FW: [ACA-Members] Acupuncture/TCM

[Guest guest]

F.Y.I., Vern Saboe From: Craine Sent: Wednesday, May 30, 2012 12:01 PMTo: denalichiro@...; ACA-Members@...Subject: Re: [ACA-Members] Acupuncture/TCM land Board of Chiropractic Examiners Now Approves Dry-Needling As Being Within the Scope of Practice for Chiropractors But…By Marc K. Cohen and M. PreterotiEdited by J. CappielloOber, Kaler, Grimes and Shriver, PCland’s Board of Chiropractic Examiners recently determined that a procedure known as “dry-needling†is permitted under a chiropractor’s physical therapy privileges, so long as the chiropractor is sufficiently trained and educated in the procedure. Although for some time physical therapists have been permitted to perform dry-needling on patients in conjunction with the implementation of physical therapy techniques, it wasn’t until recently that the Board of Chiropractic Examiners followed suit and agreed that this practice could also be employed by properly trained chiropractors whose licenses provide a right to practice physical therapy. Prior to this determination, in a letter dated August 15, 2007, the Board of Chiropractic Examiners mandated that a land chiropractor trained in the technique discontinue using the procedure known as dry-needling because the Board believed that such a procedure was reserved exclusively for health care professionals, separately licensed as acupuncturists by the land Board of Acupuncture. Ober Kaler advocated on behalf of the chiropractor in this matter and successfully argued that dry-needling (as apposed to acupuncture) falls within the scope of practice for chiropractors under their physical therapy privileges, so long as the licensee is properly trained in using the technique.Dry-needling denotes the procedure by which a fine, thin gage needle is inserted into a trigger point within a tender, tense, contracted muscle that a chiropractor has identified during a preliminary physical examination. This procedure is used as both a “diagnostic tool†and as a “treatment preparation.†First, chiropractors can use dry-needling as a diagnostic tool to locate the exact position of trigger points causing pain. When the needle is correctly inserted into the trigger point, the contracted muscle causes it to oscillate rapidly, making the source of the patient’s pain apparent. Second, because an established side effect of dry-needling is the temporary alleviation of muscle pain and sensitivity at the insertion site, chiropractors use this technique to enable their patients to better tolerate chiropractic treatment and physical therapy modalities, making the overall experience more comfortable. The Board of Chiropractic Examiners’ classification of dry-needling as acupuncture was based primarily on the fact that an acupuncture needle is often the instrument used in both dry-needling and the practice of acupuncture. However, the reason for this is purely comfort. The fact that each employs a common tool is where the similarities between dry-needling and acupuncture end. For instance, the legal definition of acupuncture stands in stark contrast to the theory behind dry-needling. The land Code describes the “practice [of] acupuncture†as “the use of oriental medical therapies for the purpose of normalizing energetic physiological functions including pain control, and for the promotion, maintenance, and restoration of health . . . .†See H.O. § 1A-101(f)(1); see also COMAR 10.26.02.02((8) (emphasis added). Unlike dry-needling, in acupuncture, a needle is placed into fixed points and meridians that have no physical proximity to any muscle or spot where the patient is experiencing pain, but rather are based on oriental acupuncture medical theories. Dry-needling certainly does not fall within land’s legal rubric of what constitutes acupuncture, as dry-needling is by no means derived from oriental medicine, and in dry-needling, a chiropractor relies on his/her patient’s condition and response to various treatments to determine the point of insertion, rather than any “specific pathways or meridians.â€In addition to the above legal and theoretical differences between dry-needling and acupuncture, the Board altered its view regarding dry-needling, in part, when it learned that physical therapists in land have, for some time, been authorized by their board to use dry-needling to both diagnose and treat their patients’ myofascial trigger points under the same statute that regulates chiropractors. In land, a chiropractor may hold a chiropractic license which gives him/her the right to practice both chiropractic and physical therapy. Md. Code. Ann., Health. Occ. (“H.O.