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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.
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%.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
February, 2001, Vol. 01, Issue 02
Lee Chaffee, LMT
By Claudette Laroche, RN, LMT, NCTMB and Lee Chaffee
Author's note: Professional of Note is a column devoted to recognizing individual practitioners and what they are contributing to the profession. Each article will highlight a unique feature of a practitioner's professional practice.The purpose of the column is to take note of people who are not necessarily nationally known, but who make significant contributions to the field.
Lee Chaffee of Peterborough, New Hampshire is known to massage therapists throughout the state as a trailblazer in the business of on-site seated massage. With a great reputation for quality service over the past 16 years, Lee focuses on taking her hands and heart, along with her table and/or chair, to clients at their home or work. Lee is state-licensed in NH; nationally certified by the National Certification Board for Therapeutic Massage and Bodywork; and a member of the AMTA, holding a specialization in event sports massage.
Referring to the massage technique she created, known as Lee's Portal Hands, Lee says, "I created a unique protocol for doing seated massage by exploring ways to prevent repetitive pain patterns on myself." Injuries to her thumbs and wrists from a previous profession were a motivating factor in her quest to prevent further injuries for herself and other therapists. "As far as I know, I'm an innovator of seated massage in New Hampshire, and 10 years ago I was the first one to make a living solely on seated massage."
She has provided massage to hundreds of people in major businesses at Bell Atlantic (now Verizon Phone) and Digital Computer (now Compaq), as well as at a local hospital, and real estate, computer and medical offices.
As is the case with many of us in the profession, "word-of-mouth" promotion can be attested by many of Lee's clients. Patsy Franklin from Auburn, NH, says: "A colleague told me to see Lee when she was doing on-site seated massage at Compaq. I was 34 weeks pregnant and could not stand up straight due to sciatic pressure. After Lee massaged my side and lower back, I started feeling much better, and continued to do so with regular visits. Now it's been eight years, including another pregnancy, since she started providing me regular massage in my home."
Lee developed her sequence, which she calls "Lee's Russian Method of Seated Massage," based on techniques learned through her study with educators teaching the Russian methods. Russian techniques require minimal use of the thumbs. By incorporating the use of the dorsal side of the hand against the surface of the client's body, along with using a fixed wrist and fingers, and providing the thrust of movement from the therapist's shoulder, the wrist remains in neutral position most of the time.
When working on clients, Lee initially follows a choreographed sequence that lasts 25 minutes. As she gets to know the client, she will vary her patterns to suit the needs of the person. Lee explains: "I also incorporate my neutral hand technique into my table massage, so I'm able to continue to work without experiencing the pain symptoms I had several years ago. It's important when practitioners start out to be mindful of their own body, to keep a repetitive pain syndrome from slowing or ending their career."
Lee has a creative approach to educating all her clients about a simple self-help tool, while combining it with the marketing strategy of getting her name out there. Clients appreciate receiving what has become Lee's trademark gift: two tennis balls encased in a stockinet sleeve that has been imprinted with her business name and tied with a bow. As client Patsy Franklin says, "After my pregnancy, she taught me to roll the tennis balls under my feet and in the lumbar and buttock areas to help relieve pressure points."
These days, Lee has a varied professional massage schedule. To make time for developing and balancing other massage-related venues, she limits her seated massage to about 10 hours per week. Consequently, she has expanded her professional skills into education, as an instructor of Russian seated massage in an area massage school. During the past several years, she has developed her business and marketing acumen from "trial and error" to fine-tune and market her teaching video on Russian seated massage. Lee's current focus (and source of "a great deal of professional satisfaction") is presenting workshops on Russian seated massage and demonstrating her seated massage technique at massage seminars and conventions.
Click here for previous articles by Claudette Laroche, RN, LMT, NCTMB.
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