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5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Manual Cranial Therapies and the Treatment of Mild TBIs (Part 2)
In part one of Manual Cranial Therapies — And the Treatment of Mild TBIs I mentioned that many symptoms can appear after a mild TBI. Some occur in the brain directly and others appear as a response to the brain not functioning properly. Therefore, all clients who have a mild TBI have symptoms unique to their case.
One of the biggest mistakes therapists can make is assuming clients do not have a mild TBI after they have had an accident. One symptom of a concussion is no memory of the actual event. This creates a special challenge when treating clients who may have a mild TBI. They won't report an incident causing the injury. A good example of this is a whiplash or a severe fall where the head was not directly impacted. This was demonstrated to me by a neurosurgeon when he took a raw egg and shook it rapidly back and forth twice to simulate what happens to your brain during a whiplash injury.
When he cracked the egg it was fairly well scrambled with the yolk broken. The egg had moved rapidly back and forth crashing into the shell causing structural damage to the soft part of the egg. This happens to the brain when it moves rapidly back and forth crashing into the bony parts of the skull. The skull has many internal ridges, and when the brain crashes into them there can potentially be even more damage than what happened to the egg.
Mike, a 13-year-old soccer player, suddenly lost total interest in soccer and school work. All he wanted to do was lounge in his room with the lights out. He also complained of headaches and difficulty concentrating.
Previously Mike was an "A" student with many interests and hardly ever spent time in his room. Now he was lethargic and quitting the soccer team surprised everyone, especially his coach. Mike was the star of the team and his coach had already talked to scouts who were looking at him for potential future college scholarships. Mike's mother had taken him to doctors, psychologists, and a sports pediatrician who gave her vague answers, including hormones that were affecting his attitude and he would grow out of it.
Evaluation & Diagnosis
Mike's total lack of interest in school work caused her to contact me because she heard of my work with children who had difficulty concentrating with learning disabilities, a suggestion made by one of the psychologists.
I questioned both Mike and his mother about his changes. They came on suddenly six months ago when Mike became lethargic and lost interest in soccer. This raised a red flag for me to look for potential brain trauma since his symptoms indicated a mild TBI. Neither Mike nor his mother could recall a severe injury while playing soccer, but said they would ask the coach.
I used kinesiology to evaluate Mike and found that compressing the cranium tested weak, which showed swelling and inflammation in his brain. Additional kinesiological tests also showed the distortion of the cranium was exaggerated — the core distortion, with a structural imbalance associated with the cranial imbalance. Mike also had limited range of motion in his neck.
Even though Mike exhibited symptoms of a concussion or mild TBI, none of the physicians or psychologists did any testing. However, my kinesiology testing showing swelling and inflammation in his brain along with Mike's symptoms indicated he might very possibly have a concussion and needed treatment for it. Again, the question was, would the cranial/structural techniques and myofascial soft tissue work be beneficial to Mike's recovery?
I asked Mike's mother to contact the physicians and request an evaluation for possible mild TBI diagnosis. Since Mike's symptoms occurred suddenly six months ago and none of the physicians indicated a mild TBI it appeared to be okay to do cranial/structural work to help his brain recover if it was a mild TBI. The techniques that I would use had been successful for children with learning disabilities and symptoms similar to Mike's.
The imbalance of Mike's cranial motion was first addressed with the application of the Cranial/Structural Core Distortion Releases (aka CSCDR). This treated the imbalance of the cranial bones and the structural imbalances found in Mike's body including his neck. He had an increased range of motion in his neck and his overall structural balance was significantly improved. The distortion of Mike's cranial bones had a significant effect on the meninges and the way they held and organized Mike's brain.
By bringing the cranium into balance the support from the meninges for the brain came into balance which would facilitate the healing of any damage in the brain. There would be pumping of cerebral spinal fluid which would carry away waste products and debris that are present in a mild TBI. The structural changes in the neck also took pressure off the brain stem as it came through the foramen magnum — a major cause of headaches. Additional myofascial work with Mike's neck and shoulders further helped the structure and range of motion of the neck.
Kinesiological testing still showed fluid and swelling in Mike's brain which indicated that the glymphatic and lymphatic systems were possibly damaged. At that time cranial/structural frontal/occipital decompression was applied which manually pumps the glymphatic and lymphatic systems to pump out fluid, inflammation and talc. After the session Mike reported he no longer had a headache, and he seemed less lethargic and interested in completing his homework.
At the next session Mike's mother was very excited and reported that he was no longer lethargic and was interacting with the family. She had spoken to the sports pediatrician about a concussion and he ordered a CAT scan. He admitted that Mike's symptoms could be due to a concussion — a mild TBI, and asked her to contact the soccer coach regarding an injury. Mike's treatment included another frontal/occipital decompression because kinesiological testing revealed some swelling and inflammation. This was followed by myofascial work that brought his entire structure into balance. Mike was talking and behaving with the enthusiasm of a normal 13 year old.
At the third session Mike's mother reported that the CAT scan showed brain damage consistent with mild TBI from a concussion. Mike's soccer coach had recalled that mike had been on the ground for two minutes after a head to head collision with the goalie during a practice exercise. This coincided with the onset of Mike's symptoms. He was rapidly returning to his old self and wanted to play soccer again. His mother was not at all in favor of this.
Mike was treated three more times with the cranial/structural therapy, the frontal/occipital decompression, and myofascial therapy. Kinesiological testing showed no evidence of swelling or inflammation in the brain. The Sports pediatrician did another CAT scan and released him back to playing soccer saying his recovery was remarkable.
The research on the glymphatic and lymphatic systems shows the importance of restoring them for recovery from mild TBI. According to Jeffrey Iliff, "Essentially all neurodegenerative diseases, including Alzheimer's disease, protein waste accumulates and eventually suffocates and kills the neuronal network of the brain." Similar damage to the meninges also affects the lymphatic system which recent research shows is much more extensive and prevalent in the brain than previously thought. Quoted from UVA Today Johnathan Kipnis said, "We believe that for every neurological disease that has an immune component to it, these [lymphatic] vessels may play a major role." It is obvious that a highly functioning lymphatic system is necessary for recovery from TBI due to the inflammation and accumulation of waste products.
The research on the glymphatic and lymphatic systems along with what happens to the brain with mild TBI shows that there are systems within the brain that need treatment in mild TBI. The case studies presented in part one of this article show how hands on cranial/structural therapies combined with myofascial techniques can facilitate recovery from mild TBI by balancing the meninges and stimulating the glymphatic and lymphatic systems to restore brain function.