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The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
We Get Letters & Email
It was with great interest that I read "Trouble in the Wellness Waters?" in the May 1, 2015 issue of Dynamic Chiropractic. I heartily applaud Dr. Hayes for his insightful and informative article.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Why More Patients Don't Come to Your Office
Every so often, something turns out to be much easier than anticipated. It's like ordering a piece of furniture or a child's toy that comes in 167 pieces.
Troubleshooting: Billing Multiple Fees for the Same Service
I am afraid I may doing something illegal. I have heard I cannot bill different fees for the same service.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Managed Care Subverts Chiropractic
A study published in the American Journal of Managed Care underscores why so many chiropractic patients go out of network in order to get the care they need: Managed care may be effectively locking them out.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Thinking About Cohen's Kappa
Let's think about some notions of reliability and validity, and about what it means for diagnostic examiners to agree in meaningful ways. Diagnostic tests must obviously be both reliable and valid.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Active Care for Ankle Sprains
An ankle sprain is a common injury, since this joint is required to perform complex movements under high forces during normal walking. In fact, 10 percent of all emergency-room visits are ankle-sprain related and an estimated 25,000 ankle sprains occur in the United States daily.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
When Patients Lie (Bribe or Flatter)
Recently, a new patient told me about what I thought was a novel twist on the doctor-patient relationship. She felt she had to lie to her DC to discontinue her treatment.
Dietary Fat and Prostate Cancer: An Important Update and Review of Mechanisms
K.M. Di Sebastiano and M. Mourtzakis published a review paper examining the role of dietary fat on prostate cancer development and progression late last year that does a stellar job of summarizing the available data on fat and prostate cancer.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
A Tribute to a True Chiropractic Leader
President of Texas Chiropractic College (alumnus, class of 1950) and the American Chiropractic Association (ACA) Board of Governors. President of the Texas Chiropractic Association and twice-appointed member of the Texas Board of Chiropractic Examiners.
Do You Have a Post-ICD-10 Strategy?
Post-ICD-10 planning is critically important to the health of a practice, in part because ICD-10 is brand new to providers, payers and related affiliates alike.
January, 2001, Vol. 01, Issue 01
Exploring Orthopedic Assessment
By Whitney Lowe, LMT
Welcome to Massage Today! In upcoming issues, I will have the opportunity to share some of the wonderful things I have learned about orthopedic assessment with you. Massage practitioners are increasingly called upon to treat various pain and injury conditions, and in many instances act as a primary provider.This is a great benefit and a tremendous responsibility. Assessment is a valuable part of practice, especially for anyone seeing clients with pain or injury conditions.
In the late '80s, I began to see the crucial importance of orthopedic assessment skills for massage therapists. Since that time, I have attempted to share all I have learned with as many practitioners as possible. This publication will be another great avenue that will allow you to help many more people reduce the pain and discomfort in their lives.
There is often significant misunderstanding about the definition and role of assessment. Many people confuse the concepts of assessment and diagnosis, and for that reason they shy away from learning about them. Assessment skills are a systematic method for gathering information to make informed decisions about treatments. Since assessment is really information gathering, you can't really do any kind of massage without doing some level of assessment. When your hands feel a tight area in your client's muscle tissue, you naturally focus your attention on reducing the tension in that area. You have performed assessment through palpation and then chosen a particular course of action as a result of your assessment of the client's tissue state.
Diagnosis, on the other hand, is the assigning of a name or a label to a certain group of signs or symptoms. To arrive at a diagnosis, the practitioner (usually a physician) will perform some type of assessment, and based on the findings, will assign a name or a label to the problem. When you assign a name or label to the problem and state to the person they have "x" condition, you have given them a diagnosis. Gathering information about someone's condition to determine if you should proceed with massage, is assessment, not diagnosis.
Assessment skills have become increasingly important for massage therapists. Numerous studies have indicated that people are increasingly using alternative medical approaches such as massage therapy to treat all kinds of problems. In many instances, these people are coming to massage therapists before seeing some other primary care provider, such as their physician. They may present a certain group of signs or symptoms and ask a massage therapist to help them, because they have heard massage therapy can be helpful for people with similar ailments. While this is a wonderful opportunity to demonstrate the healing power of massage, there is tremendous responsibility that comes along with that opportunity.
We must be able to determine if that person's condition is something that we should work on. If it is, we must determine what type of soft tissue work will be most effective. In many instances, one type of massage may be beneficial, while another type may be harmful. It is not really accurate to make blanket statements such as "massage is good for this problem, but not for that one." It may depend on what type of massage is used.
In this column we will focus on assessment of orthopedic problems those that decrease or limit a person's ability to move their body properly. There are a variety of orthopedic assessment systems. Despite their differences, they all share several common components: a detailed client medical history, visual examination, palpation, and some form of movement evaluation, which may include any number of special testing procedures.
While learning new massage treatment methods has certainly improved my skills, nothing has made as much impact on my ability to treat pain and injury problems as studying orthopedic assessment. It is my hope to share some of the wonderful things I have learned, so that you may improve the quality and success of your practice.
Click here for more information about Whitney Lowe, LMT.
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