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TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
December, 2003, Vol. 03, Issue 12
Reimbursement Fees to Ontario Massage Therapists Slashed
By Editorial Staff
Editor's note: The following article was excerpted from "New Regulations Cut Reimbursement Fees to Ontario Chiropractors," which appeared in Nov. 3 issue of Dynamic Chiropractic (www.chiroweb.com/archives/21/23/15.html).
The Ontario government recently introduced a series of measures designed to reform the province's auto insurance system.Included in the reforms are new fee schedules that drastically reduce the maximum amount insurers are required to pay health care providers, including massage therapists, for their services.
Effective Nov. 1, massage therapists, occupational therapists, registered nurses, physiotherapists, podiatrists and other providers will see fee reductions ranging from 30 percent to 50 percent - in some cases, as low as $49 - and chiropractors' hourly fees will be reduced to a maximum of $95 an hour for services rendered to patients injured in automobile accidents.1
The reforms were drafted in response to the province's escalating insurance premiums. According to Statistics Canada, a census and survey information provider, auto insurance rates in Ontario jumped an average of 27.7 percent from April 2002 to April 2003.4
While the insurance industry has blamed the rate increases on a sputtering economy and the aftereffects of the Sept. 11, 2001 terrorist attacks, figures from the Insurance Bureau of Canada show that private property and casualty insurers made $1.1 billion in the first half of 2003, nearly four times the amount made over the same time span the previous year.
According to the Toronto Star, provincial officials estimate the new fee limits will save insurance companies approximately $400 million per year. In an interview with the Star, George Cooke, a past chairman of the Insurance Bureau of Canada, said the fee cuts and other changes would trickle down from the insurance industry and translate to substantial savings to drivers, who would see a reduction in their insurance premiums.5
Some health care providers in the province, however, are worried the cuts are so severe that they may force practitioners to stop serving auto accident victims.
"It is sure hard to follow the logic of their numbers," said Jeff Lear, an official with the Ontario Association of Speech Language Pathologists and Audiologists. Speech language pathologists will see a 30 percent fee reduction under the new regulations.5
Members of the Ontario chiropractic profession have also questioned the reforms, and are concerned about the effect they will have on access to care. "Coming two days after the insurance industry announced profits of over $1 billion in the first half of the year, the announcement is hard to understand," said Dennis Mizel, DC, president of the Ontario Chiropractic Association. "Like all health professionals, I'm worried that the impact of this change will be that people injured in auto accidents have to wait longer to receive the care they need, and in turn, this well mean they're off work longer, and they're more likely to develop chronic injuries. The government should rethink this drastic announcement, in light of the effect it will have on access to care."2
"We would have preferred to see more modest cuts in professional fees and then see what happens in six months," added Carlan Stants, DC, chair of the Coalition of Regulated Health Professional Associations and Allied Organizations. The coalition was formed in October 2001 to represent the interests of the professional health care community on issues related to automobile insurance. Dr. Stants said that while some elements of the bill (such as the preapproved framework for whiplash treatments and an existing ban on payment of cash settlements within a year of an injury claim) will produce substantial savings for insurers, the new fee limits could cause an undue burden on some health care providers. "It is almost like it is too much all at once," he said.3
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