Palpating Circulation Rhythms for Manual Therapists by Kimberly Burnham, PhD (Integrative Medicine)
Integrative Manual Therapy practitioners, Craniosacral therapists, Osteopathic Manual Therapists and many other practitioners use their hands and palpation skills to find areas of dysfunction and treat them. Recently further validation of palpable rhythms in the body, which can be used to assess the circulatory system have been published.
In a 2006 article entitled "Recording the rate of the cranial rhythmic impulse." in the Journal of the America Osteopath Association, Nelson, Sergueef and colleagues noted, "the rate of the cranial rhythmic impulse can be obtained by both palpation and instrumentation."
The cranial rhythmic impulse has been demonstrated to be synchronous with the Traube-Hering oscillation, measured in blood flow velocity. Their study demonstrates that physicians tend to palpate the cranial rhythmic impulse and Traube-Hering oscillation in a 1:2 ratio.
--Palpable Vascular Motilities and Joint Circulation on LinkedIn Pulse https://www.linkedin.com/today/post/article/20140610021752-39038923-palpable-vascular-motilities-and-joint-circulation
Palpating and Improving Circulation with Manual Therapy by Kimberly Burnham, PhD (Integrative Medicine)
Trauma, compression, atherosclerosis can all contribute to decreased abdominal blood flow, which can contribute to back pain, radiating shoulder pain, dysmenorrhea [menstrual dysfunction], cysts, hematomas [pooled blood] and cancers of the abdominal organs. Circulation problems related to trauma are especially common among athletes. (Holt, J. 2004)
Hypovascularized sites or areas of compromised blood flow are particularly common in the celiac artery. Stenosis of the celiac artery, a branch off of the aorta (the main artery leaving the heart), is found in up to 24 percent of the general population. Many of these people have no symptoms. (Park, 2001)
The most common cause of celiac axis stenosis or a narrowing of the celiac artery is external compression on the artery, according to Park, 2001 in "Celiac axis stenosis: incidence and etiologies in asymptomatic individuals." Atherosclerosis is the second most common cause. Often the compression is caused by the median arcuate ligament, a ligament that comes off of the respiratory abdominal diaphragm. Because the ligament is attached to the diaphragm, the tension on the celiac artery can be release on inhalation or breath in. The arcuate ligament starts as a thickening of the connective tissue of the psoas muscle at the lumbar spine and hip. The medial arcuate ligament goes from either side of the first lumbar vertebrae to the respiratory abdominal diaphragm. A compression in this area can lead to decreased blood flow and back pain.
Massage and manual therapy is often used to decrease pain and tension in the area of the low back, spine, hip muscles, including psoas and the respiratory abdominal diaphragm. Breathing exercises can also help decrease tensions in this area. The most common symptoms of decreased blood flow in the abdomen is back pain and abdominal pain right after eating. Vomiting is another common symptom.
Caution is wise when treating the abdomen as the most common reason for find an asymptomatic stenosis or narrowing of the celiac artery is a scan or diagnostic procedure for some kind of abdominal cancer, liver, stomach, gallbladder, or pancreas. The literature is not clear about whether the lack of blood flow proceeded or in any way influenced the development of the cancer.
Manual therapists use palpation to feel for areas of tissue density, temperature changes and rhythms reflective of circulation. They can use this diagnostic information to treat the soft tissue area of dysfunction. Advanced Strain and Counterstrain (Wheeler, L. 2004 in Massage Therapy Journal) and Myofascial Release (Weiselfish-Giammatteo, S., J. B. Kain, et al. 2005. Integrative manual therapy for the connective tissue system : myofascial release) are two ways to decrease tensions and normalize circulation through the tissue.
In 2000, Arutiunian in "Effects of manual therapy on pain reflex syndromes and various hemocoagulation parameters in patients with ischemic heart disease after surgical treatment", recommended manual therapy after coronary artery bypass surgery (CABS). The researchers concluded, "the addition of manual therapy to the complex of rehabilitation measures in coronary patients early after CABS eliminates postoperative anginal attacks in 70% cases." A year earlier, researchers noted, "pressure on acupoints can significantly influence the cardiovascular system" (Sudmeirer, 1999). A placebo controlled study using a color doppler sonograph, found that reflexology, positively influenced blood flow in the kidneys. Researchers found a "significant decrease of the resistive index during foot reflexology in the verum group indicates a decrease of flow resistance in renal vessels and an increase of renal blood flow."
A 2006 study on vascular surgery concluded, "low back pain was improved by merely performing treatment for the vascular system and might provide support for the presence of vascular backache." (Takeyachi and Yabuki, 2006). Another study recommended manual therapy as part of an intensive rehabilitation program. They concluded, "intensive rehabilitation in combined treatment is shown to improve external respiration function, central hemodynamics, tissue blood flow, sleep, appetite, healing of bedsores, and to enhance cough reflex." (Kachesov, Kartavenko, et al. 2004).
—Originally published at Burnham, K. (2008). "Palpating and Improving Circulation with Manual Therapy." Health and Goodness. healthandgoodness.com/Therapies/imt_circulation.html.
Self-Help / Health & Wellness $16.95
Are you one of the ten million people worldwide living with Parkinson's disease? Is someone you love losing their independence or their ability to walk due to Parkinson's disease?
