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Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
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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