Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Jocelyn, I do them . Will work with you and your patient. Don White, RN, DC Canyon Rd Chiropractic & Massage 12850 SW Canyon Rd Beaverton, OR 97005 503 641-8000 In a message dated 6/6/2011 10:54:17 A.M. Pacific Daylight Time, jocelynk@... writes: Dear Listserve,Does anyone know of a DC or therapist in the Portland/Hillsboro/Gresham area who does an internal coccyx adjustment? I have a patient who fell, has pain with sitting ever since. I have xrayed and confirmed the end of the coccyx is anteriorly curled. I do not know/do the internal adjustment but nothing else is working.Thank youJocelyn Kirnak, DC,ActiveLife Chiropractic503-335-0449 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Dr. Kirnak. This has been asked before, and I don't see why we don't just accept the fact that some of our patients will need this adjustment once in a while and just do it. I have done a few in the past, and usually don't have any problem from the patient point of view. I just explain the procedure and let them make up their mind if they want it done. Then, with proper technique, and an assistant in the room if it is a female, go ahead and do the adjustment. I am not faulting you in any way for this question. I just think a conversation needs to take place that makes each of us ok with this procedure. The last time I had any issue was when the patient was also an employee. Since this might make the employer/employee relationship a little uncomfortable, I sent her out to someone else. Otherwise, not a problem. Just my thoughts, and I hope we all get around this difficult adjustment and start seeing it as a necessary thing from time to time. Ron Grice, DC Albany, OR On 6/6/2011 10:54 AM, Jocelyn Kirnak wrote: Dear Listserve, Does anyone know of a DC or therapist in the Portland/Hillsboro/Gresham area who does an internal coccyx adjustment? I have a patient who fell, has pain with sitting ever since. I have xrayed and confirmed the end of the coccyx is anteriorly curled. I do not know/do the internal adjustment but nothing else is working. Thank you Jocelyn Kirnak, DC, ActiveLife Chiropractic 503-335-0449 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Well stated Dr. Grice. I too have adjusted the coccyx (very,very infrequently) and although this is out of the ordinary for me I have no problem treating as needed. It isn't invasive, it just appears to be a possible boundary issue which should not be a problem with a good PARQ conference and appropriate practice safeguards (CA/nurse in the room). Seitz, DC Tuality Physicians 730-D SE Oak St Hillsboro, OR 97123 (503)640-3724jocelynk@...CC: From: rongrice@...Date: Mon, 6 Jun 2011 11:14:46 -0700Subject: Re: Coccyx adjustment? Dr. Kirnak. This has been asked before, and I don't see why we don't just accept the fact that some of our patients will need this adjustment once in a while and just do it. I have done a few in the past, and usually don't have any problem from the patient point of view. I just explain the procedure and let them make up their mind if they want it done. Then, with proper technique, and an assistant in the room if it is a female, go ahead and do the adjustment. I am not faulting you in any way for this question. I just think a conversation needs to take place that makes each of us ok with this procedure. The last time I had any issue was when the patient was also an employee. Since this might make the employer/employee relationship a little uncomfortable, I sent her out to someone else. Otherwise, not a problem. Just my thoughts, and I hope we all get around this difficult adjustment and start seeing it as a necessary thing from time to time. Ron Grice, DC Albany, OR On 6/6/2011 10:54 AM, Jocelyn Kirnak wrote: Dear Listserve, Does anyone know of a DC or therapist in the Portland/Hillsboro/Gresham area who does an internal coccyx adjustment? I have a patient who fell, has pain with sitting ever since. I have xrayed and confirmed the end of the coccyx is anteriorly curled. I do not know/do the internal adjustment but nothing else is working. Thank you Jocelyn Kirnak, DC, ActiveLife Chiropractic 503-335-0449 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Hi Jocelyn, I agree with Ron. If necessary, we all need to boldly go where no one has gone before. It will make you grow. Personally, I prefer the patient side lying with knees drawn up a bit; towels draped above and below to help them feel like it’s more medical/professional; don’t be afraid to give it a very strong tug, it’s almost impossible to damage it by hyperextending. One final TMI piece of knowledge fro my time assisting in the school clinic: you can help the anal sphincter relax a lot by stretching it in an anterior (toward the pubic bone) direction after inserting your digit. After that the work you need to do is less uncomfortable. It’s always helpful to practice on “a friend”: E. Abrahamson, D.C. Chiropractic physician Lake Oswego Chiropractic Clinic 315 Second Street Lake Oswego, OR 97034 503-635-6246 Website: http://www.lakeoswegochiro.com From: Grice <rongrice@...> Date: Mon, 06 Jun 2011 11:14:46 -0700 Jocelyn Kirnak <jocelynk@...