â€) § 3-301©. Physical therapy, as used by chiropractors, is defined by the article governing physical therapists. See H.O. § 3-101(g). Due the fact that the term “physical therapy†as employed by physical therapists includes this technique, coupled with the fact that dry-needling is not specifically prohibited by the Chiropractic Practice Act, the Board reconsidered its position on the issue.In May 2008 the Board of Chiropractic Examiners dismissed the disciplinary case against the land chiropractor cited for using the dry-needling procedure. The Board now agrees that properly trained land chiropractors are free to use dry-needling in their practice to better care for their patients. The key to this decision is proper training. So here is the bottom line: You may now use dry needling as part of your practice for both diagnosing and treating your patients. But make sure your use of dry needling is based on sound chiropractic principals, not acupuncture concepts, and be certain you have the necessary training and competency to perform this procedure. Special thanks goes to the officers and members of your MCA who worked diligently on this matter, ultimately expanding the scope of practice for chiropractors in this matter to include this valuable therapy, which will benefit chiropractic patients throughout the State. ATTENTION: THIS EMAIL IS NOT ENCRYPTED.Privacy Notice: This communication constitutes an electronic communication of the Electonic Communications Privacy Act (18 U.S.C. 2510). It is intended to be seen only by the person to whom it is addressed, and it may contain information that is privileged, confidential, or otherwise limited by state, or federal law from review by or disclosure to any other person. If the recipient of this communication is not the person to whom his/her communication is addressed, please notify the sender immediately and destroy this communication without reading it. Any review, disclosure, dissemination, distribution, publication, or copying of this communication is strictly prohibited. To: ACA-Members@... Sent: Wednesday, May 30, 2012 2:32 PMSubject: Re: [ACA-Members] Acupuncture/TCM  A patient ended up at a PT's who ended up " dropping a needle " in the muscle knot that let the muscle release. PT, on the phone with me, was thrilled and told me I really should get trained. Alas, here in Alaska, no can do under our statute. So they can dry needle after a weekend course? Pooh. I'm with Dr. W. We need to expand, not contract.Carol RE: [ACA-Members] Acupuncture/TCM I’ve been working with both Stecco’s texts for a while now. Great stuff. I became trained in Dry Needling to assist my work and heavy emphasis on soft tissue/fascial conditions but in TX for me to do DN I have to get certified in Acupuncture – hence the request for acupuncture info so I can pass boards and move on with my use of needling in clinical practice. Pretty frustrating because PT’s can do dry needling with just a weekend course. Oh well. Just got to work with what you’ve got. Thanks for the info. Mulhallhttps://www.activespineandsport.com/ " Like " Active Spine & Sport Therapy on Facebook to get daily updates on current sports medicine research, upcoming athletic events and links to self care articles and education. From: Brown DC Sent: Wednesday, May 30, 2012 9:38 AMTo: lfecare@...Cc: ACA-members@...Subject: Re: [ACA-Members] Acupuncture/TCM I second this recommendation. Coming from a NMS frame of mind I've always had a struggle grasping acupuncture. After taking Stecco's courses and reading his books, I think I could more competently asses and apply these needling treatments. It think this recommendation is right on target. My advice would be the practical text: http://store.piccinusa.com/JBOn Wed, May 30, 2012 at 10:27 AM, wrote:While this may seem completely off base, Dr. Stecco's Fascial Manipulation gives some very interesting background on the fascia and how much acupuncture effects this tissue. Bogash, DCChiropractic PhysicianMesa, AZwww.lifecarechiropractic.com I have been using acupuncture since 1976 here in Fla. Amaro and Yennie as well as Felix Mann have good info and booksI use it for primarily NMS conditions with very good resultsjohn gentileQuoting Mulhall :> This sounds ridiculous, but I'm in the process of taking courses for> acupuncture certification and I'm looking for a little guidance.>>>> I think in a " process oriented/big picture " kind of way and I'm having a> hard time wrapping my head around the concepts of acupuncture and TCM. It> just seems like volumes of random facts with very little glue to hold it all> together and solidify things in my mind. I'm not sure if it is just how the> information has been presented or if that is just what it is.