was formerly a health care executive for over 30 years, the last 17 of those years as vice president and chief operating officer of Seton Southwest Hospital in Austin. She chairs the board of Austin Mayor's Health and Fitness Council.
VA Chiropractic Reduces Veterans' Use of Opioids?
Utilization of pain medication – particularly opioids – has been massively high in among veterans for decades, but Veterans Administration guidelines that recommend nonpharmacological first-line treatment options create a greater opportunity than ever for VA chiropractors to make a dent in the opioid and overall pain-management crisis.
Map It: Understanding the Customer's Journey
One of the biggest marketing mistakes most practice owners or administrators make is not putting themselves in their prospective or current patients' shoes. How do they think and feel about you and your practice? What makes them take action?
Dietary Supplements That Help Restless Leg Syndrome
It is estimated that 7-10 percent (possibly up to 15 percent) of the U.S. population has restless leg syndrome. It is a bit more common in women than men.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
Reaching for Our Roots: Healing Digestion With a Simple Traditional Therapy
Are you ignoring a powerful tool in your doctor's bag? Many acupuncturists realize that Spleen Qi deficiency has reached epidemic proportions in the U.S. Yet, we don't prioritize educating our patients about the importance of warm, cooked foods.
The Top 5 Strategies to Manage Your Reputation Online
You don't need an acupuncture website anymore! Okay, maybe that statement is a little over the top. But it's not that far from the truth. A recent study on Google searches revealed that 34 percent of all searches resulted in no clicks at all.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 2)
In cases of cervical spine trauma, particularly trauma related to a motor vehicle accident, my plan is to teach the patient one exercise per session and build a progression. This is an effective approach I call an "activation circuit."
The Truth About Malpractice Claims Against DCs (Pt. 1)
Over the past 20 years of active practice, I have seen a number of scary case scenarios regarding signs, symptoms and patient presentations in my office. These presentations scream, This patient is going through an event or This patient does not need chiropractic care, they need emergency care.
The Raw Food Debate: Practitioners Discuss Nutrition & TCM
Licensed acupuncturist and fellow blogger Elissa Gonda joins this month's column for a conversation about raw food diets. She brings her perspective on the healing potential of a raw primal diet.
When Computers Cause UCS: Adjusting Strategy
With the widespread use of mobile devices such as smartphones and tablets, the incidence of "text neck" has reached almost epidemic proportions. But there is another challenge to the spinal health and well-being of our technology-driven society.
Reality Check: Do We Need to Try Harder?
While waiting for a flight to a recent chiropractic event, I overheard the ticket agent at the gate next to mine on his cellphone. His side of the conversation went something like this: "Where are you now? How long before you think you can be at the gate? OK, that will work, see you soon."
2018 Gallup-Palmer Report: Key Findings
The fourth annual Gallup – Palmer College report is out; here are some of the key findings excerpted directly from the executive summary regarding Americans' experiences with chiropractic care relative to the management of neck and back pain:
Acupuncture is a Science-Based Medicine
A longstanding patient of mine came in for a routine treatment after she recently began seeing a chiropractor for neck pain. She saw him a couple of times and wasn't getting the relief she had hoped for, so he recommended she let him do dry needling.
VA Choice Claims Denied? Here's How You Can Get Paid
The VA Choice Program (PC3 as well) indeed pays for chiropractic care including manipulation (CMT 98940-98943) and some physical medicine services.
A Soy Isoflavone That Packs a Punch: Genistein
Soybeans contains unique substances called isoflavones, most notably genistein and daidzein, which have been shown to block the buildup the dangerous type of testosterone in the prostate gland linked to prostate enlargement and prostate cancer.
Knocking Down the Doors: Big Media Success for F4CP
Three articles authored by a DC or a chiropractic organization and promoting the value of chiropractic care – par for the course if you're Dynamic Chiropractic, but if you're Forbes, BOSS Magazine and Becker's Spine Review, three media outlets tailored toward high-level executives and decision-makers, we're talking about an entirely different story.
Goodbye, Year of the Dog: Two-Thousand-Eighteen Comes to a Close
As Year of the Dog (2018) comes to a close we can look back and see the progress this profession has made. For example, the International Classification of Diseases (ICD) added traditional medicine codes, which were released in June.
Year in Review: DC's Best of the Best for 2018
As 2018 winds down, let's highlight the most popular articles in Dynamic Chiropractic by month (December – this issue – excluded, of course).
