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How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
After two treatments for back pain, a patient presents for a third
session complaining of rapid breathing and wheezing that is made worse
during cold weather.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
September, 2002, Vol. 02, Issue 09
Breathing Fresh Air
By Keith Eric Grant, PhD, NCTMB
Breathing fresh air has literal and metaphorical significance. In the beginnings of the industrial revolution, little thought was given to the environment. As a severe result, the particulate air pollution in London from coal burning resulted in "killer fogs" from the 1800s into the 1950s.9 Since then, greater understanding and attention to the system as a whole has freshened the air. This is partly a change from perceiving everything as simple stand-alone machines, to understanding more of the interactions, feedbacks, and true complexity of systems. It is the change of viewpoint from the industrial revolution to the information revolution. The "fresh air" of a wider perspective can contribute significantly to the literal freshness of the air.
The somatic consideration of breathing fresh air returns us to thoughts from last month's column. I brought up the effects of chronic shortening of our anterior line, including compaction of our ribcage and dysfunctional breathing patterns. Philip Greenman notes that alteration in ribcage function can negatively impact respiratory activity, circulatory activity (arterial, venous, and lymphatic), and neural activity.3 During inspiration, as the diaphragm contracts and descends toward the pelvis, the ribs should elevate and expand using secondary muscles of respiration.1,3,6 The reverse occurs during expiration. Lengthening the anterior line restores space for the ribs to function, but does not automatically restore function. Art Riggs comments on working with clients to correct their breathing patterns:7
Sometimes, especially in relation to chronic postural patterns, the motion of one or more ribs can become restricted - fixed in either exhalation or inhalation. Directly working the soft tissues of the thoracic regions around the costotransverse, costovertebral, costochondral, and sternochondral regions is a first step toward restoring movement.5 Additional steps can involve direct work on the deep intrinsic muscles of the spine, gentle movements of the ribcage, and gentle resistance against breathing in the manner of post-isometric relaxation.5,7 Gentle resistance techniques can also be used to help a client become aware of and relearn breathing patterns.7
Breathing fresh air also has the metaphorical meaning of taking a new path in looking for solutions to well-known problems. One such problem comes in seeking ways to reach out and help at-risk and disadvantaged segments of our population to help themselves. I've recently become involved in such a project via the Touch Health Association, the community outreach agency of the McKinnon Institute at which I've long been teaching massage.8
Many young mothers are unaware of their children's needs because they lack maturity and/or education to pick up on their cues. An infant massage training program, now in its own gestation, will teach disadvantaged mothers to touch their children in a healthy/healing way that improves infant development and increases their familiarity and comfort with appropriate touch. It is planned that, as these women complete their training in massage therapy, they will be hired through the non-profit agency to bring massage and appropriate touch back to their own communities. We will make use of the community knowledge the young mothers already have and the trust they can access from being part of the community served. The focus of the project is to create sustainable job options for young mothers as well as increase availability of massage to underserved populations.
Much of the coursework is based on results of developmental research from the Touch Research Institute (TRI). In many cases the trainees will not be persons fluent in academic learning and assessment methods - chalk and talk and standardized tests won't cut it. The project will have to move both to use of active visual media and to an experiential/kinesthetic mode of teaching topics such as anatomy.1,6 Assessment will need to be done directly within the context of practice.
What I'm describing is without a doubt at odds with many existing state practice acts - laws written and passed without a thought of using massage as a tool for community intervention. The pursuit of "credentialism" embodied in such laws can have needless impacts on those already disadvantaged.2
Such laws were written by people and can be changed by other people. Advocate such change to colleagues and legislators when licensing acts are either being initially considered or are up for a review of need and efficacy. Cherish and preserve the flexibility you do have, working with nonprofit resources and government agencies to create touch-based outreach programs. By caring enough to participate, we can create a breath of fresh air in how we reach out as massage therapists to improve community and culture and stem the tides of despair and violence.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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