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Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
May, 2002, Vol. 02, Issue 05
Tilling the Soil
By Keith Eric Grant, PhD, NCTMB
I've been enjoying the coming of the central California spring: alternating days that push temperatures into the 70s and beyond with days characterized by rain squalls dropping ice water. The daffodils started blooming early with their displays of gold and white, and trees have put forth their yearly show of pink and white blossoms. The hills, which turn golden brown in summer, are now verdant green and in places interlaced with yellow mustard. As I run with friends at noon, golden-orange poppies grace the fields and the redwing blackbirds remind us with song and swoop that we are merely visitors in a territory to which they have long ago laid claim.
These features of spring also bring me back to the days in which I was a dues-paying member of a garden club. There are lessons learned in the endeavors and rewards of gardening that long reside within the memories of our bodies and souls, forming a metaphorical guidebook for our endeavors in general. These lessons apply as well to the learning and practicing of the art and business of massage as to the tilling of the soil. A successful practice, like as garden, is not made by sitting in the shade and saying "Oh how lovely"; it requires planning and effort.
Among the first decisions in planning a garden are the choices of place and structure. What is the goal? There are plants that thrive in full sunlight and plants that require shade. There are aquatic plants that must have their feet wet, and others that will rot and die if overwatered. Choices of structure and place, once made, hold for a while, like the garden plot along a chain link fence a friend chose to support her raspberries. In choosing training and locations for massage practice, consider whether you are aiming towards relaxation and stress management, sports facilitation, or therapeutic intervention. Do you want to do orthopedic work on injuries, lend comfort to the bodily strains of pregnant women, or add touch to the lives of the aged? Do you want to run a one-person business, share a practice with others, or work within a larger organization such as a health club or spa?
Just as a gardener will consult books and landscaping experts in laying out a new back yard, tie yourself in to available resources in doing your practice plans and business goals. The Service Corps of Retired Executives (SCORE), for example, provides both e-mail counseling and offers local workshops through its chapters. I maintain a list of links to SCORE and other small business resources on the McKinnon Institute website.1
In gardening, once the site is chosen, the work of soil preparation begins. Around here, the soil is heavy clay. To grow anything other than deep-rooted weeds requires a lot of shovel work, breaking through the hard crust, turning over the soil, and mixing in lots of organic compost. It's said that "if you double your initial estimate for bags of mulch and add three you'll only end up two bags short." Similarly, creating an office space that will be of comfort to you and your clients requires some thought, work, and final adjustments. It will likely be more work than you anticipated. If you are opening your own office, there are choices to make of wall color and decor, floor surface, furniture, clothing, and massage equipment and supplies. You might find yourself doing some cleaning and painting. Even working in an existing context, some of the choices remain. Depending on your opportunities, you also may find yourself wanting to add some "just in time" learning to reinforce your knowledge and skills in a particular area.
Once the soil preparation is done, the tasks of planting and tending begin. In the practice of massage, there are tasks of networking, marketing, record keeping, and beginning to tend to the needs of clients. Here you start needing the full combination of massage skills, communication skills, and business savvy to grow your practice - a combination that Claude Whitmyer and Salli Rasberry lump together in the single coined word "tradeskill."2 They note 10 characteristic traits that they have identified in those who have the knack of making small businesses succeed: being persistent; facing the facts; minimizing risks; being a hands-on learner; being good with numbers; being organized; being able to read carefully; possessing self-starting energy; relying on cooperation; and being consistent in behavior. Over time, you'll begin to discover what efforts and clients are working for you, and begin to thin and weed the rest.
Finally, with the hard work done, there comes the time for harvesting, enjoying and sharing the fruits of you labor. There is a deep satisfaction in seeing what you have started from seed become substantial. There are also important opportunities to network with colleagues and to mentor those learning the way after you. I encourage you to take full advantage of these fruits of your "soil tilling".
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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