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Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
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?'
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 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.
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.
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.
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?
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.
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.
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.
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).
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.
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.
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.
February, 2004, Vol. 04, Issue 02
Touching and Listening
By Keith Eric Grant, PhD, NCTMB
In the Mediterranean climate of central California, it is difficult to predict the timing of the winter rains. During the high summer and long, hot fall, a persistent zone of high pressure sits off the coast, a nd storm tracks simply veer around it. When the high finally breaks down, the storms move in, settling the dust and bringing the sound of rain to soothe our ears. The needed moisture starts the process of sprouting and growth. This winter's heavy December rains foretell that, and by the time you read this, the hills will have turned bright green and daffodils will be blooming white and gold in gardens. We are not so distant from our human beginnings that the sounds of rain and the sight of growing plants fail to soothe us. What affects us emotionally ties strongly into our abilities to cope with and recover from the stresses of life.
The importance of the ties between mind and body has been stressed by physician and cardiac specialist Bernard Lown.1 Lown notes a study in which hospital patients that had rooms with a view of a tree recovered more quickly than those with rooms facing only parking lots. What we see and feel matters. More pointedly, Lown underscores the importance of the human connection to the outcomes of medical practice. The loss of many of those connections to the exclusive use of tests and technology has become an expensive detriment to recovery.
As practitioners of touch therapies, Lown's words are as relevant to us as they are to physicians. Our effectiveness as practitioners strongly depends on our choice of words, body language, and willingness to listen to our clients. Lown particularly emphasizes the importance of listening to the client to take a detailed history. The listening process gleans the information to assess the chief complaint, but also uncovers what underlies that complaint in the context of the client's life and coping processes. Many times, the chief complaint is only the entry ticket to the practitioner's office. As with a ticket to a show, to pay attention only to that ticket is to miss the show itself.
Lown also stresses the importance of touch to the practitioner/client relationship, noting that, after touch is involved in the examination process, the client's underlying concerns often flow forth much more freely. The simple act of touch has established a connection of trust that was not there before. Bevis Nathan, a British osteopath, has written a thorough review of touch within the therapeutic relationship of manual practice. Within that context, Nathan has taken the important step of considering the therapeutic effects of the touch connection itself:
Terry Orlick, a sports-performance coach, divides a life of pursuing excellence into "gold" and "green" zones.3 The gold zone is one of absolute focus and striving toward a goal; the green zone contains pursuits of balance, connection, and relaxation. Orlick notes that ongoing stress, particularly in the absence of coping strategies, opens one up to health problems. In contrast, positive, uplifting activities - joyful experiences - strengthen our immune systems and aid healing and recovery. The positive body language, encouraging words, and, perhaps most important, time that a massage practitioner shares with clients are such positive experiences. Relaxation, the focus of pursuits and the quality of our presence guides our techniques when facilitating healing and wellness. We make the greatest contribution to our clients' lives by touching and listening.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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