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Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
April, 2004, Vol. 04, Issue 04
Therapist Finds the Right "Tools" to Unite CAM Providers
By Rebecca J. Razo
"What is the right tool for the job?" In conflict resolution, this quasi-rhetorical question seems perfectly natural, but former community and court mediator, Sonia Turanski, a successful massage therapist for the last 10 years, found that this question - her mantra, of sorts - could be asked in other settings, including the health care profession."It is my disposition to respect all sides of an issue," Turanski said in an e-mail interview with Massage Today. "And so, from the beginning of my massage training and career, I have seen every approach of medical care as a valid, important tool, with [that] question always [at the center]."
Indeed, Turanski asked this question again when she relocated to Maine's Blue Hill Peninsula, a quaint seaside community south of Bangor, and found a wide range of complementary and alternative medicine (CAM) practitioners in need of organization. Turanski discovered that a local hospital was recruiting for a community CAM liaison; she inquired about the position, and although it did not pan out for her, the seeds for her greater vision were planted. "My interest in creating a bridge between the differing camps of providers in our community came into focus," she disclosed.
A short time later, Turanski created the Acadia Health Association (AHA), a network of local providers spanning many different realms of CAM, including massage therapists, chiropractors, herbalists, psychologists, medical doctors, and many others. For Turanski, creating AHA was an important step in developing a unified system in which health care providers of all disciplines could network for the purpose of promoting the benefits of integrative health care to the communities in and around the Blue Hill Peninsula.
"The byline of AHA is 'integrated health care begins with us,' meaning that a system is not going to come down from above that we all plug into and magically become integrated, but that we, the providers, need to embrace the idea of working together with mutual support at a grass roots level," she said. However, once AHA was up and running, Turanski realized that the providers were only half of the equation. "I realized the need still existed for the population at large to have a resource for access to information and education about the variety of options available in health care, as well as a way to find out who in the community provided those services," she said.
That's when Turanski created Whole Health Access (WHA), "a holistic resource and referral service," according to its motto. WHA seeks to empower patients so that they can make informed decisions related to their health care. Turanski was preparing to present her idea for WHA to the local hospital where she originally inquired about the community CAM liaison position, when she received a visit from a childhood friend, Dr. Allen Tien, president of Medical Decision Logic, Inc. (MDLogix), a medical-based information technology software company in Towson, Md.
Since a number of MDLogix's projects are funded through grants, Dr. Tien suggested creating a Web-based database program for WHA, and offered to partner with WHA and apply for a grant to get the project off the ground. MDLogix applied for a grant through the National Institutes of Health's (NIH) Small Business Innovation Research (SBIR) program, and was approved in August 2003 for Phase I: a grant for $100,000 used for project research, development and testing, but not market research or marketing. According to Dr. Tien, principal investigator and overseer of the grant, Phase I, which usually lasts about six months, ensures that the project's goals are feasible; upon completion of Phase I, applications for Phase II may be submitted. Phase II usually lasts for about two years and funds are in the amount of $750,000.
Currently, WHA Phase I testing is underway. Local providers (some of whom belong to the AHA network) and a group of clients volunteered to test the software system over a three-week period. Providers enter information about their services, including contact information, specialties, etc., into the database, while clients conduct searches on the site based on health-related concerns by clicking on a series of checklists grouped under three categories: physical, mental and spiritual.
Clients also have the option of indicating preferences, including whether a provider is male or female, licensed or unlicensed, and insurance type. The system then matches a client's choices to appropriate providers in the network; however, what Turanski appreciates most is the database's interactive nature. "If someone doesn't find a descriptive term that applies to them, they can add it to the list. In this way, the lists of concerns and attributes are self-educating, with the system reflecting the actual words and categories of the people who use it," she noted.
During the testing of Phase I, the volunteer clients will evaluate the results generated by the search. At the conclusion of the study, all volunteers will fill out a survey describing their experiences with the service and provide suggestions for improvement. MDLogix plans to submit the application for Phase II on April 1. If funding is approved, Turanski hopes to test the program in other areas, including Baltimore; Portland, Maine; and Seattle.
For now, Turanski would like to see AHA continue its growth to include providers from all aspects of health care, and she notes that one of her goals for WHA is to de-emphasize the importance of categories that divide practices into conventional, traditional, alternative, and complementary. "My favorite saying [from massage school] is, 'when you are a hammer, everything looks like a nail.' I love this saying, because it so accurately reflects the self-importance that seems rampant in every school of thought. We need to respect the variety of skills out there, and to understand the limits imposed by our own beliefs...across the spectrum of health care, all providers offer important and relevant services. The question should not center around whether certain professions are better or more legitimate, but around 'what is the right tool for the job?'"
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