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With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
June, 2012, Vol. 12, Issue 06
Dissolving the Grip of Addiction with CranioSacral Therapy
By Sharon Desjarlais, CC
Martha Tassinari was married just a few short years when some unusual transactions in her bank account tipped her off to a major problem in the relationship. "Our money was dwindling," she says."The next thing I know the police called. My husband was arrested for possession." That's the day Martha discovered she was married to an alcoholic and drug addict. At the same time, she began suffering from severe pain in her low back and neck that wouldn't respond to traditional treatment. A physical therapist herself, she tried CranioSacral Therapy at the recommendation of a colleague. "I was amazed at what came up," she says. "My pain was subsiding. And I was able to get back into work and exercise."
What she didn't expect was the emotional release she also got out of it. "I started to see that I didn't deserve what was happening in the relationship. I tried to help the marriage. But when that didn't work, I realized I had to help myself." Martha ended the marriage and started taking classes in CranioSacral Therapy. Now in a healthy new marriage nine years later, she specializes in using CST to help women in pain and stress who have a history of alcoholism or addiction, whether their own or someone else's.
Common Trends and Techniques
What symptoms and conditions are these women presenting with that point to a history of drug or alcohol abuse? Surprisingly, they usually aren't global issues like chronic fatigue or fibromyalgia. Instead, Martha says they're more localized issues, like low-back pain, headaches and TMJ. "The jaw pain," she adds, "is huge. That's our avenue of expression so we hold a lot of anger there. If our father tells us to be seen and not heard, it feels like we don't have a voice. We have to keep the family secrets. We have to put on a brave face that says, 'Everything's fine. No problems here.' The trouble is, that stress builds in the tissues. And it won't go away without help."
Just as Martha sees trends in the symptoms her clients tend to show up with, she also finds certain hands-on techniques especially helpful. "Every case is unique, of course. But I almost always start a session with diaphragm releases. I also tend to do a lot of dural tube techniques like the Rock and Glide, L5/S1 Decompression and the Cranial Base Release."
Reducing the Emotional Scars
Even more poignant than the physical releases are the emotional releases Martha witnesses. "It's typical for my clients to bury their memories of an addiction for a long time, often since childhood. But if that memory or issue isn't acknowledged, it'll keep lingering in their tissues. So I try to get to the core feeling they're having around those memories." As she has her hands on her clients, if she suddenly feels their cranial rhythm come to an abrupt stop, she knows they've hit on something significant. ''What's happening for you right now?" she'll ask. It may be memory from childhood or from three weeks ago. And that's where she starts the process of therapeutic dialoguing.
As they dialogue back and forth, Martha simply mirrors what her client says, giving her space to voice the next thought. "I might say, 'Tell me more about that,' or 'Can you give me an example?'" she says. "By being neutral and non-judgmental, my clients feel acknowledged and safe. So the walls begin to come down." There's never an agenda, Martha stresses. "I've learned over the years that we may think we know what a client needs or wants. But the body knows more than we can imagine. So I never lead or try to solve anything for my clients. I just give them an avenue to express themselves and be heard."
What's critical, she says, is to resist the urge to rush past the dialogue and just get to the tissue release. "In my experience, the client can't release their memories until they're acknowledged," she says. "A lot of therapists and self-help books talk about releasing the anger and fear. But if you don't give yourself room to acknowledge that you have those feelings, they're only going to be released at the conscious level, not at the non-conscious level or the tissue level. "You have to give them space to step into their power and say, 'I am feeling this. This is real. And this is what it's doing to me.'"
To help give her clients an added level of comfort and security, Martha always starts her sessions with grounding techniques to help them relax deeply and feel what's going on in their bodies. "As they're lying on the table, I have them imagine that their feet are on the ground and they're soaking up healing energy from the earth," she says. "Then we scan their whole body, from the feet to the crown. I ask them to just notice any tension they might find. Not to judge, just to notice. That's the first step."
Once they fully get into the session, that's a different story. "They may have emotional releases like crying or anger or even laughing. As they're doing that, I stay hands on. In the past I wanted to grab a box of tissues for them. But over the years I've learned that once I take my hands off their body, we've lost the process. So now I always stay hands-on and let them go through their process completely." While every case is different, Martha says a typical client needs anywhere from 10 to 20 sessions to make a leap in their healing. "Then I like them to see me every month or so to stay on track." She's also big on urging them to connect to other healthy resources, whether they're AA or Al-Anon meetings or psychological counseling.
The most important point, however, is to give her client the experience of having a safe and sacred place for them to express themselves completely. "My treatment room is like Vegas." Martha smiles. "What happens here stays here."
Click here for more information about Sharon Desjarlais, CC.
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