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Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
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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