resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Image Is Everything: The Power of Branding
Successful businesses use color and design to attract people to their service. They understand how important image is and hire experts to create an attractive package. Starbucks works hard to create an atmosphere that is warm and inviting.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
July, 2001, Vol. 01, Issue 07
What Causes Swelling
By Ben Benjamin, PhD
Question: True or false: Visible swelling occurs when tendons and ligaments are injured.
Although there is a bit of internal swelling with tendinitis, major or visible swelling does not occur when most tendons are injured.The only exception is severe injury to the posterior tibialis tendon. Ligaments, on the other hand, cause an enormous amount of swelling within the joints they stabilize. This distinction between tendon and ligament injury provides the practitioner with a useful method for differentiating tendon and ligament injuries.
Swelling occurs when ligaments are injured because the ligaments are intimately connected with the functioning of the joints. Ligaments hold our joints together, helping to maintain the structural integrity of the skeletal system. When a ligament is strained, the synovial membrane of the joint where the ligament is located is "told" by the brain to produce more fluid than is required for proper functioning. This increase in synovial fluid causes the joint to swell. This swelling is our body's way of sending us a strong and important message. The body is saying, "Don't move me too quickly or too vigorously, or I will send pain signals to remind you that I need to rest in order to heal."
Therefore, when you see a client who has a swollen ankle, knee, wrist or finger, it's not a tendon-related problem. These symptoms usually mean the joint and its surrounding ligaments are injured. Besides sending a message to the injured person, the swelling is also sends a message to the practitioner. It tells you where to look for the injury.
For instance, when the medial collateral ligament at the inner portion of the knee is sprained, a message is sent to the joint's membrane to produce fluid, causing the joint to swell. This swelling limits the knee joint's ability to bear weight, flex and extend. The body therefore is forced to rest to allow healing to occur.
Sometimes this system works; the knee heals with minimal scar tissue, and full function is restored. Unfortunately, this healing cycle often breaks down. When this happens, the body lays down disorganized and malformed scar tissue, binding inappropriate tissues together so that healing is impaired for a long time, or permanently. However, if appropriate hands-on or medical treatment is correctly applied, the excessive adhesive scar tissue is eliminated in the ligament, and the swelling, usually referred to as a traumatic arthritis, disappears by itself.
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