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Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
August, 2002, Vol. 02, Issue 08
Move Your Anatomy
By Keith Eric Grant, PhD, NCTMB
As midsummer's day approaches each year, it marks the reappearance of one of my favorite micro-communities. For one week in June, Scandinavian dancers and musicians gather in the redwood forests just inland from the Mendocino, California coast.Teachers of regional dances and fiddle tunes are brought in from Sweden and Norway, and other teachers and participants arrive from across the United States. It is a community marked by the respect and encouragement given to each student struggling with the nuance of a dance or tune, and by the ways in which all contribute to the week. Part of what I contribute are my skills with muscle and tissue, which help keep a number of my fellow participants more comfortably dancing and fiddling. Given the motions of what we are about, my fingers may work deep into the muscles of the anterior torso, hip, and gluteals of those asking for my help.
I stress these bodily areas for their great importance to movement and posture,1 and because, as I've discovered via a number of e-mail discussions, many massage schools apparently give only summary attention to these areas. In my mind, this is a very serious omission for those hoping to more than momentarily ameliorate the tensions and pains of their clients. It is not enough to simply move our work over painfully tight areas, because the pain and tightness can be secondary to the shortness and adhesions of another area.7 Consequently, it is important to understand the basic patterns by which maintained tension leads ultimately to dysfunction, and to work to relieve these patterns.
Vladimir Janda grouped muscles into postural and phasic muscles.2 Postural muscles are oriented toward static support and tend to shorten when stressed; phasic muscles are oriented toward movement and tend to weaken when stressed. These two types of muscles are key in understanding two common patterns of muscle dysfunction: upper-crossed syndrome and lower-crossed syndrome.2,3 In upper-crossed syndrome, the pectorals, upper trapezius, and levator scapula (postural muscles) become short, while the deep neck flexors, rhomboids, and serratus anterior (phasic muscles) become weak. In lower-crossed syndrome, the iliopsoas and erector spinae become short, while the abdominals and gluteals become weak. In both syndromes, weak muscles can be strenthened by exercise only after the shortened muscles have been released. While forward-pulled shoulders may result in weak, lengthened and taut rhomboids, habitual anterior flexion can compress the ribs and cause weak and short abdominals. Thus, relieving back pain may require releasing and lengthening the entire anterior torso, as well as releasing shortened posterior muscles.
Dance kinesiologist Sally Sevey Fitt notes the extent to which our cultural habits affect our muscles and body.4
Bodyworker Erik Dalton similarly calls us a "society of flexion addicts."3 Fitt further discusses the symptoms resulting from tightness of the anterior torso muscles pectoralis minor and serratus anterior.4
From the perspective of his concept of "anatomy trains," Tom Myers discusses the clinical implications of the superficial front line. He notes the effects of a maintained "startle reflex" pattern of shortening of the anterior line along with cervical extension.6
It is tempting to see these considerations as applying only to clinical massage. Yet, apart from sudden injuries, the tensions held from day to day presage the eventual pain-producing dysfunctions. When the tensions are coaxed out in a timely way, via gentle stroke and jostling, the need for remedial work can often be avoided. Working the right areas means making the mental jump from static anatomy on pages of books to the moving anatomy of the actual human body. It is a leap we must take to be effective in the long run.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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