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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
October, 2001, Vol. 01, Issue 10
Carol Kane Neilson, CMT
By Claudette Laroche, RN, LMT, NCTMB
Author's Note: Professional of Note is a column devoted to recognizing individual practitioners and what they are contributing to the profession. Each article highlights a unique feature of a practitioner's professional practice.The purpose of the column is take note of people who are not necessarily nationally known, but who are nonetheless making a significant contribution to the field. If you've ever experienced a helium balloon ride, you know the feeling of peace as the balloon lifts with a surge, then smoothly takes its course: soft as a whisper, but strong in its hold.
This is how I would describe Carol Kane Neilson's "takeoff," literally and figuratively, when she births and develops ideas. Her current passion, a unique, first-of-its-kind program, is the Vermont Race for the Cure Breast Cancer and Massage Project.
Carol's idea was birthed after attending the AMTA National Conference in Washington, D.C., in October 1998. At the conference, Carol took Cheryl Chapman's workshop, "Introduction to Mastectomy Massage." By the time her return flight landed in Vermont, Carol had a proposal outlined on her laptop computer. Within three days, a venue, presenter, and funds to operate were in place. Cheryl Chapman of New Jersey jumped at the chance to teach; the Vermont Race for the Cure event in Manchester, VT would be the site; and funds would be provided by the Vermont Committee Against Breast Cancer.
Talk about passion and motivation!
Carol's goal was to combine the Vermont Race for the Cure fundraiser for the Susan G. Komen Foundation with a free massage clinic for breast cancer survivors, along with a mastectomy massage workshop for massage therapists. The therapists would also partake in a sports massage workshop, preparing them to provide pre- and post-event sports massage the morning of the running race. Fellow massage therapist and partner George Glass, LMT, would teach the sports massage component and oversee the sports massage the day of the race. Carol organized, planned, implemented and oversaw the entire project through its debut in July 1999. Forty-eight massage therapists from the northeast attended the program, providing massages to 55 cancer survivors and sports massages to 330 race participants.
Carol decided to continue the quest for more sponsorship. To implement her goal of seeing this project spread to a national level, she prepared a grant proposal to present to the Komen Foundation. It was a lengthy preparatory process, one that successfully set her course.
As a result, the second massage workshop, held just prior to the July 2001 Race for the Cure event, was funded through a grant from the Vermont Affiliate of the Susan G. Komen Breast Cancer Foundation. The workshop was sponsored by the Vermont Chapter of the AMTA, Carol, and George Glass. Also obtained were a major anonymous donation from the community and services from Ignition, Inc., a local marketing firm.
The Susan B. Komen Breast Cancer Foundation was established in 1982. It is "an international organization with a network of volunteers working through local affiliates and Komen Race for the Cure events to eradicate breast cancer as a life-threatening disease." In addition to funding research, the Foundation and its affiliates fund community-based breast health education, breast cancer screenings, and treatment projects for the medically underserved.
The 2001 workshop, attended by 38 therapists, emphasized physiological and emotional benefits of therapeutic massage, as well as positioning and massage techniques for the breast cancer client. According to Carol, "the workshop blends theoretical information with clinical expertise. It provides unique training and then the opportunity to apply the new knowledge in a hands-on situation at the massage clinic for survivors the day before the race." She also mentioned that the free massage session, given by the massage therapists who were trained in the workshop, is self-directed by the receiver -- the breast cancer patient/survivor. The therapist takes his or her cue from the person receiving the massage, and only goes as far as the person is comfortable. At the 2001 clinic, a record 79 sessions were given to survivors!
Carol highlights the essence of what transpires this way: "For the survivors, being comforted with touch is a wonderful thing. For some of the women it is their first experience being touched after their surgery or radiation treatment. It is often very emotional, but we provide a safe place for the massage."
Cheryl Tardy, a massage therapist from Maine, wrote to Carol after the workshop to tell her "...what a profound experience I had. I returned back to practice as a much better therapist."
Susan Rawls, a breast cancer survivor and Carol's client of one year, said: "I can't believe the difference in one year, how good I feel and how much I am able to do. It's a wonderful place to be. Massage was a medical necessity that helped me regain more than 60 percent mobility in my shoulder after completing treatment for breast cancer in late 1999." Susan has continued with weekly massage therapy, which she credits as "essential to my health and the hope that massage therapy will become a standard treatment in breast cancer recovery."
Carol and her partner George have just moved into a new healing arts center, Mountain Healing Arts in Manchester Center, Vermont. The center houses seven treatment rooms, allowing for three massage therapists, one acupuncturist, one psychiatrist and one physical therapist to provide services.
Working on clients five days per week, Carol averages 36 client massages per week, all hour-long sessions. (More hours than I like doing in a week!) Her focus in her practice is medical injury rehabilitation and recovery. Techniques she employs are neuromuscular, deep tissue, myofascial release, and muscle energy release. She has been in practice for 10 years, and clients come to her primarily via word-of-mouth.
Carol also takes care of herself by receiving a weekly massage from her partner. When I asked Carol what she does for physical exercise and stress relief, she quipped "I muck the barn and load the elevator with bales of hay!" In her spare time, she oversees the care of her "menagerie of five horses, 10 cats, four dogs, and three birds," calling herself an "animal drunk!"
Carol, who graduated with honors from the Boulder School of Massage 10 years ago, is active in the AMTA Vermont Chapter, serving as secretary and education chair. She also is the wonderful DJ for the dances at the New England Regional Conference held every March. I would describer her as focused, detailed, organized, compassionate and passionate about whatever she does.
At the AMTA National Convention in September 2000, Carol received the AMTA National Humanitarian Award for her dedication in caring for breast cancer survivors.
Carol's long-term goal is to implement her model project in towns and cities across the country. She hopes that future funding will be made available for national promotion through a public relations firm that would like to donate some of their time as a community service. Because of Carol's dedication of time, energy, spirit, and love for humanity, I'm sure her goal will be realized.
This article is especially timely because October is National Breast Cancer Awareness Month. If you would like to make a donation to the Komen Vermont Race for the Cure, please send it to:
Your donation may help achieve Carol's long-term goal of having model projects across the United States!
Click here for previous articles by Claudette Laroche, RN, LMT, NCTMB.
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