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New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
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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