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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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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