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.
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.
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.
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?
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.
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.
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.
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 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.
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."
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).
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.
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."
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.
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 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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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?
June, 2011, Vol. 11, Issue 06
Reflections on the Two-Person Biology
By Sharon Desjarlais, CC
Daniel Goleman was only a toddler when a momentary encounter in a grocery store mirrored a neurological concept that's subtly advancing the nature of CranioSacral Therapy today.
As Daniel wandered down the aisle with his mom, a woman passing by gave him a warm smile. Instantly, he felt his own mouth involuntarily curving up to match it. "It felt as though somehow my face had become puppet-like, drawn by mysterious strings that widened the muscles around my mouth and puffed out my cheeks," he says in his latest book, Social Intelligence. "I distinctly felt that my smile had come unbidden – directed not from within but from outside of myself."
That inexplicable mirroring of smiles is now recognized in scientific circles as the reflection of "mirror neurons" in two brains synchronizing, a development that has promising implications in the light-touch treatment room.
According to Michael Shea, author of Biodynamic Craniosacral Therapy, this synchronization between two people reflects the emerging field of interpersonal neurobiology. "When two brains come together like they do between an infant and caregiver, their neurons synchronize to create a two-person biology that enables the child to begin processing emotions effectively."
Remarkably, those same neurological dynamics take place when two adults come together in a therapeutic relationship, creating a brain-to-brain bridge in the treatment room. This phenomenon emphasizes the need for clear and healthy boundaries between practitioner and patient. And, in Michael's eyes, that's the therapist's primary responsibility. "You have to spend more time paying attention to your own body in session, because a self-regulating therapist literally creates the neuronal pathways for a self-regulating client."
The new science on the subject also stresses the need to balance focused attention – what you're doing when you're tuning into a client's body hands-on – with unfocused attention, because that's the way the autonomic nervous system of the client develops, Michael says. "There are periods of approach behavior, like the contact and attachment that occur when your hands meet a client's body, which is mediated by the sympathetic nervous system. And then there are periods of withdrawal, when attention is moved away from the client, which is mediated by the parasympathetic nervous system. So, what we're doing as therapists by balancing focused with unfocused attention is mimicking the way the nervous system develops, which increases empathy and compassion."
Three Focal Points
How can CranioSacral Therapists make good use of these scientific developments in practice? Michael recommends incorporating three focal points in every hands-on session:
Focal Point 1: The Slow Tempo
In Biodynamic CranioSacral Therapy, the therapist attunes to a very slow body tempo called the "long tide." Michael believes you should start each session by synchronizing your attention with this slow tempo. "Tuning into yourself to activate the circuits of a two-person biology cannot be done quickly," he says. "It's a function of tuning in to the rhythmic balance interchange between the slow tempo and the natural quiescence that inherently exists in and around the body. Embryologists now recognize this natural stillness for its organic ability to bring order and integration to the human body as a whole." In a cranial session, he suggests you start by looking at the whole and synchronizing your attention with this natural stillness, because "that's how the whole gets organized. Then there's a dynamic later in the session when you can focus on parts that are holding a restriction."
Focal Point 2: Your Heartbeat
Next, Michael recommends tuning into your own heart. "As you sit by your client's side, take a moment to orient to your body three-dimensionally, like sensing the total surface of the skin. Then gradually shift your attention to the center of your chest and the movement of your heart and blood, a process called 'interoceptive awareness.'"
There's no need to take your pulse manually, he adds. "It's more important to sit still and feel the motion of the heart and blood as it moves through and around the heart and fluid body three dimensionally from head to toe." If your mind begins to wander (and it will), simply bring yourself back to your heart. "That alone changes brain structure and gives you the ability to differentiate yourself and your own internal processes from that of the client, and again, it deepens empathy and compassion."
Focal Point 3: Nature
Another natural way to balance focused and unfocused attention is by intentionally connecting with nature during each session. As you're working hands on, "move your attention out the window to the sky or to a tree for a minute," Michael says, "then bring your attention slowly back to your hands and your own body." When you're able to do this rhythmically, it helps reset your autonomic nervous system, which in turn resets your client's.
If you don't have a window in your treatment room? Bring in a potted plant or hang nature pictures on the wall. Michael says images of the horizon, like a sunrise or a sunset, are especially powerful. "It triggers the neurological head-righting reflex, which supports the vestibular system." And when you support your vestibular system, you naturally support that of your client's.
As new advances in interpersonal neurobiology appear on the horizon, science likely will continue to confirm that hands-on therapists have a deep and enduring impact on clients, in and out of the treatment room.
Click here for more information about Sharon Desjarlais, CC.
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