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International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Code Connection: Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
February, 2004, Vol. 04, Issue 02
Federally Funded Reiki Study Underway in Washington
By Michael Devitt
While not strictly under the auspices of massage, Reiki (pronounced "ray-key") is nevertheless often practiced in conjunction with bodywork. The word Reiki comes from two Japanese words - rei, meaning higher power or universal force, and ki, meaning life energy.Loosely translated, Reiki means universal or spiritually-guided life-force energy.
Practiced for thousands of years throughout Japan, China, Tibet and other Asian nations, Reiki was "rediscovered" in the late 19th century by Dr. Mikao Usui, a Buddhist monk and educator, who used the therapy to heal the sick.1 In the 1930s, a Japanese-American woman, Hawayo Takata, brought Reiki to the West after she learned the practice from a Reiki master in Japan. Today, Reiki is used as a method of healing illness and reducing stress through light touch or, more commonly, by placing the hands near or above the body in specific positions or patterns. Through these positions, a Reiki practitioner can correct energetic imbalances in the body, improving health and restoring a person's energy levels.
Although the practice of Reiki is widespread - the International Center for Reiki Training estimates there are more than 50,000 Reiki masters and 1 million Reiki practitioners worldwide - and has been purported to help treat conditions ranging from heart disease to impotence, relatively few scientific studies have documented its effectiveness. Researchers at Harborview Medical Center in Seattle are attempting to add to the depth of knowledge about Reiki by using a $304,000 grant from the National Institutes of Health (NIH) to determine whether it can ease the pain and suffering associated with fibromyalgia, a debilitating rheumatic condition that affects roughly 6 million Americans.
Dr. Nassim Assefi, an internist and women's health specialist at Harborview, will coordinate the research. Dr. Assefi first learned of Reiki when she was doing her residency at Harvard Medical School, and observed one of her patients use the therapy to help lessen cancer pain. Dr. Assefi's patient happened to be a Reiki master; when she grew too weak to treat herself, the Reiki master who had taught the patient flew to Boston to provide care and help her die peacefully, a situation Dr. Assefi found "moving to watch."
"As a medical student, I had studied traditional Chinese medicine in China, and had seen some remarkable results from qigong and acupuncture treatments that could not be explained by the Western biomedical model, so I was already open to the possibility of other healing paradigms," Dr. Assefi explained in an e-mail to Massage Today. "Shortly after my patient passed away, Harvard offered me the opportunity to receive Reiki training, and soon thereafter, I integrated Reiki into my everyday patient care. I remain an open-minded skeptic about the mechanism of Reiki, but I have been impressed by my anecdotal experience; every time I use Reiki on patients, they feel better.
"No high-quality studies have thus far been published on the efficacy of Reiki for pain. Thus, I set out to apply the highest scientific standards to objectively answer the question of whether Reiki is beneficial in the treatment of fibromyalgia, a chronic pain syndrome that is not well treated by conventional methods. If Reiki proves to be effective for the treatment of fibromyalgia, our unique clinical study design will help answer preliminary questions about how Reiki works."2
The study will involve a total of 100 fibromyalgia patients divided into four groups of 25 participants each, and will take place at three treatment centers in the Seattle area. Patients in each group will receive Reiki treatments twice per week for eight consecutive weeks, with each treatment session lasting approximately 30 minutes. The breakdown of each group is follows:
Before enrolling in the study, participants will undergo an evaluation of their overall health and functional ability, along with a tender point exam (to determine the severity of pain and discomfort). Patients must also keep a one-week diary that documents the number of times they take analgesic medications. Once enrolled in the study, patients will complete brief questionnaires about their pain levels and health status at each treatment visit. In addition, every four weeks during the treatment phase of the study, as well as three months after the last treatment, participants will undergo an assessment identical to the initial evaluation, including questionnaires and pain/threshold testing.
Upon completion of the study, the results of each group will be compared and analyzed for publication in a medical journal. According to Roxane Geller, a licensed acupuncturist and research coordinator at Harborview, initial work on the study could be finished as early as July 2004, with a detailed analysis completed by the end of this year or early 2005.3 Study participants will also have access to the results through a secure Web site.
The Seattle research project marks the second time in the past few years that a major Reiki study has been funded by a grant from the NIH. The first grant was given to the University of Michigan Complementary Research Center in Ann Arbor, to study the effects of Reiki on approximately 200 people with diabetic neuropathy. While the initial findings of the Michigan study were completed in June 2003, the results are still being analyzed and will not be released until later this year.4
As we go to press, there are approximately 30 spots still available for patients interested in enrolling in the study; the researchers hope to finish recruiting by the end of February. For more information, or to be a part of the Reiki program, call (206) 521-1731 or visit http://depts.washington.edu/reiki.
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