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.
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.
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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
January, 2008, Vol. 08, Issue 01
Part IV: Chronic Problems Related to Gall Bladder Dysfunction/Disease
By Dale G. Alexander, LMT, MA, PhD
In this article, you are invited to consider the relationship between the progression of gall bladder dysfunction, migraine headaches and the existential questions of life. Chronic headache patterns often have a correlation to the cognitive dissonance of mental and emotional conflict in which one feels split, torn or confused between competing urges, behaviors or decisions in their life.
While the gall bladder is not the only organ that reacts to the stress of emotional and mental dissonance, it is among the first responders.1 And, because of its anatomic centrality, it exerts an enormous influence upon vascular efficiency, especially, I propose, upon blood flow to and from the brain.
I previously have described the body's stereotypical response to stress as a "cringing of the body's sacs and a shortening and narrowing of its tubes." The net sum of these reflexive reactions invariably includes the muscular tube of the esophagus pulling the head down and forward upon the neck. Let us remember that the esophagus has its fascial mooring to the sphenobasilar junction and therefore, may directly communicate gastrointestinal tensions from the abdomen to the craniocervical relationship (the base of the skull to the cervical spine) as its fibers shorten and narrow.2
The gall bladder as an organ is a sac as well. The stress-related effects of its cringing or resulting inflammation can neurologically provoke contracture of the right hemi-diaphragm and the lesser omentum. A shortening of these structures in their relationship to the lower esophagus mechanically adds a downward tension, further ratcheting the head inferiorly upon the neck.3 Additionally, the gall bladder tends to discharge its tensions into the spinal cord through the phrenic nerve circuit, which has its nerve roots between C3, 4 and 5.
Releasing the tensions of these cervical segments often is my first step in assisting clients with migraines. Let us remember that the nerves supplying the longus colli and capitus muscles and the scalene and levator scapulae muscles receive their neural supply from C3 and 4. Also, the neural supply for brachial plexus begins at C5, allowing for a distribution of tensions from the gut tube to be communicated to the neck and upper extremities. Contracture of and from any additional upper extremity-muscles, via their fascial relationships in sum, may further exert a downward pull of the cranium upon the neck.4
Most often, clients describe that their migraines begin as a building tension in their middle-to-upper neck spreading up and forward into the cranium, usually affecting one or sometimes both sides of their head and usually one eye more than the other. When a client reports their pain begins "within or just behind their eye" then moves backward, I request that they go back to their physician or seek further medical testing to rule out the possibility of cranial or cervical pathologies.5
My clinical experience suggests that compression within the intricate matrix of the craniocervical relationship is a significant contributor to chronic migraines. The simplest way to conceive of this is to propose that the brain gets either too little blood (ischemia) to maintain its complex functioning and starts painfully screaming for more supply; or to imagine that the compressive elements described earlier have substantially slowed the drainage of blood and lymph from the brain, creating painful pressure; thus, either ischemia or pressure build up produce the same result. And I propose they may co exist in different parts of the brain.
Earlier, I noted that gall bladder dysfunction has a potential effect upon vascular supply to and from the brain. I already have described two of the mechanisms via its influence upon the esophagus and through the discharge of phrenic neural tensions into C3, 4 and 5 that may impede delivery of fresh blood or slow the venous and lymphatic drainage from the brain.
A third proposed mechanism is the heart's inability to supply the brain and body simultaneously in the face of a congested or inflamed gall bladder, reducing the speed and volume of venous blood flowing into the inferior vena cava and then into the right atrium via the tricuspid valve.
As was noted in my last article,3 the heart's tricuspid valve acts as its primary feedback regulator of pressure and "the important factor determining the amount of blood pumped by the heart is still the rate of entry of blood into the heart."3,6 Thus, it is proposed that reduced speed and volume of arterial blood has a domino effect upon its distribution as it exits the heart through the ascending aortic arch into the subclavian, vertebral, external and internal carotid arteries and through the descending aorta. In response to the intensity of a moment or, more commonly, in response to a protracted period of the mental and emotional dissonance, anguish, confusion or conflict, the neurocirculatory regulators of the heart go on tilt, unable to equitably supply all channels. Some tissues get more blood than others - too many fires to put out simultaneously.
This assertion suggests that lack of blood flow to the brain is more likely to trigger a migraine. I harbored this assumption for many years, yet my clinical experience during the last eight years and escalating success rate in assisting clients with migraines, indicate it is blood being retained in the cranium, which tends more often to be the trigger.
How is this possible? I return to the basics of our evolutionary physiology as humans. Simply stated, the body has developed a tendency to preserve fat, retain fluids and to congest blood (when the flow has been slowed for whatever reason). The notion that the body would congest blood during a disruption of its normal delivery schedule or in response to a gradual reduction of delivery (timing or volume) is similar to how the body tends to respond to even the prospect or the actual experience of famine, by hoarding what it does have.7 This description represents a slight variation of the blocked drainage thesis proposed earlier. Nothing is 100 percent. Both the retention of blood and inadequate supply are accurate postulations within my experience, and other possibilities exist as well.
And current medical opinion is conflicted about the exact etiologies of migraines. According to a recent Mayo Clinic Health Letter, "the cause of migraines isn't fully understood."8 Thus, our clinical postulations as a profession may actually shed light on a human vexation that has lived in the shadows for millennia.
