The article by Jeffrey Moore, DC, and Charles Blum, DC, raises a careful clinical question: how should CMRT uterine or prostate applications be approached when a patient is undergoing or has undergone gender-affirming surgery, hormonal care, or both? The answer starts with respect, but it cannot stop there. It also requires accurate anatomy, informed consent, clear communication, and a more thoughtful intake process.

The connection between internal organs and the musculoskeletal system has intrigued healthcare professionals for decades. One key concept in this area is the viscero-somatic reflex, a phenomenon where dysfunction or irritation in an internal organ causes a reflexive response in the muscles or skin. In 1997, C. Schweigert conducted a critical review of the literature on this reflex, providing valuable insights that continue to influence clinical understanding today. This post