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Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Is There a Neurological Basis and Correction for Macular Degeneration?
Macular degeneration, aka AMD (age-related macular degeneration), is a common eye disease and a leading cause of blindness in people age 50 years and older, according to the National Institutes of Health National Eye Institute.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
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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