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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
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.
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.
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.
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.
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.
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.
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...
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.
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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