Vaccines & Autism (Part 1)
It turns out chronic inflammation is the driver of autism expression. Unfortunately, those who emotionally embrace the vaccine issue rarely, if ever, consider this relationship, which hinders a rational view of the vaccine issue.
UnitedHealthcare Can't Seem to Keep Chiropractic Down
AA decade ago, UnitedHealthcare announced changes to its chiropractic services policy that declared manipulative therapy for headache unproven.
The Secondary Insurance Plan
I have a patient that has Medicare, but also has a secondary insurance plan that does cover acupuncture. How do I bill Medicare to get a denial so that I may bill this secondary payer?
Why Take X-Rays When You Already Have an MRI?
Let's clear up the issue regarding the efficacy of plain-film studies when an MRI study has already been performed. I review imaging studies primarily for chiropractors, and often their patients have been to other health care providers before finding their way to a DC.
The Classical Texts & Integrative Medicine
The acupuncture profession has been undergoing many changes in the past years. There has been a shift towards a more integrative approach to medicine as more hospitals include integrative departments.
"Community Care" for Vets: It's Really a Big Deal!
As a preamble, while I regrettably never served in the military, I have the highest respect for those who did and those who currently serve.
It's All About That Ki
As an industry are we shifting too much toward a Western mind set? We strive to understand how acupuncture works using imaging and extensive studies. We spend numerous hours of our training learning Western medicine and learning to speak their language. What happened to our core though?
News in Brief
WFC Among Founding Members of Global Rehab Alliance; HealthSource Selects GoChiroTV as Exclusive Digital Signage Partner; Western States' Online Degree Programs Among Best in the Nation; Logan University, University of Missouri-St. Louis Forge Partnership.
End of Life Treatment
TCM looks death in the face. We do not camouflage it as if it were poisonous. "We must allow our patients to die but we cannot allow them to perish," was my first lesson the day I met my teacher as a teenager.
Why the Automatic Denials for Modifiers 25 and 59?
Your experience is one shared by many chiropractic providers who bill through those plans. It appears to be the national trend, but by far is more prominent in Texas and Illinois.
A Resting of the Soul
In my pursuit of being a skilled health care provider, I focus on reading journals, attending classes, staying current on medicinal research, and choosing the correct billing codes. However, most of us would never have started down this career path if there wasn't something more.
Does Dairy Cause Dampness?
The topic of dairy consumption was brought up at a scalp acupuncture seminar I recently attended.
Confessions of a Former Drug Rep: Statins Are Endangering Your Overweight Patients
As I sit at my desk on the sixth anniversary of my successful liver transplant, I can't help but reflect on what caused that life-threatening ordeal. Looking back on my personal situation, I want to offer my insight into what is happening routinely to many patients.
Reducing Hip, Knee & Shoulder Replacements (Part 2)
In the first article in this series, "Early Detection Reduces Hip, Knee, & Shoulder Replacements," I described time tested screening procedures and perspectives as indicators of when to encourage your patients to seek further medical evaluation.
The Certified Practitioner
Certified Chinese herb practitioners often identify themselves with the credentials "LAc" (Licensed acupuncturist).
Doc, Are You a Social Media Holdout? Your Future Is Now
Whether you like it or not, to compete in any business, even chiropractic, you really should know and consider using social media. It is no longer a small, sleepy, local world we live in; it has become a far-reaching community.
Autoimmunity, Gut Health and Diet: Connect the Dots
According to the National Institute of Health (NIH), autoimmune disease is recognized in approximately 24 million individuals in the U.S., consisting of more than 80 various disorders that contribute to the top 10 causes of death in female children and women of all age groups.
Valuable Adjunctive Therapies
Based on the latest CDC statistics, more than 795,000 Americans have strokes per year, 140,000 of which are lethal. Approximately 87 percent of all strokes are ischemic with an estimated health care and missed work cost of $34 billion annually.1
A Bold Strategy to Take Chiropractic to New Heights
Building public awareness of an entire profession requires strategic planning – especially when it pertains to the exploration of ground-breaking marketing tactics that target new audiences with key messaging about the value of chiropractic care.
