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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.
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.
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.
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.
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.
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%.
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.
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.
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.
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.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
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).
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).
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
January, 2002, Vol. 02, Issue 01
Snap, Crackle and Pop, Part II
By Neal Cross, PhD, NCTMB
Last spring, I discussed the anatomy of the temporomandibular joint (TMJ). (Editor's note: See "Snap, Crackle and Pop, Part I" in the May 2001 issue, available on line at www.massagetoday.com/archives/2001/05/08.html.) Problems with this part of our anatomy are now commonly referred to as temporomandibular disorders (TMD) or TM dysfunction.Numerous anatomical features may be involved in TMD, in large part related to the fact that many different clinicians are involved in its treatment.
One set of anatomical features involved in TMD is referred to as internal derangements. These problems involve problems with the articular disc, articular capsule, associated ligaments, and the bony articular surfaces. These problems may be related to osteoarthritis; neoplasia; fracture; disc displacement; etc.1
An important set of anatomical features sometimes associated with TMD is occlusal misalignments. The literature is equivocal on the significance of malocclusion and TMD; nonetheless, dentistry often plays a significant role in the management of certain TMJ problems. Different occlusal elements, including missing dentition, misaligned dentition and broken dentition, have been implicated in the etiology of TMD. In addition, these abnormal dental features certainly have an impact on the function of muscles of mastication, face and neck. Simons et al1 discuss the involvement of myofascial pain and TMD. It is still unclear whether myofascial pain associated with TMD is a primary causative agent, or the result of internal derangements, as discussed above. In any event, there is often muscular pain associated with TMD. How this myofascial pain manifests itself will in part determine the type of clinician and modalities used to treat the problem. Sometimes pain is not apparent, but muscle imbalance creating uneven mandibular opening and closing is obvious.
Neuralgias may be associated with TMD, or even confused with it. These neuralgias may result from almost any condition, from posttraumatic to post-herpetic to nerve compression.
These anatomically based disorders are treated in several different ways. Acute pain can be managed palliatively until the cause can be identified and treated in an appropriate manner. Eliminating the cause can be complicated and time-consuming. The cause is often multifactorial, requiring cooperation between patient and clinician(s). Common causative factors include malocclusion; body mechanics; various forms of arthritis; chewing dysfunctions; and stress.
Although TMD can represent a very complex set of etiological factors, it also offers an opportunity for the cooperation of several different clinicians to help manage and solve its presenting features.
Click here for previous articles by Neal Cross, PhD, NCTMB.
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