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A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
September, 2002, Vol. 02, Issue 09
The Eighth Element: Cultural Expression
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 ninth article in a 12-part series and focuses on the eighth of the 10 elements: Cultural expression.
Cultural expression, the eighth element of the spa experience, embodies much of what often goes unspoken or unacknowledged in our daily lives. Yet like a mirror, it reflects back to us who we are and who we can become on our own life journey. Most simply, cultural expression refers to the science, politics, belief systems and arts of the time and how we perceive them using our minds, emotions, senses and souls. We are not separate from the world we live in, and we constantly re-define ourselves according to norms and constructs within our culture. Cultural expression embraces this process of self-discovery through the following four categories: values and beliefs, science and technology, political climate and the arts.
Values and Beliefs
What are the prevailing religious and belief systems, and how do they relate to the spa experience? Our belief systems help us to form concepts of what is right and wrong and what is attractive and unattractive. Cultural expression is important to the spa experience if only to understand simple things such as how modesty and nudity are addressed in the spa setting. The human body and our sexual/sensual concept of what makes us who we are is one example. Europeans are characteristically much less modest than Americans, and Americans less modest than the Chinese, and so on. Nudity, draping issues, touch and gender issues differ according to age, upbringing, culture, and religious beliefs. Belief systems can make or break a spa experience, whether the client is a novice or a discerning spa consumer.
Treatments with religious or spiritual overtones are also a new issue surfacing in the spa industry. Although there is a general interest in exploring spirituality, and a growing tolerance and acceptance for the beliefs of others, there are still problems. For example, providing spa treatments that lean toward Eastern or esoteric philosophy may not be appealing to a dedicated Christian, and vise-versa.
How do science and technology change our idea of an optimal spa experience? How will the spa experience be affected by the shifting scientific paradigm from mechanical reductionism to the emerging paradigm of wholeness and dynamic interrelationships? What kind of treatments appeal to us: do we want pure, natural and organic treatments, or the latest in scientific discovery to remove wrinkles and retard the aging process?
For example, consider current scientific research, the long and high cost of the FDA approval process for bringing a product to market. What is funded, why is it funded, and who provides the funding? I remember how hard it was for our industry to raise funding for the first scientific research on "massage and touch therapies" at the Touch Research Institute in Miami years ago. It would be interesting to compare research dollars spent on touch and hydrotherapy to those spent on laser resurfacing and botox treatments, for example.
Often we don't stop and think how the political environment and ruling party of the time affect a spa experience or even our daily living. Are we at war? What is the climate for trade, social programs, health benefits and insurance? For example, how will social security and health benefits affect the baby-boomers as they age - will they be able to afford spa treatments? Government organizations and political lobbyists help determine what will be available to us: everything from organic food, to beauty aids, to genetic engineering. We must begin to think ahead and become more conscious of the political climate. Do we want spa to become more medical? Should spa treatments be covered by insurance? Who will qualify for new anti-aging therapies and how will they be paid for?
Also, the political climate of the time affects our global trading opportunities from a business perspective. Costs of goods and unique sourcing directly affect the therapies that we can offer and the profit they deliver.
In the words of Dr. Lawrence Van Der Post: "Nations decay when the arts decay." What the arts really do is connect people to the culture and the stories we are telling. I went to Karlsbad in the Czech Republic with Dr. Jonathan DeVierville a few years ago, a trip I highly recommend. Karlsbad is an architecturally beautiful city built around an array of spas and mineral springs for drinking. It is obvious the city planners knew the importance of art and beauty to health and well-being. I remember hearing music in my room only to find out that it was the orchestra actually practicing in the spa we were staying in. Here people stay for at least two weeks or longer. The concept is basic; integrated medical/wellness care combined with spa treatments in a beautiful culture where people have the time to change from the inside out.
Are we surrounded by beauty in today's contemporary spa experience? Do we support our government and local community to capture the story of our times through the arts? How do we incorporate art and music into the spa experience? Yes, new age music is often a staple to the experience, but are we consciously bringing this to the spa guest with the goal of transformation?
All of these considerations weave together the importance of cultural expression in the spa experience. It is true, we have experienced much criticism in regards to the eighth element: "it is too obtuse, too vague, not related to the rigors of daily spa business..." This element may have seemed out of step with the spa experience before September 11. But after this catastrophe, the complacency of our political, social, and spiritual lives blew up -- literally. For the first time, this cultural dimension of the spa experience became the core of how people organized or reorganized their businesses.
Traveling less and spending time with family at home became more appealing and cash became tighter, so selling strategies needed to change. People were more likely to visit a day spa than a destination resort, showing us the diversity of needs within our profession. We saw the ugliness of war on the homefront, and we experienced the impact it had on our artistic communities. We became intimately aware of how political choices, actions and bureaucracy affect the stock market, home security, international trade and travel. Our first reaction was to cocoon and process, the next to connect. No longer was pampering and pleasure the essence of the spa experience, but rather stress reduction, self-discovery, and reassessing of values.
That is why it is imperative that we look to spa as a cultural movement, not just as an industry. This search for the soul of spa is something we can all share together. Imagine this movement becoming the vessel for cultural renewal, one in which people come together to share at a deeper and more meaningful level. We must recognize that it is our responsibility to listen to these inaudible murmurings of our collective unconscious. They are what call us to simplest purpose of the human experience, the search for who we are and that which connects us to something greater than ourselves.
Click here for previous articles by Robin Zill, LMT.
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