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Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
January, 2002, Vol. 02, Issue 01
By Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc
I'd like to take this opportunity to thank you all for your support on this, the one-year anniversary of my column and, coincidentally enough, of Massage Today! I appreciate your questions and suggestions, and I answer all letters.(If you wrote and did not receive a reply, your message got lost in a shuffle between new computers. Please try again.)
I thought this would be a good month to answer the most commonly asked question I've been asked: "How can I learn more, and what books do you recommend?" I'd also like to tie this question in to a much larger issue - how people portray themselves, particularly with regard to their training.
First off, qi is a completely experiential phenomenon; you cannot learn about it from books. It is energetic in nature and thus, elusive. There is absolutely no substitute for training with an experienced instructor. You can get an idea about the functions of qi, etiology, pathology and treatment strategies from books and articles, but it is not going to come together without someone to help sort it all out. Start collecting brochures from places that you know are reputable, such as www.aobta.org and other websites. Decide if Chinese medicine is really what you want to do, then figure out how to do it!
As far as books go, there is one that I recommend that, if you only buy one book for the rest of your life, get Foundations of Chinese Medicine by Giovanni Maciocia. It is not cheap, but divide the price up over the years that you will use it and it is clearly a bargain. Foundations of Chinese Medicine is the most readable, comprehensive text written in English (or Italian if you would prefer). Everything in it is applicable to shiatsu and Asian bodywork. If you also want an acupoint book, try Peter Deadman's Manual of Acupuncture. It is also expensive, but you'll never need another meridian and point location book. Either of these books can be ordered from redwingbooks.com, and AOBTA members receive a discount.
So, let's say you've read all my articles, and purchased and read both of the abovementioned books. Maybe you've even taken a weekend course. Are you ready to add shiatsu to the list of "specialties" on your card? Probably at this point you're response is, "Heavens no, of course not!" but I know for some it may be tempting. It seems fashionable these days to list many specialties on business cards, websites and other places.
One problem in doing that is, people are less likely to call you. Narrow down what you specialize in. Interestingly enough, the more you specialize, the busier you get! The public perceives those who claim to do many different practices as jacks-of-all-trades and masters of none. The public is accustomed to seeking out "specialists." There are obviously other reasons to seriously consider how you portray yourself.
How do you feel about people who say they do massage therapy after maybe only a few weekends of training? If you think this does a disservice to your profession, you may sympathize with how I feel. Substitute the word "shiatsu" for "massage" in the scenario above. It is painful for me to see people with little or no training portray themselves as shiatsu therapists.
I have been studying for over 15 years, and I have only covered the tip of the shiatsu iceberg. How much is enough? What is the minimum? Just as the National Certification Exam (NCE) is considered as entry level into the massage profession, the Asian Bodywork Therapy (ABT) Certification Exam, administered by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM), is considered the benchmark in the field for shiatsu and ABT. Each exam requires approximately 500 hours of training as requisite; the curriculum requirements are separate but equal. Both the NCCAOM and the NCBTMB are NCCA-certified and members of NOCA. The NCCAOM also certifies acupuncturists and Chinese herbalists, has been in existence almost 20 years, and has exams accepted for licensure in over 40 states.
Do I think that there are excellent shiatsu therapists who have not taken the ABT exam? Absolutely! However, I believe that by taking the exam, they would benefit themselves and the field of ABT as a whole. Do I think that there are excellent shiatsu therapists out there with less than 500 hours of training in ABT? Maybe. But few would come close to having the high level of sensitivity, knowledge, assessment and treatment skills that I expect from an Asian bodywork therapist.
In Japan, 2,200 hours of training are required to practice shiatsu. I don't think Americans are ready for that benchmark yet, but maybe you see my point! I am happy to say that ABTs have a friend in their quest for practitioners to accurately and ethically represent themselves. AMTA has received a lot of bad press due to "the lawsuit," and I really think it's a shame.
I know Cliff said that he didn't want to appear biased in his last editor's column, but I am fine with coming out as very partial to AMTA and its current board of directors. I personally prefer to be represented by an organization that is membership-driven, nonprofit and that supports high educational standards in the field. I know many of you find that other organizations better fulfill your needs, and I respect everyone's choice!
Click here for previous articles by Barbra Esher, AOBTA CI. Dipl. ABT & Ac. (NCCAOM), LAc.
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