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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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
January, 2002, Vol. 02, Issue 01
Myth and Magic
By Keith Eric Grant, PhD, NCTMB
In ages past, the rhythms of our ancestors' lives were bound closely to the changing cycle of the seasons. The coming of the New Year was linked with celebration of the winter solstice, the point in the progression of celestial events that marks both the shortest day and the birth of hope that a new spring will come. Anglo-Celtic mythology metaphorically portrays the cycle of seasons as a recurring conflict between the Holly King, who reigns during the half-year of waning sunlight, and his brother the Oak King, who reigns during the half-year of waxing sunlight. In their midwinter clash, the Holly King yields to the Oak King, even as the old sun dies so that the new sun can be reborn. As deep winter approaches, the Holly King withdraws into contemplation. Within his chalice, he nurtures the nascent new sun, and perhaps sees visions and dreams of the year to come.10
Such shared myths as the Holly King encapsulate the themes by which a society makes sense of and responds to the world around it. Whether or not a myth has literal truth is often irrelevant to this metaphorical function. Similarly, we also share family myths and create personal myths to help us organize and make sense of the progression of our own lives. 1,3,4,6 Because our attitudes and responses towards life take form within our internal stories, our personal myths can be both powerful and limiting. Often enacted at an unconscious level, they can separate us from the vitality of our embodied life or allow us to fully experience and draw upon that vitality. In the process, our personal myths set the underlying tone of our emotions and mental imagery. These emotions and imagery, in turn, profoundly affect our health and bodily comfort. 2,9
Among the conceptual difficulties in trying to approach the efficacy of massage and bodywork in the medical sense are the myriad ways in which we can, simply by presence and touch, influence internal life scripts, mental imagery, sensation, and even sense of identity. We deal not with simple cause and effect. Instead, we interact within the ever-changing flow of complex patterns of feedback. The concepts of personal myth and imagery outlined above provide a helpful perspective. Such thoughts are furthered by recent research into phantom limb pain that has led to a hypothesis that the brain contains widely distributed neural networks that create an image of self through genetic programs and memories of past experience. Afferent inputs act on this neuromatrix and produce output patterns that lead to the report of pain. 5,7 What emerges is a view of the body as a system, with a memory that accepts and responds to sensory input, but does not necessarily directly echo it in form or timing.
The Celts viewed liminal (threshold) times and places -- times and places that are neither this nor that but contain a protean element of confusion and chaos -- as holding great potential for creation and change. The Chinese ideogram for crisis also succinctly captures this belief, being made up of the two symbols for danger and opportunity. Perhaps within our practice of bodywork, we learn to elicit the creation of such liminal moments of chaos and reorganization - a threshold or pause in what was a constant state of dysfunction that allows a client to move themselves towards wholeness and a new homeostasis. Our inputs of touch, sensation, and presence may well affect personal myth, imagery, emotion, and neurological state, facilitating such a reorganization of body and spirit. While this viewpoint is largely conjectural, it is conjecture firmly grounded in current concepts of human physiology and its web of interconnections.
Within ourselves, we have the need to create myths for our lives and work that provide us with the opportunity to experience and express wonder and marvel and to seek and find renewal. When these qualities flow into our work, they are conveyed and perceptible to our clients. As we enter into this New Year, there is no better way to promote your excitement with your practice of massage and to work out the creation of your own myth and magic.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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