Special Feature


The Amazing Chiropractor Series Moving Forward with Dr. Kenzo Kase
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Special Feature
Written by Dennis Domarzalski   
Monday, 24 January 2011 17:31

drkenzocasejan

D
r. Kenzo Kase expects that when it comes his time to, well, die, he will do so slumping, lurching or somehow moving forward.

The 67-year-old inventor of the Kinesio Taping® Method and Kinesio® Tex Tape won’t be able to help himself. He has always moved forward—never backwards—in his 35-year career as a chiropractic doctor and medical researcher, and he won’t change character when the time comes.

It has been that moving forward and questioning things, especially in his chiropractic practice and in the area of human health and well being that drove Dr. Kase to develop his tape and taping method, which is used on every continent of the earth.

“Everybody probably thinks that I’m strange. It’s because I think a little bit too fast. I’m always looking for something,” Dr. Kase said on an August, 2010, trip to work with Kinesio’s U.S. operation in Albuquerque, New Mexico. “I’m eager to find new things because there are so many unknown matters for us, especially for health conditions.”

His unorthodox thinking includes challenging conventional medical wisdom, which he has always done.

Kase pointed out that medical publications follow certain types of accepted advice. “They say ‘Keep your body warm.’” When followed too closely, he noted “That is dangerous. The elevation of temperature in the body may cause necrosis, which is cell death. Cells die when the body temperature goes higher. Exercise makes the body temperature higher. Hot baths make the body temperature higher and [so does] stimulation.” Kase advised care and moderation when raising body temperature. “I always have to say, ‘Put your body in cold water. Put an ice pack on your head.’ All those things come from common sense.

“As you get older and approach 70 years old, your body temperature gets higher because of the physiology of the body and chemically the body cannot metabolize, so the body temperature goes up. That is why if you fly on an airplane, say to a foreign country, you get jet lag. You can prevent it by jumping in cold water. After I have a long flight I go into cold water and I don’t get jet lag and then I can sleep well.”

Dr. Kase also explained, “People say that high salt leads to high blood pressure, and so everybody says, ‘Don’t take salt.’ Well, I say that salt is very important for health. When someone goes to the emergency room for major trauma, the first thing they always do is give them salt. At the cellular level, if we don’t have enough salt, the cell may be damaged.

“But salt is important, and so is sugar. Their levels have to be in balance for our cells and bodies to thrive. Without enough salt, sugar levels rise and that may lead to diabetes, which is much more dangerous than eating a little salt.”

Dr. Kase believes that the body must be mildly stimulated in order to remain healthy and ward off diseases.

In this modern world, he feels we should remain aware of the impact of the environment around us. As humans increasingly live bunched together in urban areas, we are subject to bad air and other byproducts of city life. He has no problem with people smoking a little, drinking in moderation and exercising only a little as a defense against the toxins we passively breathe and imbibe. The danger would come from an unprepared immune system, from an excess of any bad habit, or from overdoing our efforts at fitness.

Dr. Kase believes that the body must be mildly stimulated—often with things that are considered unhealthy by doctors—in order to remain healthy and ward off diseases.

“If someone has high blood pressure, generally a doctor will advise to not stimulate the body because that will increase blood pressure,” Dr. Kase said. “But that type of advice will cause the opposite reaction. If you keep the body safe all the time, it will not be prepared for danger. If we are always in a safe environment, we won’t be prepared for when the danger comes.”

Kenzo Kase didn’t start out to be a chiropractor. He grew up in Tokyo, a sickly child.

“I was very weak at age six or seven. I couldn’t attend physical education classes because I had pneumonia, tuberculosis, kidney infections and all kinds of allergies. I was told by doctors not to inhale too much dust,” Kase recalled.

His grandmother was a Japanese natural healer who used herb therapy and acupuncture on her grandson. He recalled:

“She would burn dried herbs on the skin around my belly button. The idea is that if you burn the skin a little, the body tries to heal the burning area and that stimulates the body to renormalize.”

By his teens, Kase was stronger. He enrolled in Tokyo’s Meiji University and decided on a career in business. After graduation he went to work for a large Japanese railroad company, where he was one of 20,000 employees. Over a five-year period he worked in the public relations, real estate, insurance and travel departments.

