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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.
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.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
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.
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.
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.
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.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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.
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.
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?
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.
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.
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.
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.
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."
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.
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.
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.
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.
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
April, 2003, Vol. 03, Issue 04
Healthy Dissent and Alignment
By Ralph Stephens, BS, LMT, NCTMB
Currently, the United States spends about 1.5 trillion dollars a year for health care, and that figure is projected to double in less than 10 years.To quote Dr. James Mercola, "The sad tragedy is that we are spending all of this money on disease management focused on drugs and surgery, and our return on this investment is profoundly poor. More and more people do not have the energy they need to get through the day, while millions of others are suffering with painful crippling diseases because they have violated basic health principles."
The sad truth is that the basic principles of health are carefully not taught. Of course, this benefits the allopathic-pharmaceutical cartel, which only makes money if people are sick. Last year, health reporter Nick Regush explained it this way:
Unfortunately for the health of Americans, the medical monopoly is not going down gracefully, but kicking and screaming. It is mostly screaming, "Quackery, anything and everyone but us is quackery." Their only hope is to gain control of and co-opt the alternative health care movement, which is more than a movement, but a trend; a wave of change sweeping across the country. Why are the alternative disciplines desperately seeking the approval and acceptance of the dying, allopathic medical cartel? Why they do this instead of establishing themselves as the clear, health-care alternative is beyond me. The need to be accepted, to be "normal" is so strongly programmed into people, isn't it?
The public is running toward us with open arms and wallets, and we are dragging them back into the allopathic system so insurance will pay for it. History proves that insurance will not pay for enough of it for true alternative health care to be effective. Allowing only 10 visits a year for fibromyalgia, 20 visits for chiropractic, etc., is probably worse than nothing, as it drives people back into the allopathic system for care. The allopathic gatekeepers will put massage and other alternative treatments on the shelf once they gain control of them through insurance. Look back and you will see that "manual medicine" was deliberately phased out of the medical system once already. Once the allopaths gain control over it again, history will repeat itself. When that happens, with no alternative available to the public, the sickness system will blunder on, continuing to be the leading cause of death. Think about this as you lust after the fabled pot of gold at the end of the insurance rainbow, and the acceptance of the medical community.
Dissent is everywhere these days. Consider the following quote:
Dissent is good. From dissent comes change, progress and improvement in the human condition. May we always view honest dissent as healthy and welcome it.
I promised more on smallpox this month, but more information is rolling in as we speak, so stay tuned. In the meantime, if you are concerned about this issue, start looking into homeopathy.
Last month, I asked the question, " In relation to posture, what are the three most important bones in the human body to have properly (correctly) aligned on the horizontal planes?" According to Jerry Hesch, a physical therapist from Albuquerque, N.M., and one of the foremost experts on sacroiliac joint dysfunction (and a really great guy), the three bones are the talas, the sacrum and C-1.
For a chiropractic perspective, I asked Dr. Jason Cupp, DC, from Iowa City, Iowa (another great guy). He suggested, that from a straight chiropractic perspective, the three most important bones are L-5/sacrum, T-5 and C-2. He finds that C-1 tends to shift laterally, but remains on the horizontal plane, while C-2 is more likely to rock or tilt.
According to I.A. Kapanji, L-5 is tightly bound to the sacrum by ligaments and has minimal ability to move on its own. Therefore, one could argue that where goes the sacrum so goes L-5. C-1 and C-2 are really a working unit. Think about this for a minute.
What to do about it? Start with a careful assessment of each of these bones, its joint system and the patient's overall posture. This is done visually and by palpation.
Specific massage techniques, precise stretching, manipulation and strengthen exercises have been the methods found most effective to align these bones. Drugs have not been found to be affective or to bring about changes in alignment of these bones unless the drugged patient falls, in which case the resultant movement seldom brings about a desirable correction. Of course, any thrusting manipulation must be done by a provider with an appropriate license.
No Therapist Is an Island
Often it is best for the patient if a multidisciplinary approach is utilized. Through some combination of massage therapy, chiropractic, osteopathy, physical therapy and exercise, change may be accomplished faster and last longer. Of course, not every one of these disciplines needs to be involved; however, any two or more can work together, based on the needs of the patient, to accomplish the desired goal.
There needs to be more networking and interdisciplinary cooperation, with each provider respecting the value of the other's techniques, recognizing the limitations of their own, with the focus always on the good of the patient, never on the good of a practice or a profession. Think the pharmaceutical cartel and its puppet politicians will allow that to happen? If this is an unpleasant question for you to ponder, continue reflecting on the three bones, and how to best bring about skeletal (and maybe even planetary) alignment.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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