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.
September, 2007, Vol. 07, Issue 09
Autonomic Nervous System Dysfunction
By Tad Wanveer, LMT, CST-D; guest author for John Upledger, DO, OMM
Editor's note: Tad Wanveer, author of this month's "CranioSacrally Speaking" column, has been the guest author for several previous "CranioSacrally Speaking" columns.
Dysfunction of the autonomic nervous system (ANS) may be central to impairing the quality of one's life and contributing to severe illness.CranioSacral Therapy (CST) has been shown to balance and correct dysfunctions of the ANS through gentle manual techniques.
The nervous system can be simplified into five basic branches dedicated to sensory processing, muscle planning and activity, memory processing, emotional processing and basic survival. The ANS is a component of the basic survival branch. It controls the body's vital functions, working to maintain homeostasis (a steady internal state) and optimal conditions for cell and tissue function. The ANS has two divisions, each having motor and sensory components: sympathetic division (known as fight/flight/freeze) and parasympathetic division (known as rest/relax/renew).
Both divisions innervate the internal organs, smooth muscles, cardiac muscles, exocrine glands and metabolic cells. The sympathetic division also controls blood flow, sweat gland activity and hair follicles. The ANS partly mediates the regulation of immune and inflammatory responses within the gut, lungs and skin.
The ANS divisions continually work together to maintain optimal function and create the most balanced operation of bodily systems. Normally, when one is more active then the other is less active, as in the control of blood pressure. If blood pressure suddenly rises, parasympathetic activity to the heart increases and sympathetic activity decreases. This slows the heart rate and brings the blood pressure back down. If blood pressure is low, sympathetic activity increases and parasympathetic activity decreases, which helps blood pressure rise.
There are times when a division becomes chronically hyperactive (overactive) or hypoactive (underactive). The cause might stem from physical trauma, stressful experiences or biomechanical strain, to name a few. The effect is a body functioning in a non-optimal state, with its cells and systems excessively strained and overworked. The bodily stress can become enormous, leading to conditions ranging from mild chronic pain to devastating illness.
All organs, vessels, glands, nerves and cells of the ANS and every other part of the body are wrapped in fascia. The craniosacral system (CSS) is a specialized container that envelops the fluid and tissues of the brain and spinal cord within three continuous and interrelated layers of fascia.
The parasympathetic division also is referred to as the craniosacral division of the ANS because its motor cells originate in the brain stem and sacral portion of the spinal cord. The vagus nerves (there are two) are the primary parasympathetic nerves. Their route to the viscera begins in the brainstem. They exit the cranium by passing through the jugular foramina (two openings at the base of the skull) and traveling to the organs. Abnormal fascial strain may exist anywhere along the route of the vagus nerves, affecting the brain stem and spinal cord and resulting in altered structure and compromised function of the tissue with which it communicates.
CST techniques are used to locate and reduce adverse strain of the fascia. As the fascia returns to normal patterning and motion, neurological strain can subside and diminish the adverse strain on the smooth muscles, heart muscle, glands, blood vessels and organs. In response, the sensory input from the viscera to the nervous system can greatly improve.
Enhancing the mobility and balance of the CSS, also can increase the efficiency by which cerebrospinal fluid cleanses irritating elements from the brain and spinal cord tissue while delivering nutrients to the cells. These changes can help correct and improve the function of the ANS, which can significantly increase health and vitality.
Common causes of strain on the sympathetic division are stress, chronic illness or infection, scar tissue, traumatic impact and anxiety. Another is experiencing a highly stressful situation that the body is unable to process adequately. Sympathetic division strain can lead to dysfunction of central processing areas of the ANS (within the brain and spinal cord), particularly portions of the limbic system (emotional and memory processing area), the hypothalamus (internal regulatory area) and the reticular alarm system (vital function area). A chronic internal state of fight, flight or freeze can occur, causing relentless challenges leading to dysfunction and illness.
CST can help correct ANS dysfunction by reducing adverse biomechanical forces that are straining the harmonious movement of body fluid and tissues. For example, strain of the dural tube (the CSS membrane layers surrounding the spinal cord tissue) can cause sympathetic division cells to become irritated and overactive, leading to chaotic neurological communication and visceral dysfunction.
Another example is abnormal strain on the muscles at the base of the cranium, which can strain the vagus nerves and compromise the body's ability to regenerate and heal. A third example is when disruptive information embedded in the tissue causes flashbacks. The flashbacks usually occur in response to some form of sensory input that brings about a reaction in the compromised tissue and ANS. This causes certain cells to communicate in a way that unexpectedly triggers the recall of past events.
CST, as well as a spontaneous therapeutic process called somatoemotional release, helps the body find tissue-movement patterns that can liberate and integrate disturbing cellular patterns to normalize neurological, vascular, biomechanical and biochemical processing. Since overall health is realized within the parameters set by the function of the organs and systems controlled by the ANS, increasing ANS function this way helps elevate the body to its optimal levels of vitality, well-being, balance, self-correction and harmony.
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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