>>>> Would any of you have any recommendations for books, classes, etc that would> help me better get the broad strokes/basic building blocks of this stuff so> I can then fill in the rest of the details in a bit more of a logical and> organized fashion?>>>> Thanks so much. Take care.>>>> Mulhall>> https://www.activespineandsport.com/>>>> <http://www.facebook.com/activespineandsport> " Like " Active Spine & Sport> Therapy on Facebook to get daily updates on current>> sports medicine research, upcoming athletic events and links to self care> articles and education.>>>>>>>> ______________________________________________________>> ACA-Members Mailing List>> To post to the list: ACA-members@...>> List policy>> NOTE: The ACA does not accept requests/inquiries through the > listserv. The listserv is for peer-to-peer collaboration only. If > you have an insurance-related question/concern you wish to bring to > the attention of the ACA, please email insinfo@.... If you > have a dues/benefits question or issue, please email > memberinfo@....>> Technical questions or to request to be removed from the list, > please contact dmillard@...>______________________________________________________ACA-Members Mailing ListTo post to the list: ACA-members@...List policyNOTE: The ACA does not accept requests/inquiries through the listserv. The listserv is for peer-to-peer collaboration only. If you have an insurance-related question/concern you wish to bring to the attention of the ACA, please email insinfo@.... If you have a dues/benefits question or issue, please email memberinfo@.... Technical questions or to request to be removed from the list, please contact dmillard@... ______________________________________________________ACA-Members Mailing ListTo post to the list: ACA-members@...List policyNOTE: The ACA does not accept requests/inquiries through the listserv. The listserv is for peer-to-peer collaboration only. If you have an insurance-related question/concern you wish to bring to the attention of the ACA, please email insinfo@.... If you have a dues/benefits question or issue, please email memberinfo@.... Technical questions or to request to be removed from the list, please contact dmillard@...-- Brown, DCBrown Integrated Chiropractic1542 Columbia TurnpikeSchodack, NY 12033(518)477-4405______________________________________________________ACA-Members Mailing ListTo post to the list: ACA-members@...List policyNOTE: The ACA does not accept requests/inquiries through the listserv. The listserv is for peer-to-peer collaboration only. If you have an insurance-related question/concern you wish to bring to the attention of the ACA, please email insinfo@.... If you have a dues/benefits question or issue, please email memberinfo@.... Technical questions or to request to be removed from the list, please contact dmillard@... ______________________________________________________ACA-Members Mailing ListTo post to the list: ACA-members@...List policyNOTE: The ACA does not accept requests/inquiries through the listserv. The listserv is for peer-to-peer collaboration only. If you have an insurance-related question/concern you wish to bring to the attention of the ACA, please email insinfo@.... If you have a dues/benefits question or issue, please email memberinfo@.... Technical questions or to request to be removed from the list, please contact dmillard@... ______________________________________________________ACA-Members Mailing ListTo post to the list: ACA-members@...List policyNOTE: The ACA does not accept requests/inquiries through the listserv. The listserv is for peer-to-peer collaboration only. If you have an insurance-related question/concern you wish to bring to the attention of the ACA, please email insinfo@.... If you have a dues/benefits question or issue, please email memberinfo@.... Technical questions or to request to be removed from the list, please contact dmillard@... ______________________________________________________ACA-Members Mailing ListTo post to the list: ACA-members@...List policyNOTE: The ACA does not accept requests/inquiries through the listserv. The listserv is for peer-to-peer collaboration only. If you have an insurance-related question/concern you wish to bring to the attention of the ACA, please email insinfo@.... If you have a dues/benefits question or issue, please email memberinfo@.... Technical questions or to request to be removed from the list, please contact dmillard@...

