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.
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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