“Then I quit,” Kase laughed. “I could always see more into the future. I suggested some things to the company to prepare for the future, but they didn’t. So I thought, ‘Now what am I going to do?’ I thought about being a chiropractor. We had only three chiropractors in Japan after World War II and I figured I would be the fourth and I thought to myself: ‘That would be good!’”

It wasn’t quite that simple. Kase married at age 24, and his wife’s father was one of those first three chiropractors in Japan.

“When I saw him for the first time he worked so hard on one patient,” Kase said of watching his father-in-law treat a patient.  “It was 45 minutes to an hour. He was sweating so bad. I thought, ‘Well, that’s not a real good profession.’”

How wrong he was. Although his father-in-law worked hard, Kase was impressed with his concern for patients. Eventually he himself enrolled in the National College of Chiropractic (now National University for the Health Sciences) in Lombard, Illinois. After graduating in 1974 he set out to help heal bodies. He became the fourth chiropractor in Japan to have graduated from a U.S. chiropractic college, and an acupuncturist.

Always the observer, thinker and visionary, Kase soon realized that he wanted to do more for his patients than adjust their spines and joints. He began searching for a taping method that would help heal traumatized tissue and provide muscle and joint support.

He tried various traditional sports taping methods, but found they reduced the patient’s range of motion and sometimes inhibited the healing of traumatized tissue.

He began searching for a taping method that would help heal traumatized tissue and provide muscle and joint support.

After a whole lot of tries, Kase came up with Kinesio® Tex Tape, an elastic type of tape that is about the thickness and weight of human skin. The tape, which stretches to approximately 140 percent of its own length, moves with the skin and muscles, does not trap body heat and sweat and can be worn in the shower. It lifts the skin, which promotes the free flow of body fluids, and helps muscles contract. It is the over-stretching of muscles that leads to injuries, Kase added.

After decades of improvements, Kinesio® Tex Tape is now used to treat a variety of orthopedic, neuromuscular, neurological and medical conditions. Kase uses it to relieve headaches, reduce wrinkles, heal cuts and burns, treat dogs and horses, as well as to treat cerebral palsy patients. It seems as if he finds a new use for it on a daily basis.

The tape is innovative, but by itself it isn’t magic. Medical practitioners undergo intense training in the Kinesio Taping® Method, which trains them how to recognize what is going on with a patient’s body and how to apply the tape for maximum healing performance.

Kinesio Taping® is now used to treat lymphedema. Kase explained how that use came about:

“It was five or six years after I first invented the taping method. An orthopedist doctor used my tape and method and he showed a slide at a symposium and said he could reduce hematomas by taping. He put the tape on a bruise, and shortly afterward, the bruise was gone. I thought, ‘That’s wonderful! How come?’ Then I realized that the tape could open up the capillary area between the epidermis and the dermis and it helped increase drainage. Then I figured that if it helped with hematomas, we could use it for the lymphedema.

“The lymph node system is kind of like a washing machine system. The fluids flow a certain way throughout the body and flush out impurities. It’s when the flow of lymphatic fluids is obstructed that problems occur. So, if there is a swelling of the lymph node on one side of the body, we will tape the opposite side in order to get the lymphatic fluids flowing to the healthy side.”

When it comes to patients, Kinesio has pretty much seen them all, including athletes, infants, horses, dogs and flamingos.

“I treat a lot of dachshunds. They tend to get herniated discs because their bodies are too long; they’re over-stretched. Normally, people won’t do surgery on them because it is too expensive, and if the pain is too severe, they put the dog to sleep. I apply the tape right over the hair in a certain direction and the dogs respond well.”

In the U.S., only medical practitioners are trained to apply the tape, and patients are not generally encouraged to tape themselves. Practitioners explain to patients how the tape works, especially as it relates to muscle contraction. But Kase, ever the healer, believes that “everybody should be able to learn because it is not dangerous to wear and it is effective for many emergency cases, bruising, slight burning and mosquito bites. If someone has a mosquito bite, we put the tape on and they don’t feel the scratching. Then, in 15 minutes, all the swelling is gone.”

