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Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
The Acupuncturist's Problem
I want share with you some observations and insights into what seems to be the most common problem my colleagues in the acupuncture profession struggles with. If you also struggle with this problem, I hope you get a valuable "aha" moment from reading this.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
September, 2001, Vol. 01, Issue 09
Healing in the Presence of Motion
By Ben Benjamin, PhD
Question: Is it best to immobilize a body part during the healing of a musculoskeletal injury?
When a body part is immobilized, it is more likely to form adhesive scar tissue, making effective healing much more difficult.Adhesive scar tissue can form in two ways: internal to the injury and/or external to the injury. Internal scar tissue occurs between the fibers within an injured ligament, muscle or tendon. External scar tissue refers to adhesions that form between the damaged-but-healing structure and adjacent tissues, such as nearby fascia, bone, muscle, ligament, etc. When a body part is immobilized after injury, considerable scar tissue of both types may form, making complete healing and successful treatment more difficult.
Question: Why is healing more effective and complete in the presence of full range of motion?
Answer: It allows healing to occur with a minimum of adhesive scar tissue.
Healing in the presence of full range of motion is a basic healing principle. When healing occurs without full range of movement, adhesive scar tissue forms in inappropriate places, often turning an acute injury into a chronic one. Internal and external scar tissue help perpetuate stubborn injuries and resulting pain. People restrict their movement and activities for months or years because they know if they look up too high or for too long, bend from the waist to lift even a pencil off the floor, or kneel down on their bad knee, they will suffer many weeks of pain.
When we heal in the presence of full range of motion, damaged tissue is replaced by a small-but- appropriate amount of scar tissue, in a discrete and defined area within the originally injured structure. There is no strain on the internal fibers due to adhesions; there are no external adhesions to adjacent structures; and the surrounding muscles and other structures maintain their strength and flexibility.
For instance, if an ankle is sprained and the individual immobilizes the ankle, it is likely that scar tissue will form within the sprained ligament(s), and possibly between the inflamed ligament and nearby structures such as bones and fascia. If the same individual moves the ankle joint as soon as possible within the maximum pain-free range of motion without bearing weight, then moves the ankle with weight bearing as soon as can be accomplished without excessive discomfort, adhesive scar tissue is much less likely to occur.
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