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Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
April, 2003, Vol. 03, Issue 04
Tendinitis Masquerading as Knee Joint Pain
By Ben Benjamin, PhD
Question: Which muscle tendon units often masquerade as medial, lateral or posterior knee ligament or joint injuries?
Answer: c - semitendinosis, semimembranosis, biceps femoris and gastrocnemius
The semitendinosis, semimembranosis, biceps femoris, popliteus and gastrocnemius are the muscle tendon units responsible for knee flexion. The semitendinosis and semimembranosis are located on the medial aspect of the knee, while the biceps femoris is located at the lateral aspect. Collectively known as the hamstrings, they work together to flex the knee. The superior portion of the gastrocnemius muscle tendon unit, located at the back of the knee, and the popliteus muscle also assist in the initiation of knee flexion.
All of these tendinous attachments may become injured and give rise to a confusing type of knee injury. Pain felt medially, just posterior to the medial collateral ligament, may mean injury to the semimembranosis has occurred; pain at the medial upper tibia, or slightly behind the medial aspect of the knee in the tendon body, may indicate hamstring tendinitis of the semitendinosis; and pain at the head of the fibula, or slightly superior, may be caused by tendinitis of the biceps femoris.
Since this tendon attaches to the fibula head (the same bony prominence the lateral collateral ligament is attached to), it can be difficult to differentiate these injuries unless the practitioner is skilled at testing both ligaments and tendons. Superficial pain felt directly behind the knee may be caused by strain of the popliteus muscle or the gastrocnemius muscle at its broad upper tendon attachment.
Bear in mind that when a tendon is injured, no swelling or limitation in flexion and extension of the knee occurs. Swelling at the knee usually indicates a ligament injury, or injury to some structure within the joint capsule, such as the medial or lateral meniscus.
Continuing to educate ourselves in the most current information is vital in helping our profession grow in skill and stature. Identifying if a client has a superficial tendon or ligament injury (which can be treated with myofascial or friction massage techniques) is an important part of a therapist's education. On the other hand, trying to treat a client with knee pain caused by torn cartilage or a cruciate ligament tear (for which hands-on therapy will not help) will leave the client confused, frustrated and disappointed. Treating the wrong structure because of limited knowledge is an all-too-common error.
I continue to learn, and encourage you to do the same.
Click here for more information about Ben Benjamin, PhD.
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