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Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
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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