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A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
December, 2002, Vol. 02, Issue 12
Movement Awareness: Connecting Self with Client, Part I
By Josef Dellagrotte, PhD, LMHC, CFP, RMT
Every massage session is a movement relationship between practitioner and client. Because clients are passive receivers, we tend to ignore their awareness of and responses to what may be happening to their own body image perceptions.We consider our role in this interaction as body use, contact, and application of technique.
Movement organization differentiates between massage as therapy and improvement vs. massage as treatment only, whether as a relaxing or as a myofascial relieving experience. The root of massage practice is in movement itself. The practitioner must move his/her own body in harmony with the inexorable laws of gravity and biomechanics. Massage is not generally considered a movement modality; in reality, it is, and it grows in public significance when it is consciously practiced with self-movement awareness and skill. Sooner or later, the client picks up on whether the message in the massage carries something more. Consider the following:
First, picture a standard massage treatment. The practitioner's actions reveal well-organized movements, or compromised, imbalanced, stressful postures during the application of treatment. There appears to be little client movement, and little equivalent or commensurate response. The client's body absorbs the potentially beneficial forces applied by the practitioner. The neglected, significant question is this: Is the practitioner benefiting? Is he or she getting better or worse?
The general protocol and expectations of a massage session have been shaped by tradition, experience and habit. The passive client comes to a session for the purpose of experiencing relaxation, without movement, or without any self-induced motion except to lie down, remain motionless, and then to get up and leave. The client feels the positive effects, but is minimally conscious of the process. The reality is that the practitioner does most of the moving; the client's body is moved. The effort is distinctly disproportional.
Second, the practitioner's actions reveal active mobilization that resembled work or effort. Any kind of hands-on work must affect one's own body. Physics dictates that any force generated must travel freely, without resistance or torque. To do otherwise is to generate turbulence affecting one or more components: muscle, nerves, myofascia, joints or bones. Whatever the modality used, the body must experience some effect, and this effect must be registered in the nervous system.
Third, the practitioner is moving his/her own body -- but how? The very act of movement involves using vectors of force, direction of force, body tensioning along myofascial planes, and an entire dimension of sensory-motor stimulation through touch. Some of these myofascial pathways of movement have been anatomically described (for example, see Thomas Myers' Anatomy Trains). No matter the technique or style used, the practitioner has to begin with self-organization, in the field of gravity. Technique is secondary to the greater principle: well-organized and efficient direction of movement energy in motion. This can be further broken down into components, such as the core functional movement based on the actions and planes of movement. In essence, every practitioner, either intuitively or by sheer behavioral learning, must use the basic functional components of human biological and biomechanical motion.
When working on a client, a practitioner intuitively recognizes a fundamental need for postural stability; for balance; for transmission of forces from the ground through oneself; for a certain amount of strength; for lengthening of one's own body; for relaxation, and for satisfaction while one works. This means that the practitioner, like the musician, has only natural, core functional motion possibilities: notes, then chords, then melodies or compositions. The notes are single actions of one part. The chords are combinations of notes that form core functional actions of extension, flexion, rotation and lateral bending of the opposite segments. These core functional movements, or colors of the body spectrum, allow joints to perform different actions.
As a functional movement, that action is precise and ideally effortless, not forced. If the articulation, with its corresponding muscle contraction, muscle lengthening, connective tissue or fascial spread, and internal sensory feel, are not resonant and syntonic, trouble ensues. If the movements go well, they combine to form patterns of action, or primary functional actions, the practitioner and the client benefit. As the practitioner moves, so does the client. Where the practitioner is struggling in her/his body, the client absorbs the manual forces, not having a clue (until later, perhaps) as to why a negative reaction was felt. It is rationalized often as: "I felt good, but then the pain came back."
Josef DellaGrotte is a certified Feldenkrais trainer, registered muscular therapist, integrative somatic practitioner and body-centered psychotherapist. He began training with Ida Rolf, then with Moshe Feldenkrais, who named Josef as a training assistant. His interest and practice is in combining therapy with somatic education, taking the client beyond passive experience and dependency into learning and self-care.
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