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Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
PCOM Granted Regional Accreditation
Pacific College of Oriental Medicine (PCOM) recently announce it has received regional accreditation from the Western Association of Schools and Colleges (WASC). This achievement reflects five years of hard work on the part of faculty, staff, and students.
How Much Do You Know About the Benefits of Birds Nest?
Edible bird's nest is the nest made by the Swiftlet bird of Southeast Asia that is usually prepared as a soup and prized in Chinese culture as a healthful delicacy.
Marijuana, Apathy and Chinese Medicine, Part 1
This article was written in response to the unheeded acceptance of marijuana as a harmless substance that potentially does good when used for the medical relief of pain.
Integrating Art with Clinical Practice for Patients with PTSD: The Artemis Project
Are you restricted by those one-on-one clinic dynamics? Why not join colleagues and clients in experimental group settings? Three of us volunteered to do just that in Austin on behalf of women veteranss from all branches of the service.
The Challenges of Integrating Eastern and Western Medicine
My Masters thesis was titled, "The Challenges of Integrating Eastern and Western Medicine," which highlighted several reasons why it is hard for these two worlds to mix.
5 Tips for Using Pinterest to Market Your Practice
Pinterest is a very popular, but often under-utilized, social media platform where people can bookmark, or "pin," fun and interesting things from all across the internet.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
Medicine is Clumsy, Don't You Be
All medical systems have clumsiness in them. If the technique isn't, the practitioner is. Everyone in every form of medicine is striving to improve. That is why we call it practice.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
5 Simple Steps to Create an Effective Marketing Calendar
In the educational experience of most healthcare practitioners, business and marketing are overlooked topics.
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
Term Limits: What's in a Word?
It was the French historian and philosopher Voltaire who once declared the Holy Roman Empire was neither holy nor Roman nor an empire.
The Tide is Rising in the Acupuncture Profession
Former President Ronald Regan said, "When the tide rises all boats float." The tide is rising for the acupuncture profession. Many forces outside the profession are helping the tides to rise.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
Animal Acupuncture: A Case Study in the Treatment of Traumatic Injury in the Equine
The rise of animal acupuncture in the U.S. began in the early 1970's as a result of the work by members of the National Acupuncture Association in Westwood, Calif.
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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