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Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
January, 2001, Vol. 01, Issue 01
Bodywork Therapies of Asia
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
"What are you doing here?" was the question put to me 10 years ago at a meeting in Maryland to create a massage law. It may be the same question you are asking now when you look at an Asian medicine column in a massage publication.
The woman who made that comment had a point.Asian bodywork therapies (ABT), a term used to include shiatsu, acupressure and other forms of bodywork with their roots in China, have no resemblance to "massage" as she knew it and would complicate the process of getting her law passed. She was right, there are few similarities.
If you put massage and ABT curricula side by side, the only places they would overlap are anatomy, physiology, ethics and CPR, leaving the remaining 400 hours to deal with entirely different techniques, treatment principles and practice. The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) administers our national board exam. For all intents and purposes, Asian Bodywork Therapies (ABT) are not massage, they fall under the umbrella of Asian medicine.
But wait a minute. Of the 30 states with massage laws, and the 23 responding to a survey given by the Maryland Board of Chiropractors, 20 of those states include shiatsu and other forms of ABT under their laws. And over 1,000 massage therapists list that they on the AMTA website locator service, perform forms of ABT (like shiatsu and acupressure).
According to the AMTA standards of practice and code of ethics, their members, "meet the standards established for his or her profession" and they "market themselves in an accurate, truthful and ethical manner." So you would assume that they have passed the NCCAOM OBT exam or at least have met the standards to sit for it. Sadly, this is not the case. Few have met a fraction of the standards established for the profession.
I do not mean to single out AMTA this seems to be an accepted practice in the massage field. Yet I find it more painful to see it done by AMTA members because I associate them with high ethical and professional standards.
ABMP's website is no better, revealing just as many practitioners who misrepresent themselves. They don't list shiatsu as a separate modality, though. They call it an "interest."
The International Massage Association (IMA) has far fewer practitioners who listed other modalities on their website, but that may be because it costs more to list techniques. The more they pay, the more they can list, with no verification in training. Still, the most skilled shiatsu practitioner that I could come up with only had 20 hours of training!
I know there are many well-trained, proficient bodywork therapists practicing forms of Asian Bodywork Therapy (ABT), but unfortunately, they seem to be outnumbered by those with minimal or no training in ABT.
Many massage therapists think of ABT forms such as shiatsu and acupressure as "massage," but few have had the training to fulfill the national standards. So, I see my column as a great opportunity to educate people on the depth and breadth of Asian Bodywork Therapy (ABT).
In this column, you are not going to find simplistic suggestions like, "for a headache, press LI-4." That may mask the symptoms, but it won't address the cause, and besides, it will only be effective if it is a yangming headache. What you need to do first is look at the client's five element type and emotional and spiritual relationship to the headache. Then differentiate whether it is jueyin, yangming, shaoyang or taiyang; if it is caused by an excess or deficiency; dampness, wind, heat or cold and so on. Then you can choose points and meridians that will not only relieve the symptoms of the headache, but treat the root of the problem as well.
Besides headaches, other topics I'd like to focus on include back pain, shoulder pain, menstrual irregularities and other common problems our clients bring to us.
Send in your suggestions for future topics. I must emphasize, though, we don't "treat" any of these conditions. We look at the signs and symptoms that the client is presenting, then find and treat the underlying root of the problem. Using Chinese medicine treatment principles and techniques, our goal is to bring our clients into a state of homeostasis in which they can heal themselves.
Reading this column will not give you the level of skill to say that you practice shiatsu or acupressure. But I'm hoping that it will inspire you to study this ancient healing art so that you can truly call it your own.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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