Kase suggested that practitioners should try applying the tape before doing any extremity adjusting.

stampsjan“First they should try the Kinesio® Tape, and many times they won’t have to do the adjustment. This won’t be a good answer [for some chiropractors] but that is the answer I have,” Kase explained. First they should try Kinesio Tape and then reassess the patient to determine whether an adjustment is still necessary. “You can also put the tape on and then adjust. Sometimes when we adjust we over-adjust. If you put the tape on before you adjust you will get a more gentle adjustment.”

When asked which two or three conditions he has had the most success in treating with his tape, Kase laughed.

“It is hard to tell,” he admitted, “because it is not only a couple. There is lymphedema, headaches, bruises, chest congestion, lower back pain, muscle strains. If I put the tape on the anterior diaphragm, that will help relieve chest congestions. In Japan we do a lot of organ taping—kidney, liver and spleen. There we use it for asthma and menstrual problems and pain.”

The tape is used for a wider variety of ailments in Japan and some other countries than it is in the U.S., which, with its Western medical culture, tends to dismiss natural remedies or demand expensive studies as to their effectiveness, Kase said.

The world’s top athletes use Kinesio® Tex Tape, including NBA basketball star Kevin Garnett, Japanese tennis star Kimiko Date, and, at the 2010 World Cup games in South Africa, most of the Scandinavian soccer players.

It was when the Japanese volleyball teams wore the tape in the 1988 Seoul Summer Olympics that it became a sensation in Japan.

In 2010, middle schools in Japan adopted the Kinesio Taping® Method as part of the required first-aid curriculum.

In more than 30 years of taping, Kase has had famous and memorable patients, but none who stand out as much as the seven-year-old cerebral palsy patient that he treated in the summer of 2010. The boy’s parents had come to Japan from Canada for a vacation (the mother is Japanese) and asked Kase if he could do something for their wheelchair-bound son. They had heard of Kase’s work and wanted the best for their child.

“When he came to see me his left hand was folded and contorted, as was his left leg and foot,” Kase said. “I taped his finger from his fingernails up to his wrist, and I taped his toes, too. Ten minutes after I put the tape on his fingers, one of the fingers on his left hand opened up. This hand had always been claw-like, and after 10 minutes it was starting to unwind.

“A couple of days later when they came back his mother told me, ‘He can pull the toilet paper by himself!’ After three treatments he could use a camera. He could hold the camera and push the shutter button with his right index finger. Normally, people with cerebral palsy can’t use their right fingers very well.

“Two weeks after we started he could walk without holding someone’s hands so long as they supported his back. After three weeks he was walking by himself. His attitude had completely changed and he told me that he wanted to compete in the Special Olympics. He had a goal.”

As he charges forward in his career of healing, Kase will keep refining Kinesio® Tape. He continues to develop applications using cryotherapy, extending his firm belief that cold, rather than heat, is beneficial to muscle health. He has developed the “Osteo-Ariser,” a set of soft, fabric-covered mallets that he uses to gently pound and stimulate joints and bones, and he teaches a new method of chiropractic adjustments.

Kase does not only adjust to the spine, he adjusts to the skin, fascia, muscle, ligaments and tendons and finally the joint. These are components of the human body that need to be addressed to keep a healthy joint and spine system. Kase added. “I always adjust to the muscle. It is the muscle that moves the joint. If the muscle is healthy, then the joint is healthy. It is the muscle that pulls the joint off.”

In the meantime, Dr. Kenzo Kase will indulge his one weakness—food—and he will continue to be as he has always been:

An original thinker.

 

Dr. Kase may be contacted in this country through Kinesio USA.

3901 Georgia St. NE, Bldg. F

Albuquerque, NM 87110

http://www.KinesioTaping.com

505-856-2029


 
INTERNAL HEALTH: A Chiropractic Specialty Spinal Flexibility Tests
Special Feature
Written by Dr. Howard F. Loomis, D.C.   
Tuesday, 04 January 2011 14:21

I have noticed, during 25 years of teaching seminars, that all healthcare professions seek therapeutic corrections for alleviation of symptoms, a “this-for-that approach.” Seldom do we seem to focus on finding the cause of the symptoms. In this column I have been advocating an examination approach that recognizes that muscle contraction, accompanied inevitably with loss of range of motion, can be caused not only by a structural problem but visceral function as well. In other words, they should not be separated when we attempt to establish the cause of chronic recurring subluxation patterns.

