Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
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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