Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
An Acupuncturist's View of Medicinal Marijuana
The use of cannabis for medical purposes is very controversial. Use as a panacea by physicians uninitiated to the proper application of herbal medicine, as well as an excuse for recreational use have greatly confused the issue.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
May, 2003, Vol. 03, Issue 05
Spotlight on Research
By Editorial Staff
Editor's note: This periodic column keeps you abreast of the latest research documenting the benefits of massage and bodywork. Published research is summarized, with references to the full study text provided; abstracts of research projects planned or in progress are reproduced verbatim whenever possible.
Factors associated with choice of massage therapy in a trial of treatments of acute low-back pain.
Purpose: The majority of patients in a randomized clinical trial (RCT) of conventional allopathic care ("usual care") versus a choice of therapies for acute low-back pain expressed a preference for massage therapy (MT) over acupuncture (Acu), chiropractic (Chiro) or usual care. We sought to understand whether those choosing MT differed in demographic characteristics or self-reported pain severity scores from those choosing any of the other three subjects.
Methods: Eligible subjects were adult members of a multispecialty medical practice who had uncomplicated acute low- back pain for less than three weeks with no co-morbid explanation for symptoms. Baseline data were obtained by face-to-face interview at enrollment. Enrollees were randomized to either usual care or to a choice of Acu, Chiro, MT or usual care. Prior to randomization, all enrollees were asked which treatment they would select if randomized to the choice group. Since most enrollees chose MT, we used MT versus all other choices as a dichotomous dependent variable in a logistic regression. Demographic and pain factors were included in this model to examine whether they were associated with massage choice.
Results: Of 2,262 subjects screened for enrollment, 477 were eligible; of those, 293 enrolled. Fifty-one percent were women; 63% were white; 57% were college graduates; and 33% earned >$75,000/year. The average age was 43 years, and the mean self-reported pain scale (0-10) was 7.23 (SD=2.13). The majority (52%) expressed a preference for MT; 18% preferred Acu; 24% preferred Chiro; and 6% preferred usual care. Other than age, (subjects aged 40-49 were less likely than other age groups to select MT; odds ratio = 1.78, 95% CI=[1.08, 2.92]), neither pain scores nor any other demographic variable were associated with the choice of MT. For those subjects randomized to the choice group, 86% of those who expressed a preference for MT select it as their treatment, indicating a high reliability of expressed preference for treatment with actual selection.
Conclusions: Prior research has shown gender, education and income to be associated with higher utilization of complementary and alternative medicine (CAM); however, none of these variables predicted preference for massage therapy in our study. It appears the appeal of massage therapy is not restricted to any particular socioeconomic group, and therefore might be broadly accepted as a treatment option for back pain. Beyond demographics and baseline pain scales, further exploration of variables driving patient choices and examination of effectiveness and economics, will be important to evaluate massage therapy in the management of acute low back pain.
Massage therapy as a technique for coping with stress.
This study assessed the effectiveness of massage therapy as an intervention for coping with stress in 34 healthy university students approaching final examinations. Participants were randomly assigned to an attention control condition (watching three different television programs) or to a massage therapy group in which each participant received one 45-minute massage per week for three consecutive weeks.
Measures of blood pressure, heart rate and state anxiety (State Trait Anxiety Inventory - short form) were taken before and after each session. Stress (Perceived Stress Scale) and coping (Coping Efficacy) were measured three times at baseline (T1), immediately after the three sessions (T2) and at one-week follow-up (T3).
Both groups reported lower anxiety after each of the sessions; however, the massage group experienced a greater reduction, compared to the television group (p<.05). Participants in the massage group also experienced reduced heart rate after each of the massages, whereas the television group showed no change (p<.05). There were no significant differences in systolic and diastolic blood pressure between groups. At T2, the massage group reported a significant decrease in perceived stress and an increase in coping efficacy (p>.05); however, by T3 these effects were no longer evident. Implications for stress and coping from a self-regulatory perspective will be discussed using Leventhal's Parallel Response Model (1997).
Editor's note: Both of the above abstracts were presented at the 2002 AMTA National Convention; they appear in Massage Today with permission from the respective authors.
Correction: In the first installment of this column (Feb. 2003), we referenced Marian Wolfe Dixon's abstract, "Developing a Massage Protocol for research of temporomandibular Joint Disorders," as funded by the AMTA Foundation. Ms. Dixon's research and resulting abstract were actually funded by a developmental grant from the National Center for Complementary and Alternative Medicine (NCCAM), a branch of the National Institutes of Health (NIH).
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