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Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
April, 2005, Vol. 05, Issue 04
Stay in Touch With ... Ayurveda, Part II
By Karyn Chabot
"Stay in Touch With..." is a periodic column designed to provide an overview of a particular technique or modality. If you would like to contribute to this column, please e-mail .
Editor's note: Read part one of Karyn Chabot's article in the March issue at www.massagetoday.com/archives/2005/03/06.html.
Dr.Vasant Lad taught his staff of massage therapists to say (or chant) the sounds of Hari Aum to make the experience more powerful and auspicious. Aum or om is the sound that contains all possible sounds made by all possible creatures through all possible times, and the sound made by Gaia (Mother Earth) herself as she dances her dance of creation, sustenance and absorption. It is the sound astronauts have reported hearing when they are launched into space. Alexander Graham Bell was perplexed and intrigued by this sound. While he was inventing the telephone, he noticed that the sound of aum was always present when he tapped into the "airways," regardless of his geographical location. Saying the name of God with great reverence is auspicious, no matter what name you're saying. "Hari" translated from Sanskrit has many meanings: 1) Pure existence without thought; 2) The end of knowledge; and 3) Choice-less, passive awareness. Hari is Shiva, king of oneness and it is also Vishnu, the protector. It is also Krishna. Silently saying the sounds of Hari aum or chanting them out loud before each healing session invokes a loving, gentle force where no duality exists. The sounds of Hari aum create a sacred space in the room. The actual sound of "aaahhhh" is the sound of the Creator. You will find that in every culture and religion the name for God has the sound of aaahhh somewhere in it. If you question where the sound aaaahhhh is in Jesus, keep in mind the Hebrew pronunciation was "Yesh-u-ah." Wayne Dyer, an internationally renowned author and speaker, advocates using the sounds of aaahhh during meditation to manifest and create the things you desire in your life. Bodywork techniques that will sooth the vata dosha include:
Compression therapy, using 10-pound handmade heated sandbags will initiate the relaxation response. You can fill them with sterile sand from any hardware store or with volcanic black sand. Compression immobilizes the muscle, so there is a surrendering that must occur on the part of the client. When the body stops twitching and wiggling to find comfort, only then can we attain the inner stillness we all seek.
Sandbags create a perfect amount of pressure and can be heated on an oil heater. Laying sandbags on the top of the thighs will encourage the femurs to ground more deeply into the hip sockets. When the hip sockets are not in perfect alignment, it increases the likelihood of disturbing vata because spaces within all joints belong to the vata dosha, especially in the hips. It also helps redirect the energy downward by simply increasing body awareness in the legs.
The roots of hot stone massage therapy can be found in India. Stones are the ancient bones of the earth. There is an ethereal pulse within the earth and within each stone, and this pulse will harmonize perfectly with the human pulse, if we allow it. Dr. Naina Marballi, BSAM, DAC, owner of Ayurveda's Beauty Care in New York City, a sister school to Sacred Stone Center for Holistic Education and Therapy in Middletown, RI, reports that part of her curriculum at Poddar College and Mombai University in India was a course called "Shila Abyhanga." Shila is a Sanskrit word for stone and abhyanga is a Sanskrit word for oil massage. She told me that this course dates back more than 5,000 years as part of the standard protocol for most medical Ayurvedic physicians.
Another profoundly effective healing modality is Swedhana therapy, which integrates steam tent that fits perfectly on the massage table. It's a powerful addition for those therapists who need to save their hands. Shirodhara therapy is an ancient sacred treatment to the forehead and crown of the head. Shiro means "head" and dhara means "flow." Warm, herbal oil is poured in a continuous stream over the client's forehead and crown for 20-50 minutes. Shirodhara helps disperse negative electrical impulses that accumulate at the skull from stress. It opens the third eye, increases intuition, and renews the sweetness of life. It also has powerful medical value for healing neurological disturbances and chemical imbalances within the brain.
There are many books on the subject of Ayurveda that include lists of foods that pacify the doshas. Let these Ayurvedic food lists be your "training wheels." These training wheels will assist in developing your intuition. Living intuitively is synonymous with living in harmony with nature, which is the very foundation of Ayurveda. Do not get caught up in food lists and lifestyle rules. Educate yourself with the knowledge of Ayurveda, apply the principles to your life, then learn to eat and live intuitively.
Become aware of how your body feels after you eat a certain food or do a certain exercise, or if you go to bed by a certain time. Each person is a conglomerate of many attributes and a beautiful mixture of the Five Great Elements. You are not just a vata person, a pitta person or a kapha person. We contain all the doshas within us. Yet, we are all genetically predisposed to one - maybe two - doshic attributes that will have a preponderance to go out of balance more easily than other doshic qualities. Knowing how your body tends to go out of balance is extremely helpful. This is something that can be observed and intuited through meditation and keen body awareness or with the help of a skilled Ayurvedic practitioner or doctor.
Determining your imbalance is just as important - if not more important - as determining your Prakruti (constitution). Your Prakruti may not always be the same as your imbalance. The Sanskrit term "Vikruti" refers to imbalance. Most Ayurvedic self-tests are designed to determine your Prakruti, not your Vikruti.
Observe your actions and thoughts without judgment. Know your body; know yourself. When you observe yourself this way, observe the observer. "Watch the Watcher," as my teacher Dr. Lad would say.
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