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.
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.
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."
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.
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.
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.
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.
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.
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."
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?
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 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.
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.
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:
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.
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.
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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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.
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.
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.
February, 2012, Vol. 12, Issue 02
Impacting Children: CranioSacral Therapy and Pediatrics
By Carol McLellan, CMT, CST-D
Working with children is an art as well as a science. Using CranioSacral Therapy (CST) on a child can be especially gratifying as a qualified CST practitioner can facilitate significant changes that can positively improve the quality of a child's life.It's an exciting experience – but it requires more from the therapist than working with an adult.
Working with a child requires a different set of skills, among which are keen observation and refined palpation techniques. For example, the craniosacral rhythm of a child, as well as messages from the child, is much more subtle than those from older clients. Therapists must sharpen their sensitivities and perceptual skills so they can appropriately respond to these messages. Above all, they must know how to blend and trust and allow the child to be self directed, which will enable the child to feel safe.
Having an awareness of how children develop physically, emotionally, psychologically and socially, and having an understanding of the neurology behind this developmental sequence is also very helpful - especially when there's been a "glitch" in the process. What might these glitches be? What do they look like? Knowing the "science" is important in understanding the child you're trying to help. Also knowing how to work with the dynamics of the family as a unit is an integral part of the child's healing process.
"The inner wisdom of a child is every bit as intelligent as that of an adult," said Dr. John E. Upledger, an osteopathic physician and surgeon credited with developing CranioSacral Therapy (and one of the founding columnists for Massage Today). "It knows what its body needs to correct its dysfunctions. It knows why those dysfunctions are present. It has a softer voice than the adult inner wisdom; therefore the CranioSacral therapist must learn to listen more carefully. Once the connection is made, all the information you need will be forthcoming,"
The gentle nature of CST, as well as the premise of following the child's inner wisdom makes this modality a safe mode of treatment. It is very effective for newborns and babies with misshapen heads, and newborns who do not latch on well to nurse. Children all along the spectrum of autism and learning disabilities, including ADD, ADHD, dyslexia and discalcula also respond well to CST. Other neurological problems that have benefitted from CST include children with cerebral palsy, plagiocephaly, synostosis and seizure disorders.
The number of children who have Sensory Integration Dysfunction/"Sensory Processing Disorder" (SPD) is growing and therapists have reported positive outcomes from the use of CranioSacral Therapy. In fact, its success has led to our adding a class specifically for CST Applications to Sensory Integration to the Upledger Institute International's Pediatric curriculum. Other common dysfunctions and disorders often seen among CST pediatric clients include genetic anomalies, chromosomal defects, allergies, immune system dysfunction and structural issues.
Due to the CST system's intimate connection with the autonomic nervous system (ANS) - the CranioSacral system consists of the membranes (meninges) that surround the brain and spinal cord and surround and traverse the ANS - CST has been quite helpful with abused and molested children. Below is a letter from Connie Treis, RN, LMFT, the founder of a mental health clinic who has suggested CranioSacral Therapy for many children, as she has been very impressed with the outcomes:
"As a Licensed Marriage and Family Therapist, I have worked for 20 years with Attachment Disordered Children using many interventions, (i.e. Psychoeducation for parents, Play Therapy, Eye Movement Desensitization and Reprocessing, Cognitive Behavioral Therapy and nurturing holding guiding the parents. All of this has been done as a collaborative approach in conjunction with the work of Psychologists, Psychiatrists, Medical Practitioners, Social Workers, other LMFT's, school personnel, the juvenile justice system, child welfare system, parents and extended family members (birth, adopted and foster care). All of these means have been very effective, however, when I began to refer some of the children for CranioSacral Therapy, a whole new shift began for treatment. Reactive Attachment Disorder is the most severe form of attachment disorder problems. It means that the break in the bond with the primary attachment figure took place within the first two to three years of life. Children exhibit various symptoms from frozen watchfulness to tactile defensiveness and aggression. All of these children have difficulty trusting and fear being touched and loved, even though they need both desperately to grow up to be resilient, loving adults. Because of CranioSacral Therapy's deep respect for the Inner Physician, the requirement to first ASK at both an inner and outer level BEFORE touching, and the very light touch following the Significance Detector, these children, when they are ready, can achieve deeper and more permanent healing because they are being asked and then allowed to be in control. It is not the only therapy I would recommend for every child. A good psychological and medical work-up should precede the work. These are to rule out differential diagnoses, both medically and psychologically. A mental health professional well-versed in the work with RAD should stay integrally involved, both to monitor the child's psychological welfare and to maintain support and interconnection with the parents."
CranioSacral Therapy has such far reaching effects and is easily blended with other modalities, which makes it an optimal therapy for children. What a privilege and honor it is to be able to help children improve their health and quality of life as well as their families'. CranioSacral Therapy is enabling children to enjoy a healthier life now, and to look forward to a brighter future.
Carol McLellan has a background in health education and bodywork, practicing for more than 20 years - 14 of which have focused on CranioSacral Therapy. She is a CST instructor for Upledger Institute International, teaching worldwide. Carol is also a doula (labor coach) and has instructed doula and prenatal classes. She owns and directs a wellness center in Visalia, Calif., with eight therapists, practicing CranioSacral Therapy, acupuncture and massage.
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