A Simple Miracle: Treatment for Mysterious Foot Pain
Under the old ICD-9 diagnosis codes, there was actually a diagnosis for "adventures in medical mismanagement" to describe patients who had been run down the rabbit hole of poor case management and care. I encountered one of those patients in my office today.
Electrotherapy Gives Hope for Patients With Spinal Cord Injury
There has been little optimism for recovery from a spinal cord injury because the central nervous system does not repair itself well. The severity of the injury depends on the affected area.
Malpractice Insurance: Understanding the Cover Letter
Purchasing medical liability insurance is quick, easy and not terribly expensive. The benefits are clearly listed on a certificate—but do you really know what you are getting with that peace of mind?
A Guide to CBD Dosing: The Correlation Between Dose & Potency
There is an abundance of information available about the daily use of whole plant hemp CBD oil to help maintain and support a healthy lifestyle, however there remains a lack of sound guidance on CBD oil dosing.
Cynicism and Burnout: It Can Happen to You
Trying to achieve fulfillment as a doctor in today's health care environment is a "rigged game" and physicians are programmed to burn out. At least this is the opinion of Dike Drummond, MD, in his thehappymd.com blog.
Acupuncture in Hospital Systems: Transitioning From Tolerated to Celebrated
I've had the pleasure of working with Susan Luria, Director of University Hospitals Health Systems Connor Integrative Health Network (CIHN) for the past year on the Integrative Health Policy Consortium (IHPC) Board of Directors and Federal Policy Committee.
ACA Champions H.R. 7157; ICA Voices Major Concerns
While the American Chiropractic Association recently penned an open letter – signed by not only the ACA, but also the Congress of Chiropractic State Associations, Association of Chiropractic Colleges, Clinical Compass and a number of state associations.
July, 2005, Vol. 05, Issue 07
Plastination Reveals the Craniosacral System
By Julie McKay
Author's note: This article is for educational purposes only. I have no financial connection to or other vested interest in the Body Worlds exhibit. I only encourage others to take advantage of the exceptional educational opportunity it offers.
For those of you who would love to attend a dissection class to explore the craniosacral system, this article is for you.If you have already seen the Body Worlds exhibit of perfectly preserved cadavers created by Dr. GŸnter von Hagens, you may have realized that it is even better than a dissection class. If you have yet to see the Body Worlds exhibit, I have three words for you: Go see it! Body Worlds is an exhibit of perfectly preserved human anatomy specimens using a technique called plastination. The exhibit features whole bodies, individual anatomical specimens and transparent slices.
I have been practicing CranioSacral Therapy (CST) since 1998. It's the work that I love. As a CST teacher's assistant and study group leader for the Upledger Institute, anything pertaining to the craniosacral system gets me excited. When my husband, who is also a massage therapist, told me about the Body Worlds exhibit, I had no idea how much I would learn about the anatomy of the craniosacral system by attending.
The exhibit is currently on display at the Chicago Museum of Science and Industry and takes about two hours to go through. I realized within the first five minutes of walking into Body Worlds that something amazing was about to be revealed to me. After seeing the exhibit the first time, I had to tell everyone interested in the craniosacral system or CST to see it. Why? Dr. von Hagens has preserved delicate anatomy that is rarely done justice in anatomy texts or dissection classes. This exhibit displays many wonderful views of exposed cranial bones; intra- and extra-cranial membranes, including dural tubes, dural nerve sleeves, tentoriums and falxs; and lots of cranial nerves.
Around the exhibit entrance is a display of horizontal body preserved by epoxy resin. The item that caught my attention was the sagittal slice of the cranium and neck allowing an unusual view of the orientation of the occiput, atlas and axis. Once in the exhibit area, cases and upright specimens are on display with over 200 specimens in all. The first full plastinate is "Cartilage-Ligament Skeleton." (623)* Walk around to the back and stand on your tiptoes. You will see your first up-close look at the falx cerebri and tentorium of the intracranial membrane system. Also easily viewed are the sagittal and straight sinuses.
In the display case (203) the smallest bones of the body are displayed - those of the ear. Seeing them up close allows you to realize why the mechanisms of hearing are so sensitive - it does not take much to affect them, as they are so tiny and light. Their close proximity to the temporal bones allows us to appreciate how a blow to the head can have a negative impact on hearing and how CST can allow the body to restore balance to this delicate mechanism.