> Cc: " " < > Subject: Re: Coccyx adjustment? Dr. Kirnak. This has been asked before, and I don't see why we don't just accept the fact that some of our patients will need this adjustment once in a while and just do it. I have done a few in the past, and usually don't have any problem from the patient point of view. I just explain the procedure and let them make up their mind if they want it done. Then, with proper technique, and an assistant in the room if it is a female, go ahead and do the adjustment. I am not faulting you in any way for this question. I just think a conversation needs to take place that makes each of us ok with this procedure. The last time I had any issue was when the patient was also an employee. Since this might make the employer/employee relationship a little uncomfortable, I sent her out to someone else. Otherwise, not a problem. Just my thoughts, and I hope we all get around this difficult adjustment and start seeing it as a necessary thing from time to time. Ron Grice, DC Albany, OR On 6/6/2011 10:54 AM, Jocelyn Kirnak wrote: Dear Listserve, Does anyone know of a DC or therapist in the Portland/Hillsboro/Gresham area who does an internal coccyx adjustment? I have a patient who fell, has pain with sitting ever since. I have xrayed and confirmed the end of the coccyx is anteriorly curled. I do not know/do the internal adjustment but nothing else is working. Thank you Jocelyn Kirnak, DC, ActiveLife Chiropractic 503-335-0449 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 SSSooooo in agreement, Ron. This is a simple procedure.....takes less than 2 minutes. Shipping the patietn is far harder in time and money on them than just learning it, getting past whatever mental block the doc is holding and just do it. It is So helpful for breathing and standing upright and diaphragmatic expansion and sacral-occipital flexion....the whole 9 yards. Sunny Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com jocelynk@...CC: From: rongrice@...Date: Mon, 6 Jun 2011 11:14:46 -0700Subject: Re: Coccyx adjustment? Dr. Kirnak. This has been asked before, and I don't see why we don't just accept the fact that some of our patients will need this adjustment once in a while and just do it. I have done a few in the past, and usually don't have any problem from the patient point of view. I just explain the procedure and let them make up their mind if they want it done. Then, with proper technique, and an assistant in the room if it is a female, go ahead and do the adjustment. I am not faulting you in any way for this question. I just think a conversation needs to take place that makes each of us ok with this procedure. The last time I had any issue was when the patient was also an employee. Since this might make the employer/employee relationship a little uncomfortable, I sent her out to someone else. Otherwise, not a problem.Just my thoughts, and I hope we all get around this difficult adjustment and start seeing it as a necessary thing from time to time.Ron Grice, DCAlbany, OROn 6/6/2011 10:54 AM, Jocelyn Kirnak wrote: Dear Listserve,Does anyone know of a DC or therapist in the Portland/Hillsboro/Gresham area who does an internal coccyx adjustment? I have a patient who fell, has pain with sitting ever since. I have xrayed and confirmed the end of the coccyx is anteriorly curled. I do not know/do the internal adjustment but nothing else is working.Thank youJocelyn Kirnak, DC,ActiveLife Chiropractic503-335-0449 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 6, 2011 Report Share Posted June 6, 2011 Releaseing the coccyx is very easy with breathing.... move it on exhalation and a 'hard tug' is not necessary. Sunny Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com rongrice@...; ; jocelynk@...From: drscott@...Date: Mon, 6 Jun 2011 11:25:38 -0700Subject: Re: Coccyx adjustment? Hi Jocelyn,I agree with Ron. If necessary, we all need to boldly go where no one has gone before. It will make you grow.Personally, I prefer the patient side lying with knees drawn up a bit; towels draped above and below to help them feel like it’s more medical/professional; don’t be afraid to give it a very strong tug, it’s almost impossible to damage it by hyperextending.One final TMI piece of knowledge fro my time assisting in the school clinic: you can help the anal sphincter relax a lot by stretching it in an anterior (toward the pubic bone) direction after inserting your digit. After that the work you need to do is less uncomfortable.It’s always helpful to practice on “a friend”: E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com From: Grice <rongrice@...>Date: Mon, 06 Jun 2011 11:14:46 -0700Jocelyn Kirnak <jocelynk@...>Cc: " " < >Subject: Re: Coccyx adjustment? Dr. Kirnak. This has been asked before, and I don't see why we don't just accept the fact that some of our patients will need this adjustment once in a while and just do it. I have done a few in the past, and usually don't have any problem from the patient point of view. I just explain the procedure and let them make up their mind if they want it done. Then, with proper technique, and an assistant in the room if it is a female, go ahead and do the adjustment. I am not faulting you in any way for this question. I just think a conversation needs to take place that makes each of us ok with this procedure. The last time I had any issue was when the patient was also an employee. Since this might make the employer/employee relationship a little uncomfortable, I sent her out to someone else. Otherwise, not a problem. Just my thoughts, and I hope we all get around this difficult adjustment and start seeing it as a necessary thing from time to time. Ron Grice, DC Albany, OR On 6/6/2011 10:54 AM, Jocelyn Kirnak wrote: Dear Listserve, Does anyone know of a DC or therapist in the Portland/Hillsboro/Gresham area who does an internal coccyx adjustment? I have a patient who fell, has pain with sitting ever since. I have xrayed and confirmed the end of the coccyx is anteriorly curled. I do not know/do the internal adjustment but nothing else is working. Thank you Jocelyn Kirnak, DC, ActiveLife Chiropractic 503-335-0449 Quote Link to comment Share on other sites More sharing options...
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