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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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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."
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.
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.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
June, 2002, Vol. 02, Issue 06
The Fifth Element: Integration
By Robin Zill, LMT
Author's note: The 10 Elements of the Spa Experience are designed to teach the consumer and professional about the integrated nature of the spa experience. This is the fifth article in a 12-part series and focuses on the fifth of the 10 elements: Integration.
It is no secret that the underlying saga of the modern American is often one of time-impoverished disconnection.The search for greater understanding of optimal health has taken our culture by storm. We know we have sacrificed our need for an integrated world view for one that emphasizes measurements, quantities, efficiency and money. We are finding out that such a view doesn't always work for us, or for future generations. The fifth element of the spa experience, integration, speaks directly to these issues. We define integration as the personal and social relationship between mind, body, spirit and environment. Located in the center of the circle, the search for personal integration is at the heart of the spa experience.
So, how does the global spa movement address the need for integration? After all, it encourages the need for evolution in industries such as medicine, beauty, resort & hospitality, massage, nutrition, and fitness, to name a few. But even the word integration has lost some of its original intent for the industry. "Mind, body, spirit" often means nothing more to the consumer today than a wellness clinic that has a doctor, massage therapist, nutritionist, and acupuncturist (or a host of other services) renting space under the same roof and sharing a receptionist. The client pays for each of the services separately, and there is no cost-effective way to use the knowledge of this eclectic team in a comprehensive and holistic manner that really meets the needs of the individual in a profitable business forum. We are evolving however, and the desire for the "spa experience" is increasing exponentially in almost every market segment. In order to create the next-century profession, we need to create a synergy between all the various market strands. We need a common language.
The Ousia* (oo SEE ahh) concept, built upon the 10 elements, has begun to define for me the importance of sharing our individual journeys with the goal of creating a new common language. We need to rediscover our roots and update our thoughts, theories, and values. The ousia philosophy consists of four steps designed to facilitate an integrated spa experience: insight, cleanse, nourish, and transform. The steps are based on the Asclepian healing journey of the ancient Greeks.
Asclepius was the god of healing. Those who sought healing began with a simple step: the decision to seek a healthier life. An individual had to walk to the temple on his or her own. During the journey, the seeker saw others returning from the temple. Already the healing journey had begun, because the seeker realized she was not alone. At the temple, she experienced the Greek comedies and tragedies. The arts reflected back the joys and pains of the human experience. (Every healthy culture throughout history embraced the necessity of the arts and beauty in the healing process.) This part of the healing process corresponds to step one: insight.
The next step in the journey is cleanse: the process of purification through water. The ancient baths and bathing rituals of this time attest to the importance of this. Asclepian guests enjoyed a wide range of bathing experiences that prepared them for the therapeutic and transforming experiences to come.
The third step in the ousia journey is nourish: to feed the body, mind, and soul what it uniquely needs. Whether it be food, exercise, massage, medicine, or counseling, experienced staff members find appropriate ways to customize the treatment for the individual.
In the Asclepian journey, the next part of the path was the most important to achieving personal integration. This was the experience of rest and dreaming, letting the unconscious speak. In ancient Greece, the seeker traveled down an elaborate maze-like corridor, eventually ending up in a dream chamber. Again it was up to the individual to ask for greater guidance through dreaming. If lucky, the seeker received a meaningful dream and in a sense were transformed. In order to complete the journey, the seeker needed to leave something of him or herself behind; a sacrifice for the next traveler on the healing path.
In The Web of Life, Fritjof Capra says it this way: "When we see a network of relationships among leaves, twigs, branches, and a trunk, we call it a tree. When we draw a picture of a tree most of us will not draw the roots. Yet the roots of a tree are often as expansive as the parts we see."
Integration demands that we not ignore the "roots" or the "leaves." When all the elements of a spa experience are achieved, they add up to an elusive wholeness. That wholeness brings balance to the cultural pendulum and leads to more integrated lives, rich in connectedness.
Remember, spa is a people's movement. Your voice is important. You can e-mail me at .
* Ousia (oo SEE ahh) : essence, nature; that which makes a thing what it is; a person or object seen from within, yet not a material substance. Applied to our search for fulfillment, ousia denotes divine essence.
Click here for previous articles by Robin Zill, LMT.
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