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Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
June, 2004, Vol. 04, Issue 06
Newsweek Validates Complementary and Alternative Therapies for Back Pain
By Editorial Staff
Chalk up one more point for the publishers of Newsweek. The magazine devoted nearly half of its Dec. 18, 2002 issue to "The Science of Alternative Medicine," a series of articles that looked at the most popular forms of complementary and alternative care, and the April 26, 2004 issue goes one step further in its promotion of alternative therapies in treating back pain.
In a cover story, "The Great Back Debate," editor Claudia Kalb explores the role back pain has played in American society.While the article examines some surgical options used to treat back pain, it also gives a favorable review of massage, chiropractic, acupuncture, and other forms of alternative care.
Back pain is a universal problem; according to the article, an estimated 80 percent of the U.S. population will suffer from back pain at least once, making it the second most common reason for seeing a doctor, following coughs and other respiratory infections. Between medical bills, disability payments, and lost productivity and time at work, the costs of back pain add up to more than $100 billion per year.
One of the reasons back pain is so common, Kalb asserts, is because of the spine's delicate nature. "Like an expensive, but temperamental sports car, the human spine is beautifully designed and maddeningly unreliable," she writes. To complicate matters further, myriad conditions can cause back pain, including physical injuries like degenerated discs, compressed nerves, muscle tears and spasms, and ligament or tendon injuries, as well as psychological issues like depression and anxiety. Small wonder, then, that Kalb labels back pain a "mystifying mix of physical symptoms and psychological underpinnings."
Americans try invasive and costly remedies to treat their pain. The article notes that between 1996 and 2001, spinal-fusion surgery procedures (which cost approximately $34,000 each) increased by 77 percent. In 2001 alone, more than 250,000 spinal-fusion surgeries were performed, the vast majority employed to treat disc problems; however, fusion surgery was originally developed to correct serious instabilities and deformities of the spine, not to treat damaged or herniated discs. As a result, Kalb notes, "many of these procedures simply don't work." The lackluster results seen in spinal-fusion cases and other types of surgery have caused some practitioners to consider simpler, less invasive forms of care.
We've come to the point where we have to think out of the box," said Dr. David Eisenberg, the head of the Osher Institute at Harvard Medical School. "The time is now." Even experienced spine surgeon Dr. Jeffrey Goldstein of the New York University Hospital for Joint Diseases has cautioned that doctors need to be more selective about choosing candidates for spinal fusion surgery, and that "not everyone who has disc degeneration should have an operation."
So, what's a person with back pain to do? For millions of Americans, the choice has become some form of complementary and alternative medicine, including massage. According to the article, "Massage has seen an increasing number of addicted patients...research shows it can help knead out persistent pain; one study even found that patients took fewer medications during treatment."
The Hospital for Special Surgery in New York employs a variety of alternative health care options, including massage therapy, chiropractic, acupuncture, tai chi, personal trainers and rehabilitation specialists; providers work together for the good of the patient. The facility, which sees about 13,000 patients a year, many of them with bad backs, uses "any noninvasive approach they can find" to relieve pain.
As alternative forms of back pain care have increased, so has the amount of research into these therapies. Dr. Dan Cherkin, a researcher at the Center for Health Studies in Seattle, Wash., has conducted several large trials on the effectiveness of chiropractic, massage and acupuncture for back pain.
And Dr. Eisenberg is leading a study funded by the National Institutes of Health, using chiropractors, acupuncturists, massage therapists, neurologists, orthopedists and other practitioners, to see if there are more efficient and cost-effective ways of treating back pain from a multidisciplinary perspective."
After centuries of agony, humanity could certainly use some relief" from back pain, Kalb concludes. "But more important than the success of any given treatment is the good news that both back pain sufferers and the medical establishment are embracing bold new ways to think about that most exquisite and frustrating work of art: the spine."
If nothing else, the Newsweek story illustrates the value of complementary and alternative therapies in the treatment of back pain.
According to the World Press Group, Newsweek is one of the most widely read publications in the world; it is distributed in more than 190 countries and six languages, and has a weekly circulation of approximately 4.4 million (3.85 million in the United States).
Read "The Great Back Debate" Online
If you didn't pick up a copy of the April 26 issue of Newsweek at your local newsstand, fear not: The magazine has a partnership with the Microsoft Network and NBC that allows people to view its stories on the Internet via www.msnbc.com.
Copies of "The Great Back Debate," along with interactive features such as online polls and audio clips, are available www.msnbc.msn.com/id/4767268/
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