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Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Treating Menopausal Women in Your Practice
I love what I do for a living. It's a great way to trade health for bread. And no topic of health, with the right bedside manner, is taboo.
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
June, 2002, Vol. 02, Issue 06
We Get Letters & E-Mail
By Editorial Staff
"Much of the public is still not convinced..."
I would like to respond to the letter from Sybille Murphy in the October 2001 issue.(Editor's note: Ms. Murphy's letter to the editor appears on line at www.massagetoday.com/archives/2001/10/17.html.)
I would question Ms. Murphy to be more exact about what she means by "so much incompetence" before slamming licensure as ineffective, either in protecting the integrity of the profession or protecting the public. As a licensed occupational therapist and a licensed massage therapist, I see great benefit in both areas for licensure. Of course, I recognize that there will always be some cases of incompetence in any field. We do live in an imperfect world.
As Massage Today Editor Cliff Korn pointed out in his column (that prompted Ms. Murphy's response), we have an opportunity to limit incompetence and unethical practitioners under licensure that we do not without it. Whether people contact you depends upon their confidence, not just in you, but in the profession as a whole, before they ever call you or lay eyes on you. Your assertion that "if we're incompetent, no one will ask for our services." is only partially correct. The truth is, if the public perceives we are incompetent or of questionable ethics, they will not call. (Editor's note: Cliff Korn's article, "Should We or Shouldn't We?" appeared in the June 2001 issue and is available on line at www.massagetoday.com/archives/2001/06/09.html.)
I get many calls from people who say they picked me out of all the other MTs in the Yellow Pages because I have a "health background" (occupational therapy). This clearly indicates that much of the public is still not convinced of our competence, and perhaps also of our ethics. As Mr. Korn stated in his article, "Many of us don't see ourselves as part of the greater health care field."
This leads me to my major complaint as an LMT: the ludicrous requirement in most massage job applications that we give away a free hour of our time and skill "proving" our competency. What other (accepted) health care profession experiences this? I know of none. I reiterate Mr Korn's own words to express my feeling on this practice: "How ludicrous. How demeaning. Occupational therapists, physical therapists, dental hygienists, psychologists, nurses, opticians, etc., would never put up with such nonsense, but many massage therapists accept this situation as customary and normal."
Thanks for the opportunity to express my point of view.
Bonnie Clancy, OTR, LMT
Editor's note: The following letter was submitted as commentary on Ben Benjamin's article, "The Dangers of Biking," which appeared in the January 2002 issue of MT. The letter is followed by a response from Dr. Benjamin.
"I submit myself as an expert in the field..."
Dear Ben, I just read your article in the January 2002 issue of Massage Today.
From your opening paragraph, it is obvious that you have not set foot in a bike shop in 10 years! Or at least not a shop that caters to "every person." Or perhaps our industry's ad campaigns gave you a wrong impression; they are still (unfortunately) aimed at the 20-something gonzo male.
Have you heard of the category called "comfort bikes"? They are the fastest growing and most popular category of bike. They address all the concerns of the average person: performance, ease of braking and shifting, comfort and an upright position, shocks, cushy seat, big tires, you name it!
The popular "bikes of 30 years ago" (that was 1972, the beginning of the "Bike Boom") were Schwinn Varsity 10 Speeds. They provided a very bent-over position and made the mountain bike an even better success because of its relative upright position. All the stresses your talk about are 'undone' by the comfort bike.
Recumbent bikes are indeed comfortable, but they have dangers and disadvantages also. Being less visible in traffic is one disadvantage, climbing ability is another, maneuverability is a third.
The bicycle industry woke up to the needs of real people about five years ago. The trend started about 15 years ago in 1988 with the introduction of hybrid bikes. Comfort bikes take it a step further. After 150 years, the bicycle industry is finally agreeing on "fit." Fit is a compromise between comfort and performance. We help our customers find that balance. Please see my website, linked below for more info and many links from other experts.
I suggest you contact experts in the bicycle industry before you give us such bad press in the future. I demand that you do your homework and print a more accurate article! I submit myself as an expert in the field if you have any further questions.
"I have done my homework"
Dear Aaron Goss,
I don't mean to give the bike industry bad press, but I have done my homework. I visited many bike shops over the past year in the Boston and New Hampshire areas, looking for a bike for myself. I wanted a bike that was comfortable and healthy for my body. It took many months and many bicycle shops to find a so-called "comfort" bike that was actually reasonably comfortable.
Biking can be a wonderful activity, but it seems that some bike shops and their "experts" still have ideas about biking that encourage injury instead of protecting the rider against it. They all advised me to ride in a forward-bent position that puts excessive strain on the neck, lower back, shoulders and wrists. There were no exceptions.
It sounds like you are motivated to offer a healthy bike to the public and I can only commend you on that. But it seems the bike retailers aren't yet tuned in to the knowledge expansion you describe. Since salespeople assume the role of educating the public on their product, it clearly matters that they may be uninformed about the advances you describe, and the injuries with which I am concerned.
After receiving your e-mail, I went out again today to see what the most well-thought-of bike shop in my area had to say while recommending a bike for me. I specifically asked for a bike that would not place undue stress on my neck, low back, shoulders and wrists. The salesperson discouraged me from sitting upright on any bike; he said it was actually bad for my low back. I was shown several comfort and hybrid bikes and put in positions that I was told were optimal for my back and my wrists. In each case, I was told that leaning forward was better for me and that this would not put pressure on my wrists. I also asked which type of bike the majority of recreational bikers used. The salesperson said that most bikers chose to buy bikes that gave them optimal power by having an even greater forward lean than the bikes in which I was interested.
