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Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Pain Is Only a Piece of the Puzzle
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, etc.
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.
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
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.
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
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.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
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.
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.
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."
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!
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.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
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.
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.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
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.
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.
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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