resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Key to Rehab Back Pain
It is universally acknowledged that there is a spiral twist in the body that goes from head to foot, and therefore, it is considered normal. I call it the core distortion, and have discovered that when it is reduced, painful symptoms begin to disappear. If massage therapists are able to understand how this core distortion causes pain and dysfunction, their treatments will be more effective. The entire spine is involved in the spiral twist (core distortion) and is the focus of this article.
The support at the base of the spine is the first and most important aspect to examine. The core distortion causes an anteriorly rotated left ilium and a posteriorly rotated right ilium. This distortion is observable in the cranial motion – the left wing of the sphenoid is restricted down which relates to the ASIS, the right posterior ridge of the occiput is restricted down which relates to the PSIS. With the anterior/posterior rotation of the iliums the sacrum tips and rotates as follows: the left superior articular facet rotates anteriorly, medially and slips down, the right superior articular facet of the sacrum rotates posteriorly and slightly up, and the apex of the sacrum and the coccyx tilts to the right. The greater the anterior rotation of the left ilium, the greater the tippage of the sacrum, which creates less weight bearing support for the sacrum and causes overstretching of the supporting ligaments between the sacrum and ilium. The base of the sacrum, the support for the spine, is tipped and rotated down and to the left. This results in an uneven weight bearing base for the spinal vertebrae producing exaggerated curvatures in the spine.
As the degree of rotation of the iliums and tippage of the sacrum increases, the degree of the spinal curvatures also increases. These larger spinal curvatures become areas where problems develop such as subluxations of the vertebrae or uneven pressure on the discs putting the spine in a deteriorating condition commonly described as degenerative disc disease. The exaggerated curvatures caused by the core distortion put uneven pressure and stress on the discs and vertebrae. In the body's struggle to maintain structural support, it creates lipping, spurring and arthritis on the vertebral edges where the excess pressure and irritation is taking place. The over compressed discs begin a long-term thinning process creating a weakening of the disc sac resulting in bulging, herniations, or even ruptures. It is extremely rare to find herniated and ruptured discs where there is not a significant imbalance and curvature in the spine. Also, there is a greater chance of stenosis due to the curvatures and pressure on the vertebrae.
Soft tissue also plays a significant role. Restrictions in the soft tissue of the cranium create restrictions in the cranial motion. As in any joint of the body, the range of motion is defined by the degree of soft tissue restriction, and an imbalance of tension in the soft tissue creates an imbalanced range of motion at any joint including the cranial sutures affecting the cranial motion. So, observing the core distortion with its imbalances of the anterior/posterior rotation of the iliums and tippage of the sacrum provides information for possible solutions for rehabilitating spinal conditions. According to Dr. Terry Yokum, the normal rotation of the iliums is greater than 22 degrees.
Consistent with kinesiological information, a rotation of more than 15 degrees in any joint will dramatically weaken associated muscle strength and function. Thus, in the core distortion, the spinal muscles and major support muscles for the pelvis are significantly weakened, proven by kinesiological testing. This explains how, over time, the core distortion worsens with increasing degrees of rotation and spinal curvatures due to the inability of the muscles and connective tissue to support the spine, and why severe soft tissue injuries can occur in the supporting spinal muscles.
The good news – the core distortion offers a direction for rehabilitation. By significantly lessening the degree of the core distortion which includes bringing the rotation of the iliums to less than 15 degrees and lessening the entire spinal curvatures, the cause of most spinal pain and dysfunction can be rehabilitated.
Casey, a 43-year-old business owner and downhill skier, came for treatment for neck and back pain and brought MRI's and x-rays. The MRI showed disc herniation between C3-C4 and bulging discs between L4-L5 and C6-C7, thinning of discs throughout her lumbar region, and lipping and spurring in the lumbar, thoracic and cervical vertebrae. She saw a chiropractor, physical therapist and orthopedic surgeon, and the diagnosis was degenerative disc disease. Neither the chiropractic treatment which included massage, nor the physical therapist relieved her pain. The neurosurgeon basically said her downhill skiing was over and she needed surgery.
Postural evaluation revealed a rotation of the iliums, thoracic curvatures, and the head and neck tipped forward and to the right (classic core distortion). Applied and functional kinesiology verified the structural imbalances and significant weakness in the associated muscles and soft tissue.
The Cranial/Structural Core Distortion Releases (CSCDR) were applied in the initial treatment to release the soft tissue restrictions in the cranium that held the cranial imbalance, a significant player in the core distortion. This also reduced the rotation of the iliums and brought the sacrum into weight bearing support and more level. Decreasing the tippage of the sacrum resulted in greater support for the spine leading to a significant decrease in the curvatures of the entire spine. Kinesiological testing showed an increase in strength in all the muscles associated with the pelvis and spine. This provided support for her body to maintain the changes.
Then soft tissue protocols were applied to release the tension, imbalances, adhesions and scar tissue that were maintaining the old structural limitations of the core distortion. Each weekly session focused on specific areas of the structure based on pain or degree of structural imbalance. After 10 sessions, the neurosurgeon took another set of MRI's which showed a dramatic decrease in the curvatures of her spine, and the lumbar bulging disc had completely diminished. Her low back pain was gone and she had full range of motion. Her neck was only painful when she turned her head to the right putting pressure on the herniated disc. The x-ray showed that the herniated disc was reduced and no longer pressing into her spinal column and the bulging disc was much smaller. After five more treatments in three months, Casey was pain free and decided to return to the slopes to resume downhill skiing.
Casey's chiropractor and physical therapist were not successful because they didn't address the major components of the core distortion. Once the CSCDR was applied, there was a level foundation for her spine which reduced the degrees of spinal curvatures, relieved the disc compressions, and strengthened the supporting muscles that could not be fully functional. This strength and structural support allowed her body to maintain the changes. The soft tissue therapy reorganized the myofascial holding patterns which allowed additional unwinding of the spinal curvatures resulting in structural improvement.