[Guest guest]

Thanks for posting this Vern. The issue at hand now ,regardless what anyone

thinks about Dry Needling , is whether our board can make independent

interpretations of our laws. Period. That is all. The board wrestled with this

issue and came to understand that indeed this is a PT modality and within our

scope of practice. This was within the Boards function to interpret our laws.

The acupuncturists not only have sued our board but also restrained our trade.

s. fuchs dc

>

> While this may seem completely off base, Dr. Stecco's Fascial Manipulation

gives some very interesting background on the fascia and how much acupuncture

effects this tissue.

>

>

>

> Bogash, DC

> Chiropractic Physician

> Mesa, AZ

> www.lifecarechiropractic.com <http://www.lifecarechiro.com/>

>

>

>

>

> In a message dated 5/30/2012 6:25:14 A.M. US Mountain Standard Time, chiro@...

writes:

>

>

> I have been using acupuncture since 1976 here in Fla. Amaro and Yennie

> as well as Felix Mann have good info and books

> I use it for primarily NMS conditions with very good results

> john gentile

>

> Quoting Mulhall :

>

> > This sounds ridiculous, but I'm in the process of taking courses for

> > acupuncture certification and I'm looking for a little guidance.

> >

> >

> >

> > I think in a " process oriented/big picture " kind of way and I'm having a

> > hard time wrapping my head around the concepts of acupuncture and TCM. It

> > just seems like volumes of random facts with very little glue to hold it all

> > together and solidify things in my mind. I'm not sure if it is just how the

> > information has been presented or if that is just what it is.

> >

> >

> >

> > Would any of you have any recommendations for books, classes, etc that would

> > help me better get the broad strokes/basic building blocks of this stuff so

> > I can then fill in the rest of the details in a bit more of a logical and

> > organized fashion?

> >

> >

> >

> > Thanks so much. Take care.

> >

> >

> >

> > Mulhall

> >

> > https://www.activespineandsport.com/

> >

> >

> >

> > <http://www.facebook.com/activespineandsport> " Like " Active Spine & Sport

> > Therapy on Facebook to get daily updates on current

> >

> > sports medicine research, upcoming athletic events and links to self care

> > articles and education.

> >

> >

> >

> >

> >

> >

> >

> > ______________________________________________________

> >

> > ACA-Members Mailing List

> >

> > To post to the list: ACA-members@...

> >

> > List policy

> >

> > NOTE: The ACA does not accept requests/inquiries through the

> > listserv. The listserv is for peer-to-peer collaboration only. If

> > you have an insurance-related question/concern you wish to bring to

> > the attention of the ACA, please email insinfo@... If you

> > have a dues/benefits question or issue, please email

> > memberinfo@...

> >

> > Technical questions or to request to be removed from the list,

> > please contact dmillard@...

> >

>

>

>

>

>

>

> ______________________________________________________

>

> ACA-Members Mailing List

>

> To post to the list: ACA-members@...

>

> List policy

>

> NOTE: The ACA does not accept requests/inquiries through the listserv. The

listserv is for peer-to-peer collaboration only. If you have an

insurance-related question/concern you wish to bring to the attention of the

ACA, please email insinfo@... If you have a dues/benefits question or issue,

please email memberinfo@...

>

> Technical questions or to request to be removed from the list, please contact

dmillard@...

>

>

>

> ______________________________________________________

> ACA-Members Mailing List

>

> To post to the list: ACA-members@...

> List policy <http://www.acatoday.org/content_css.cfm?CID=872>

>

> NOTE: The ACA does not accept requests/inquiries through the listserv. The

listserv is for peer-to-peer collaboration only. If you have an

insurance-related question/concern you wish to bring to the attention of the

ACA, please email insinfo@... If you have a dues/benefits question or issue,

please email memberinfo@...

>

> Technical questions or to request to be removed from the list, please contact

dmillard@...