Look at the suboccipital region of "Muscle Man with Skeleton." We can get a good visual of the extensive muscles and connective tissue that need to be softened to have access to the atlas, C1, which is used in an atlanto-occipital or cranial base release. "Torso with Severely Deformed Spinal Column" (205) helps us to understand the effects of Wolfe's Law, how bone grows or changes to accommodate the stresses it is placed under. We see that the ribs, vertebrae, illia, and even the coccyx have accommodated the stress of the body, but still allow the internal organs to be protected.
Have you ever seen a wormian bone? A wormian bone is a small, irregular bone that forms along the cranial sutures. Well, take a good look at the lamdoidal suture of "The Runner" (614). At first glance everything looks normal. But upon closer observation you'll realize that there is an extra bone above the occiput and between the parietals. Usually, wormian bones are small but this one is probably the largest one that most of us will ever view. I'd hypothesize that either the infantile occiput did not fully ossify into one bone or at some point in time the occiput was stressed and a "crack" or additional suture developed. The craniofacial nerves can be viewed around the left temporal region of "The Runner." We can also see a wonderful view of the psoas. By seeing where it attaches we realize that doing respiratory and pelvic diaphragm releases can affect this muscle. The view of the brachial plexus helps us realize how restrictions can be released with a thoracic inlet release.
Spend plenty of time observing the intra- and extra-cranial membranes and cranial nerves of "Poised Plastinate of Nervous System" (604). The posterior view reveals the exterior side of the dura mater and the interior side of the arachnoid mater of the dural tube. Additionally, a rare view of the vomer bone is offered.
In the brain specimen cases, there are wonderful views of the ventricles (252) where cerebral spinal fluid is produced. And check out the brain slice of the cerebral cortex showing black marks due to Alzheimer's disease. Viewing this brain slice we can understand that if the cerebral spinal fluid does not optimally flow around the brain, it does not have the opportunity to chelate, pick up, and remove the deposits, which can lead to Alzheimer's disease.
My favorite display is the "Chess Player" (603). The posterior portions of the vertebrae have been removed to reveal the dural tube and spinal cord. You can view where the brainstem ends and the superior portion of the spinal cord begins, as well as the cauda equina, nerve roots and dural sleeves. Looking closely, you may also be able to identify some denticulate ligaments and the termination of the dural sac. Other nerves of note are the sciatic nerve and the left trigeminal nerve. We can better understand the major impact that facilitated segments can have on the body by being able to observe this complex pathway of nerves. I am absolutely fascinated by how intricate our bodies are.
Moving on to the arterial specimens, "Arterial-Skeletal" (351) shows the carotid artery's entry into the head through the carotid canal. The sphenoid, temporal and occipital bones form the carotid canal. Viewing this gave me a better appreciation for how making sure that these cranial bones are properly moving can help improve the delivery of arterial blood to the brain. "Torchbearer" provides a beautiful view of the hyoid bone, the only floating bone in the body, and its muscular attachments. Viewing this specimen can help those who have difficulty locating the hyoid during CST sessions by giving us a visual to reference.
Hanging is "Representative Series of Slices, Female." We can view in these transparent slices how the tentorium attaches to the temporal bones and how the falx attaches to the parietal bones. This allows us to visualize and realize how temporal ear pulls and parietal lifts, respectively, can engage the intracranial membrane system. Toward the end of the exhibit hangs "3-D Slice Plastinate" (620). Examine both sides of the 3rd and 4th slices in particular. The intracranial membrane is visible, particularly the tentorium's attachment to the temporal bones.
Last, but by no means least, is the "Cyclist," an expanded body that provides space to better view the relationship between the bones, organs, and muscles of our bodies. I often feel how big a cyclist looks after receiving a CST session, when a lot of my restrictions have been released. Afterward, I feel bigger on the inside, as if I have more space available to me.
For anyone interested in the workings of the body and what lies beneath our skin, Body Worlds is a must see exhibit! It is well worth making the effort to see regardless of where you live. I hope you enjoy the exhibit and walk away with a better understanding of what lies beneath your hands when you work with your clients. It certainly has opened my eyes and allowed me to better realize what I am affecting when working with my clients, "craniosacrally" speaking.
For more information on Body Worlds, visit www.bodyworlds.com.
*Parenthetical numbers refer to the audio tour discussion for that specimen. I use these numbers as an additional means of identifying a particular specimen. I recommend the advanced level audio tour.
Body Worlds 2:
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.