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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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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).
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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).
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%.
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.
May, 2001, Vol. 01, Issue 05
By Ben Benjamin, PhD
Question: Do muscles, tendons and ligaments regularly refer pain down the arms and legs in ways that appear similar to a nerve compression injury (often referred to as a nerve root compression, radiculopathy or pinched nerve)?
Muscles, tendons and ligaments often refer pain down the arms and legs in ways that are similar to nerve compression injuries.For instance, a ligament sprain in the low back will often cause referred pain down the lateral leg to the area of the lateral gastrocnemius. A torn gluteus medius muscle in the buttock will often refer pain down the leg to the lateral calf. Nerve compression to the L5 nerve root may similarly cause pain in the lateral thigh and calf.
Another instance in which confusion arises is when there is a strain in one or several of the rotator cuff tendons, or a nerve root compression at the C5 level in the neck. For instance, a severe injury to the supraspinatus tendon will often refer pain down the arm to the wrist. This same pattern of referred pain will often be similar to the pain felt from pressure on the C5 nerve root.
Because pain patterns from nerve root compressions may overlap the areas to which muscles, tendons and ligaments refer pain, these injuries often confuse experienced and inexperienced practitioners alike. It may be easy at such a point to throw up your hands and say, "It's too complicated and difficult to figure this out, and it isn't going to change my treatment, anyway." In my experience, this is a mistake. Various types of massage and other hands-on therapy techniques can be very helpful for muscle, tendon and ligament injuries, but they are useless for a nerve compression injury. However, having the knowledge and skills needed to differentiate these different types of injuries is useful and vital to the therapist interested in working with clients who suffer from pain and injury problems.
Let's say a client comes in with a history of three to four months of pain in an area indicative of a potential muscle, tendon or ligament injury, or a nerve compression problem. Assessing the client with specific active, passive and resisted tests will help you identify a soft tissue injury. However, if you see that the involved muscles have atrophied, and the client reports a feeling of pins and needles and numb or numb-like sensations in patches of skin, you may suspect a compression injury of a nerve. In such a case, your soft-tissue techniques will not help this client; you need to refer him/her to a health care provider or other specialist. Referred pain to the arm from suprapinatus injury or C5 nerve root injury.
It's worth the effort to learn when to refer clients out because they have an injury you cannot help, and when to treat them for something you can help. It makes your work more effective because you can work primarily on the people and the pain problems you can actually help. Obtaining the skills to differentiate these confusing injuries makes you a better therapist, and adds enormous confidence to yourself and your work.
Remember, it is always wise to have a physician check a client who has a serious pain or injury problem.
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