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What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
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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