resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Transformation of the TMJ Imbalance
Everyone has some TMJ imbalance which can lead to pain and dysfunction. This imbalance can be as minor as a slight shifting of the jaw when fully open, or as major as a full dislocation and inability to open the jaw more than ½ inch. The greater the imbalance in the temporal mandibular joint the greater the pain, dysfunction and degeneration.
There are many challenges involved in effectively treating TMJ. Often, the most misunderstood factor is the cranium. We usually think of the TMJ imbalance as being only in the soft tissue of the temporal mandibular joint, the muscles actually involved in moving the joint. This is short sighted. What is usually overlooked is the imbalance in the cranial bones and cranial motion. This imbalance in the cranial bones leaves an imbalance in the TMJ regardless of the soft tissue. Furthermore, this imbalance in the cranium is the cranial core distortion that is responsible for the core distortion in the entire body. If the imbalance of the cranial motion and resulting misalignment of cranial bones is not addressed first, then working the actual muscles that move the jaw is going to be minimally effective and won't address the root cause of TMJ dysfunction.
Sally, a 30-year-old dentist, came for sessions and was suffering from severe headaches, jaw pain and an inability to open her jaw more than the width of one finger between her front teeth. This problem developed in dental school and got progressively worse with orthodontic treatment including braces and grinding down back teeth to balance her bite. She was limited in what she could eat due to her inability to open her mouth and pain when chewing. She also had right carpal tunnel issues that were making the practice of dentistry difficult.
Structural evaluation indicated that she was in the core distortion with left ilium rotated anterior, right ilium rotated posterior, sacrum tilted, exaggerated curvatures in the spine, unequal leg lengths, a twist in the thoracic area, anterior/posterior shoulder rotations, internally rotated right arm, neck forward and tilted to the right and head tilted back to the left. Further evaluation using applied kinesiology, showed weaknesses when opening the mouth, turning eyes to the left and rotating head to the right. Additional testing throughout the body using functional kinesiology tests verified the core distortion. The Cranial/Structural Core Distortion Release (CSCDR) was then applied to address the imbalance in the cranial bones and cranial motion to unwind the cranial imbalances.
This resulted in immediately restoring the range of motion and balance in the cranium and the temporal mandibular joint. Again using kinesiology, her open mouth now tested strong, the pain was diminished and she could open her mouth wide enough for two fingers between the front teeth. Additional cranial/structural work was applied to be sure that the facial bones would move in harmony with the vault cranial bones. At this point, a specialized soft tissue protocol was applied to further release the structural imbalances in the head, neck and shoulders that were part of the core distortion. Sally left the session without a headache, improved range of motion for her bite and very encouraged as this was the first real positive change since the condition had worsened. Sally was scheduled for weekly sessions.
At Sally's second session she reported having only one headache which was less severe than usual, chewing was less painful and she could start to eat food she had given up due to the difficulty in chewing. Structural evaluation showed an improvement throughout her body from the release of the core distortion. A cranial evaluation showed that the CSCDR had produced enough change for weight bearing support throughout her body. However, due to the severity of the initial cranial imbalance, the CSCDR was applied a second time along with facial bone releases to bring the cranium more into balance and unwind soft tissue associated with her TMJ issue. Another specialized soft tissue protocol was applied to further release the shoulders backward, reduce the forward and tilted position of the neck to bring the head to a more level posture and release holding patterns of the core distortion in the soft tissue associated with the jaw. Sally felt relief from the pain in her head, neck and shoulders and noted that her jaw opened and closed more easily. She was excited that she was continuing to have positive changes.
At the third session, Sally reported a week without headaches which was a huge relief, chewing and eating was almost pain free, except when she had to bite down hard and her carpal tunnel was improving with easier control of her hand and less pain. Structural evaluation revealed the head more in alignment with her neck and the forward curvature of the neck was significantly reduced. Cranial evaluation revealed some restriction on the left side which was released with cranial/structural therapy. With the improvements in the head, neck and shoulder area and in the TMJ, a pelvic balancing soft tissue protocol was applied to release the imbalances in the soft tissue from the anterior/posterior rotation of the iliums and resulting long leg/short leg imbalance. This further unwound the original core distortion pattern throughout the body and supported the changes in her head, neck and shoulders.
At the fourth session, Sally was satisfied as she had finally found something that worked and lasted. Structural evaluation indicated major improvements from the initial imbalances of the core distortion throughout her structure. Sally was maintaining the ability to open her jaw with two fingers between her teeth and could chew 90% of her food without pain. Headaches that had been three to four times a week were gone. Carpal tunnel symptoms had disappeared and strength and flexibility were restored in her right hand. Additional cranial evaluation revealed structural sub patterns which were released with additional cranial/structural work to fine tune and further balance the cranium. The specialized head, neck and shoulder soft tissue protocol was again applied, along with specific work to release the connective tissue and muscles of the temporal mandibular joint.
It was now time to do the intraoral work on the soft tissue restrictions associated with the TMJ. This intraoral work is very specific and can be very intense. As stated above, the initial imbalance of the TMJ is principally a core distortion issue both in the cranium and the structure of the body, so by first releasing the imbalances of the core distortion throughout the whole structure you minimize the amount of intraoral work. The deep intraoral muscles are the smaller stabilizing muscles that have less influence than the larger muscles of the jaw and head, neck and shoulder area. This intraoral work increased the range of motion of Sally's jaw to where three fingers could be inserted between the teeth. This was the first time in years that Sally could fully open her mouth, let alone be out of pain.
Sally had four more sessions scheduled once every two weeks. Each session began with a cranial evaluation and cranial/structural releases. This was followed by specialized soft tissue protocols focusing on the head, neck and shoulder area for two sessions, and then two sessions releasing the soft tissue core distortion throughout the rest of her body to support the changes in the head, neck and shoulders and temporal mandibular joint. Sally no longer suffered from TMJ pain and dysfunction and her rehabilitation was complete and long lasting.
The following five points were key in understanding and treating the source of Sally's TMJ dysfunction so successfully:
Other significant relationships between the cranial bones and the structure of the body that affect the core distortion imbalance of TMJ are the temporal bones and the iliums, the maxilla and the pelvic floor, the sphenoid and the ASIS, the occiput and the PSIS and the zygomas and the shoulders.
As you can see, successful long term rehabilitation of TMJ pain and dysfunction necessitates releasing the core distortion throughout the entire body using cranial/structural techniques integrated with specialized myofascial soft tissue protocols for long lasting support and balance.