Treating Pain With Nutrition
Back in 1910, when D.D. Palmer published The Chiropractor's Adjuster and introduced the world to what he called the "triad of health" – thoughts, trauma and toxins – he explained that the body can only be made optimally healthy if all three aspects of health are addressed.
#TechPain: Causes, Solutions
For the past several decades, the science of ergonomics has blossomed. The workplace is much safer and life is generally more pleasant thanks to the application of ergonomic principles.
The Hidden Hip in LBP: Critical Screening Tests
In 1998, Harvey used this test on 117 elite athletes and found excellent interrater reliability to differentially assess iliopsoas, quadriceps or TFL/ITB tightness.
Facebook Marketing 101
Many of the health care practitioners we work with have smaller practices. The provider tends to wear many hats – office manager, salesperson and healer.
Blockchain Health Records?
Keeping data secure has become a nightmare for the average consumer. Just consider general user account hacks on Yahoo (3 billion records compromised), eBay (145 million records compromised) and Facebook (87 million records compromised), to health record breaches involving Anthem Blue Cross (78 million records compromised) and TRICARE (almost 5 million records compromised).
Art of the Associateship: It's OK to Trust, But Verify
Trust is a valuable part of any business relationship. It serves as the foundation for all business operations and ultimately long-term success for owners, employees and customers. This is especially true in the world of health care.
Trending: CBD / Hemp Oil
A recent survey of DCs regarding cannabidiol (CBD) / hemp oil provides food for thought as to the viability of CBD-based products as a component of chiropractic patient care. Here are some observations from the executive summary of the survey:
Help Shape the New Neck Pain Best Practices Guideline
The Clinical Compass (originally the Council on Guidelines and Practice Parameters – CCGPP) has issued a call for interested chiropractic clinicians to help shape a new best practices guideline for chiropractic care of neck pain.
NCCAOM: A Route to National Certification
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is offering a route to achieve national certification—without having to take any of the NCCAOM exams. This is specifically for California licensed acupuncturists that meet the eligibility requirements.
February, 2013, Vol. 13, Issue 02
Helping Babies Heal from Difficult Births with CranioSacral Therapy
By Janine Blanchard
Newborns and infants express themselves by gurgling, crying and wailing. But what if you feel like you can't satisfy their needs or simply don't know what's going on? In CranioSacral Therapy, we "listen" to what a baby has to say with our "thinking, feeling, seeing, knowing fingers," a term that the founder of Craniosacral Therapy, W.G. Sutherland, coined. We use touch to learn how trauma or difficult experiences have left their mark on the baby. This gives us important information about what's happening with a baby who seems upset or unhappy.
As a CranioSacral Therapist, I work with different tides in the body associated with a child's nervous system. I am able to palpate subtle rhythms in the body, similar to, but more subtle than the breath and heart beat. This helps me discover what might be inhibiting a child's balance or state of well-being. For example, with my knowing hands and fingers, I can find restrictions in parts of the skull. These can occur where a complicated or long birth process causes cranial bones to move and position themselves on top of each other. I can then help the body correct these problems.
Take newborn Amelia, for instance. Her family brought her into my office because she was in respiratory distress after birth. She spent weeks in the newborn intensive care unit so that her breathing could be monitored. After examining Amelia, I concluded that her breathing was shallow. Her little lungs felt like they were not using the room they had to unfold and breathe deeply. Her ribcage was not expanding all the way. We call these "underinflated" lungs. I see this in cases when the baby will attempt her first breath while the torso is still in the birth canal and only the head is delivered.
I worked to settle Amelia's lungs. First, I placed my fingers on her sternum and confirmed the "under-inflated" feel of the tissues under my fingers. I sensed the shock and trauma involved in this part of her body. I could feel pent-up energy, which I worked to release. After this, Amelia took a deep breath and fell into a deep relaxation. To help heal Amelia's trachea, which was irritated by medical procedures, I brought the tissues involved into a "point of balanced membranous tension," a physiological process that allows the tissues to relax. The next time I saw Amelia, the newborn didn't show symptoms of respiratory difficulties and all family members were less worried about their baby.
