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TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
March, 2002, Vol. 02, Issue 03
Body Mechanics and Continuing Education
By Sandy Fritz
Editor's note: Sandy Fritz, a practicing massage therapist for over 20 years, is the author of Mosby's Fundamentals of Therapeutic Massage and co-author of Mosby's Basic Science for Soft Tissue and Movement Therapies and other massage textbooks such as Mosby's Massage Therapy Review.She is the owner and director of the Health Enrichment Center, Inc., School of Therapeutic Massage in Michigan, and maintains a private practice for professional football players. Sandy also provides consultation to many massage schools in development. I've spent many hours pondering how I could encourage practicing massage therapists to improve their body mechanics. Because proper use of body mechanics can enhance the longevity and success of your career, continuing education regarding body mechanics should be stressed to all massage therapists.
Most research in ergonomics had focused on elements of lifting and motion. Massage application is more about the application of compressive force. Adaptation of biomechanics for those who lift and move is counterproductive for massage application. Over and over, I hear clients ask for more pressure without being poked and jabbed. The major goal for massage is to apply an appropriate broad-based compressive force to soft tissue, using the least amount of physical effort.
Massage has become a system unto itself. The historical basis for massage was as more of an integrated system utilizing movement, exercise and massage. Seldom was massage applied for a full hour. Now the one-hour massage is the expected standard for massage professionals. Five massage sessions per day is necessary for most to achieve financial stability in a typical workweek. No wonder that a recent study by Watson (reported by Gerry Pyves in the Journal of Bodywork and Movement Therapies, vol. 5, no. 3, July 2001) showed that 78% of massage professionals have experienced a work-related injury. Something must be done to help our profession. A change in paradigm about how massage is delivered is necessary. The idea that the hand is the primary delivery tool is outdated. The forearm, the flat space below the knee and the foot are better suited for sustaining the abnormal loading of the joints and repetitive movement strain on the joints and soft tissue required when giving massage.
Compressive force is applied 90 degrees in relationship to the body contact. This means that the client needs to be positioned so that you can lean against an upward slope on the body and maintain about a 45-degree angle at the shoulder. When the knee and foot are used, a 90-degree angle against the tissue can be achieved easily.
The joints need to be stacked and stable; the gliding motion should be provided by moving the feet in a forward position, instead of leaning at the waist and reaching forward. Avoid petrissage or kneading movements. The same effect can be achieved by applying compression to the tissues, then moving the adjacent joint actively or passively.
Are you asking yourself, "What can I do to improve my body mechanics?" First, be aware that there could be a problem, and the problem may not be apparent to you. Just because you have your education under your belt and practice massage does not mean you are using your body in the most efficient way.
There are many objects to consider when discussing body mechanics, including the massage table, floor mats, stools and chairs.
Is your table the proper height? As a general rule, your fingertips or first knuckle should reach the top of the table when your arms are hanging at your sides. This varies depending on if you have a long or short torso, legs or arms. If your table is a little short, you will be able to accommodate by widening your stance, but will often end up bending at the waist and developing low back fatigue. A table that is too tall will cause you to use upper muscle strength instead of leaning and using leverage to apply the compressive forces. Test your table. Are you thinking it's too tall or too short? If so, experiment to see if it feels more comfortable set at the suggested height. If it was too tall and you adjusted it, at the end of a day of practice you may feel less lethargic because you used less upper body strength. If it was too short, your back will ache. More often than not, raising the table a bit helps.
One way to notice incorrect body mechanics (besides the pain you may be feeling by the middle or end of your day) is by using a mirror to check yourself frequently in different positions:
If you were unable to notice incorrect uses of your body mechanics and think you are doing just fine, wouldn't you rather be safe than sorry? Ask a few other massage therapists to get together so you can evaluate each other. Watching each other will provide more objective feedback. If you are only doing two or three massage sessions per week, you may be able to get by with bad body mechanic habits, but if your are doing two or more massage sessions per day to total 10 massage sessions or more per week, injury will likely result.
Here are some ways to do a self-test:
You should have answered yes to the above questions. If these tips don't help, check out continuing education providers that offer classes in body mechanics or related classes. Choose your course carefully. You do not want to replace one set of bad habits for another. One place you can locate classes is on NCBTMB's website: www.ncbtmb.com. You can also call (800) 296-0664 to find CEU providers in your area.
Remember that the human body is designed for movement and range of motion, not for the compressive forces required when giving a massage. Appropriate body mechanics must be maintained to provide adequate pressure throughout the massage. Body mechanics systems that are based on movement, such as dance and martial arts systems, are not designed for the delivery of compressive force required for massage. Learning to effectively use your knees and feet while working on a mat as part of your massage applications can allow you to rest your arms and hands. Some applications of shiatsu and Chinese massage systems incorporate these applications of pressure delivery.
A well-trained massage professional should be able to effectively provide five to six massage sessions a day, five days per week, without excessive fatigue or pain. If you are unable to maintain this type of work pace, your body mechanics is the most likely cause. Take action now so that you can have the career you desire.
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