Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Successful Rehabilitation for an Older Population
In my previous column about treating the over 60 population (see June 2015 issue of Massage Today), I wrote about people who are active and have not yet had injuries, major surgeries or joint replacements, and discussed methods of preventing these life changing events. Here, we're going to focus on the over 60 population who have had injuries, surgeries, or joint replacements and want to regain and then maintain their previous level of activity. This will easily be examined by looking at some case histories.
Carol, a 67-year-old grandmother who loved walking and biking with her grandchildren was rear-ended in a minor car accident. At the time of the accident, her neck and back immediately stiffened and spasmed. She was taken to the hospital for x-rays and an MRI. She was told she had sustained a flexion/extension (whiplash) injury to her neck and had a herniated disc between L4-L5 and a bulging disc between L2-L3. She had chiropractic treatment for six months, where the only relief she had was temporary. She went to an orthopedic surgeon who suggested a discectomy on both of her damaged discs which had scared her, as she knew someone who had only gotten worse after a similar surgery. Carol arrived for treatment very anxious and discouraged, as she thought her active life would be severely restricted.
David, a 79-year-old retired golfer had a quadruple bypass and gall bladder removal. After the bypass, he was told by his doctor to start a daily walking regimen, since walking while golfing was not enough exercise. David found that he had very little energy or desire for walking and was forcing himself to walk a mile a day. After the gall bladder surgery, David had even less energy and couldn't even play golf, as his golf swing caused him back pain. David was quite concerned that he would not be able to maintain cardiac health because of his lack of energy and the pain in his back made walking so difficult. In addition, he was really discouraged because golf was his passion and not being able to play was really depressing him.
Gene, an active 75-year-old cyclist, had a right knee replacement due to an old high school football injury and years of continuous wear from cycling. After the replacement, Gene was unable to ride distances without pain, inflammation, and swelling in his right knee. Gene used to be able to ride 50 to 100 miles a day and was now very frustrated, as even 5 to 10 miles resulted in swelling and inflammation in the knee with the replacement. Gene was afraid he was going to have to give up cycling and consequently his aerobic health would deteriorate.
All three of these clients had been active before their injuries or surgeries. They were facing major life change that would lead to deteriorating health if their conditions were not improved. Structural analysis revealed they were all still in the core distortion, the spiral twist that runs from the top of the head to the feet, and that the injury or the surgery created a greater degree of distortion which was a principle cause of their lack of recovery and continued distress. Within the core distortion, approximately 50% of the muscles are functioning at a 50% or less efficiency. The greater the degree of the spiral of the core distortion, the less strength and function is available especially in areas of injury or collapse. If therapy was going to be effective, the degree of the spiral (twist) of the core distortion was going to have to be dramatically reduced to provide structural support which would, in turn, bring the muscles back into function and strength.
Carol, with the whiplash and herniated and bulging discs in the low back, had a significant rotation of her iliums with the left rotating anteriorly and the right rotating posteriorly causing the sacrum to be rotated and tipped down to the left. This uneven base for her spine was causing significant curvatures with excessive uneven pressure being put on both her lumbar and cervical discs. In addition, the muscles that supported her pelvis, spine, and neck were all dramatically reduced in strength and function due to the exaggerated curvatures of the collapsed core distortion. It is possible that if Carol didn't have this significant twist from the core distortion, her muscles might have prevented the lumbar disc issues and much of the soft tissue damage in her neck.
Applying the most direct method for bringing the iliums and sacrum back into balance and weight bearing support by using the cranial/structural core distortion releases (CSCDR) was the first step in her treatment. There was an immediate lessening in the curvature of both her lumbar and cervical spines and a dramatic increase in the stabilizing of the intrinsic muscles for the pelvis and the neck. This improvement in structure became the basis for her rehabilitation and allowed for the reduction of the bulging and healing of the herniation of her lumbar discs. In addition, the renewed strength and function of the musculature of both the low back and neck made it possible for her to maintain the structural improvements long-term. Specialized soft tissue myofascial work further released the old collapsed myofascial holding patterns, as well as the adhesions and scar tissue that had developed from the injuries of the car accident. After eight treatments, Carol was back walking and biking with her grandchildren.
David, the golfer with back pain and lack of energy since his quadruple bypass and gall bladder removal, also had a significant twist and collapse in his spine which was especially evident in the thoracic spine. Closer examination showed the imbalance in his pelvis with the same rotation of the iliums and tipping of the sacrum (core distortion). His neck and shoulders also exhibited the exaggerated twist of the core distortion. His right shoulder was pulled forward and down, and his left shoulder was forward and up, resulting from the core distortion and the additional scar tissue from the surgeries.
Even though the scar tissue from David's surgeries was inhibiting his breathing and limiting his range of motion, the first step in treatment was to release the twist (core distortion) to reduce the rotations of the iliums and create a level weight bearing support for the spine by applying the CSCDR. The leveling of the base of the spine brought support to the spine and lessened the exaggerated curvatures in the thoracic spine and neck. This resulted in a return of muscle strength and function to muscles that had been operating at 50% or less efficiency within this collapse.
Specialized myofascial release techniques were applied to address the scar tissue and adhesions from his surgeries. The scar tissue and adhesions had formed while his structure was collapsed in the core distortion and consequently was part of the soft tissue that held the structural collapse. As this tissue started to soften and lengthen, it further released the restrictions in both the abdomen and ribcage that prevented structural balancing and restricted his breathing. As the tissue released and normalized, there was a marked improvement in David's breathing and a lessening of the thoracic twist. After six sessions, David was reporting energy he had not had since before the bypass surgery and was easily walking a mile and a half a day. In addition, he was pain free in the thoracic area of his back and was starting to hit golf balls again. After five more sessions spread out over two months, David was able to resume golf and maintain a pain free exercise regimen to support his cardiac health.
Gene, the cyclist with the right knee replacement, was evaluated structurally and had a left anteriorly rotated ilium and right posteriorly rotated ilium with his sacrum rotated and tipped down to the left. This created a functional long left leg and functional short right leg – the core distortion. With the core distortion within the right leg the medial hamstring attachments and the lateral quadriceps were functionally weakened to less than 50% strength and function. The right knee had binding stress on the medial side due to the core distortion. The lower leg and foot were rotated laterally to the knee. With this imbalance, it was obvious why the right knee with the replacement was not functioning well. CSCDR was applied, which brought the rotation of the iliums back into balance supporting the base of the spine and evening the leg length. This also improved the strength and function of the weakened muscles in the leg of the affected the knee. Specialized myofascial techniques were applied to further balance the pelvis and the right knee. The scar tissue and adhesions from the surgery were lengthened, softened and normalized along with the old myofascial holding pattern from the core distortion. This brought the whole knee back into structural support and balance which could now be maintained with no irritation or inflammation. After five sessions, Gene was able to resume cycling and was progressing to the pre-surgery 50 to 100 mile days pain free.
All three of these cases had a collapse of the core distortion that was further compromised by injury or surgery. Since everyone is born with this twist (the core distortion), I have yet to find a client in pain who doesn't have the core distortion as the principal cause of the structural collapse. The good news is, by releasing the core distortion with the CSCDR, rapid and significant improvements are almost immediate, both structurally and in muscle strength and function that can be evaluated with kinesiology. Once the core distortion release has been applied, the soft tissue can now be released into balance and function which can be maintained by the new structural balance long-term.
This integration of the CSCDR with specialized soft tissue myofascial releases is especially effective in supporting the over 60 clientele in their rehabilitation to resume their active lives.