resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Learning a Hands-Free Solution to Fix SI Dysfunction
We are a society of therapists geared to touch, feel and fix through fascia and muscles. We help facilitate better joint function by working our fingers to the bones. Have you ever worked and worked and the client still walked away in lumbar pain. If so, this article really is for you. I am going to share with you how to relieve SI dysfunction, provide better stabilization and not have to massage, knead or stretch tissue. Interested? But, don't hang up your hands just yet. You are still going to need them, just not in the usual sense with this principle of healing.
You know when you see a demonstration and it makes you scratch your head and wonder exactly how did that work? Well, that is how this article came into being. I was attending a fitness convention with a friend and in the list of workshops to choose from was a class titled, "Fixing SI Dysfunction." Of course, I was thinking what kind of fitness is going to fix an SI dysfunction? The gentleman teaching the class was a chiropractic physician. He asked for someone in the audience that had chronic lumbar pain to come forward and he would show how easy it is to help an SI dysfunction. My friend's son Robert, a trainer and ex-baseball player, fit the bill for the demonstration. The chiropractor assessed the SI and showed how Robert's SI joint was not stabilizing or closing in a one legged stance. The joint was functional in open chain but dysfunctional in closed chain.
His demonstration included showing us a bilateral comparison. It was obvious the side of dysfunction and it correlated with Robert's chronic pain side. Here is where the no hands approach comes in. He used breath work, visualization and isometrics to fix the dysfunction, not any form of hands on manipulation. When Robert stood up, a reassessment of the opening and closing of the SI joint was done and the SI joint was now functioning properly. Later that night and the next day, we asked Robert how he felt and he said there was no return of pain. I was sold and I needed to know how what appeared to be such a simple thing fixed a long standing chronic problem. So, I asked some questions, bought his book and found the importance of using principles and not methods.
Do you know the difference between a method and a principle? A principle is a fundamental truth or proposition that serves as the foundation for a system of belief or behavior. There are hundreds of healing methods. In fact, when I researched it on many websites, there are sometimes 10 or more methods for every letter in the alphabet. Each healing practice is trying to create the same effect of better postural control, joint alignment, balance of the mind-body-spirit connection and relief of pain symptoms. What does acupuncture, ashiatsu oriental bar therapy, vitaflex, alexander technique, and bowen technique have in common? Well, they are all healing methods based on similar principles. Cross over into the exercise field and you see the very same thing with Cross Fit, kettle bells, the barre method, yoga and pilates again all based on similar principles. In both fields, we are going to see more and more different methods spring up so be aware. The new ones tend to replace the old ones with each trying to get the individual to their goals of better health and healing. Everyone is looking for the one method that has all the answers instead of relying on the principle foundation these methods are born from. In fact, you're awareness of the basic principles will make any method you already have in your tool box better. Having a deeper understanding of the principles of human movement and rehabilitation will keep you alive and well in this ever changing healthcare stream.
The first principle to consider is the use of deep diaphragmatic breathing with the activation of the pelvic floor muscles to help reset the core musculature. In the absence of ideal respiratory patterns, the motor system will be forced to choose between respiration and stabilization, with preferential selection of the former (Hodges et al 2004). The diaphragm has an important role in stabilizing the core. It forms the top of the core canister with the internal and external obliques, quadratus lumborum, pelvic floor and transverse abdominus.
Proper breathing is a way of interrupting the "Fight or Flight" response or the overuse of the sympathic nervous system. When clients are over stimulated they recruit muscles in dysfunctional patterns. This can happen from sitting too long, an accident or injury, or a disease process. The loss of breathing from the belly and starting to breathe from the chest creates a core dysfunction and the wrong order of recruitment.
Do the following exercise: Sit in a chair. Draw in your navel, now draw your shoulder blades back, now squeeze your glutes, hold your arms out at a 90 degree angle and start to type. How long would you last? A principle of recruiting the wrong muscles for the job is what you are learning here. This activity of sitting and typing should have been done by a low level activation of inner core muscles. By the habitual use of the body in this way day after day, sitting and not breathing properly, the deep core musculature gets replaced by muscles that are designed to move the spine not stabilize the spine.
The connection of how breath work effects SI function lies in understanding the Deep Facial Line. The DFL is the connection of psoas and the diaphragm just behind the kidneys, adrenal glands and the solar plexus, and just in front of the major spinal joint of the thoracolumbar junction. Also, connecting with the intervertebral discs of levels L1-L5, to attach to the lesser trochanter of the femur as well as blend into the pelvic floor. The junction of T12-L1 is a critical point of both stability and function in the human body. "The myofascial of the DFL is infused with more slow-twitch, endurance muscle fibers, reflecting the role the DFL plays in providing stability and subtle positioning changes to the core structure to enable the more superficial structures and lines to work easily and efficiently with the skeleton." (Tomas W. Myers, Anatomy Trains second edition.) The thoracopelvic canister joins the trunk with the bottom of the body and it functions to join breathing to walking.
The second principle to understand is the use of visualization. In the early 1900's, Mabel Todd developed an approach that is called "ideokinesis." Ideokinesis uses imagery and conscious thought patterns as ways to improve posture and habitual movement patterns. This concept was adopted and is still used within Feldenkrais, Alexander Technique, and many forms of athletics. And as a side bar, I use it with my stroke and Parkinson's patients.
Treatment plan for a SI dysfunction:
I have used these principles for more than just SI dysfunction. It will help with many forms of chronic pain. One of my students related they had used these principles for a very acute back spasm and the patient called the next day with amazement and relief of pain.
I want to leave you with a quote from Ralph Waldo Emerson that really made me think about the importance of the use of principles going forward as a massage and movement specialist: "As to methods there may be a million and then some, but principles are few. The man who grasps principles can successfully select his own methods. The man who tries methods, ignoring principles, is sure to have trouble."