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.
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?
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."
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.
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?
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.
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.
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).
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.
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.
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.
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.
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.
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."
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.
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 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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
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.
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.
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.
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.
November, 2008, Vol. 08, Issue 11
The Art and Science of Fascia
Celebrating the Legacy of Dr. Ida P. Rolf
By Erik Dalton, PhD
I attended the Rolf Institute of Structural Integration's 2008 Annual Convention in Boulder, Colo., this fall. The institute's legendary reputation as a rich and diverse resource of talented therapists and educators continues to flourish.Its members are heart-filled and compassionate, while still naturally spiced with an equal dose of stubbornness and ego, no doubt handed down by their brilliant, demanding and eccentric founder, Dr. Ida P. Rolf.
Following Dr. Rolf's death in 1979, a prominent New York City consulting firm was hired to help calm the waters and provide guidance for the institute's future journey. Concerns were expressed when the firm bluntly informed us that organizations founded by authoritative and dominating leaders, like Rolf, statistically had a three-year survival rate following the founder's death unless dramatic guidelines were implemented. But in spite of these omens and warnings, we've managed to survive and thrive. Twenty-nine years later, it can safely be said that we beat the odds, but not without the inherent growing pains, opposing viewpoints and the predictable but uncomfortable confrontations among faculty members, the board of directors and members-at-large as to our future vision and educational mission.
A Celebration of Hope
Any attempt to herd these strong-willed Rolfers into a cohesive, highly functioning unit has traditionally been rather challenging, but this year proved different. The three-day convention at the historic Boulderado Hotel was filled with activities that exuded heartfelt devotion, energetic unity and a sense of "we" -- a synergy sorely missed by some in years past. It was obvious from the first day of the packed convention that these passionate and dynamic therapists weren't there to squabble or complain, but to raise the somatic education bar via groundbreaking fascial research programs and extraordinary hands-on seminars.
The highlight of the event was the keynote address, titled "From Fish to Man: The Story of the Human Spine," stunningly delivered by renowned Canadian researcher Serge Gracovetsky, PhD. The following day featured a host of inspired presentations and workshops, many conducted by some of the first teachers Dr. Rolf hand-selected nearly 40 years ago.
Jan Sultan and Michael Salveson lectured on the essence of Rolfing and the power of Rolf's original vision, followed by breakout sessions scattered throughout the next two days. The wide array of stimulating breakout sessions featured Jim Asher (Rolfing Children); Tom Findley, MD, PhD (Cell Biology From a Rolfing Perspective); Helen James, MPT (What's Emerging in Research); Gail Ohlgren (Internal Landscape of Perception); Pedro Prado, PhD (Psychological Dimension of Rolfing); Tom Wing (What Is Integration Anyway?); Jan Sultan (Neck & Core); and Michael Salveson (Advanced Foot Techniques).
My Personal Motivation
It had been 21 years since I last attended an annual conference. The rationale for my giving up a weekend of teaching to participate in this event was determined by four factors: to eagerly reconnect with old friends; to celebrate the formation of the Ida P. Rolf Research Foundation; to share in the new developments generated by the tremendously successful Harvard Fascial Congress; and to help assist and pick the brain of the foremost biomechanical gait researcher of our time, Dr. Serge Gracovetsky.
Therapists familiar with my "Don't Get Married" articles are keenly aware of Gracovetsky's influence on my approach for correcting inefficient movement patterns. A background side note: Gracovetsky and I first met at a 1987 Rolf Institute Convention, where he also honored us with a keynote address. We reconnected again last October at the Harvard Fascial Congress (co-sponsored by the Rolf Institute), when he was awarded "Best Presentation" for his impressive spinal engine theory of human locomotion. Two decades later, I'm still clumsily attempting to translate his elaborate spinal biomechanics concepts into my clinical practice.
I could blabber forever about his 27-year career as the head of Concordia University's physics department in Montreal, his 34-year association with the late great biomedical researcher Harry Farfan (the co-founders of the prestigious International Society for the Study of the Lumbar Spine), and his astounding 2,000 research publications and presentations - in three languages. I asked myself: Where in this guy's illustrious career does one stop? No easy answer comes to mind. Inevitably, Gracovetsky's future accomplishments will only magnify as his massive body of work continues to infiltrate the world of structural integration and pain management. Sometimes, the best way to understand a man is to know the man, so I'll briefly share one priceless encounter that occurred at the convention.
And Then There Were Three
When the news became public that Serge Gracovetsky would be speaking again at my old alma mater, I immediately contacted my best friend and mentor, Jim Asher. As one of the first instructors hand-picked by Ida Rolf, Jim worked tirelessly by her side until her death. With karma apparently at the helm, it was eerie Jim had already made plans for us to spend quality time with Serge during the upcoming convention. He had arranged an early pickup at the Denver airport to allow 45 minutes to drill Serge before arriving at the hotel, where adoring fans would most certainly consume all his attention. Little did we know we'd be gleefully glued to his hip for the next three days - a treat of a lifetime.