>

>

>

>

> --

> Brown, DC

> Brown Integrated Chiropractic

> 1542 Columbia Turnpike

> Schodack, NY 12033

> (518)477-4405

>

>

>

> ______________________________________________________

> ACA-Members Mailing List

>

> To post to the list: ACA-members@...

> List policy <http://www.acatoday.org/content_css.cfm?CID=872>

>

> NOTE: The ACA does not accept requests/inquiries through the listserv. The

listserv is for peer-to-peer collaboration only. If you have an

insurance-related question/concern you wish to bring to the attention of the

ACA, please email insinfo@... If you have a dues/benefits question or issue,

please email memberinfo@...

>

> Technical questions or to request to be removed from the list, please contact

dmillard@...

>

>

>

> ______________________________________________________

> ACA-Members Mailing List

>

> To post to the list: ACA-members@...

> List policy <http://www.acatoday.org/content_css.cfm?CID=872>

>

> NOTE: The ACA does not accept requests/inquiries through the listserv. The

listserv is for peer-to-peer collaboration only. If you have an

insurance-related question/concern you wish to bring to the attention of the

ACA, please email insinfo@... If you have a dues/benefits question or issue,

please email memberinfo@...

>

> Technical questions or to request to be removed from the list, please contact

dmillard@...

>

>

>

> ______________________________________________________

> ACA-Members Mailing List

>

> To post to the list: ACA-members@...

> List policy <http://www.acatoday.org/content_css.cfm?CID=872>

>

> NOTE: The ACA does not accept requests/inquiries through the listserv. The

listserv is for peer-to-peer collaboration only. If you have an

insurance-related question/concern you wish to bring to the attention of the

ACA, please email insinfo@... If you have a dues/benefits question or issue,

please email memberinfo@...

>

> Technical questions or to request to be removed from the list, please contact

dmillard@...

>

>

>

>

>

> ______________________________________________________

> ACA-Members Mailing List

>

> To post to the list: ACA-members@...

> List policy <http://www.acatoday.org/content_css.cfm?CID=872>

>

> NOTE: The ACA does not accept requests/inquiries through the listserv. The

listserv is for peer-to-peer collaboration only. If you have an

insurance-related question/concern you wish to bring to the attention of the

ACA, please email insinfo@... If you have a dues/benefits question or issue,

please email memberinfo@...

>

> Technical questions or to request to be removed from the list, please contact

dmillard@...

>

[Guest guest]

If you read down this message thread, several doctors mentioned Luigi Stecco's Fascial Manipulation texts, apparently using his work as a basis for finding points to dry needle. My two cents is that Stecco's work is an outstanding technique in and of itself and his manual treatment protocol is extremely effective at reducing musculoskeletal dysfunctions, without the inherent problems related to the current discussion on dry needling here in Oregon. I get far better results with Fascial Manipulation than I have gotten with any other soft tissue technique. When I use FM on my patients, chronic patterns of articular fixation start to unwind and any adjusting I have to do is much easier and longer lasting. I rarely employ hard osseous adjusting, most fixations are reduced just with FM and any adjustments I have to do are much easier.

Recent research shows fascia to be rich in neuroreceptors, such as Pacini and Ruffini structures, providing feedback to the CNS. Also, the muscle spindles are formed within the fascia - as are the GTO's - it is via the fascia that these are able to interact with the surrounding tissues. Every peripheral nerve and blood vessel travels within fascial structures. Up to 30% of muscular force transmission is transferred to adjacent agonist and antagonist myofascial units through fascial bridging surrounding articulations, providing immediate feedback and ensuring correct balance to all movements. Densifications of the extracellular matrix (primarily hyaluronic acid) within the loose connective tissue between the fascial planes cause a lack of gliding between the planes which results in unbalanced movement and aberrant tension on free nerve endings, thus eliciting pain. By balancing the fascial structures, and reducing musculoskeletal (and even neurovascular) compensations, the body is better able to analyze the core dysfunctions related to presenting symptoms and correct them accurately and quickly. FM is also evidence based - pre and post testing show measurable (ROM, VAS) changes with every treatment - the patient is able to feel and see the changes immediately.

