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Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
June, 2001, Vol. 01, Issue 06
Bringing Massage to the Boston Marathon
By Editorial Staff
April 16th, 2001 was Patriot's Day in Massachusetts. It was also the 105th running of the Boston Marathon, one of the most prestigious sporting events in the world, and the 19th year that massage therapy has been available to the marathon's participants.
In 1983, a small team of sports massage therapists first gathered at this event, headed by Gayle Davison and Benny Vaughn.That initial Sports Massage Team (SMT) was to be comprised of 20 therapists and 20 student therapists, but as race day approached, the Boston Athletic Association (BAA) cut the team down to the 20 experienced therapists. A few of the students were able to volunteer in other capacities, and actually got pressed into service as the lines for post-event massage grew to a capacity the original team could no longer handle.
One of those students who "snuck in" to participate in the first Boston Marathon Sports Massage Team was Rick Guilde of Boothbay Harbor, Maine. Today, Rick holds the distinction of having participated on more Boston Marathon sports massage teams than any other individual. Of the 19 years the team has been in existence, Rick has been prominent at 18 of them!
The team has grown over the years -- that initial team of 20 is now 175 strong, and is captained by massage therapist Jeff Forrest of Massachusetts. Students are now an important part of the process. This year, 55 individuals from six different schools helped make up the team. One school even traveled from New Brunswick, Canada to participate.
The SMT is broken up into subspecialty groups to work on the main group of runners; the elite athletes; the wheelchair athletes; VIPs (corporate sponsors, family members, etc.); and triage. About 50 therapists travel to the race start in Hopkinton to do pre-event work, and the balance are also available to serve the long lines of runners waiting for post-event massage.
The runners always appreciate the skills of the sports massage team. Rick Gilde recalled one of his favorite quotes from an anonymous runner: "You guys are the heroes, we're the dummies." Runners Steve Berhard from Macungie, PA, and Matt Olin from Los Angeles, CA both mentioned how important post-event massage was to their recovery.
At event registration, the massage therapists are given volunteer jackets; instructed how to set up their tables; and given some brief instruction on what resources are available to assist them with thermal issues and cramp management. It's a long day for the massage therapists, who arrive in the morning and don't leave the massage area until 7 or 7:30 in the evening. All told, the team is involved in about 1,200 massage encounters.
The sports massage team is part of the all-volunteer effort of the Boston Marathon. The massage therapists are considered part of the medical volunteers, and at the 105th running, were given the white volunteer jackets that signify medical volunteers. The massage volunteers aren't just local: Yvonne Fey traveled all the way from Berrysburg, Ohio to volunteer her services!
The dozen therapists who volunteer for triage are also healthcare-trained as nurses, EMTs, PTs, OTs, ATs, etc. The triage area is close to the medical tent, for those runners who underestimated the nature of their discomfort when presenting themselves at the massage area. This year's triage was staffed with many of the students from the KINE-CONCEPT Institute in Fredericton, New Brunswick, due to the extensive medical training the Canadian massage program provides. Barry Antoniow, RMT, administrative director of the school, expressed his pleasure at being able to give the Canadian students experience at a major international event.
Space limitations have put the sports massage team at capacity. The John Hancock Company generously donates space in their Boston headquarters, but the team can set up only about 90 tables in the post-event area. Podiatrists in the massage area assist the massage therapists with any obvious foot issues; a chiropractic team is also in the vicinity.
In addition to their participation on the sports massage team, massage therapists were also volunteering in other capacities along the 26.2-mile race route from Hopkinton to Boston. At First Aid Station #12 (17.5 mi.), massage therapist Jeanne Dodge was part of a team that treated over 20 "soft tissue" injuries in a few hours. They ranged from runners with "tight muscles," to those running with pre-existing injuries, to those with spasms and cramps.
Speaking of her Boston Marathon volunteer experiences, Jeanne reported the following:
As you can see, massage therapists play a prominent role in the success of the Boston Marathon each year. Those wishing to volunteer in any capacity can do so via the Boston Athletic Association's official marathon website (www.bostonmarathon.org). Volunteer applications are usually due in February for this annual April event.
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