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Look, Listen and Learn to Code
Study of the Current Procedural Terminology (CPT) Evaluation and Management (E&M) coding system can leave a doctor of chiropractic a bit confused. The description of the five new-patient and five established-patient examination codes takes up several pages in most coding books. The degree of detail and charts used to describe the codes can be overwhelming.
News in Brief
Parker Announces Executive Director of Parker Professional; Athletic TIPS Program Getting Financial Support; ANJC Award Recipients Named.
Qigong to Empower Our Youth
Qigong is an ancient form of exercise and meditation used to promote longevity and health. This practice has traditionally been used by adults to balance the body through mindfulness, focused breathing and gentle movements.
An Introduction to Evidence-Based Clinical Practice - Again
One of your patients is in for treatment and catches you off guard by asking you a question about a news article she recently read. It seems that a new intervention for back pain was found to reduce the rate of serious side effects by 50 percent.
Betraying Patients and the Profession
Imagine flying from New York to Paris on a jumbo 747. Your thoughts are on your vacation and experiencing the City of Lights. Midway over the Atlantic Ocean, you overhear the flight attendants talking in muffled voices.
Ask and You May Receive
A friend of my mother has had a problem with her ears for almost 20 years. Whenever the wind blows, it sends shooting pain through her jaw. She has seen any number of medical specialists over that time, but with no relief.
The Importance of Staying Focused
Our world is so full of over stimulation and constant information. We live in a fast paced, ever-changing society. If you seek you will receive.
Increased Breast Cancer Risk: Another Implication of High Cholesterol
In addition to being a known risk factor for heart and cardiovascular disease, recent studies have highlighted the link between high cholesterol and increased risk of breast cancer. Breast cancer is the second most common malignancy in women after skin cancer.
Why Stretching Doesn't Work
Like most chiropractors, a good part of my day is spent working with sedentary office workers who spend eight to 12 hours a day glued to a desk chair in front of a computer.
Putting Public Health Into Action: Thinking Globally, Acting Locally
The Chiropractic Health Care section of the American Public Health Association (APHA) met at the 141st APHA Annual Meeting and Exposition in Boston late last year, and it was another triumph for chiropractic and its public health advocates.
The Many Faces of Cervical Compression
When evaluating the neck, there are any number of orthopedic tests to be considered.
We Get Letters & E-Mail
Let's Restore Integrity to Health Care – Starting With Us; MDs Offer More – So Can We.
Gaining an Independent Occupational Code with the U.S. Bureau of Labor Statistics
One of the most important national activities currently taking place in relation to the development of the field of AOM profession is the Department of Labor's Bureau of Labor Statistics' (BLS) revision of the 2010 Standard Occupational Classification (SOC) system.
The Deficiency Myth
If you went to the same kind of medical school I did and took the same kind of licensing exam I took, you were trained to seek out and expect to find primary deficiencies here in the U.S.
Embracing the Light
Four years, ago I was diagnosed with a labral tear in my hip that was excruciating and "required surgery" according to an orthopedic surgeon. I tried everything and although the symptoms had mostly abated, I had to give up Yoga practice and everything that could exacerbate the tear.
Gallop Confidently Into The New Year
Happy New Year! As you may know, this is the year of the Wooden Horse. I received a wonderful gift for Christmas. It is a beautiful glass sculpture of a horse, by Luili Gong Fong, a Chinese artist.
Peer Points: Spreading The Word
Pedram Shojai describes his venture into Traditional Chinese Medicine as a journey led by various "mystical experiences." Shojai decided to change the course of his career when he looked deeper into the basics of TCM.
Common Disorders of the Temporomandibular Joint
The evaluation and management of craniofacial pain is a complex endeavor, which often encompasses the presence of temporomandibular joint disorders.
Acupuncture Ambassadors: A Chat with Leader Anthony M. Giovanniello, MSAc,LAc
When you first meet Anthony Giovanniello, you realize he's a humble practitioner, yet is bursting with a type of dedication that you can't help but be overwhelmingly inspired by.
Preserving the Natural Resources and Culture of Chinese Herbal Medicine
As the world experiences unprecedented population growth and ever-increasing ecological pressures, the topic of preserving Chinese medicine's natural resources has attracted steadily increasing attention from practitioners.
The Urinary Bladder Official
The Bladder Official is known as the Official Who Controls the Storage of Water. In Western medical terms, this organ collects the urine excreted by the kidneys.
Climbing the Ladder of Opportunity (Part 1)
President Obama spoke of building "ladders of opportunity" in his State of the Union and Inauguration addresses.
An Alternate Method For Choosing The Right Formula For Your Patients
A constant question for us in the clinic is when to make adjustments and when to stay the course. A patient comes in and says, "Things are the same as last week."
New Knee, New Pain (Part 2)
The patient presented to the chiropractic clinic with symptoms of genu varum and pain on the medial aspect of the tibiofemoral joint.
Using Facial and Scalp Acupuncture To Treat Neuromuscular Facial Conditions
As a practitioner and instructor of facial rejuvenation acupuncture I have gotten many calls over the past 10 years from individuals seeking help for various conditions affecting the facial muscles, nerves, and overall function of the face.
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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