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Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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?
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.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?'
February, 2002, Vol. 02, Issue 02
The First of the 10 Elements: Water
By Robin Zill, LMT
The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the second article in a 12-part series and focuses on the first of the 10 elements: Water.(Editor's note: The graphic of the 10-Element Circle appears on line at www.massagetoday.com/archives/2002/01/16.html.)
Water is transformational by its very nature. The study of water in its many forms has stimulated some of the greatest thinkers and visionaries throughout time. An excellent metaphor for life and vitality, water is central to the human experience. The study of water and its many roles could actually be considered a bridge between science and art. To paraphrase C.S. Lewis, water is one part oxygen, two parts hydrogen, and the rest is magic.
In the spa environment, hydrotherapy and balneotherapy are the most common terms used to describe the use of water. Hydrotherapy is usually defined as "the use of water in any of its three forms, solid, liquid or gas, used internally or externally for the prevention and treatment of disease or trauma, or used to enhance optimal wellness through daily health programs." Balneotherapy is the art and science of bathing for therapeutic and relaxation purposes. This includes partial and full bathing practices. Crenology, not as common in the U.S., is considered the therapeutic use of waters from mineral springs for therapeutic and relaxation purposes. The chemical composition of the water is significant, as is temperature and location.
The Transforming Power of Water
Why is water so magical? Fundamentally transforming, it is used for cleansing, purifying and basic survival. Both the external use of water through compresses, showers, wraps, bathing, and swimming, and the internal uses of water through drinking and other internal cleansing procedures, are critical to the spa experience. Water therapies are homeostatic in nature - they depend upon the body's ability to maintain balance or stability in a changing environment. This process is thermaldynamic in nature: by varying the temperature, the mechanical distribution and/or the chemical composition of water, many different treatments and effects can be achieved.
Temperature variation is the most common tool used in hydrotherapy treatments, because the temperature of the water will determine the extent of the stimulation on the skin. The skin is the portal of entry for hydrotherapy treatments. It connects our outer environment to our inner environment. The nervous system responds to this thermal change, and the stimulus is transferred to the organs via nerves, lymph and blood vessels. As one of the primary functions of skin is to maintain the body's temperature at a comfortable and consistent level, it is critical to maintaining homeostasis or balance within the body. This function primarily uses the circulation of the blood and lymph system. By increasing or decreasing circulation, hydrotherapy can help to affect the body's organs, and therefore assist in natural detoxification, cleansing or elimination processes.
Water is an excellent conductor, which allows it to transfer heat effectively and quickly. Water also possesses the ability to absorb and distribute large quantities of heat.
Water, a universal solvent, can readily dissolve many other substances to form therapeutic solutions: electrolytes, sugars, salts, osmotic baths, etc.
Because the density of water is similar to that of the human body, it produces a buoyant effect upon immersion equal to the weight of the water displaced. This is particularly useful for paralyzed muscles unable to move heavy limbs. Because of the unique qualities of water, hydrotherapy can be truly therapeutic and useful in treating many diseases. The new research on hyperthermia and cancer is just one exciting example. That is why, depending on the treatment, therapists should be well-trained and have a working knowledge of the body, especially the circulatory system. Contraindication for hydrotherapy treatments are similar to those for other heat treatments: pregnancy; heart diseases; acute or inflamed conditions; high blood pressure; varicose veins; other circulatory problems; rashes; and extreme obesity. Also, treatments should not be performed if the client has just consumed alcohol or a heavy meal.
Water, a precious resource, is inexpensive in essence and available as a healing tool in many forms. In the spa setting, how and how much water is used is usually determined by the treatment protocols and equipment selection. This can range from hot towel cabis, hydrocollators, and moist heat packs to Vichy and Swiss showers, scotch hoses and hydrotherapy tubs. Generally, the basic tools the water therapist works with are water temperature; the body area immersed or exposed to water; the duration of the bath, shower or treatment; the mechanical features such as underwater massage wands or shower sprays; and chemical factors such as botanical extracts, salts, seaweeds, and other natural agents.
The environment is also an important variable of the treatment. Often this is determined ahead of time; the therapist may only be able to control temperature and ambience, but beauty and art go hand in hand with bathing. New trends that embrace the importance of environment include Watsu and water dancing pools, floating pools and the innovative liquid sound pool in Germany that combines the floating experience with light and sound.
Exploring the dimensions of water in its many forms is a great way to begin understanding the integrated nature of the spa experience. Please visit the Great Spa Conversation (www.spaelegance.com or visit the ISPA Web site at www.experienceispa.com) to share your insights and connections to water. The spa movement is a cultural expression of the people's new perception of optimal health. Your voice is important.
Click here for previous articles by Robin Zill, LMT.
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