Possibly you have found success in medications and surgery. Perhaps you are looking for other ways to decrease the tremors in your hands, so you can enjoy a dinner out with friends. Maybe you want to improve your walking or are a lifelong runner who has had to give up exercise because of the stiffness in your legs and the pain in your back. Maybe you are reading this book to learn some easy ways to balance your brain chemistry and feel more expressive, more focused, and more successful.
ACUPUNCTURE, REIKI, CRANIOSACRAL THERAPY
Have you tried acupuncture for the symptoms of Parkinson's disease? Have you been thinking about how Craniosacral therapy, Integrative Manual Therapy or Reiki could improve your life?
MATRIX ENERGETICS, EMOTIONAL FREEDOM TECHNIQUE (EFT)
Maybe someone has talked to you about the benefits of Matrix Energetics, Emotional Freedom Technique's light tapping or Nature's Sensational Medicine. Perhaps you have never even heard of any of these things but your are searching for something that will help you feel better and are open to something new.
There is a saying, "You can't teach an old dog new tricks," but do you know the second part of the saying?
"The fastest way to become an old dog? .... Stop learning new tricks."
Yes, some of these exercises can seem crazy but before you decide, spend two minutes doing one of the many exercises, visualizations, movements. Spend some time looking at the colors around you or reading the research from ancient Traditional Chinese Medicine or the latest article from Amy Cuddy, a Harvard professor who has found that two minutes of "Power Posing" or standing in a Wonder Woman or Superman posture can improve testosterone levels, literally making you a more powerful leader. Striking a two minute pose, standing or moving in a particular way also decreases cortisol levels, which makes you more adaptable and less stressed.
Read the research linking dopamine to the energy of your gallbladder, even if it has been removed. In Acupuncture the gallbladder meridian is associated with the color green. It is, along with the liver a Wood Element. What if visualizing the color green flowing through your body, through your brain, through your liver and gallbladder could improve your control of movement, walking, or your facial expressions? Would it be worth spending two minutes a day?
What if visualizing yourself moving in a smooth controlled conscious way could help you in the real world to drive more safely, walk without falling and enjoy your family more. Read the research on motor imagery, on using the mind to heal the brain, on the response of dopamine to physical exercises as well as imaginative rehabilitation.
Imagination is being able to see something before it is visible before it is real in your life.
Would your life improve if you were more confident and compassionate or less angry and disappointed? What would change in the here and now if you could imagine a future, a full and independent life?
What if spending a few minutes a day thinking about disgusting food could improve your basal ganglia function. The basal ganglia is the part of the brain where surgically the deep brain stimulator is placed to suppress unwanted movements like ticks and tremors. What if your emotions could flow along the pathways that also light up the basal ganglia, making it possible for you to stand up, walk and turn as you navigate your world with more ease?
WHAT WOULD YOU DO TO FEEL BETTER?
What do you have to let go of to harness the healing in your own hands and in your own mind? Are you consciously using touch to improve your independence, your movement, or your comfort?
Read this book for the easy ways to balance your brain chemistry and feel more expressive, more focused, and more successful
Look in these pages for other ways to decrease the tremors in your hands, so you can enjoy a dinner out with friends.
Improve your walking or get back to exercising by improving the stiffness in your legs and the pain in your back.
Easy tips and exercises to use in daily life from the fields of:
Integrative Manual Therapy
Emotional Freedom Technique
Nature's Sensational Medicine
Kimberly Burnham's book, Parkinson's Alternatives: Parkinson's Disease? Walk Better, Sleep Deeper and Move Consciously, Solutions from Nature's Sensational Medicine is dedicated to care, self-help, outreach, education and research. Kimberly has included research from her PhD (Integrative Medicine) dissertation. She specializes in working with people with Parkinson disease, dystonia, Tourette, diabetic neuropathy, Huntington's disease and movement disorders as well as other brain, spinal cord, nerve and eyesight related disorders. http://www.amazon.com/Parkinsons-Consciously-Solutions-Sensational-ebook/dp/B00AY5A20O
http://www.amazon.com/Parkinsons-Consciously-Solutions-Sensational-ebook/dp/B00AY5A20O Kindle eBook ISBN: 978-1-937207-09-0 Print book ISBN: ISBN: 978-1-937207-12-0
Kimberly Burnham PhD, Transformational Author, (2012). Parkinson's Disease? Walk Better, Sleep Deeper and Move Consciously, Solutions from Nature's Sensational Medicine West Hartford, CT, The Nerve Whisperer Press; Kindle Purchase Price: $9.95; Prime Members: $0.00 (borrow for free from your Kindle); Length: 240 pages http://www.amazon.com/Parkinsons-Consciously-Solutions-Sensational-ebook/dp/B00AY5A20O
A PhD in Integrative Medicine, Kimberly Burnham has a private practice at St. Luke's Rehabilitation Institute in Spokane, Washington. Known as The Nerve Whisperer, she travels extensively speaking at conferences and consulting in multi-disciplinary clinics in North America, Europe and Asia. She is an avid cyclist and spent nine weeks raising money for Hazon (Vision in Hebrew), sustainable agriculture and food justice by bicycling 3000 miles across the US at age 56. Kim can be reached at www.KimberlyBurnhamPhD.com Enjoy her other books on Sleep, Huntington's Ataxia, Diabetes, Visualization, Macular Degeneration, Fractals, Healing Through Words, & World Healing, World Peace.
Kimberly Burnham, PhD (Integrative Medicine)
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