Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
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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