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News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
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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