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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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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%.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
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).
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 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.
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.
January, 2002, Vol. 02, Issue 01
Hopeful Views and Empowering News
By Ralph Stephens, BS, LMT, NCTMB
As you read this, the holidays have passed and we are settling into the new year, hopefully with optimism and enthusiasm. Never have the people needed massage more than in these times.One of the things I am particularly excited about is the potential for seated massage to expand from the relaxation paradigm to the therapeutic paradigm. One example would be the repetitive strain injury known as carpal tunnel syndrome (CTS). This condition is rampant in the workplace and represents a huge untapped market for seated therapists. With proper education, seated, on-site therapists could significantly reduce the pain and suffering of thousands of people. Therapists doing so will be able to make a very good income for their efforts. They won't even need to file insurance claims! Of course, they might be able to if they enjoy that exercise. I've heard that some do.
Carpal tunnel syndrome is a soft tissue injury aggravated by postural distortion. Technically, it is a neural compression condition involving the median nerve at the carpal tunnel (wrist). Almost all of the tissues involved with treating this condition can be addressed in the seated position. Specific massage and stretching techniques can be quite effective in the treatment and (more importantly) prevention of this condition. This is a very expensive injury; some years ago, a study concluded that the average carpal tunnel case cost workers' compensation over $63,000. Remember that insurance never pays for anything. In the case of workers' comp., the employer pays for it eventually through increased premiums. Wise employers would welcome a way to reduce this expense. On-site massage is often a tax deduction for a company through its wellness program. Seated therapists can easily learn therapeutic techniques for this condition, then approach businesses in a professional manner, representing themselves and their work accurately and honestly. By applying the methods effectively while educating the patients and employers about proper posture and exercise breaks, the individual therapist will rapidly create a successful practice. The word of success will spread, creating a huge market for massage therapists doing seated therapeutic massage. The result will not only benefit workers and employers; it also will increase the demand for massage therapy for other conditions as well. Let's not participate in the recession. Let's grow!
Heads Up ...
I thought some of you might want a heads-up on this one. The terrorist activities of the past year have resulted in several legislative efforts. One that is quite disturbing is the new proposal by the Centers for Disease Control (CDC). The proposal is called "The Model State Emergency Health Powers Act." (MSEHPA). If you would like to read this 40-page document, you can go to www.publichealthlaw.net. It is an easy read: lots of space on the pages and written in language that anyone can understand. This proposed act is to be taken to every state in 2002 and, the CDC hopes, passed by each state's legislature. It will give public health officials and the governor the power to declare "health emergencies." In a health emergency, the state will be under martial law. The discovery of any disease, contagious or not, could trigger a health emergency. The disease may be in plants, animals or humans. In a health emergency the state will be able to require anyone to undergo any medical exam, force anyone to be vaccinated, confiscate or destroy any property, ration food and fuel (among other substances), and if one does not cooperate they will be quarantined. While the state of emergency is only to last 30 to 60 days, the quarantine is indefinite and ruled by emergency judges appointed by the governor. All health care providers and facilities may be forced into service under public health officials, apparently without compensation. The governor and public health officials are given blanket exemption from liability for death or property loss or damage.
A sudden rise in HIV/AIDS cases could easily fit the qualifications to declare a health emergency. In a declared emergency, officials could lock-up, excuse me, quarantine, anyone with a disease or anyone who refuses to be examined, vaccinated or cooperate. This is a very dangerous proposal. If enacted, you can be sure that it will be used.
How it would affect us as professionals is unclear and subject to speculation. As individuals, the effects are very clear and could be devastating to both our health and our businesses, possibly even our lives.
Some might argue that controlling infectious disease or bioterrorism requires such totalitarian powers. I agree that some emergency powers may need to be given to the states, but not nearly as sweeping as this model legislation calls for. One quote from the draft bill asserts: "An infectious disease may, or may not, be transmissible from person to person, animal to person, or insect to person." So a disease is whatever the state says it is. Granting this much power to a state's public health department is unnecessary and unwise.
If the proposed MSEHPA concerns you, you might want to begin talking to your state legislators about it soon. In the current emotional state of our country, this legislation will probably be passed in some form in every state. Hopefully it can be scaled down to protect the rights and freedoms we have fought to maintain for hundreds of years. If we give up our rights and freedoms to protect ourselves from terrorists, the terrorists have won, because one of their goals is to take away our rights and freedoms.
An example to learn from is the recent anthrax outbreaks. Many people were virtually forced to take Cipro because it was the FDA's drug of choice. Look up the side effects of this expensive drug. They are devastating. Weeks later, we learned that common penicillin and doxycycline are just as effective, with less cost and fewer side effects. If they are effective, so are many natural remedies. Bayer wins. The people lose again.
The freedom of choice with regard to individual health care is one of the most basic and essential freedoms we possess. Without health, what good is freedom? Our profession depends on this freedom. If not actively defended, it will be taken away. The good news is, we do live in America, and we can still participate in this decision. Do what you think is right.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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