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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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
July, 2002, Vol. 02, Issue 07
The Sixth Element: Aesthetics
By Robin Zill, LMT
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 seventh article in a 12-part series and focuses on the sixth of the 10 elements: Aesthetics.
The sixth element, aesthetics, relates to our concept of beauty and how botanical and natural agents relate to the biochemical components of the body. Beauty is the essence behind the sixth element of the spa experience. What is more important than feeling beautiful and enjoying beauty in your surroundings? After all, your environment and the people close to you reflect who you are.
I'm writing this article late on Memorial Day. I just left the hospital with the news that my mother will need hospice care this week. This may not seem "spa significant," and yet it is what the spa industry embraces: optimal health and enhanced quality of life, wherever you may be on the human health continuum.
During a health crisis of my own, when I wasn't feeling particularly perky, I walked into my house and looked at my favorite tree. I felt nothing for its beauty. I told myself, "Remember how you are observing the world today... you are not seeing or feeling beautiful. This is what you see when you are sick, fatigued, or depressed." I am reminded that helping people feel beautiful is helping people see beauty ? not just in the mirror, but also in the world around them - and deep within. So what does this search for inner and outer beauty mean for the massage therapist? It means embracing beauty by using the skin as a metaphor and tool for enhancing well-being. When you pay attention to aesthetics in the spa experience, you can initiate the hidden journey of transformation, by which inner beauty is reflected in the outer glow of our external persona. We can help change how our clients see and feel things.
As I look back at my introduction to the spa experience, some of my most important mentors came from the skin care and beauty industry: Erica Miller; Mikki Guntta; Lydia Sarfati; Barbara Solomon; Kirsten Florian; Pratima Rachir; and many others. Anyone who studies the skin knows of the connection between the microcosm and the macrocosm of our living universe embodied in our largest organ. The emphasis on healthy skin is a contemporary cultural movement. Our epidermis is the major organ of the body, connecting our internal biology to the external environment. It is also a reflection of our lifestyle and well-being. Although the primary focus for a massage therapist is the relaxation of muscles, you have to touch the skin to get to the muscle.
According to Melanie Schmidt, ISPA board member and vice president of spa development and education at Decléor, massage therapists today are not even minimally trained in basic skin care. Whether or not massage therapists choose to train in aesthetics, they need to appreciate the importance of the products they use on the skin. From massage oils, creams and essential oils, to the latest wrinkle or reducing agent, it is important to remember that for every action on the skin, there is a reaction. For example, it is important to understand that the only proven ingredient to absorb into the skin is an essential oil, because it is a gas molecule. Essential oils are attracted to natural lipids in the skin, which are attracted to the sebaceous glands. These ingredients communicate to active cells in the body and the body sends messages back to the skin. Balancing the body is a goal, because there is so much communication between skin cells. If a body environment is polluted, cells are not very responsive. Put the skin cells in a spa environment, and they can detox, cleanse and regenerate. Imagine how much more effective such an enhanced massage treatment can be.
Because of its influence on our inner beauty, our outer beauty, and our connection to the environment, the skin serves as a good case study of what the 10 elements of the spa experience encourage in terms of a next-century professional. Current statistics suggest that the average person makes eight career changes in a lifetime. Imagine if this switching had focus with inner reward and financial gain. That is why crosstraining in aesthetics, massage and cosmetology is excellent for the spa therapist. It is the perfect example of how one can maximize client retention by providing more services to your current client base, while at the same time providing a marketing edge over the competition. Whether you are applying for a prestigious job at a recognized spa or in business for yourself, massaging the skin with an intention of beauty behind your stroke will give both you and your clients an evolved treatment.
Just as in massage, guidelines vary greatly in the aesthetic training continuum, from a few hundred hours in some states to the high standards of CIDESCO (Comité International d'Esthétique et de Cosmétologie), which requires students to undergo 1,200 hours of training in practical and theoretical work in a registered CIDESCO school. State guidelines also vary greatly in professional scope. In this quickly expanding market, this poses a problem, since skin care and beauty technology are taking the market by storm. This is what I suggest.
So in the end, what does it mean to be beautiful? I asked my children this question and it stopped them cold. For my 14-year-old daughter Aubrey, it was a Duke basketball player. For my son Hart it was a "special smile that makes me smile back." True beauty is contagious.
What do you think? Join the Great Spa Conversation at www.spaelegance.com. Your voice is important.
Click here for previous articles by Robin Zill, LMT.
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