resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Uncle Sam Needs You (Part 2)
Where chiropractic care has been used in the military health services, it has been deemed very successful.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 2)
As mentioned in part 1, using a flexion-distraction table is a great way to unlock this particular fixation. You have found the stuck segment. You have determined whether it is unilateral, midline or bilateral.
The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
Commingling Money: 12 Questions for the ACA About the CHAMP / NCLAF Merger
The American Chiropractic Association recently announced it was merging the National Chiropractic Legal Action Fund and the Chiropractic Health Advocacy and Mobilization Project into a single entity that will support both legal and legislative actions.
Dr. George Goodman and His Legacy to Logan University
Those who knew him called him a revered leader, a visionary and one of chiropractic's biggest advocates. George A. Goodman, DC, Logan University's sixth and longest-serving president, passed away on Sept. 9. He was 70 years old.
CMT & Stroke Risk: Myth vs. Fact
By now, most of you have probably heard that the American Heart Association recently published a statement regarding the association between cervical dissection (CD) and cervical manipulative therapy (CMT).
Chiropractic Research in Review
Predicting Pain With Disability in Office Workers; Traction Approaches for Discogenic Cervical Radiculopathy; Intra-Articular Gas Bubbles Following Manipulation; Nonresponsive Chronic Ankle Sprains: Think Tendon Rupture.
Sports Science: What's in That Drink?
Athletes frequently ask me what the best liquid is to drink during exercise – water or a sports drink? Water provides the necessary hydration, but unfortunately, it lacks the key nutrients to aid in performance and recovery.
Communication 101: Please Explain Yourself!
Twice this past week, I overheard conversations about chiropractic. As you can imagine, it is a topic my ears naturally pick up. In both cases, a patient was talking to a friend about their experience with a chiropractor.
Essential Orthopedic Testing: Tests That Involve Standing on One Leg
Since these tests have a common mechanism of performance (standing on one leg), there are differential diagnostic concerns during testing. The tests cannot be completely isolated from each other for performance.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
The Case for Immunization
As long as I have been a chiropractor, I have seen many in this profession oppose vaccinations. Indeed, it has often been taken as a "given" that to be a principled chiropractor requires a curmudgeon's willingness to hold aloft that banner of opposition.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
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.