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.
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:
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.
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.
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.
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 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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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?
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
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."
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."
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.
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.
April, 2007, Vol. 07, Issue 04
Why Incorporate CranioSacral Therapy Into an Existing Manual Therapy Practice?
By Tad Wanveer, LMT, CST-D; guest author for John Upledger, DO, OMM
Editor's note: Dr. John Upledger has asked Tad Wanveer, LMT, CST-D, to share his insights in this month's column. Tad has been the guest author for previous "CranioSacrally Speaking" columns.
CranioSacral Therapy (CST) is a light-touch modality that is remarkable on its own, yet it also is easily and effectively combined with many other forms of therapy.Indeed, tapping into the craniosacral rhythm can add a great deal of insight and precision to any therapeutic process.
Each person's body is unique, and CST can help determine where the individual core issues reside. Feeling the body move in synchrony with the craniosacral rhythm can be used to efficiently locate areas of abnormal motion response. These areas usually require treatment and can be primary to the client's symptoms. With practice, it can take only minutes of light palpation to map the body's restrictive patterns.
Addressing Fascial Restrictions Decreases Abnormal Tissue Patterns
Fascial restrictions often can be the principal source of structural distortion. If not addressed, they may remain as the pattern around which the body organizes and functions. Fascia forms a continuous weblike structure in the body as it surrounds and interconnects each cell. In so doing, it is the substance through which biomechanical and biochemical exchange occurs.
Whether therapy is focused on bone, muscle, joint, organ vessel or nerve, the fascia will be involved. Incorporating CST techniques, which enhance fascia mobility and balance, has been shown to increase the corrective response within the tissue. These CST techniques can be used effectively before, during or after other therapeutic techniques.
Dysfunctional Tissue Can Cause Chaos Within the Body
Traumatic impact, infection and highly stressful situations are some of the causes of energetically chaotic areas within the body that create turmoil in the tissue and exhaust the body's energy reserves.
The CST technique of arcing is used to locate turbulent areas. Regional tissue release (noticing change in the craniosacral rhythm while following the tissue into positions of release) and the direction of energy technique are used to dispel disordered energy. These techniques can be added into an existing protocol, thus freeing the tissue of the constraints of chaos and depletion.
Imbalance and Abnormal Strain of the Central and Autonomic Nervous Systems Often Contribute to Dysfunction
Disorders such as Parkinson's disease, spinal cord trauma, cerebral palsy and stroke bring to searing light the effects that nervous system dysfunction can create. Less obvious abnormal nervous system strain patterns can be at the center of other issues such as repetitive strain injuries, pain syndromes, chronic fatigue, fibromyalgia, wryneck and headache.
Central and autonomic nervous system functions are pivotal forces that organize the body's trillions of cells and processes to flow in an integrated, purposeful, balanced and graceful manner. The cells of the central nervous system and the pre-ganglionic cells of the autonomic nervous system are found within the craniosacral system. Thus, adverse strain of the craniosacral system can cause nervous system dysfunction.
There are specific CST techniques used to address the cranial and spinal components of the craniosacral system. These techniques utilize gentle traction to increase the mobility and harmony of the craniosacral system that may lead to the correction of nervous system dysfunction. The techniques can be added into an existing practice either as an adjunct to the existing treatment regimen or as the primary form of treatment.
Following the Direction of Ease Is a Key to Self-Correction
When a practitioner follows the tissue into the direction of ease (the direction the tissue moves most easily), it allows the client's individual healing process to arise. Assisting and following the tissue while using minimal force enables it to move into unique patterns of balanced tension.
Since the practitioner is supporting this balance, the tissue can release itself from adverse strain and reorganize into a more harmonious state. This is a key element of CST and is an approach that can be used in many manual techniques.
There Are Times When It Is Necessary for the Tissue to Speak
There are times when it is necessary for the tissue to express itself. Some examples of this are trembling of the jaw, utterance of sounds, words spoken aloud, rapid breathing, sweating, moving, shaking and tears. This is a natural and often-observed occurrence in most manual therapy.
It can be a powerful and illuminating corrective process when words are used to help release adverse patterns. CST techniques can aid the process in a delicate and empowering manner.
Elevating the Client's Ability to Self-Correct
CST has few contraindications. It can address an enormous range of dysfunctions in a gentle, time-efficient and multifaceted way. Bringing CST techniques into an existing practice can help open the doors more fully into the realm of client self-correction and healing.
Click here for previous articles by John Upledger, DO, OMM.
Tad Wanveer, LMT, CST-D, is a certified instructor for The Upledger Institute, where he was a staff clinician for more than five years. He earned his diploma in massage therapy in 1987 from the Swedish Institute of Massage and Allied Health Sciences in New York City. He currently runs a private practice in North Carolina’s Raleigh-Durham area specializing in CranioSacral Therapy.
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