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Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
March, 2002, Vol. 02, Issue 03
Putting the Pieces Together
By Keith Eric Grant, PhD, NCTMB
Parenthood has pulled me into some unexpected byways of learning. One such journey came in reading about those who design imaginative constructions for LEGO®, the maker of the ubiquitous small, brightly-colored plastic bricks that fit together - the same sharp-edged bricks that I've stepped on too many times while walking barefoot through my house. While LEGO® makes many specialized pieces, those who design and make creations for LEGO® itself first have to demonstrate high proficiency with the simple basic brick. From the basic bricks spring forth the larger modules that eventually combine into thematic displays. In learning to skillfully practice the art and profession of massage, we can take lessons from LEGO® - the basic bricks are the starting points, to which we must add a larger context that guides us in joining the individual bricks into something greater.2
In teaching sports and deep-tissue massage classes, my basic bricks include evaluative skills, specific manipulation techniques, biomechanics, and knowledge of how to access and facilitate specific soft-tissue structures. Surrounding the individual kinesthetic skills and concepts is an ongoing context of client connection and communication motivated ultimately by the intent to create lasting benefit for our clients. It is this context of creating benefit that guides us consciously and unconsciously and allows each new session to evolve into something that is fresh and unique. As with the LEGO® bricks, there are countless "right" ways to create a massage from our store or conceptual and kinesthetic knowledge.
Like a good horticulturist, part of teaching the craft of massage comes in grafting the new learning onto a student's rootstock of experience, so that it will bear fruit rather than wither unused and unusable. I often start this process with exercises designed to build our kinesthetic vocabularies, initially backing off from the pressures of "doing massage" into the practice of coordination, movement and connection found in variations of tai ji push hands. This kinesthetic practice teaches us to match the movement and to become aware of the pressure and contact that we exert vis-a-vis our partner. We can maintain the contact on the physical level or loosen it into contact via a viscous visualized "energy taffy" - still maintaining the moment-by-moment connection of intent and awareness - in touch yet not physically touching. A primary effect of this practice is that we rapidly move from being a room of strangers to being a class of individuals who have moved together and laughed together into feelings of cohesion and commonality. We are practicing the nonverbal skills of perception that will allow our clients to teach us touch-by-touch what works for them.
This movement practice allows us to examine and relearn our own body usage. The exercises slow us down to practice the flow of one position into another, so that we can become aware of our proprioception of bearing our own weight and how that realization shifts as we move forward and back or side-to-side. We become aware of those places in which our movements are smooth and continuous and learn new neuromuscular patterns for those places that we previously sped or jerked through.
The movements integrate us, moving not just in our hands and wrists, but in our arms and shoulders; and not just in our arms and shoulders, but through our torsos and legs into our feet. Through our feet, we create contact with the floor. When we align our pelvis with the direction of performing our massage strokes and roll tissues using our entire body rather than just the intrinsic muscles of our hands, the strength and smoothness of our moves are palpable to our clients. Our work becomes a tai ji dance, rather than an injury inviting strain of our own muscles and tissues.
With our skills of movement and nonverbal contact accomplished, we are freer to sense and attend to our clients' needs, letting each session develop from their expressions and our own perceptions. We can glean background from our clients in words either written or verbal or by the visual means of having a client color in problem areas on a body image diagram. 3 Visually, we can look for areas of asymmetry and dislocation in the alignment of the different sections of a client's body. 1, 4 Via palpation and range-of-motion checks, we can seek areas of muscle hypertonicity and abnormal tissue texture. I've found Philip Greenman's mnemonic of ART to be useful - Asymmetry of related parts, Range of motion of joints, and abnormalities of tissue Texture. 4 Depending of the focus of a massage, we sometimes observe these implicitly within the context of an opening stretch or compressive effleurage, and sometimes explicitly in seeking the causes of pain or limitation. Our therapy also can be done implicitly by focusing on a tissue lesion within the flow of a general massage, or explicitly as part of a planned facilitation with considerable client interaction and participation. There are indeed nearly an infinite number of ways to put the pieces together to further our goal of creating long-term client benefit.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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