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Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
September, 2003, Vol. 03, Issue 09
Expedition Costa Rica a Rewarding Experience
By Gwen Coveny, BA, CMT
Expedition Costa Rica July 2003 was a volunteer project led by Elvis Mairena, a Costa Rican native and massage therapist currently practicing in New Jersey who uses his skills to provide healing touch to people in need.Our group of massage therapists learned of the expedition through the International Massage Association and the Somerset School of Massage Therapy (SSMT), where Elvis just completed a year of training.
I helped coordinate the expedition, which included a total of seven volunteers, all of whom paid their own travel expenses. In addition to Elvis and myself, other volunteers were Paula Suyehiro, BS, CMT, from Marin County, Calif.; Jessica Kansiz, a massage therapist from New Brunswick, N.J.; SSMT students Amanda Whitehead and Rebecca Morse; and MaryAlyn Garcia, a friend from Arizona who assisted us with Spanish translation.
We spent our first day administering massage at Manos Abiertos ("Open Hands"), a convent for disabled children. These children were afflicted with Down syndrome; paralysis; blindness; and major deformities. Some of the children were on respirators. Most were mentally disadvantaged; many couldn't speak at all. Some children were confined to cribs and could only be lightly massaged or given energy through hand placement. It was emotionally difficult at times, but these children appreciated the touch.
We also worked in a children's clinic in Orotina, where we massaged disabled children and their parents, many of whom traveled from several hours away to experience massage. During the sessions, we worked with clothed individuals on massage tables; mats; regular chairs; and in wheelchairs, depending on their conditions.
We worked with elderly patients at a home called Albergue del Anciano ("Inn of the Ancients") in Quepos. This was particularly rewarding, as many of the patients told us about their lives, and expressed their happiness over having visitors. One man who had been paralyzed for years miraculously experienced some movement in his legs after a massage by Elvis and Amanda! Despite the disfiguring conditions of many patients, most were proud to be in their 80s and commented that they wanted to live longer.
Most of the places where we worked were small, run-down clinics. There was a great deal of poverty, but the patients were clean and well-cared-for by the nurses and staff members, who showed a lot of love and dedication. The staff also seemed to appreciate the attention and touch we provided to their patients.
We learned so much and fought back many tears during this humbling experience. We found the Ticos (native Costa Ricans) to be very kind, humorous and generous people. We were often reminded of how fortunate we are to have our health, and of the relative wealth many of us enjoy in the United States. We learned how to use our massage skills to reach out in ways we hadn't known were possible - it was truly amazing.
Plans for future expeditions are already underway. If you would like more information, please contact Elvis Mairena at (732) 754-4963.
The following expedition volunteers can be contacted with comments and/or questions:
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