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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
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.
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.
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?
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.
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.
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 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.
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.
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:
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."
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 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.
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."
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.
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).
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.
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.
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?
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.
July, 2007, Vol. 07, Issue 07
Autism Spectrum Disorder: How CranioSacral Therapy Can Help
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) has been shown to help the autistic individual find greater ease, both within themselves and in the world around them, by decreasing structural stress and strain on their central nervous system.
Autism spectrum disorder (ASD) is estimated to affect one child in every 150 births.It's the fastest growing developmental disability, with a diagnosis rate rising 10 to 17 percent each year. ASD is considered to be a result of biological and/or neurological disorders that affect the functioning of the brain. To date, there is no known single cause of ASD.
The CST Model of ASD
Dr. Upledger's recent model of autism is based on his hands-on experience with autistic children and their responses to therapy. It's supported by research at Johns Hopkins University showing "increased levels of proinflammatory cytokines, neuroglial activation and inflammatory changes" in the cerebrospinal fluid of the autistic patients studied.1 Simply stated, ASD is partially caused by a loss of flexibility and probable inflammation of the membrane layers surrounding the brain.
This compromise can create restrictive force on the brain tissue leading to adverse strain on the internal body-regulating components of the hypothalamus, the reticular activating system and the autonomic nervous system; irritation and hypersensitivity of neurons, glial cells and neurological pathways; abnormal pressure change within the brain tissue; adverse affect on the limbic (emotional) system; over-heightened central nervous system immune response; brain tissue congestion and toxicity; and endocrine system compromise.
What is observed as typical ASD behavioral impairment in social relationships, social communication and imaginative thought might be the effects of inner chaos created by the abnormal grasp, squeeze and irritation of the membrane on the brain. Combining the extreme tension caused by an abnormally inflexible brain container with inflammation can lead to a brain confined within biomechanical and biochemical turmoil.
The CST Approach to ASD
The focus of CranioSacral Therapy is to enhance the balanced motion of:
When working with an ASD individual, the initial focus often is on the cranium to locate an area that has the greatest motion response to the craniosacral rhythm. Delicate release and pumping techniques are used to create more motion in that area.
The increased motion is used as a dynamic biomechanical tool - one hand is used to continue to increase motion and direct fluid flow, while the other hand is used to encourage motion in non-moving areas. Little by little, small changes create larger changes that enhance the mobility of the brain's container (the craniosacral system).
Increased balanced motion of the membrane surrounding the brain helps flush toxins and inflammation out of the brain tissue. As this occurs, it naturally can elevate biochemical processing, which increases the function of neurons and neurological pathways.
Newfound motion of the brain tissue and fluid helps decrease the abnormal and often enormous strain the brain has been under. This allows the brain cells a greater ability to process and react to information of all sorts. As Donna Williams states in her book, Autism: An Inside-Out Approach, "When I was an infant, my senses didn't work right and my response to light and sound and touch were not just meaningless, but too acute. I could not only, not understand the world, but I also could not stand it."2 CST gently can help the ASD person come to newfound levels of tolerance, understanding and response within themselves and with the world around them.
While this article has been focusing on the brain, CranioSacral Therapy also is directed to the whole body, since tissue restrictions anywhere can adversely affect the membrane surrounding the brain. CST helps elevate the body's natural healing and compensatory mechanisms by facilitating neurological function. This, in turn, can elevate the structure and function of the body as a whole, thereby aiding the correction of dysfunctional systems such as the digestive and immune systems that seem to often be involved in ASD.
CranioSacral Therapy also combines well with and can enhance other forms of therapy the ASD person might be using, such as sensory integration therapy, neurodevelopmental therapy, speech therapy, occupational therapy, physical therapy, diet programs, detoxification programs and homeopathy. When working with a child, it's helpful to maintain a program of consistent CST, since there is a tendency for the membrane of an ASD child to tighten as growth spurts occur.
CST Is a Sensitive Pathway to Nervous System Correction
CranioSacral Therapy gently and fully embraces each individual as unique. Through this type of acceptance, sensitive touch and delicate application of technique, pathways of change can form. CST can help the brain decrease levels of abnormal inflammation, sensation, tension, toxicity and chaos. This can lead to greater ease and efficiency of nervous system processing, which often manifests as a reduction of ASD symptoms.
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.
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.