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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
May, 2014, Vol. 14, Issue 05
The Body's Core Line and Central Linkage
By Dale G. Alexander, LMT, MA, PhD
Consider the last ten clients on your treatment table. What were their somatic complaints? Now, imagine that you could loosen and lengthen the central linkage of the human body from occiput to sacrum.And, that the effect of this loosening and lengthening would assist and improve the therapeutic effect of almost any style of massage treatment.
Consider how this might simplify and potentiate the desired outcomes for these same ten clients? This is a premise I have been exploring and empirically testing for the past year and it seems to work exceptionally well for clients.
The Starting Point
Here are the anatomical ports of call I have been addressing: decompress the occiput upon the atlas, lengthen the esophagus, stretch each hemi-diaphragm and decompress the tissues around the heart/lung complex, stretch the ligament of treitz, mobilize the mesenteric root of the small intestine and finally, enhance the range of motion within the ankle/foot complex. These changes may be achieved using any manual therapy modality you have learned to effectively utilize.
There are numerous additional steps that could assist this proposed protocol to be even more effective yet, as described, it succinctly addresses the body's core line. It traces the linkage from the occiput to the sacral base to the ankles. It reduces the resistance to the heart's expansion. It eases the diaphragm's vertical and downward excursion and it revives and enhances the capacity of blood and lymph returning to the heart from all areas of the body below the diaphragm.
This protocol addresses the body's three major innate pumps for moving its fluids: the heart, the diaphragm and the ankle/foot complex. Mobilizing the heart/lung complex reduces compressive resistance to expansion of the heart muscle itself and stimulates the function of the root of the lung allowing more surface area for the production of new blood. Mobilizing the mesenteric root of the small intestine also increases its surface area, allowing for more absorption of nutrition. Increasing the mobility of dorsiflexion/plantarflexion of the ankle/foot facilitates the movement of blood and lymph back to the heart/lung complex. Osteopathy considers the ankle/foot complex as the body's 2nd heart.1 Together, these manipulations are proposed to reduce compression throughout the axial spine.
As a profession, I invite all bodywork educators to pool their collective intelligence and creativity toward developing other therapeutic protocols that facilitate the range and efficiency of these movements and functions. Also, consider how this proposal allows those in our profession to define what they do. Simply stated, "therapeutic massage stimulates your body's inherent capacity to move its fluids along their 60,000 mile journey from the heart and back again." Not a bad one-liner when speaking to a prospective client.
The philosophical shift here is to transform our therapeutic intent from manually enhancing the flow of venous and lymphatic fluids to specifically assisting the body to "re-calibrate its ongoing capacity" for self-perpetuating healthier function. The process becomes more analogous to tuning-up one's engine. The results continue with the client and contribute to their quality of life over a longer period of time. With the present emphasis on national health care, our ability to describe the benefits of what we do is what will make the difference in how we are regarded as effective health care practitioners. We know everyone benefits from bodywork and massage yet, we need simple ways of describing "how."
If any of these anatomical structures initially described are unfamiliar, please Google them, seek out your most recent continuing education teacher or ask around among your professional peers. Most of what has propelled me in this therapeutic direction was learned at the Upledger Institute from Drs. John Upledger, Richard MacDonald and Jean Pierre Barral. The Institute supports many excellent teachers.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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