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Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
November, 2001, Vol. 01, Issue 11
The Long Path of Healing
By Keith Eric Grant, PhD, NCTMB
The recent tragedies in New York and Washington, D.C.have brought both great sadness and, paradoxically, a new spirit of working together to heal our wounds. Even as the sense of crisis and shock begins to abate slightly for many of us, the long-term efforts of coping with loss and moving onward toward integration and healing are only beginning for those directly affected. The full impact of the losses will be years in its unwinding. Many will need understanding and nurturing touch, now and into the future. There will be many opportunities in which our skills of touch and caring can help.
The effects of the tragedy go far beyond our first thoughts of those lost. Washington Post columnist Avram Goldstein wrote that, since the tragedy, doctors have been reporting an increase in pain problems.5 Peter Staats, chief of pain medicine at Johns Hopkins University in Baltimore, is quoted as saying that the reactions leave no doubt about the strength of the mind-body connection. "Pain more than any other area of medicine has the mind and the body interlinked," said Staats. When our sense of safety and our perception of a reliable future are upended, the resulting tension and anxiety take root in our bodies until we can restore a positive framework of deep interconnection, support, and social cohesion.7
The effects of the tragedy also extend deeply into the next generation. Amy Waldman of the New York Times wrote about the unprecedented number of young children who simultaneously lost a parent, sometimes their only active parent, in the destruction.8
Waldman goes on to comment on the magnitude of the load placed on surviving parents and on social workers in caring for and counseling the affected children. Thousand of those lost were young parents with correspondingly young children. Having lost my own father in a civil aviation crash when I was four, I well appreciate that these losses plow an emotional furrow that extends into the bedrock of a child's personality. Maxine Harris 6 is correct in characterizing such a loss as being "forever." She notes the tendency of children who have suffered the early loss of a parent to become overly and prematurely responsible and independent. There will be much to do in reteaching affected children how to play and how to trust and rely on the world of friends around them.
In assisting the healing of trauma and stress, we are practitioners of touch, not psychologists. Yet, in bringing people back to the inner awareness and subtle sensations of their body, what Eugene Gendlin4 calls the felt sense, we can do much to initiate a healing response. It is on this foundation that the body-oriented trauma-healing therapies of Carolyn Braddock,2 Clyde Ford3 and Peter Levine7 find the basis for their success. It is also on this foundation and level of body and touch that we can work to move our world society and culture toward the sanctuary and sane society envisioned by Sandra Bloom.1
In 1995, my friend and fellow massage instructor, Maureen Manley, journeyed to Croatia with a troop of dancers and musicians. Their declared goal was to work with the children and women in the refugee camps; to use their music and dance to bring some small sense of joy and play to lives overturned by war and chaos. While there, she worked with the women, providing and teaching to them the basics of massage, so that they could begin to help each other to heal. Manley observed that:
In practicing and teaching bodywork, I have noted that sometimes the most profound interventions appear superficially simple. It takes little in kinesthetic practice to lay a hand gently upon someone's chest or abdomen in a manner to actively pace their pattern of breathing. It also is not particularly difficult to ask a client to experience their sense of breathing and the sensation of the area in which your hand is upon him or her. Yet the result can be both profound for the client and difficult for the touch practitioner. The profoundness comes from the simple acts of encouraging sensate awareness and in pacing the essential life rhythm of breathing. 2,3 The difficulty comes not in the technique itself, but in the focus and awareness required in staying present and sensing the series of slight physical transitions a client may experience - shifts in the felt sense.4 Even starting from such profound simplicity, there is much to be done, and much that we can accomplish together.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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