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Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
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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