When newborns like Amelia experience difficult births, they can move away from what CranioSacral Therapists view as the ideal state: to be in the here-and-now, grounded in the present. Babies can move away from this state before and during the birthing process if they're exposed to fear. Fear can cause infants to disconnect from the present moment and function in the "fear" mode — worried and unsettled. They operate under the influence of the sympathetic nervous system, the system that kicks in the fight-or-flight response when in danger.
This process can begin in the womb. Imagine your baby in your womb. The close physiological connection between mother and her embryo influences the unborn and may set the stage for how the baby perceives and responds to challenging situations throughout life. This connection is known as prenatal programming. It is possible that a mother with constantly raised levels of cortisol, released under stress during her pregnancy, may well produce a child with hyperactivity or behavioral problems.
For this reason, it's important for pregnant mothers to reduce stress during pregnancy. What's more, creating the right birth environment is critical. Leaving the womb is an intense process and, ideally, babies should enter an environment that's as similar as possible to the physical environment of the womb. Babies should be welcomed by soft light, familiar voices and the warmth of the mother's arms. Such conditions stimulate the production of oxytoxin – also called the "love hormone" – to reaffirm the bond between mother and child.
A baby's first moments have an enormous influence on the weeks and possibly years or decades after labor. Ideally, we want mother and baby to feel as much skin-to-skin contact as possible. This also will release oxytoxin, a neuro-hormone that is naturally released in an intimate relationship. It is the hormone produced during orgasm, and it is an important hormone for breastfeeding mothers. This magical love hormone is stimulated in the mother by her infant's scent or by pheromones (chemicals sensed by smell).
When we don't provide a nurturing birth environment, the baby can experience trauma, physical problems and emotional imbalances. When baby cannot be close to mom after birth and is exposed to strangers, sharp light and loud noises, baby falls into a state of fight-or-flight. But the child is too small to react the way adults would. The baby's sympathetic system stays in high alert and the newborn in high stress and anxiety. This can result in symptoms like restlessness, digestive problems or sleeping difficulties.
Since a baby's nervous system is growing so rapidly at this point, the negative experiences can biologically follow the child through life, making it hard for the child to adapt comfortably to change and new beginnings. It is always amazing for me to see and feel how infants can slowly let go of their history of trauma and move back toward health. In a CranioSacral session, babies can unwind, which is a term for moving one's own tissues into a more adaptable state. Babies can literally re-experience parts of their birth process, "telling" us their birth story. Sometimes they will move their bodies the way they did coming through the birth canal, but this time giving their tissues the opportunity to avoid getting stuck or traumatized.
Tony, for example, had to be delivered by vacuum extraction because of birth-related complications. He was a rather fidgety, restless newborn and had digestive problems. Medical findings were inconclusive. In our first session, I noticed tension in his cranial bones. There was also an irritation on the vagus nerve, which is the major nerve for controlling our digestive system and parasympathetic nervous system. I treated him by releasing tension in the cranial bones, freeing the vagal nerve and regulating the autonomic nervous system to function freely. During the session, Tony's system settled and his little body relaxed.
The tension in Tony's system was most likely caused by direct pressure on his head from the vacuum extraction. A natural birth usually involves less direct and more equal distribution of force. After a few more sessions working with other birth-related issues in his system, Tony became more content in everyday life and his digestive system started to settle. It's possible this therapy helped him avoid problems later in life. For example, we often find food sensitivities and attention disorders in children who experience births like Tony's.
In a therapy session, we have the opportunity to provide the most nurturing environment, correcting the initial traumas the body innocently embraced. In this way, babies' sense of presence is strong and healthy again. They no longer operate in the fear state. By re-establishing proper states in the body, old, unhealthy patterns fade and the infant is set to welcome new experiences and opportunities for growth and love.
Janine Blanchard is a European Osteopath and CranioSacral Therapist in Portland specializing in pre- and postpartum care, infants and children. For more information about her work, visit www.janineblanchard.com.
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