Differentiating Qi Under the Needle
In the marketplace, we hear of dry needling being talked about more and more. As professional practitioners of Chinese medicine and acupuncture, it is important that we do not lose sight of our passion, purpose and belief in what we are doing, both for the sake of preserving the full practice of acupuncture and Chinese medicine, and for the sake of our patients.
Give the Overtraining Injury Epidemic Your Full Attention
Athletes are known for their competitiveness, their drive. That's why it's no surprise to learn that research published in the Journal of Sports Medicine has found a large majority – as many as 60 percent – of athletes regularly "overreach" or "overtrain" by working their bodies either too often or too hard.
Extraordinary Chinese Medicine
The very fact that we exist as complex, multidimensional beings at this manifest level, and get to experience—through our senses—others, the world around us, as well as our own selves, is a miracle.
News in Brief
Dr. James Badge, former president of the National Board of Chiropractic Examiners who, among other accomplishments, played a key role in the development of the board's Practice Analysis of Chiropractic (a report issued every five years and based on a survey of the profession), passed away on Nov. 7, 2018.
Exercise Therapy Following Motor Vehicle Trauma (Pt. 3)
Keep the neck in retraction by pulling the chin back toward the spine. Some rehab instructors used to refer to this as "packing the neck." I really emphasize decompressing the head away.
Acupuncture: More Effective in an Integrated Health Care System?
Acupuncture has traditionally been used in the primary care setting as a supplemental stream of care for patients. Patients can seek out or be referred to outside acupuncture providers based on their patients need.
Repave the Road to Financial Ease With Cash Profit Centers
Remember the adage, "Don't put all your eggs in one basket?" Well, that's what you do when you count 100 percent on insurance reimbursement to sustain your practice.
The NCCIH is Seeking Acupuncture Researchers for a Chronic Pain RCT
The National Center for Complementary and Integrative Health (NCCIH) in partnership with the Agency for Healthcare Research and Quality (AHRQ), and the Centers for Medicare & Medicaid Services (CMS) is seeking acupuncturists for a new Funding Opportunity Announcement (FOA)—a Randomized Control Trial (RCT).
Updates to ICD10, Specifically for Myalgia (Muscle Pain)
Are there updates to ICD10? I attempted to enter M79.1 for myalgia (muscle pain) and it was rejected by my clearing house as being invalid. What is the new code for myalgia?
Diverting the Crisis Stages of Life: Yang Wei Mai and the Necessity of Change
One of the biggest struggles in which we help our patients is the process of change. I often hear two common questions, "I'm unhappy. How can I change?" and "My life is changing, how do I deal with it?"
How to Handle the "F" Word
Have you ever been fired? It's terrible, nasty business, especially if you're on the receiving end. Most people are doing their best, and when they're terminated, they can become furious. If it's handled incorrectly, some people may even try to sue you for doing what's best for your practice.
Calming the Disturbed Meridians: A Way to Treat "Phantom" Pain
Margot J. was advised by her oncologist to talk to a psychiatrist about her post-mastectomy phantom pain. Instead, her friends sent her to me. Interesting situation—she'd recently experienced a double mastectomy and still felt intense pain in the spaces once occupied by her breasts.
Quick SI Assessment: 8 Tests
The lower back is a generator for a number of types of pain. As you know, it involves several different articulations: the lumbar spine with vertebral bodies, discs and facets; the sacroiliac joints; and the lumbosacral junction.
Using Tuina in the Acupuncture Clinic
The beneficial effects of touch are apparent to anyone who has stubbed their toe on an errant piece of living room furniture – after the initial angrily shouted expletive, we grab the offending digit in our hands because we know that it will help the pain.
BCBS of Tennessee Takes a Stance for Acupuncture
BlueCross BlueShield (BCBS) of Tennessee, the state's largest insurance provider, is starting the year off with some significant changes—they have dropped Oxycontin from their list of covered prescriptions and added acupuncture coverage.
Digital Dilemma: Issues With Post-Processing Collimation
With digital radiography, we are now able to electronically collimate images after acquisition. This may seem convenient, but there are also downsides to this technique.
The Back Squat: More Than a Training Exercise
The squat movement pattern is not only essential for ADLs; it is considered a foundational exercise for strength, resiliency and sport performance.
West Hartford Group Charts a Possible Course for Chiropractic's Future
The West Hartford Group, incorporated in 2006, is "a think tank dedicated to the acquisition of social, cultural and professional authority for the chiropractic profession, where the doctor of chiropractic (i.e., chiropractic physician in some jurisdictions) serves within the mainstream health care delivery system as a patient-centered, evidence-based, non-surgical, primary spine care health care professional." The WHG Board of Directors recently approved the following resolution it suggests as "one possible future for the chiropractic profession."
Time to End the Medicare Madness
Medicare's coverage of only a single chiropractic service (manual manipulation of the spine to correct a subluxation) may change soon if H.R. 7157, the Chiropractic Patients' Freedom of Choice Act of 2018, is approved:
The Four Needle Technique: A Follow-Up to the Husband/Wife Imbalance
In my previous article on the Husband/Wife Imbalance (Nov 2018), I made mention that successful clearing of this lethal block may require treatment stronger than the first two protocols explained.
Quantum Physics Research and the Ancient Roots of Acupuncture
Acupuncturists and quantum physicists have a lot in common. They are both working in fields that are rooted in an inter-connected universe. According to traditional Taoist cosmology everything in the universe is connected to everything else – nothing is separate.
The #1 Essential Element of Every Patient's Care Plan
The #1 Essential Element of Every Patient's Care Plan
The Truth About Malpractice Claims Against DCs (Pt. 2)
I save (print and scan in file) all emails and texts to and from patients regarding any recommendations of care, follow through of therapies, and especially urgent or emergency care recommendations.
Turn Back the Clock With Nutrition
The anti-aging market is booming because, well, who doesn't want to look young, healthy and vibrant for as long as possible? And while there are many anti-aging products and systems marketed to the public, few people realize the most effective way to slow down the visible passage of time is to give the body the nutrients it needs to be truly healthy.
Make Room for New Kids on the Bus
Kids who were never "fortunate" enough to ride the bus to school actually may have missed out on many lessons related to the social challenges they would face later in life. One of the most classic might be called "The New Kid on the Crowded Bus."
2019 Practice Trends: How Does Your Practice Compare?
In order to better understand trends within the chiropractic profession, we periodically survey DCs throughout the U.S. and share the findings of our Expanding Chiropractic Practice Survey for your review and reflection.
Learn to Speak the Language of Personal Injury
For many providers, personal-injury cases and working within the med-legal arena can often be a confusing and frustrating endeavor. After all, for the majority, personal injury is a niche.
How H.R. 302 (Travel to Treat) Became Law: Behind the Scenes
Sports chiropractic has created opportunities to put our profession on a pedestal. However, as chiropractors have stood on the pedestal with the success of their athletes, they have risked everything and put their licenses on the line when knowingly or unwittingly crossing state lines where travel to treat is not allowed. H.R. 302, signed into law in October 2018, mitigates some of that risk.
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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