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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.
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%.
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.
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.
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?
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).
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.
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.
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.
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).
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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 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.
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.
February, 2001, Vol. 01, Issue 02
By James "Doc" Clay, MMH, NCTMB
All the foofaraw over the Great Election Debacle of 2000 made me think a lot about polarizations, and especially about the great polarization in massage therapy and bodywork: the anti-certification, anti-licensure folks vs.the certification and licensure supporters; or, at the extremes that polarization seems to force upon us, the wild-eyed anarchists vs. the compulsive organizers.
The big problem with polarization is that everyone is right. In this case, the anarchists are right that the great strength of massage therapy and bodywork lies in freedom and variety, and that the marketplace will gradually separate the wheat from the chaff. The organizers are right that official credentials will (rightly or wrongly) command more respect from the public and other health professionals, and that self-policing is better for us than arbitrary external controls.
Neither of these "right" positions, however, is without danger. I'm sure all of us have cringed at having assumptions made about us based on people's experiences with other therapists. The hard-core clinical types shudder at the thought of being associated with the "woo-woo" practitioners of energy work and obscure, often Eastern, quasi-religious approaches. AMTA-style draping enthusiasts are horrified at postural therapists who treat clients in underwear. And all of us are fearful of truly unethical practices such as financial scams, quackery and sexual abuse by therapists. One of the things we learned when the totalitarian regimes of the Soviet bloc countries fell was that freedom brings risk - the crime statistics in those countries shot up when the police state no longer reigned. The marketplace may sort things out, but it takes time. There's always a niche open for the opportunist and the con artist, and they reflect on us all.
At the same time, where there is organization, there are power structures, and where there are power structures, there is potential for real abuse of power. Whatever you may think of the National Certification Board, always remember that, elections of board members notwithstanding, it is emphatically not a democracy. The board has broad powers to do what it will, and that includes tight control over who is and is not allowed to run for office. Not only do massage schools understandably teach to the certification exam, they also bend over backward to teach to the standards both of the NCBTMB and the AMTA - that's their bread and butter. As more and more states adopt the National Certification Exam as their standard for licensure, the board gains power.
Everyone will have to take some sort of position on the issue - even those whose position is passive acceptance of whatever happens. There are those who will continue the valiant (but I believe rather quixotic) fight against certification and licensure. There are those who will doggedly insist on trying (all too often with success) to impose their own views of bodywork on the profession. But I have some suggestions, or requests, for all parties:
First, I ask the anarchists to consider what the loss of their voices in the corridors of power will cost. If you truly believe in the value of freedom, and really want to curb some of the excesses of those who would seek uniformity in the profession based on their own preferences or biases, please consider fighting from the inside, and lending your strength to the battle for freedom and diversity within the institutional structures. In short, run for membership on the national board!
And now, to the organizers: please remember how often the narrowness and closed-mindedness of the traditional, established health professions have frustrated us. Take note of how many different approaches there are within our discipline that are effective. Observe that imaginative and daring practitioners who explored new ways of doing things have developed all of those approaches. Never forget that the next Ida Rolf, the next Milton Trager, the next Aston or St. John or Berry or Upledger or Phaigh, is some as-yet-unrecognized therapist out there practicing anonymously, and needing to work without handcuffs. Remember that when you place limits on therapists, you also restrict the choices and options of their clients.
Please make rules only when there is a clear and pressing need - not just for the sake of making rules. We seek to be different in many ways from the traditional health professions. Therefore, consider not mimicking their models of standards of practice and codes of ethics. Please think outside the box. Do not be tempted by the notion that0 because 67.4% of bodyworkers do a particular thing in a particular way, all bodyworkers should do it that same way. Always respect the minority view, however small - it is from the minority that the most creative innovations will come.
Please do not try to homogenize us, because that will be our death.
Click here for more information about James "Doc" Clay, MMH, NCTMB.
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