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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
December, 2005, Vol. 05, Issue 12
The Inside-Out Paradigm: Survival vs. Quality of Life Part 2
By Dale G. Alexander, LMT, MA, PhD
Editor's Note: Part 1 of Survival vs. Quality of Life appeared in the November 2005 issue of Massage Today.
Biology's directive to Build Fat and Preserve Fluids is a major contributor to our culture's current epidemic of obesity and fluid retention ailments, culminating in our high rate of diabetes, high blood pressure, congestive heart failure and kidney dialysis.Yet, we wouldn't have gotten here without them, as starvation and fluid loss were common causes of death for prehistoric humanity.
Nature's end game, Living Long Enough to Reproduce, is facilitated by hormones to ensure the perpetuation of the species. Hormones are the pesky accelerators of our physical and reproductive growth. Two key factors need to be remembered. Hormones tend to be "dumped into the system" rather than added in measured doses and their production decreases in a similar fashion during mid-life, thus the tendency for unpredictable, variable and unsettling effects.
During adolescence, the intensity and quantity of hormonal cascades produces accelerated growth such that the bones often grow faster than the soft tissues can match for a smooth transition. This sets the stage for many and varied physiological and musculoskeletal problems later in life. Also, hormonal production decreases dramatically as we reach our middle years of 35 to 60. These are the very demographics of the people most likely to become new massage clients. It's no accident that people are turning toward our profession.
Nature's endowment of Sympathetic Dominance relates to the tendency of human physiology to "get stuck" in the overdrive mode. This selection has obvious survival enhancing qualities, especially to fight, escape or avoid detection from a predator or a perceived lethal enemy. However, activity and rest need to be balanced in order for our internal functioning and our energetic reserves to be maintained and renewed. It's a simple notion historically codified and prescribed by most cultures and religions.
At a more precise level, sympathetic overdrive shunts blood (and thereby oxygen and nutrients) to the musculoskeletal system and starves the visceral organs of their fair share. This involves timing, quantity and quality. The shunting of blood sets the stage for the eventual development of pathology. Degeneration and disease emerge from the deprivation of oxygen and nutrients usually resulting from states of fluid congestion and stasis. Reflect on how often your clients exclaim, "I hurt, I am no longer able to, I have little or no energy." Physiology operates very much like a credit card: one can continue to keep spending, yet the interest quickly builds the debt, and eventually, the debt must be paid. Pain, injury, illness and reduced quality of life are the common forms of paying the debt.
Depending on one's mental strategy for survival, certain parts of our musculoskeletal system get more blood than others. But the real questions are why and what function does this serve? Let's again relate this to nature's endowments. Fight, flight and freeze are our reflexive responses to intense or perceived to be threatening stimuli. Our mental strategies generally reflect a tilt toward one of these three orientations, rather than a balanced blend among them. Thus, our bodies and our physiologies shape themselves to reflect this tilt. In sum, some muscles get more than their fair share while the others become ischemic. All chronic syndromes or conditions reflect this skewed allocation of resources.
In my earlier articles, I have outlined what I have clinically experienced to be the path of discharging the tension which builds within us as human beings in response to stress and trauma. It happens from the inside-out, beginning with the sacs and tubes and suspensory ligaments of the viscera, and eventually spilling over into the intrinsic musculature. Next, as the body endeavors to distribute the strain over as wide an area as possible, one or more dysfunctions of motion is created in the kinetic chain of the joints. Then the extrinsic musculature is stimulated to contract or spasm to maintain the integrity of the involved joint(s). Now to the most important question, where does it all begin? The "meaning we assign" to events is the source of our stress. Change the assigned meaning appropriately and one experiences less stress. Let's consider a continuum between threat and pleasure with a feeling of neutrality somewhere in the middle. What usually grabs our attention? That's right, threat and worry.
The mind commandeers blood flow to support its basic survival strategies. It responds to symbolic stimuli in the same fashion and with the same intensity as it would as if that stimulus truly was life-threatening. Remember, the mind creates models for its survival. This results in the application of its survival strategies to questions of right and wrong. We all have experienced how this orientation to being right and the avoidance of being wrong perpetuates conflict. Repeated countless times, this depletes our energetic reserves and diminishes our quality of life. The mind also tilts our selection of life circumstances subconsciously and, thus, we tend to symbolically re-create the need for the defenses which are central to our individual survival strategies. This especially relates to the types of partners we choose and the repetitive conflicts which emerge in our private, social and work lives.
Many of the healing arts attempt to harness the mechanism of the mind to expand beyond this slavish dedication to survival. All help to some degree, yet the mind cannot expand beyond its own fundamental programming alone. It's unable to solve the conundrum: what's life all about? Accessing one's spirit, heart, instinct and the broader expanse of the psyche through expanded awareness is where actual shifts occur. Touch accesses the central circuitry where the mind's meaning assignments are anchored. Touch enhances healing across the spectrum of one's perceptual matrix, assisting reflexive reactions to become conscious choices again.
Our current world circumstances reflect both the best and worst of nature's survival orientation and its endowments. However, biological survival alone tends to be exclusive and ethnocentric. Presently, there is an obvious need to enhance our ability to make more inclusive choices. Because of our sheer numbers on the planet, our collective survival might now depend on this. Curiosity, cooperation and the exploration of options for the common good are what are needed now.
The massage therapy profession actually has an honored place and crucial role in this evolution of consciousness because we touch people and take time with them. We nourish and assist them to update their models through the experience of touch and the quality of our presence. Let us dedicate ourselves to join with others to develop healing models which might light the way for our clients to improve the quality of their lives through this expansion of human awareness.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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