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Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. 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.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
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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