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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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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).
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.
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.
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.
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.
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.
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.
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 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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
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).
January, 2002, Vol. 02, Issue 01
The Dangers of Biking
By Ben Benjamin, PhD
Cycling has changed dramatically in the past 25 years. Hi-tech bikes have gradually taken over the market, to the point that finding a bike that allows you to sit upright in a balanced position is difficult.Bikes are sleeker, lighter, and designed as if the rider intended to participate in the Tour de France. Competitive road racing mandates the flexed position to reduce wind resistance and deliver maximum power to the pedals. Off-road racing adds punishing forces from irregular terrain. If this forward-bent position is assumed by the average rider, the consequences are likely to be more severe. Many bicycles on the market, such as road bikes and mountain bikes, force your body to constantly lean your weight forward, increasing the danger of injury. The forward-bent position may be slightly more efficient for riding speed, but it places enormous stress on the low back, neck, shoulders, elbows and especially the wrists. Road bikes on which the rider is bent forward are harder on the back and neck. Mountain bikes ridden on rough terrain are rough on the wrists, elbows and shoulders, especially if the rider leans forward on the hands.
In the forward-bent position, continual tension is placed on the muscles, tendons, joints and supporting ligaments, from the hands, through the shoulders and into the back. Because these structures are under tension, bumps in the road send shockwaves of stress through the elbows, the shoulders and the very sensitive wrist joints, making all of these areas more vulnerable to injury. Furthermore, the head, which is one of the heaviest parts of the body, is held up with the neck in extension for long periods of time, fatiguing the muscles of the neck and reducing the circulation and nerve impulses down the arms. The low back ligaments also are in a constantly stretched position, which makes them more vulnerable to damage by sudden additional forces. But the greatest stress is placed on the wrist joints and their surrounding ligaments.
Mountain biking in this position is particularly dangerous because of the uneven terrain riders often traverse. Sudden wrist sprains may occur merely as a result of hitting several bumps in the road. The biker's hands often lose circulation and become cold in this position. This may be followed by a numbing sensation, setting the stage for injury to the wrists and elbows. The bikes of 30 years ago may have looked "clunkier," but they were more in tune with sound body mechanics. Sitting upright, as one might do at the gym on a stationary bike, is great exercise without the strain on the body's joints and ligaments.
What can we do to cycle and stay injury-free? If you are a recreational biker, try to find a bike that allows the body to remain in a completely upright position. You can also buy new handlebars or extensions, which allow you to ride more upright. If you are a serious biker who races regularly, and you want to ride a road bike in the forward-bent posture, make sure you warm up your neck and back thoroughly before riding. Take frequent breaks in which you regain an upright position. Work to make your hamstrings and quadriceps flexible and strong. This will help protect your back. A sufficiently flexible person should be able to bring the heel of the foot to the buttock with relative ease to stretch the quadriceps, and be able to place the hands or at least the fingertips on the floor while bending forward with the knees straight to stretch the hamstrings.
Without preventive care, many cycling injuries will likely occur. Recumbent bikes are a good alternative, because they are much easier on the body. Bicycles that make our clients continually lean forward may be good for our business as massage therapists, but they are not good for the health of our clients.
Click here for more information about Ben Benjamin, PhD.
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