I would suggest that to enhance your practice you need the following:

1. An examination that identifies the exact cause of your patient’s symptoms - be it structural, visceral, or emotional.

2. Absolute confidence that your examination will stand the light of scientific scrutiny and will yield information quickly and accurately.

3. A ceremony that both educates and inspires your patient. Ceremonies are important and you already have one. It is your office procedure.

In my last column, I discussed an easy and quick way to determine the structural side of weakness in your patients. This month I want to discuss three easy to perform tests for determining the flexibility of a patient’s spine. Specifically where it may be compromised and how the answers will help you determine the cause of a patient’s chronic symptom/subluxation patterns.

Test #1

Any patient, regardless of age, sex, or size should be able to cross their arms over their chest (so they cannot use their hands to assist them) and raise both legs from the table simultaneously, keeping the knees straight. The inability to perform this task indicates loss of structural integrity in the spine. The problem may be acute as in a recent sprain or strain, with considerable pain quite evident. The problem may be chronic without evident pain and discomfort, only a history of chronic health problems. Regardless, a positive bilateral straight leg raise test calls for a careful and thorough examination to determine the affected lumbo-sacral spine. Most patients will have no problems raising their legs together.

So we proceed to the second test.

Test #2

Stand or sit at the patient's head. Place your palms on top of their head so that your middle fingers are in front of their ears and your ring fingers are behind their ears. Press strongly toward the patient's feet, without bending the patient’s head, and ask them to try and raise their legs together again. If the patient can still raise their legs, the test is negative. But, if the task is much harder or the patient cannot raise their legs at all, the increased spinal pressure has produced an irritation the body cannot compensate for.

This usually involves a condition of lax ligaments as depicted in an interruption in George's line. This condition will allow continual irritation of the involved spinal sympathetic nerves and result in symptoms of sympathetic dominance to the involved organs. Muscle contractions will be found around the involved spinal joints, muscles around the involved viscera, and can be palpated in the upper cervical spine below the skull.

Continual sympathetic stimulation is associated with vasoconstriction and elevated blood pressure. It also produces inhibition of exocrine secretions from the digestive organs and bowel as well as peristalsis. Conversely it stimulates endocrine or hormonal secretions. Eventually these organs produce symptoms and nutritional problems.

Test #3

Continue standing or sitting at the patient's head. Place your hands at the side of their head so that your fingers can wrap around the mastoid process and the base of the occiput. Now, traction the head and cervical spine strongly, without bending the patient’s head, and ask the patient to try and raise their legs again. If the patient can still raise their legs, the test is negative. If the task is much harder or the patient cannot raise the legs at all, then spinal traction produced an irritation the body cannot compensate for and has shown the spine is not capable of extending.

This often involves a lumbo-sacral instability that is compensatory for a structural weakness in the lower extremities or sacral base. This condition will allow continual stimulation of the parasympathetic nervous system and result in symptoms of parasympathetic dominance. While the textbooks indicate that parasympathetic dominance increases digestive and bowel function, the point is that this cannot continue indefinitely due to an unidentified structural cause. Also remember that endocrine secretions will be decreased, giving rise to “subclinical endocrine” syndromes.

Critical Point

Three simple and easy to perform tests that can be done quickly with the patient lying supine may provide the answer to perplexing cases of chronic, recurring symptom/subluxation patterns that no one else has been able to find. It is from such things that successful practices are built.

 
Don't Be That Doctor
Special Feature
Written by Mark R. Payne D.C.   
Tuesday, 04 January 2011 13:41

This article will wind up the third (and final) year of my column here with American Chiropractor. I've used a lot of ink in the past thirty five issues dealing with various aspects of postural rehabilitation, so I'd like to take this opportunity to tie up just a few loose ends relevant to this month's emphasis on diagnostics.

 
Creating an Accurate Diagnosis, Prognosis & Treatment Plan through Clinical Excellence Is the Key to Profitability in Your Practice
Special Feature
Written by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP   
Thursday, 23 September 2010 10:10

Creating an Accurate Diagnosis, Prognosis & Treatment Plan through Clinical Excellence Is the Key to Profitability in Your Practice

by Dr. Mark Studin DC, FASBE, DAAPM, DAAMLP

 

Mrs. Jones enters your office complaining of  escalating chronic neck pain with mild left arm pain that has been present for months. After a complete history, you perform a thorough evaluation and there is a mildly positive foraminal compression test, 4/5 in the biceps on the left and mildly diminished reflexes at C5 on the left. You order a cervical spine X-ray series of an AP, lateral and AP open mouth, and begin treating your patient. This is a typical scenario in most chiropractors’ offices nationally.

