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Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
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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