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Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
August, 2003, Vol. 03, Issue 08
Injured Bursas in the Knee
By Ben Benjamin, PhD
Question: True or False?
The prepatellar bursa is located just superior to the kneecap.
Question: True or False?
The infrapatellar bursa is located inferior to the kneecap on the anterior surface of the patella ligament, right under the skin surface.
Question: True or False?
The suprapatellar bursa is located right on the anterior surface of the kneecap.
Answer: All three statements above are false.
All three of these bursas play a role in the smooth functioning of the knee joint.Knowing the exact locations of these bursas and being able to tell when they are injured will help you better evaluate clients that present with knee pain. Deep massage or friction therapy will either do nothing, or worsen the pain of a client suffering from bursitis in the knee. Therefore, it is very important to distinguish between a soft-tissue injury, where hands-on treatment is appropriate, and an injury that is not.
The prepatellar bursa, located just beneath the skin on the anterior surface of the patella, protects the bony surface of the patella. This bursa is usually injured by a high-impact fall. When injured, it swells like a balloon on top of the kneecap, and is red and painful when touched, even gently. Hands-on treatment is not effective for this injury.
The infrapatellar bursa is located inferior to the patella within the knee joint, posterior to the patella ligament. It cushions the patella ligament and is painful when kneeled upon. When swollen and inflamed, it is also difficult to bend the knee fully; however, it does not limit extension of the knee. This bursa is often injured along with the quadriceps mechanism above or below the patella. The suprapatellar bursa is located proximal to the patella at the base of the anterior thigh. When inflamed, it is usually hot, visibly swollen and painful to the touch. The swelling in the bursa limits the ability of the knee to fully flex.
Very little is definitively known about why a bursa becomes inflamed and swollen. Causes could range from impact trauma to subtle misalignments of the knee. My best guess is that excessive movement, caused by loose medial and lateral collateral ligaments and loose anterior and posterior cruciate ligaments, often causes the bursa to become irritated and inflamed.
Treatment options for bursitis are limited. If several months of rest do not eliminate the pain, anti-inflammatory injections are usually indicated and effective.
Click here for more information about Ben Benjamin, PhD.
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