resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
June, 2002, Vol. 02, Issue 06
White House CAM Commission Delivers Final Report
By Editorial Staff
After two years of various meetings, hearings and site visits, and after listening to written and oral testimony from more than 1,000 members of the health care community and the general public, the White House Commission on Complementary and Alternative Medicine Policy has issued its final report to the Department of Health and Human Services.The inch-thick document, which the Commission's chair calls "a ground plan ... for ways to integrate complementary and alternative medicine approaches to health care into the system,"1 lists more than 100 recommendations and courses of action, many of which emphasize information and education as the keys to making intelligent, objective decisions about health care. It also suggests that the federal government will play an increasing role in the evaluation and implementation of certain forms of complementary and alternative medicine.
The Commission's recommendations are divided into six categories, covering nearly every aspect of complementary and alternative medicine. Among the more noteworthy suggestions:
Several recommendations were aimed specifically at the quality of dietary supplements:
Education and Training
Access and Delivery
Coverage and Reimbursement
Wellness and Health Promotion
"There's a lot that needs to be digested ... before taking the next step."
Although the Commission's recommendations are non-binding, and are intended to serve merely as a framework for future government studies, they have stirred controversy among both critics and advocates of complementary and alternative medicine. Some of this controversy may be attributed to the non-specific nature of the report, which lumps both proven and unproven forms of CAM into one category. For instance, while the group recommends that insurers and managed care organizations "should offer purchasers the option of health benefit plans that incorporate coverage of safe and effective CAM interventions," the report fails to mention which forms of CAM they consider safe and effective. In fact, in the report's introduction, the Commission's members admit that "most CAM interventions have not yet been scientifically studied and found to be safe and effective."
Furthermore, not every member of the Commission agreed with the final report's conclusions. In a separate statement, two panelists criticized the report for being overly generic and vague.
"While many of the Commission's recommendations will help maximize the benefits of proven safe and effective approaches, practices and products, they do not appropriately acknowledge the limitations of unproven and unvalidated CAM interventions or adequately address the minimization of risk," they wrote.
The Commission acknowledged the other panelists' criticism in its introduction. "The report does its best to distinguish in its recommendations between those proven safe and effective ... and those that are not. But the Commission recognizes that this distinction may not always be clear," they wrote.
It is also unclear as to how much credence will be given to the Commission's work by the Bush administration, given that the organization providing the report was created by former President Clinton. In an interview with Reuters Health, Bill Hall, a spokesperson for Health and Human Services, said, "There's a lot that needs to be digested first before taking the next step of saying where we're going to go."2 Hall added that the department would consider the Commission's recommendations, but that it was "premature" to say what might happen in the future.
Others have voiced their support for the group's efforts, including Senator Tom Harkin (D-Iowa), a long-time proponent of alternative therapies.
"I'm hopeful the commission's recommendations will help move toward the day that Americans can get the best of both traditional medicine and complementary medicine," Harkin told the Washington Post. "Public policy has not kept up with consumers or the science in this area. People are spending record sums out of their own pockets for complementary health care, and they have a right to expect good and reliable information and continued access."3
Exactly what impact the final report of the White House CAM Policy Commission will have on complementary and alternative medicine in the United States remains to be seen. Nevertheless, in many ways, the "final" report represents an important first step that has been taken in the recognition of complementary and alternative medicine. With its mantras of education, information and research as the keys to making informed, intelligent decisions about health care, the Commission's report sets the foundation upon which further actions by the federal government and private health care organizations can be built, and is sure to spark debate among practitioners across the full spectrum of the health care profession for years to come.
Editor's note: A complete copy of the White House CAM Commission's final report is available for viewing and printing via the Internet. Interested parties can access the report at http://whccamp.hhs.gov.
Join the conversation
Comments are encouraged, but you must follow our User Agreementcomments powered by Disqus
Keep it civil and stay on topic. No profanity, vulgar, racist or hateful comments or personal attacks. Anyone who chooses to exercise poor judgement will be blocked. By posting your comment, you agree to allow MPA Media the right to republish your name and comment in additional MPA Media publications without any notification or payment.