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How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
September, 2001, Vol. 01, Issue 09
Massage for Back Pain: Let's Look at the Research
By Peter W. Crownfield
Statistics show that nearly 80% of adults suffer from at least one episode of back pain in their lives.1 If you're not a believer in statistics and averages, you probably don't have to look too far to find tangible, real-life examples of back pain - perhaps even from personal experience.
The economic and physical consequences of back pain are fairly clear: billions of dollars in lost workdays, insurance resources, and health care costs each year2, coupled with significant disability and dysfunction. However, pinning down the source of the pain, and doing something about it, can be an entirely different matter. Muscle strain; normal wear-and tear; overexertion; poor posture; improper lifting; organ dysfunction; disease; and stress are just some of the potential causes of back pain. Even the so-called health care "experts" rarely agree on what causes back pain, or on the most effective approach to managing the condition.
Consumer utilization of complementary and alternative medicine (CAM) has risen dramatically in the past 10 years3, and with it, the number of back pain patients seeking massage. In 1997, one in three U.S. adults with low back pain sought the services of a CAM provider, particularly massage therapists, chiropractors and acupuncturists.3,4
Despite the common-sense notion that massage therapy can help ease back pain, few scientific studies have confirmed beneficial results - until recently. Since 1999, four major randomized, controlled trials5,6,7,8 and one systematic literature review9 have evaluated the efficacy of massage for treating back pain. The most recent (and perhaps most convincing) of the five appeared in the April 23, 2001 issue of the Archives of Internal Medicine5, a publication of the American Medical Association.
This randomized trial compared therapeutic massage with traditional Chinese medical acupuncture and self-care education for chronic low back pain (LBP). Two hundred and sixty-two patients, 20-70 years old and with persistent LBP, were randomly selected from a local HMO to receive one of the three interventions for 10 weeks. Most patients had received initial treatment for their pain at least one year earlier, and most reported continuous pain in the year leading up to the study. Most were using pain medication (non-steroidal anti-inflammatory drugs). Acupuncture and massage were provided by licensed therapists (12 massage therapists, 7 acupuncturists) with at least three years of experience in their respective fields.
Patients in the massage group (N=78) received up to 10 massage visits, consisting of various massage techniques, including Swedish, movement re-education; deep tissue; moist heat or cold; trigger or pressure point; and neuromuscular. The massage therapists also recommended stretching exercises and educated patients on "body awareness" techniques to help recognize early warning signs of injury.
Patients in the acupuncture group (N=94) received up to 10 treatments in the form of basic needling techniques; moxibustion; infrared lamp heat; cupping; and needle electrostimulation. As with the massage group, the acupuncture group was given exercise recommendations.
Patients in the self-care group (N=90) received a book and two videotapes that discussed management and prevention strategies for chronic back pain.
Patients in all three groups retained access to their HMO medical provider during the study period. Phone interviews served to assess outcomes at 4, 10 and 52 weeks after randomization; results are presented as follows:
In their conclusion, lead author Daniel Cherkin and colleagues note: "Therapeutic massage was effective for persistent low back pain, apparently providing long-lasting benefits. Traditional Chinese Medical acupuncture was relatively ineffective. Massage might be an effective alternative to conventional medical care for persistent back pain."
Is massage an effective therapeutic treatment for back pain? No doubt your patients think so, especially after months or years of receiving your care. It's good to see that, slowly but surely, the research is proving what the massage community, and the people it serves, have always known.
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