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Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
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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