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.
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.
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 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.
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.
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?
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."
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.
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.
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.
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).
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.
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:
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?
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.
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 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.
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 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.
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.
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.
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.
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.
April, 2012, Vol. 12, Issue 04
On Straight Footing: CranioSacral Therapy Makes a Difference
By John Matthew Upledger
When the body receives the release it needs to begin healing, change can occur rather quickly—and unexpectedly. Just ask Sharon Aldrich. A licensed massage therapist, Sharon was enrolled in her first CranioSacral Therapy class.On the third day she was watching a demonstration of a 10-step protocol technique when she looked down and noticed something that amazed her. Her feet were facing straight. Since childhood, she had lived with an in-toe gait, or pigeon toes as it is commonly referred to. Looking back at that moment, Sharon said, "I noticed that I seemed to be standing in a posture that felt strange but not at all uncomfortable. I took my focus away from the demo and looked down at my feet. For the first time in my life, I was not pigeon-toed. My feet were out and it felt good all way up my legs, into my hips and low back. I then noticed that my ASIS and PSIS were level. No more anterior rotation." The CST techniques that Sharon received during practice sessions in the first two days of class had initiated a healing process that didn't stop with her feet.
A Life of Hard Knocks
No surprise, growing up with a condition such as pigeon toes presents a host of emotional and physical challenges. Sharon's right leg was so turned in at the knee that the ankle bone was actually facing forward. Growing up, she said, "There were many times when I would be so exceptionally tired I might step on my left big toe with my right foot. I remember having to sleep at night with shoes on and a corrective bar between them." The constant reminder from her mother to, "turn your feet out" still reverberates in her memory.
To her credit, Sharon didn't allow her condition to rule her life. "I was always very active as a child," she said, naming sports, cheerleading, gymnastics, horseback riding and general roughhousing as common activities. This active lifestyle came at a cost, however. Sharon endured a number of mishaps over the years that included a fractured tailbone from a fall on the balance beam at the age of 15, a fall off a horse, and a waterskiing accident in 1997 that left scar tissue in the area around her C-3. As a result, she said, "I had chronic lower lumbar and sacrum pain, and my S.I. joints continually locked up."
About six years ago, as Sharon's body continued to lose its ability to compensate for her rotated leg and many injuries, she began to experience right hip pain. This manifested in the form of numerous severe trigger points across her right piriformis and upper gluteals. "I could not sit on a hard surface for a long time nor in a car," she said. "Sometimes my back would seize up, and I had difficulty getting out of the car." An X-ray ultimately showed that Sharon's femur was moderately internally rotated — a fact that surprised her. "I was told that my foot wasn't turned in at the ankle; it was turned in completely at the hip." The type and severity of her pain began to make sense.
Light Touch Promotes Deep Release
Pain had been a part of Sharon's life for so long that she had learned to compensate for it in her daily living. All of that changed with the gentle, precise touch of CST, which activated the release of long-held restrictions and encouraged her body to self-correct. With that initial correction, Sharon said, "I had some aching in my right quadrant area medial to lateral. It felt as if my thigh was trying to roll in and also reorganize. When we did a mini session on the last day of class, the aching stopped the next day."
In Sharon's case, she believes her issues resided in a restriction within her pelvic girdle. This was released as she received the various techniques of the CST protocol during class. Mariann Sisco, PT, CST-D, who was Sharon's CST instructor, explained the connection. "The pelvic diaphragm of fascia lies within the pelvic girdle and is oriented transversely. It connects to other transverse planes of fascia—notably the respiratory diaphragm and the hips in Sharon's case." Touching on these transverse planes with CST proved to be a key in Sharon's healing process. "Most therapists focus on the longitudinal planes, while these transverse planes are often the missing link in clients who are not quite coming along," Mariann said. Being both student and patient was an especially educational experience for Sharon. As the body begins correcting, she said, "You don't see anything happening from the outside, which is so fascinating. As a practitioner, though, you can feel all of this. It's amazing."
A Continued Path of Healing
Within three months of her CST class experience, Sharon reported a 90-percent reduction in her low back, sacrum and right buttock pain. She said that her pelvic girdle is basically stable, as well. She attributes the remaining 10-percent of pain to being a hard worker and an active person. "I now only have to stretch my low back daily for normal age-related stiffness," Sharon says. "If I don't do that, I tighten up and experience some swelling lateral to C-3 and C-4 along with headaches."
To help with her residual pain, she says, "I have shown my [MT] colleague how to do the CST technique involving the decompression of C-1 and the occipital ridge. That helps so much with my headaches and my tightness." One of Sharon's biggest marvels continues to be the condition of her stance. "I have a pair of expensive tennis shoes that I always wore to work in," she says. "They have a stabilizer bar and are made to correct pronation and rolling in on the big toe. If I try to wear them now, my feet turn completely out! It has been a life-changing experience for me not to have back pain that very often dictated a good deal of my life. Also, for the first time in my life, I no longer hear 'Turn your feet out, sweetie' from my dear mother!"
John Matthew Upledger is the CEO of Upledger Institute International. For 25 years, he has been actively engaged in all aspects of the organization — from education to clinical services. For more information about CranioSacral Therapy and other modalities offered for study through Upledger Institute International go to www.iahe.com.
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