Rod

Rodney G. , DCTillamook Natural Health Center309 Laurel Ave.Tillamook, OR 97141

Re: FW: [ACA-Members] Acupuncture/TCM

Thanks for posting this Vern. The issue at hand now ,regardless what anyone thinks about Dry Needling , is whether our board can make independent interpretations of our laws. Period. That is all. The board wrestled with this issue and came to understand that indeed this is a PT modality and within our scope of practice. This was within the Boards function to interpret our laws. The acupuncturists not only have sued our board but also restrained our trade. s. s dc> > While this may seem completely off base, Dr. Stecco's Fascial Manipulation gives some very interesting background on the fascia and how much acupuncture effects this tissue.> > > > > Chiropractic Physician> Mesa, AZ> 480-> > > > > > > I have been using acupuncture since 1976 here in Fla. Amaro and Yennie > as well as Felix Mann have good info and books> I use it for primarily NMS conditions with very good results> john gentile> > Quoting > > This sounds ridiculous, but I'm in the process of taking courses for> > acupuncture certification and I'm looking for a little guidance.> >> >> >> > I think in a "process oriented/big picture" kind of way and I'm having a> > hard time wrapping my head around the concepts of acupuncture and TCM. It> > just seems like volumes of random facts with very little glue to hold it all> > together and solidify things in my mind. I'm not sure if it is just how the> > information has been presented or if that is just what it is.> >> >> >> > Would any of you have any recommendations for books, classes, etc that would> > help me better get the broad strokes/basic building blocks of this stuff so> > I can then fill in the rest of the details in a bit more of a logical and> > organized fashion?> >> >> >> > Thanks so much. Take care.> >> >> >> > > >> >> >> >> >> >> >> > ______________________________________________________> >

[Guest guest]

Sounds great. I like all sorts of tools inmy toolbox. s. fuchs dc From: Rodney G., DC Sent: Friday, June 01, 2012 2:25PMTo: Sharron Fuchs;oregondcs Subject: Re: Re:FW: [ACA-Members] Acupuncture/TCM If you read down this message thread, several doctorsmentioned Luigi Stecco's Fascial Manipulation texts, apparently using his workas a basis for finding points to dry needle. My two cents is that Stecco's workis an outstanding technique in and of itself and his manual treatment protocolis extremely effective at reducing musculoskeletal dysfunctions, without theinherent problems related to the current discussion on dry needling here in Oregon. I get farbetter results with Fascial Manipulation than I have gotten with anyother soft tissue technique. When I use FM on my patients, chronic patterns ofarticular fixation start to unwind and any adjusting I have to do is mucheasier and longer lasting. I rarely employ hard osseous adjusting, mostfixations are reduced just with FM and any adjustments I have to do are mucheasier. Recent research shows fascia to be rich in neuroreceptors,such as Pacini and Ruffini structures, providing feedback to the CNS. Also, themuscle spindles are formed within the fascia - as are the GTO's - itis via the fascia that these are able to interact with the surrounding tissues.Every peripheral nerve and blood vessel travels within fascial structures. Upto 30% of muscular force transmission is transferred to adjacent agonist andantagonist myofascial units through fascial bridging surroundingarticulations, providing immediate feedback and ensuring correct balanceto all movements. Densifications of the extracellular matrix (primarily hyaluronicacid) within the loose connective tissue between the fascial planes causea lack of gliding between the planes which resultsin unbalanced movement and aberrant tension on free nerve endings, thuseliciting pain. By balancing the fascial structures, and reducingmusculoskeletal (and even neurovascular) compensations, the body is better ableto analyze the core dysfunctions related to presenting symptoms and correctthem accurately and quickly. FM is also evidence based - pre and post testingshow measurable (ROM, VAS) changes with every treatment - the patient is ableto feel and see the changes immediately. Rod Rodney G. , DCTillamook Natural HealthCenter309 Laurel Ave.Tillamook, OR 97141 Re: FW: [ACA-Members] Acupuncture/TCM Thanksfor posting this Vern. The issue at hand now ,regardless what anyone thinksabout Dry Needling , is whether our board can make independent interpretationsof our laws. Period. That is all. The board wrestled with this issue and cameto understand that indeed this is a PT modality and within our scope ofpractice. This was within the Boards function to interpret our laws. Theacupuncturists not only have sued our board but also restrained our trade. s. sdc> > While this may seem completely off base, Dr. Stecco's Fascial Manipulationgives some very interesting background on the fascia and how much acupunctureeffects this tissue.> > > > > Chiropractic Physician> Mesa, AZ> 480-> > > > > > > I have been using acupuncture since 1976 here in Fla. Amaro andYennie > as well as Felix Mann have good info and books> I use it for primarily NMS conditions with very good results> john gentile> > Quoting > > This sounds ridiculous, but I'm in the process of takingcourses for> > acupuncture certification and I'm looking for a little guidance.> >> >> >> > I think in a " process oriented/big picture " kind of way andI'm having a> > hard time wrapping my head around the concepts of acupuncture andTCM. It> > just seems like volumes of random facts with very little glue to holdit all> > together and solidify things in my mind. I'm not sure if it is justhow the> > information has been presented or if that is just what it is.> >> >> >> > Would any of you have any recommendations for books, classes, etcthat would> > help me better get the broad strokes/basic building blocks of thisstuff so> > I can then fill in the rest of the details in a bit more of a logicaland> > organized fashion?> >> >> >> > Thanks so much. Take care.> >> >> >> > > >> >> >> >> >> >> >> > ______________________________________________________> >