Nothing in this particular conversation was different from what I have been told over the past year. I decided to question myself further after your e-mail and called an expert I know on alignment and movement. The discipline I respect most in this regard is the Alexander Technique, a method of teaching healthy posture, alignment and movement. According to Tommy Thompson, former chair of Alexander Technique International, "Sitting totally erect while riding a bicycle is the healthiest position for the neck and back. Most recreational bikers ride in a racers position which strains the body and makes it vulnerable to pain problems."
In addition to seeing injured bikers, it was the information I received in bike shops that convinced me that biking can be a dangerous activity for the neck, the low back, the shoulders and wrists. I frequently treat clients with biking injuries caused by this type of uninformed thinking about body mechanics and good health.
You might suggest to the trade magazines in your industry that they publish more about the dangers of injury associated with the "forward leaning posture" of contemporary bike riding. The body of a healthy 20-something-year-old may better tolerate this prolonged unnatural posture, but unfortunately I see too many bikers who have severely injured themselves because they believe this posture is best for their performance.
Ben Benjamin, PhD
Author's note: What follows are some helpful responses that Aaron Goss gave me in response to my questions in our e-mail correspondence.
Q: What exactly should a consumer say to a bike salesperson in order to find a bike that will not cause injury?
A: The first thing that should be discussed when shopping for a bike is the fit. Fit is a compromise between comfort and performance. Consumers should think about where they want to ride, on what kind of surfaces they will be riding, and how often, how far and how long they want to ride. These elements all play a roll in the fit process. Factors that may cause pain when leaning forward while sitting on a bike seat or that limit reaching the bars should be discussed with the bike fitting professional. Previous back injury, shoulder problems, lower back pain, tennis elbow, vaginal yeast infection, hernia, etc., are important considerations when choosing the most appropriate bike.
It is hard to find someone who understands fit and can answer all these questions. If the salesperson tries to size you by just having you stand over the bike, get someone else or go to another shop, because that person doesn't have a clue about bike fit. Most bike "salespeople" are simply trying to sell a bike. Bike industry wages are not high, so it's best to find someone who does this work for more than just money.
Q: Are there specific kinds of bikes (not just the descriptives "comfort" or "hybrid") that the casual/recreational rider should ask for?
A: Those terms are well known in the bike world, and bike shop professionals will know what you mean. They are also sometimes referred to as "cross" bikes or "cross training bikes" (not the same as Cyclocross). "Comfort" or "hybrid" bikes generally have a cushy seat, high handlebars in relation to the seat (generally two to six inches higher), and wide tires. Other features are low mountain bike gearing, seatpost shock, and a front fork shock.
Hybrids have 700 C (aprox. 27") wheels, and comfort bikes have 26" mountain bike-size wheels. Comfort bikes usually have higher handlebars than hybrid bikes. Both types usually have the straight handlebar like a mountain bike. Some may curve up to give more rise and some may curve back.
A really comfortable bike (although usually-custom installed) has the cruiser handlebar, (the names North Road, Priest, Upright and Girls have been given to the same bar). They put the rider's hand in a more natural position. Stand with your hands at your side, and raise them as if to grab a handlebar, but do not turn your wrist. Notice your hand position. This is the hand position of the cruiser bar. Straight mountain bike bars force you to turn your wrist 90 degrees - good for control, but not as comfortable. This is why mountain bike bar end extensions are popular. They give you the cruiser position.
Hope this helps.
"Why are we letting this happen?"
As I read your article about yet another state considering licensure for MTs, I had to ask myself, "Why?" As a massage therapist who has had to go through all the requirements for a license, I can only say that the process is flawed and meaningless in the end. (Editor's note: See "Arizona Massage Therapists Press for Licensure" in the February 2002 issue.)
In 1996, South Carolina passed, with great enthusiasm from the AMTA, licensing for MTs, plus passing requirements such as continuing education, course-hour minimums, etc. The reasons given were that the industry needed to legitimize itself through government intervention and and to ensure that MTs were being trained properly before working with the public. This rationale is ludicrous at best.
First of all, I have yet to see any compelling evidence that anyone ever died from a massage. The whole safety issue is moot, with the exception of wear and tear on the therapist. Here in South Carolina, it's obvious that the "legitimacy" issue is a joke as well. In fact, here in my town of Myrtle Beach, we've had an increase in "massage parlors" since the law was passed. Law enforcement has made a few token arrests, but no one even acknowledges the massage laws on the books.
Another point to make is this: A large portion of licensed therapists engage in inappropriate behavior. The dirty little secret is discussed by therapists who hear about it directly from the therapists themselves, or in my case, hearing from their clients about sexual encounters from other therapists. Of course, these clients aren't complaining, nor or they going to press charges against the therapist. There is no way anything can be done to discourage this. Two consenting adults in a private setting cannot be regulated by legislation.
This takes me back to the original question: Why do we allow (or even encourage) ourselves to be regulated? I think the answers are as follows:
As many industries are asking for self-regulation these days and less government regulation, we need to ask ourselves why we are letting this happen. Can you imagine the film industry (or any other industry, for that matter) asking the government to mandate regulations and guidelines to keep less legitimate elements at bay? Of course not! As business people, we need to start thinking like professionals, instead of worrying about prostitutes and the like.
"Obviously Massage Today is being read"
I wanted to thank you for publishing my article. (Editor's note: See "Medical Massage Therapy: The Search for Definition" by Gregory Lawton in the January 2002 issue.) Since the article came out, we have received 87 telephone calls to our school requesting educational materials or seminar information. In addition, our e-mail requests for catalogs are up more than 30 percent. This is remarkable because the article did not indicate exactly how to contact us. Many of the requests have come from nurses and physical therapists who are also massage therapists. This is the group we are attempting to target with our training. Obviously Massage Today is being read.
Greg Lawton, DC
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