It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
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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