[Guest guest]

Hi Rodney, Since reading Anatomy Trains by Tom Myers recently, I too have been working with fascia a great deal. It is wonderfully facillitating! It is often quite amazing how it releases fixations and joints. Patients LOVE it! It is another whole level of 'miraculous' chiropractic medicine! SunnySunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 654-0850; Fx; 541- 654-0834www.drsunnykierstyn.com To: sharronf@...; oregondcs From: rjacksondc@...Date: Fri, 1 Jun 2012 14:24:58 -0700Subject: Re: Re: FW: [ACA-Members] Acupuncture/TCM

If you read down this message thread, several doctors mentioned Luigi Stecco's Fascial Manipulation texts, apparently using his work as a basis for finding points to dry needle. My two cents is that Stecco's work is an outstanding technique in and of itself and his manual treatment protocol is extremely effective at reducing musculoskeletal dysfunctions, without the inherent problems related to the current discussion on dry needling here in Oregon. I get far better results with Fascial Manipulation than I have gotten with any other soft tissue technique. When I use FM on my patients, chronic patterns of articular fixation start to unwind and any adjusting I have to do is much easier and longer lasting. I rarely employ hard osseous adjusting, most fixations are reduced just with FM and any adjustments I have to do are much easier.

Recent research shows fascia to be rich in neuroreceptors, such as Pacini and Ruffini structures, providing feedback to the CNS. Also, the muscle spindles are formed within the fascia - as are the GTO's - it is via the fascia that these are able to interact with the surrounding tissues. Every peripheral nerve and blood vessel travels within fascial structures. Up to 30% of muscular force transmission is transferred to adjacent agonist and antagonist myofascial units through fascial bridging surrounding articulations, providing immediate feedback and ensuring correct balance to all movements. Densifications of the extracellular matrix (primarily hyaluronic acid) within the loose connective tissue between the fascial planes cause a lack of gliding between the planes which results in unbalanced movement and aberrant tension on free nerve endings, thus eliciting pain. By balancing the fascial structures, and reducing musculoskeletal (and even neurovascular) compensations, the body is better able to analyze the core dysfunctions related to presenting symptoms and correct them accurately and quickly. FM is also evidence based - pre and post testing show measurable (ROM, VAS) changes with every treatment - the patient is able to feel and see the changes immediately.

