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Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
November, 2001, Vol. 01, Issue 11
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
Yin/yang theory is the foundation of shiatsu and all other forms of Asian bodywork. It's definitely a "cool" symbol, as it appears on surfboards, notebooks, pendants, etc., but many are unaware of its meaning beyond that.Simply, yin and yang reflect all phenomena in the universe. First mentioned in texts dating back to 700 BC, the theory of yin/yang was developed from observing the ebb and flow of the cycles of nature. Yin and yang are not only opposing forces, they also are mutually dependant on each other: neither can exist in isolation. They are contained in one another, change into each other, and consume one another. When the yin of the night becomes the darkest, it transforms into the yang of dawn.
In a future article, I'll talk about how important it is to consider all aspects of yin and yang in your practice; today, it seems more appropriate to discuss the transformative aspect of yin/yang-the fact that extremes create their opposites. If we move into the greatest part of the yin/yang orb, it starts to flip over into the opposing energy. For example, particularly during winter, what happens to individuals who "go and go," paying no attention to their hibernation-slow-down cues, staying up late, getting up early, etc. (yang yang yang)? They get sick and collapse into a big, phlegmy ball of yin. But it's kind of nice because they can finally stop and rest (because they can't move!) It's peaceful, and they take care of themselves and rebuild.
September 11th -- if there was ever an extreme, we saw it then, in the sheer hatred, destruction and horror of those planes hitting the World Trade Center and the subsequent attacks. It was so extreme, it seemed to flip into an opposing energy: an outpouring of love, generosity and a determination to rebuild. Even Hollywood found it appropriate to be more quiet and release only "yin" films!
I have been so struck with the compassion pouring from people, and the deep self-reflection that this event seems to have initiated. The eye contact and smiles from people in the street suggest an appreciation for each moment of the life we have here together. The most powerful metaphor for me is the mass blood donations across the U.S. Do people realize, at least on some level, what we know in Chinese medicine: that the Spirit/shen is housed in the Blood? And do they realize that we are giving our Spirit to circulate as one? I truly believe that people have become more sensitive to and aware of the web that connects us all.
A simple technique for soothing the Spirit is a mu-shu combo. Do you remember my column in the September issue? (Editor's note: See "I'll Have a Mu-Shu Combo" on line at www.massagetoday.com/archives/2001/09/14.html.) Hold Bl 14 (Pericardium shu point) with Ren 17 (Pericardium mu point). You can do this at the end of a bodywork session, with the client face-up. Stand at the side of your client and reach under his or her back with one hand, cupping your hand beside the spine at the level of T-4 (Bl 14). At the same time, use your other hand to hold the point directly between the nipples in the center of the sternum (Ren 17). Hold for a couple of minutes until you feel the points soften and pulsate. Have your client breath into the points. Make sure to have some tissues ready for tears; this can be a very powerful release!
If you work on the floor, the best way to perform this soothing technique is with your client face-up again, but with you standing above their head. Take your feet and slide them under your client's back, alongside the spine. When you are between the client's shoulder blades, turn them sole-to-sole so that the medial aspect of the balls of your feet press into Bl 14 bilaterally. Hold the point directly between the eyebrows with one hand (Yintang) and place your other hand on the point in the middle of the client's sternum (Ren 17). This position gives you the added advantage of adding another point to the combination used to calm the Mind/Spirit (Yintang). In addition, your client's chest is lifted, opened and relaxed, allowing for deep breaths into life, connecting with one's own Corporeal Soul (po).
Again, I'm so grateful for this work we do. It feels so right to touch people at a deep level, where they are supported through the array of emotions surfacing. They might feel fragmented and broken, their shen scattered, but we can remind them of a space in themselves that has always been completely, forever whole; a place where we are one.
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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