resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Understanding Structural Collapse
Ginny was referred for treatment by a close friend and was desperate to see her friend resume her life. By the time Ginny was 59, she had undergone two low back spinal surgeries and one neck spinal surgery, a left knee cartilage operation, a right shoulder rotator cuff surgery, had migraine headaches that were increasing in frequency and intensity, and severe acid reflux. Ginny was still having severe back and neck pain, left knee issues where she could hardly walk, and a partially frozen right shoulder for which she was taking significant pain killers from a pain management center. She was seeing a rheumatologist who suggested she go on methotrexate, even though her arthritis was osteoarthritis due to the injuries and surgeries. Her migraines involved going to the hospital and receiving IV pain killers followed by two days being bed-ridden.
Ginny had led an active life competing in marathons, triathlons, and tennis. When she was referred, she was having trouble walking and was very sedentary due to the pain and medication. It was obvious these painful conditions did not occur overnight, so examining her history was necessary and revealing.
The basic component involved in Ginny's structural collapse was actually present when she was born. Like all normal babies, she was born with the core distortion. The core distortion is a spiral twist that is present in newborns evident in the structure from the head to the feet. A major component of the core distortion is in the cranium - a torsion at the sphenobasilar synchondrosis (SBS) joint that creates an imbalance in the basic cranial motion of the cranium. This imbalance is also reflected in the relationship of all the vault and facial bones. The torsion present in the cranium is repeated in the pelvis with the left ilium rotating anteriorly and the right ilium rotating posteriorly. This results in a tipping and rotation of the top of the sacrum to the left and the tail bone going posterior and laterally to the right. This creates a tipped base for the spine, which results in exaggerated curvatures of the spine. These spinal curvatures result in imbalances throughout the thoracic area, with the right rib line lower putting uneven pressures on the diaphragm. The imbalanced thorax results in shoulder rotations along with uneven elevations. From this shoulder imbalance, we see the arms also imbalanced with one further into internal rotation.
From the imbalance rotation of the iliums, we get a long leg/short leg imbalance. On the long leg side (left), the body has to absorb the extra leg length from the ilium to the feet to maintain balance. This is most commonly seen with a medially rotated and hyperextended knee and a laterally rotated foot. On the short leg side (right), we see additional distortions with more weight on the heel to compensate for the imbalance.
The imbalances of the core distortion result in significant weakening of about 50% of the muscular function and strength in a body. This is verified using both functional and applied kinesiology.
Ginny reported that she had been a dancer, gymnast, and tennis player as a little girl, but discovered she loved to run and swim and play tennis at age 12. That's when Ginny experienced her first injury which involved her left knee and was diagnosed with strained ligaments. At this point, Ginny was given a brace and told to limit her activity for three months. After three months Ginny was allowed to resume her full activities but continued to wear a knee support. About this time, Ginny had her first migraine which was attributed to the onset of her menstrual cycle.
Ginny's next injury occurred when she was a passenger in a car that was rear ended at the age of 17. She was diagnosed with whiplash and low back strain and had chiropractic treatments for 10 weeks. She started having more frequent migraines which were related to her neck. As a college student, Ginny played on the tennis team and ran for the cross country team. She developed chronic soreness in her low back and right shoulder during this time and received physical therapy and strength training, along with cortisone injections to allow her to continue training and competing.
At 26, Ginny delivered her first child and had significant low back pain throughout and after the pregnancy. While picking up her six month old baby, she felt something give in her back and was in immediate severe low back pain. She underwent chiropractic treatment with massage for 10 weeks. An MRI showed a herniated disc in her low back for which she had her first low back surgery. The surgery was successful, but Ginny felt some discomfort and weakness as a result.
At 33, Ginny again delivered her second child. This pregnancy was even more challenging with back pain and migraines and her old left knee injury became inflamed and sore. Ginny's left knee pain got worse caring for two children and she eventually had it scoped for bone chips and cartilage repair.
Ginny resumed running, swimming and competing in marathons and triathlons. Then, at age 45, she reinjured her left knee and right shoulder while playing tennis. At this point, the surgeons felt it best to remove the cartilage from her left knee and surgically repair her right rotator cuff. Afterwards, Ginny's right shoulder was always painful after playing tennis so she started playing less. She had to give up the swimming because of the shoulder issue, so running became her primary exercise.
By 52, Ginny experienced significant low back pain and discovered the disc immediately above the previous herniated disc was now herniated and needed to be surgically removed. Ginny was told not to run for six months and then resume a light exercise program. During the time of inactivity, Ginny's neck pain became worse so she had surgery to repair two bulging discs and a herniated disc. Ginny's migraines then increased in intensity and frequency to the point of once a week. Ginny started a regimen with a pain clinic which reduced her physical activity to no significant exercise. At 59, she was referred to my office with a significant structural collapse and the symptoms listed above.
When looking at Ginny's case, it is obvious that if she had correct therapeutic interventions things would have been much different. If the Cranial/Structural Core Distortion Release (CSCDR) had been applied when Ginny was a child, the core distortion would have been minimized and the patterns of collapse balanced. This would not only have given her structural support, but the weakened muscles would have been much stronger and functional and allowed her physical potential to be much greater.
If the CSCDR and soft tissue protocols were applied at age 12 after the injury, she may not have developed migraines. The imbalance of the pelvis is dramatically affected by the swelling of the menstrual cycle which affects the whole structure which consequently can trigger headaches.
When Ginny was injured in the car wreck, if the CSCDR and soft tissue protocols had been applied, her whiplash and low back could have been fully rehabilitated by being brought into balance with greater strength than before the injury and as a college student on the tennis team, her low back and shoulder would have been stronger and would not have continued fall further into the core distortion.
When Ginny went through pregnancy and delivery, she wouldn't have had so much difficulty and wouldn't have developed severe low back pain if she had had the CSCDR prior being pregnant. If the CSCDR had been applied before she went to the chiropractor after delivery, the balance and support in her low back could have allowed the disc to heal without surgery, thus avoiding the discomfort and weakness from the surgery.
When Ginny resumed running and swimming again, if she had had the CSCDR and soft tissue protocols, she would not have continued to damage herself running or playing tennis and could have been able to avoid the surgeries. Even more important, Ginny would not have been in pain, wouldn't have needed pain clinic treatments, and could have avoided the migraine problem.