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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.
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.
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.
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?
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
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.
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.
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.
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.
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.
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.
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.
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.
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?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
December, 2002, Vol. 02, Issue 12
No Better Time Than Now
By Ralph Stephens, BS, LMT, NCTMB
The holidays are upon us. It is a wonderful time of the year; a time when people buy gift certificates for massage with complete abandon. When I first started my practice, very few Christmas gift certificates were brought in and used.In the last few years, they all are redeemed. I think this shows the improved awareness of massage by the general public, and the improved image of massage in the past few years.
At the end of each year, almost every person of every persuasion has a day to acknowledge his or her beliefs. From the most sacred to the most material to the most demonic, all seem to agree this is a special time of the year. It is a time of conclusion and a time of beginning. Close the books December 31, and make New Year's resolutions January 1.
In our profession, we are near an ending. The emergence period is or will soon be over. It has been quite a ride from obscurity to fad. Unfortunately, little planning was done to establish a firm foundation under the profession to support the exponential growth we have experienced. Standards, definitions and terminology have become watered down to include anyone and anything.
Our profession awakened from its "Dark Ages" in the late 1960s with high hopes of being an alternative to the sickness care delivery system of the allopaths. For a fleeting moment, it looked as if that idea might manifest into reality. However, egos, the struggle for power and the almighty dollar is rapidly relegating the profession to the spa/relaxation/new age sector and the symptom-treating sector -- easier to control, I suppose.
Instead of developing and defending natural therapeutics as a viable alternative to the allopaths, we are trying desperately to get them to control us. We bow to them and lower our rates to be a part of their plans. Schools lure kids into our profession with promises of big bucks from insurance scams. We spend more time studying pathology than we do studying health. We are trying to prove massage "works" through allopathic research methods, so they will prescribe massage.
If this pattern continues, the allopaths will control massage. We are handing it to them, on their terms. The goal of the sickness care system is more sickness. They must have a neverending supply of patients. The treatment protocols are designed to ensure future business. Wellness is a dirty word to the allopathic industry. If we continue to run toward the medical model and its extortion scam (insurance), our opportunity to provide wellness and health care will be diminished or lost altogether. It will be such a waste if we become soft tissue symptom specialists, treating minor musculoskeletal complaints, as allowed by thegatekeepers, for $12.50 an hour plus benefits in the PT Departments.
As the emergence period ends, the co-opting period is beginning. It is going quite well in Texas. Prostitution has just about reclaimed the term massage there. Many of what are called massage schools in Texas crank out prostitutes faster than therapists. Those of you in Texas who care about massage as a health care profession better get to work next year, before it is too late.
The cosmetology accreditation association has applied for, and will mostly likely be granted, permission to accredit massage and bodywork programs. Look for some of our scope of practice to disappear into this hole and come out as property of the cosmetology profession. "Cosmo schools" may engineer a lock on the spa training market with integrated training of massage and cosmetology. Watch for this tragic development in your area soon.
The DCs will be marching on our scope of practice during the next legislative period. The public health sector is trying to gain complete control over health care by passing the Model State Emergency Health Powers Act (MSEHPA). Don't let them get away with this where you live.
The good news is, there is still time to save ourselves. The public has had a taste of alternative health care. They are seeking it with a passion. They are tired of being "practiced upon" by the sickness system. This is the group that will support us in defending our scope of practice and our right to practice. These are the people who want cost-effective health care most of the time and crisis medicine only occasionally, preferably never.
We must become active in promoting personal medical savings and health care reimbursement accounts. This encourages people to make their own decisions about health care, instead of insurance companies. Massage is incredibly cost-effective, considering what we do. We must become active legislatively, defending our scope of practice and freedom of health care. Only you, as an individual can do this. Just 10 people ringing a state legislator's phone gets his or her attention. It is up to you -- not some association, not some group. Only you can prevent this legislation. This is not for our personal benefit; it is for our patients and their children.
The November elections are over, and America has the government and politicians it deserves. If you didn't vote, don't complain. You had your chance and blew it. All we can do now is work with the hand we've been dealt, and do the best we can with it. Action is required; effort is required. If you want to do something bad for the world, thousands of people will help you. If you want to do something good, you will be part of a very small group - but that small group will be much more powerful than the mob. Societal change has always been brought about by small, powerful groups.
Celebrate this season according to your beliefs. Remember, there is something bigger about it than yourself, something bigger than all the glitter. May you experience the joy of inner peace, and may that joy guide you and inspire you to better serve suffering humanity. Commit to making your life and the lives of those you touch better by this time next year.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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