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.
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.
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.
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.
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.
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.
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.
News in Brief
A Comprehensive Model of Spine Care; Dr. Christine Goertz Appointed Vice Chair of PCORI Board of Governors.
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?
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.
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.
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.
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.
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).
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.
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?
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.
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."
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."
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.
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.
November, 2012, Vol. 12, Issue 11
CranioSacral Therapy and the High Performance Athlete
By John Matthew Upledger
The life of a high-performance athlete has always amazed me. The grueling training schedules. The intense focus. The sheer athleticism. There is a commitment level to this kind of competitor that I can't begin to fathom.I was reminded of this as I watched the 2012 summer Olympic games from the air-conditioned comfort of my living room couch.
Of course, with that drive to excel can come a sacrifice of health as the body is continually pushed to the limits of its potential. This got me thinking about athletes in general and how they can benefit from CranioSacral Therapy. I found a prime example in a competitive athlete named Rick*.
CST keeps cyclist centered
At 49, Rick is in peak physical condition. A professional cyclist and adventure racer for much of his adult life, he maintains an extremely active lifestyle. Along with cycling, he is an avid runner, skate skier and back country skier.
Rick's training regimen is intense, to say the least. There is mountain biking and trail running, which subjects his body to severe elevation gains and losses. There are marathon sessions on a rowing machine. And there are rigorous plyometric exercises he undergoes to boost his performance. The idea of plyometric movements is to push the muscles to exert maximum force in a small amount of time in order to develop muscular power and improve overall speed. By any definition Rick is a high-performance athlete.
For six years Rick has been the client of Dominique Tardif, MT, in Boise, Idaho. He first came to Dominique looking for sports massage to keep his body "tuned up" and operating at peak performance. Then one day, Rick came in commenting that he didn't feel "centered" on his road bicycle. Chalking it up to a problem with his bike, he said he was going to take it to a mechanic for an assessment. Suspecting that Rick's bike was not the problem, Dominique suggested a new approach. She had recently taken her first CranioSacral Therapy class and thought the techniques would be beneficial given the symptoms he described.
Rick initially had a hard time wrapping his mind around the value of what Dominique described: a technique that used only about five grams of touch. How could something that gentle help him? By the end of the session, Rick was a believer. Using the CST 10-step protocol, Dominique said, "I found restrictions at every listening station! He experienced significant releases throughout his system that day, predominately at his sacrum, thoracic outlet, parietals, temporals and sphenoid." Later that week, Rick sent Dominique an e-mail saying that he was perfectly centered once again on his bike, without the help of a mechanic. "I dare say that caught his attention!" she said.
Since that time, CST has become a regular addition to Rick's sessions. During a recent appointment, Dominique began her assessment, taking Rick's heels in her hands. "I felt a strong pull cephalad on his left side," she said. "At his left ASIS I felt an anterior medial pull. I asked him if he was feeling any pulls or strains in his body." Rick mentioned that he felt a left side/off-center pull. Dominique continued through the listening stations, arcing and assessing for fascial restrictions and facilitated segments. "I used a variation on the 10-step protocol," she said. "I added in CST-based, light-touch deeper fascial work with direction of energy and nonverbal dialoguing with the tissue. The biggest releases were at his sacrum/SI joint/ hips/legs. The final polish was added with the cranial vault holds."
Immediately after the session Rick reported that he felt fully centered and evenly planted through both feet. Nine days later he went on what he called his "first hard run in a long time" — a seven-plus mile run in hilly terrain. He wrote Dominique to say, "I felt totally centered — like a metronome or a set of pistons—balanced and relentless."
Tips for working with athletes
As Dominique discovered with Rick, the application of a light-touch technique such as CranioSacral Therapy often requires a new understanding of how the body responds to gentle, directed touch — or at least a willingness to give it a try. That goes for both the client and therapist! Dominique says, "CST taught me how to have a different conversation with tissue. I find that I can get deeper releases with a lighter touch. I work with a lot of athletes, and I find them generally to have a higher awareness of their bodies than the average person. If there is a challenge it is to convince them that one does not necessarily have to dig deeply into their tissue for them to benefit from the session." Rick says, "Dominique has made me aware that a CranioSacral Therapy session can be a key part of overall maintenance and healing in addition to deep-tissue sports massage."
Appointments with Dominique now almost always include CST — even if it's simply doing a still-point induction to start the session, she says. In Rick's case, sessions average 90 minutes and are scheduled to coincide with rest days in his training. "I always encourage athletes to schedule their sessions with me on a planned rest day in their training regimen and only to do a light workout or just yoga/stretching the following day," she says. "When Rick is feeling a need for a thorough combination, I will split the session between CST and massage. At times we have gone two hours if he wants a full CST session and a full massage."
Working with other clients within a standard hour-long massage session, Dominique is still able to maximize CST's potential. She will quietly arc and assess their Craniosacral rhythm at the beginning of the session and then bring in whatever aspects of CST the body guides her to do. "CST has been invaluable in my practice," Dominique says. "It has given me another modality to expand my practice and client base. It has deepened my conversation with the body and tissue, teaching me that often less is more. And it has encouraged me to ‘get out of the way' and let the client be the guide."
This approach to bodywork can benefit people in all walks and seasons of life—whether they're an elite athlete, a weekend golfer, or a guy cheering on his favorite Olympians from the comfort of his living-room couch.
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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