Rod

Rodney G. , DCTillamook Natural Health Center309 Laurel Ave.Tillamook, OR 97141

Re: FW: [ACA-Members] Acupuncture/TCM

Thanks for posting this Vern. The issue at hand now ,regardless what anyone thinks about Dry Needling , is whether our board can make independent interpretations of our laws. Period. That is all. The board wrestled with this issue and came to understand that indeed this is a PT modality and within our scope of practice. This was within the Boards function to interpret our laws. The acupuncturists not only have sued our board but also restrained our trade. s. s dc> > While this may seem completely off base, Dr. Stecco's Fascial Manipulation gives some very interesting background on the fascia and how much acupuncture effects this tissue.> > > > > Chiropractic Physician> Mesa, AZ> 480-> > > > > > > I have been using acupuncture since 1976 here in Fla. Amaro and Yennie > as well as Felix Mann have good info and books> I use it for primarily NMS conditions with very good results> john gentile> > Quoting > > This sounds ridiculous, but I'm in the process of taking courses for> > acupuncture certification and I'm looking for a little guidance.> >> >> >> > I think in a "process oriented/big picture" kind of way and I'm having a> > hard time wrapping my head around the concepts of acupuncture and TCM. It> > just seems like volumes of random facts with very little glue to hold it all> > together and solidify things in my mind. I'm not sure if it is just how the> > information has been presented or if that is just what it is.> >> >> >> > Would any of you have any recommendations for books, classes, etc that would> > help me better get the broad strokes/basic building blocks of this stuff so> > I can then fill in the rest of the details in a bit more of a logical and> > organized fashion?> >> >> >> > Thanks so much. Take care.> >> >> >> > > >> >> >> >> >> >> >> > ______________________________________________________> >

[Guest guest]

Hi Sunny,

I'm happy to read that you are starting to utilize the work that I demonstrated in my last two classes. Even though Tom Myers is not a D.C. I believe that we can utilize his research findings to our clinical advantage.

Best regards,

Herb

Re: FW: [ACA-Members] Acupuncture/TCM

Thanks for posting this Vern. The issue at hand now ,regardless what anyone thinks about Dry Needling , is whether our board can make independent interpretations of our laws. Period. That is all. The board wrestled with this issue and came to understand that indeed this is a PT modality and within our scope of practice. This was within the Boards function to interpret our laws. The acupuncturists not only have sued our board but also restrained our trade. s. s dc> > While this may seem completely off base, Dr. Stecco's Fascial Manipulation gives some very interesting background on the fascia and how much acupuncture effects this tissue.> > > > > Chiropractic Physician> Mesa, AZ> 480-> > > > > > > I have been using acupuncture since 1976 here in Fla. Amaro and Yennie > as well as Felix Mann have good info and books> I use it for primarily NMS conditions with very good results> john gentile> > Quoting > > This sounds ridiculous, but I'm in the process of taking courses for> > acupuncture certification and I'm looking for a little guidance.> >> >> >> > I think in a "process oriented/big picture" kind of way and I'm having a> > hard time wrapping my head around the concepts of acupuncture and TCM. It> > just seems like volumes of random facts with very little glue to hold it all> > together and solidify things in my mind. I'm not sure if it is just how the> > information has been presented or if that is just what it is.> >> >> >> > Would any of you have any recommendations for books, classes, etc that would> > help me better get the broad strokes/basic building blocks of this stuff so> > I can then fill in the rest of the details in a bit more of a logical and> > organized fashion?> >> >> >> > Thanks so much. Take care.> >> >> >> > > >> >> >> >> >> >> >> > ______________________________________________________> >