The minute we spotted Serge, it was obvious he wasn't suffering jet lag from the flight. His big blue eyes, mischievous grin, and frazzled hair exuded an energetic air of intellectual eccentricity. Since our previous encounters had been limited to formal convention settings and short technical telephone and e-mail conversations, I was primarily acquainted with Serge's intellectual side. By the time we'd exited the airport, Jim and I were fully captivated by his warm French-Canadian humor, witty unending dialogue and dogmatic nature. Definitely not the stereotypical researcher, Gracovetsky revealed that his passion for playing clarinet in the Montreal Symphony always preceded his love of the lab.
As an indomitable twist of fate, the pre-convention workshops and Rolf faculty meetings left Serge virtually alone with Jim and me. It was obvious that he was accustomed to roadies and confidants, and we were delighted to fill those roles. Like most experienced presenters, his first request was to visit the convention hall where he was scheduled to speak that night, so he could inspect the hotel's audiovisual setup.
Hotel management informed us the ballroom was in use until 4 p.m., so we decided to explore the outdoor Pearl Street Mall, eat sushi and run errands. We strolled the Boulder streets for hours, soaking up the lovely midday sun and relishing in a hodgepodge of nonstop conversations ranging from body biomechanics to Buddhism. What a thrill!
Dr. Gracovetsky's keynote was at 7 p.m., with a "meet-and-greet" Rolf function beginning at 5 p.m. Although the audiovisual set-up proved a bigger challenge than anticipated, we finished just in time to clean up and meet in the spacious lounge area just outside the convention hall, where entertainment, food and drinks were already in progress. It was a delightful experience meeting all the Rolf newbies and reconnecting with old friends.
When the lights finally dimmed and the ballroom filled, Serge was politely introduced and away he went. Beginning with a flamboyant and humorous intro, he immediately captivated the crowd and humbly challenged them to think outside the biomedical box. His two-hour riveting presentation brought down the house. Topping the lovely evening was an impromptu gathering of Rolf elders, educators and friends packed tightly into three big tables in the patio area. An electrifying atmosphere of shop talk, laughter and fine French wine was enhanced by the full moon and the crisp Colorado mountain air.
Relaxation and Restoration
Saturday night's well-organized festivities offered a welcome respite from two 10-hour days of educational drama and information overload, like 30 people packed into a Mini Cooper. What better way to help these kindred spirits unwind than to resurrect a surprise revival of an old Rolf tradition dating back to the early '70s - an acoustic jam session consisting of hand drums, guitars and wind instruments, all accompanied by melodious singing and the oldest body-movement therapy in the world, dancing.
Adding to this magnificent ambiance of unity and nostalgia was the organizing committee's decision to hold the party at the original Rolf Institute building. Some who graduated from that small house on Pearl Street expressed ambivalence about revisiting a place that contained such strong emotional overtones. Indeed, a barrage of memories immediately filled the air as we entered the legendary Rolf "boot camp" training center. As Jim Asher, Jan Sultan and I wandered into the half-darkened, party-decorated, main teaching room, with Serge Gracovetsky tagging behind, it felt as if we'd been thrown into some sort of time warp. The fact that the building's physical appearance seemed untouched heightened our awareness.
Fortunately, our early arrival allowed time to reminisce without interruption. As we began collectively retrieving old visual panoramas of people walking "the line" while Rolf students and faculty astutely assessed their structure, Sultan half-jokingly remarked, "If only these walls could talk." Asher fondly recalled how the cold days often required continual stoking of the big old pot-bellied stove to keep our models warm and moving. But my flashbacks focused on vivid memories of long, arduous and mentally exhausting days often extending into intense late-evening group therapy sessions filled with tears and laughter from emotional and physical fatigue.
Although it seemed like hours had passed, we probably regained consciousness and returned to Mother Earth in only a few minutes. Daydreaming was suddenly replaced with goofy laughter, particularly when we glanced around and saw the expression on Serge Gracovetsky's face. He was puzzled. It was apparent that he was trying to figure out what planet we'd been visiting and how the "people parading around in underwear" ritual correlated with higher education.
Tonight, however, was the time for festivities, and once Serge unpacked his clarinet and the jamming finally began, he felt right at home as wall-to-wall dancers shook the historic home. Rolfers definitely know how to have fun, and the 1960s atmosphere once again overflowed with love and laughter.
The embodiment of Ida Rolf's 52 years of work has infiltrated every branch of manual therapy. Her unfaltering dream of a permanent elite school of hand-picked students eventually led to this house on Pearl Street. So much has evolved since her death, as training facilities continue to sprout up around the globe and her wisdom has seeded a new generation of manual therapies. Seeing the full bloom of her life's work and dedication was humbling and reminded me how lucky I am to be a soldier in such an army of wisdom-seekers bound to a time-honored tradition of excellence.
Click here for previous articles by Erik Dalton, PhD.
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