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.
June, 2006, Vol. 06, Issue 06
Truth: The Golden Thread, Part One
By John Upledger, DO, OMM
One element shared by all effective healing methods is the process of leading the patient through honest and truthful self-discovery. In my experience, this "Golden Thread" is necessary for the initiation and continuation of self-healing, because it is only through self-healing (as opposed to curing) that patients can experience both permanent recovery and spiritual growth.
Before exploring the issues of self-discovery and self-healing, let's examine the differences between healing and curing.Surprisingly, both words share essentially the same dictionary definitions: that of being a method or course of treatment that aims to restore health. Yet the definitions don't capture the implications the two words have in today's health care world.
Healing often refers to what is done by the patient or the patient's body to resolve a problem of the body, mind or spirit. Curing usually refers to what a physician or therapist does to the patient. Thus, we frequently speak of patients needing to heal themselves after a disease has been cured. Surgically removing the gallbladder, for instance, might cure the gallbladder disease. But the patient must then heal the wound and adapt to the organ's absence in order to achieve full digestive-system function.
The reason we need to clarify the difference between healing and curing is quite simple: Effective therapy, whatever its outer form, initiates, facilitates and supports the patient's own healing efforts; whereas the curing process provides a more temporary and perhaps only palliative effect. Although curing might remove the symptoms of a disease from the outside, so to speak, it usually leaves the underlying causes of the symptoms untouched.
For example, a physician might cure hemorrhoids by surgically removing them. However, if the hemorrhoids are secondary to liver congestion due to chronic alcohol abuse, the problem will not be healed until the patient resolves the underlying reason for the alcohol abuse. Perhaps it would even be better for the surgeon to leave the hemorrhoids intact to remind and motivate the patient to pay attention to the alcohol abuse. In this way, the real cause of the problem might be eradicated.
One of my friends, a general surgeon with more than 30 years of experience once confided to me that, in retrospect, he felt most of the surgeries he had performed might better be classified as excisions of the vocal apparatuses of his patients' inner selves. By removing certain organs or tissues, he believed he was eliminating the bodily voices that were trying to focus attention on the source problem.
Going back to our patient with the hemorrhoids, if they are removed, yet the alcohol abuse continues, the inner self has no choice but to select another organ as an attention-getter. The next target might be the gallbladder, which the surgeon might then need to remove because it becomes full of stones.
So, now we have a heavily drinking patient without hemorrhoids or a gallbladder who still has little or no idea why he's abusing alcohol. Perhaps he's using it to escape feelings of guilt one of his parents instilled in him when he was a child. Whatever the case, if the issue is left unexplored and the abuse continues, eventually the liver function will once again falter.
When such a case of deterioration continues, the inner voice of the body's wisdom will feel an increasingly urgent need to contact the patient's conscious mind. You might even see varicose veins develop in the esophagus. Now the situation is life-threatening, requiring internal medicine specialists and surgeons to co-manage the process. Once the veins are surgically dealt with, there might be little remaining that can be removed except the liver itself, in which case a transplant would be necessary. Usually, though, the internist must support the abused liver until death takes over.
Now, let's backtrack a bit. Somewhere along the line, a psychiatrist might have been called in to deal with the alcohol abuse. Or perhaps by now the patient is believed to be suicidal. In either case, most of the drugs prescribed by the psychiatrist will probably have both mind-altering and hepato-toxic (liver-poisoning) qualities. So the inner voice has even less of a chance to communicate with the drug-compromised mind about the reason for the alcohol abuse. And the liver function will be further impaired due to the toxic nature of the drugs.
What might we expect from such a scenario? Most likely, premature death. The cause would probably be recorded as liver failure due to alcohol abuse. But from our perspective, it might be just as accurate to say the patient died from a hemorrhoidectomy thoughtlessly performed without having searched for an underlying message. Or, we might consider the death due to the second excision of the inner voice that was attempting to speak through the gallbladder.
Becoming aware of this inner voice is what I mean by self-discovery that leads to self-healing. In the case I just outlined, treatment not only failed to make the patient aware of the inner voice, it ultimately suppressed it. This led to a self-perpetuating cycle of deterioration.
Short of a miracle, the process probably was irreversible once the varicose veins developed in the esophagus and the brain was numbed with mind-altering drugs. After all, what chance does the inner voice have against an onslaught of modern surgical technology and psychopharmacology?
Of course, a myriad of health approaches and philosophies have been created in response to the failure of traditional curative methods. Therapeutic massage, meditation, exercise, nutritional therapy, herbal therapy, homeopathy, acupuncture, manual medicine, rebirthing, counseling, primal scream, CranioSacral Therapy, SomatoEmotional Release and biofeedback, to name a few. Although outwardly different, each of these systems facilitates the self-discovery that leads to self-healing.
When considering how the process of self-discovery works, it's important to remember our self-image constantly is changing. It seems the closer our perception of self approaches the truth, the deeper becomes our capacity for self-healing. When there is a close correspondence between self-image and trust, our self-healing power may be virtually unlimited, capable of producing the "miracle cure."
That's why, as a therapist, your main responsibility is to help the patient develop a truer (more accurate) self-image. You must become an accurate reflecting mirror - a medium through which the patient's real self can be perceived more clearly. You must be an unbiased facilitator, understanding the patient's true self-image might not be compatible with your preconceived notion of the problem.
When you release any ego-based tendency you might have to engage in dogmatic symptom classification, you can become a clear, reflecting medium that ultimately permits no illusion, delusion, camouflage or facade. Then, and only then, can you and your patient both discover the truth.
As a facilitator, you also must not force too much perception of truth at one time. Otherwise, you run the risk that the patient will turn away from his own reflections. You must be a very sensitive mirror, reflecting only as much as the patient is able to deal with at any given moment. Still, you must reflect enough to prevent stagnation and keep the self-discovery process moving forward.
The art of therapy is in sensing how rapidly the process can move without turning the patient away, and in allowing the patient to make his own discoveries. This requires you to avoid suggestion and leading. It also involves connecting with the patient at a nonconscious level. The process of self-discovery might continue with or without words. I wish you well as you continue to weave the Golden Thread throughout your therapy.
Editor's Note: Part Two of "Truth: The Golden Thread" will appear in the July issue of Massage Today.
Click here for previous articles by John Upledger, DO, OMM.
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