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Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
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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