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.
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.
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:
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 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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
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.
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.
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.
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?
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.
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."
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.
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.
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.
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.
Bad for the Back! Exercises That Can Prevent Healing
The questions "Who gets well? Who doesn't? Why?" prompted the following observations based on my close to 40 years of chiropractic practice.
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."
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.
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.
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?
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.
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.
August, 2006, Vol. 06, Issue 08
By John Upledger, DO, OMM
To many health care practitioners, seizures are a particularly puzzling phenomenon. They occur when hyperexcitable nerve cells in the brain fire abnormally. No one knows quite why this happens, and the types of seizures vary.Epilepsy generally is considered the condition when seizures reoccur, even if they stem from any number of chronic processes that disturb normal neuronal activity. If the seizure occurs once or is correctable, then it's considered non-epileptic.
Whatever the source, seizures in some people respond very well to the gentle approach of CranioSacral Therapy. Here are two letters from therapists that highlight this beautifully.
A Mother Cares for Her Son
Dear Dr. John,
I've started this letter at least once a year for the last 10 years. Rather than give you a long history of my son and me, let me share with you briefly what I have discovered.
A still point* will stop a seizure. My son "Brian" has benign rolandic seizures. He seizes only in his sleep. By bringing him to a still point, I can stop a seizure in two minutes. Yes, I've timed it. In the 10 years I've been using it, it has never failed.
It is absolutely amazing to watch a seizure unwind. My son goes from arms ridged, legs kicking and head pounding on the floor to near-normal sleep. At first, I used a technique I learned from the Holistic Nurses Association to soothe his pulse and breathing. Since it's energy work, I had to go on faith that it was really doing something.
Shortly after I began using this technique on Brian, he was taken to the ER in seizure. I began to work on him while he was hooked up to the monitors and watched his pulse drop from 120 to 95 in under five minutes. This happened before I discovered that the still point would stop a seizure more efficiently.
There is only one negative aspect of using the still point: The person performing it comes away feeling like they have just been hit by lightning. You have to understand, Brian's seizures generally start after 1:30 a.m., so you jump out of a sound sleep and put your hand on a body wildly discharging energy. It seems as if there is a backwash of energy, and you're lucky to get back to sleep three hours after the event.
Last spring, Brian fainted on a bus going to school (he's a university student) and went into a seizure. The bus driver panicked and called EMS, who rushed him to the hospital. The treatment he received in the hospital almost bordered on barbaric.
Sorry, this is my soapbox. I had stumbled onto something so profoundly simple that it really is unbelievable. But do you know what surprises me even more? Not one doctor has asked me how I do it. They just give me a blank stare. Your work is so important. Your still-point technique has changed the lives of my family. Before I made the connection, I felt totally helpless watching my then 11-year-old son as his seizures got worse.
You know what they say, no prayer goes unanswered. I went from Henry Ford Community College to Irene's School of Myomassalogy in Michigan, where your book jumped off the shelf at me. I began my coursework with The Upledger Institute before I started massage school. It took me almost a year to make the connection between the still point and seizures. That was my prayer answered.
You can do the still point anyplace on the body that is socially acceptable, but I have found the breastbone or the center of the back to be the safest. Brian almost kicked my head off one night, so I stay away from his feet and legs. When the seizure has stopped, the breathing will still be fast and the pulse very high. Then the energy work will restore the breathing and pulse to near normal within a few minutes.
S.K., Myomassage Therapist
P.S. Since I first penned this letter, my son has been back in the ER. Now, thankfully, his doctors are asking me point-blank how I stop his seizures. Of course, I'm more than happy to demonstrate. I look forward to the day when I can take my soapbox apart and toss it out for good.
Editor's note: In CranioSacral Therapy, a "still point" refers to an extended pause in the rhythmical activity of the craniosacral system, which can occur either spontaneously or be induced by the therapist. To induce a still point, the practitioner uses very delicate tissue techniques to restrict the flow of cerebrospinal fluid through the craniosacral system until it stops completely. This interruption causes a momentary buildup of fluid. When the tissues are released and the fluid begins to flow again, it gently "flushes" the system, causing the membranes to stretch a bit more to release any inherent restrictions or adhesions.
Case of Mystery Seizures Solved
Dear Dr. John,
About a year ago, a mother brought her 2-and-a-half-year-old son to me to be evaluated. He had suffered seven epileptic-like seizures in the previous month - almost two per week. The concerned parents had taken their son to specialists, but tests found no cause for these terrible seizures. The last seizure, worse than the previous ones, had resulted in the boy losing control of his bladder functions. The only recommendation was to put the child on anti-seizure medication. The parents did not want to do this.
In town from Georgia, the couple asked a relative for someone in the alternative field who might help their son. They were told to call me and see what I could do. An evaluation of the sphenoid bone movement showed a strong side-bending motion. I worked to correct this imbalance. This was very difficult to do on a young child who did not want to stay still.
What worked was for the mother to lie on the table and put the child face down on her stomach. In an hour, we probably got in about 15 minutes of actual movement therapy. Working on him during his regular nap time helped, since he went to sleep. Though I had just three days to work with him, it was apparently enough to stop the seizures.
This was a child who had not experienced any big falls. His birth had not been difficult. There had been no forceps or suction delivery. There was no obvious reason for an incident of this severity to occur. What worked was plain CranioSacral Therapy.
Click here for previous articles by John Upledger, DO, OMM.
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