The most common profile of clients who have come to my office with migraines have been people experiencing some kind of exquisite life transition and redefining who they are (e.g., loss of long-term employment; leaving someone they truly loved in order to regain their health and/or experiencing a nasty divorce; a serious injury or illness; the death of a loved one, etc.).
Exquisite life transitions unearth the existential questions of life. They rock our carefully constructed world. And these transitions often tweak the gall bladder. Eighteen years ago, I personally experienced the theorized notion that the gall bladder consistently demonstrated itself to be highly correlated with the emotions and thought patterns of blame, bitterness and resentment proposed by Lansing Barrett Gresham, the founder of Integrated Awareness.8 He had developed his empirical model through the use of energetic touch with different body sites and specific organs relating the emotional, mental and spiritual themes of what his guests would address during, after or between appointments. Over the ensuing years, I repeatedly have confirmed these associations with clients along with many additional correlations introduced in his second book The Body's Map of Consciousness, Volume I: Movement.9
Let's consider the number of colloquial phrases within the English language that reference the human neck and cranium as a bridge to how existential questions may participate in the gall bladder's progression toward dysfunction and its relationship to migraine headaches: "You're a pain in the neck"... "You give me a headache every time I see you,"... "I get a splitting headache whenever I have to go to work/school/(fill in the blank for yourself)"... "I'm fed up to here (hand raised to one's chin)." These phrases clearly communicate elements of blame, bitterness and resentment.
To my sensibilities existential questions reflect the cornerstones of our identity - how we perceive our relationship to self and others. What do we believe in our heart of hearts is possible for us to feel, experience or achieve? Who am I now and who do I wish to become? What is my life's purpose? How do I desire to contribute to humanity? Did I choose to be here in the first place?
Quite often these foundational queries are veiled - unconsidered and unanswered in the web of a client's chronic somatic profile. I find that exploring such questions with clients is a major contribution that allows them a context for reconsidering, refining or redefining their sense of self and what is possible for them. Commonly, I encourage clients to seek out qualified therapeutic counseling to more fully delve into these queries.
Existential questions of life reflect the full scope and continuum of consciousness including whatever one considers as sacred or divine. Among the many possible there is one question that to me reflects the bookends of the continuum: Did I choose this life?
I have experienced this question to be the most important. I used to imagine this was only a question of one who lives in California. Time and experience have shown to be universally relevant. When we accept the premise and embodiment that we actually choose this life, then most of what we blame and resent others for is placed into a larger perspective of personal ownership. We more naturally gravitate toward accepting the responsibility and willingness to risk creating a life that works for us. We recognize our ability to co-create our reality and we accept that randomness exists as well. The process of embodying this premise can take some time.
The other bookend of the continuum is represented by our belief that we are a biological accident, sent back to "earth school," rejected by God or any other rationale that dispossesses us of the inherent capacity to choose and learn from the positive or negative consequences of our choices. These inevitably lead us into a spiral of victim-consciousness, feeling as though life happens to us with varying emotional flavors and behaviors of compensation, hiding, comparing one's self to others, blaming others and resenting them - making excuses for what we have or haven't done and feeling less worthy than others.
It is my personal and professional experience that we all wrestle with this alligator and others. Having specialized in working with chronic ailments, it continues to be my experience that the inclusion of a client's existential cosmology is a significant variable to the healing process. In response, clients report their awareness expands toward a more spacious possible future, one in which they perceive new choices and options for themselves. Further, the more at peace we are within ourselves, the less (I postulate) we feed the inflammatory cycles that so often are associated with chronic conditions.
It is quite interesting that in ancient Hebrew the word "reconciliation" means to "change through the gut."11 Reconciling the deep losses of life with its seeming inherent unfairness and to come out the other end without blame, bitterness or resentment is a process for which we all can experience compassion and challenge.
For the record, it's not the gall bladder per se, rather its anatomic centrality in the dance of psyche and soma that characterizes its importance. I am not proposing that if one can dial up with the right answer to the existential questions of life that they will be happy, age gracefully and won't be hit sideways by some random event. There is no inference of causation stated here, only the postulation in common sense that protracted internal turmoil participates in the stress and progression of gall bladder dysfunction and chronic migraine headaches. It is how we perceive life and what is possible for ourselves (based on our answers to existential questions) that is central to the degree to which we experience the ongoing grinding effects of degenerating stress toward various pathologies.
In conclusion, allow me to acknowledge that I have fallen short of my stated goal to be able to distill all that I wished to share in this article and to complete the gall bladder series with a crescendo. Instead, I am surrendering to how I perceive anatomy, physiology and consciousness elements work together, by sliding the focus of our attention from one arena to the next, recognizing their inherent interconnectedness and relatedness is simultaneous and ongoing as a unified sentient organism.
My next series of articles will build upon elements of this one and will describe another progression toward dysfunction/disease of similar stealth and insidiousness - one that has been anecdotally estimated to affect approximately 80 percent of the population. Stay tuned.
I wish to acknowledge Katie Truax, Glenn Gaffney, LMT, and Jake Rutherford, MD, for their editorial assistance.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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