We, as chiropractors, treat our patients with high velocity thrusts. Some are gentler than others but, to the general public and the Chiropractic Board of Examiners in our states’ education departments, that is what we do. These high velocity thrusts are what corrects the subluxation and allows our patients to get well. In treating these patients, we have a covenant with our licensure board that is the basis of our license: to create an accurate diagnosis, prognosis and treatment plan prior to delivering our treatment, the adjustments and ancillary therapies. The licensure boards, nationally, have a covenant with the people in each state and that is to protect them through strict regulation of doctors.

As a result, our licenses are not a "right," as freedom, or the right of free speech, as outlined in the Bill of Rights. Our license is a privilege and we have to practice within that standard or we lose that privilege. There is little leeway with many licensure boards regarding your standard of practice.

Most, if not all, adverse licensure issues are triggered by complaints from injured parties or insurance companies and the ensuing investigation by the board. In this instance, let’s consider a complaint from the patient. In the above clinical scenario, was clinical excellence practiced to create an accurate diagnosis, prognosis and treatment plan?

The history and examination were consistent and you now consider delivering high velocity adjustments to the patient’s cervical spine. The next decision is imaging. In consideration of imaging, the views taken have to rule out all forms of osseous pathology and determinate structural deviations in creating a final diagnosis, prognosis and treatment plan. You choose your standard three views and see nothing regarding pathology.

The next question that arises is, "What if there is spondylosis or a tumor, such as a osteoblastoma, in the foramen?" Can you see these and other space occupying lesions on your AP, lateral and AP open mouth? The answer is no. Is it likely that there is a tumor creating the symptoms? No.

Can there be a tumor? Yes. Spondylosis is highly likely, depending upon the age of your patient and, chances are, there is degeneration.

Does it change your prognosis, diagnosis and treatment plan if these pathologies appear on film? Yes.

Therefore, by omitting potentially clinically indicated views, you are exposing your patient to perhaps a contraindicated procedure. What are you doing by taking the additional X-ray views? You are protecting your patient by creating an accurate prognosis, diagnosis and treatment plan. You are protecting your license by creating an accurate prognosis, diagnosis and treatment plan and, the least important reason, that emphatically is not a reason at all to take
additional views. You are making more money for the right reasons: clinical excellence in a conservative environment.

The same patient has been ordered to be treated three times a week for four weeks, followed by a re-evaluation. Mrs. Jones, after two weeks, is feeling better, and misses one visit. Your staff is instructed to call her and make sure she is in for her next visit. What about the visit she missed? Doesn’t she have to make that up?

The problem with the patient recall log is just that. You are recalling your patient to continue their treatment plan, as outlined by the doctor. Mrs. Jones needs to have her spine stabilized, is required to be cared for three times per week and must make up that missed visit. If she doesn’t, that week she is receiving two-thirds of her care and will not get the expected results. This should be explained and outlined in a written report of findings at the onset of care (a different topic for a different article).

Based upon clinical excellence, you have taken every step to ensure an accurate prognosis, diagnosis and treatment plan. Therefore, to ensure clinical excellence, the treatment plan must be adhered to by making up missed visits either later in the same week or with an additional visit the following week. Chiropractic’s success is based on the cumulative effect of the corrective care of the adjustment.

If the patient doesn’t make up the visit, are they compromising their care? Yes.

If they make it up, will they get better quicker? Yes.

If they make the visit up, will you make more money? Yes.

Do you ensure compliance of treatment plans for financial gain? Another emphatic, "No."

These are but two examples of how practicing with clinical excellence renders a profitable scenario for the right reasons in a practice. Anything less and you risk not practicing within the standard of your license.


Dr. Mark Studin is the President of CMCS Management which offers the Lawyers Marketing Program, Family/MD Marketing Program and Compliance Auditing services. He can be contacted at
www.TeachChiros.com.

 
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