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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.
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.
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.
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?
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.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
April, 2004, Vol. 04, Issue 04
How Far Does Your Touch Reach?
By Doreen Rossi, LMT, NCTMB
April in New England: The City of Boston is preparing for opening day at Fenway Park, tulips and daffodils are beginning to bloom, and one of the most prestigious events in the running world - the Boston Marathon - will take place.As the marathon approaches, I think back on this time last year, when I had the privilege of volunteering my services as a massage therapist for the benefit of these elite runners.
It was my second year dedicated to caring for this small team of elite athletes. It's heartwarming to walk into the nerve center of the organization and be greeted by so many familiar faces - an occurrence that makes a year seem not so long - and it is even more gratifying to be recognized by the athletes. There are many New England massage therapists who have gone to the Boston Marathon at one time or another to volunteer pre- or post-event massage services, during which time therapists hear some of the individual stories of the runners.
In the center, we are fortunate to have the opportunity for greater interaction with the athletes, as opposed to providing a brief massage under the tents. Here, we see the athletes coming in up to a week early to acclimate to time changes and weather conditions, and to recover from jet lag. On their schedules are media events, planned appearances and course tours. The massage room is available to all elite athletes. In a corner of the building is a quiet, secluded room with privacy partitions, dim lighting, and music. This is their massage room, where they can truly unwind from a harrowing flight and scheduled commitments. As with any performance, nerves can be frayed. We work out the kinks and knots, enhance their stretching routines, loosen their tight muscles, and sometimes, simply help them relax.
As the week prior to the marathon draws to an end, Friday is typically the last day any athlete will want deep tissue work. On Saturday, some athletes will come in looking for moderate relaxation, and - on rare occasions - some will need deeper work for a stubborn muscle. Sunday may bring in a few athletes in need of quiet escape and more relaxing touch. Then, on Monday (race day), we see "our" elite athletes board the buses that will take them to the start of the race, 26 miles away in Hopkinton. As they anticipate the feat before them, we break down our quiet room and move our location to set up for their return to the finish line back here in Boston.
Our race day location is in the ballroom of a local hotel and consists of an athlete recovery and triage area. Here, we offer post-event massage. Although only one man and woman can win the marathon, some athletes are pleased they have achieved their personal goals; some believe their performance was a good workout; and others write it off as a bad day. Either way, our job is done for one more year. We head back to our private practices while the athletes begin to think of the next race to focus on.
Having been a part of the team for just two years, I cannot begin to comprehend the far-reaching impact each therapist's touch has had on the many athletes that have passed through this treatment room. In listening to the stories of my colleagues, whose experience with the Boston Marathon elite runners range from five to 15 years, the impact is significant!
This year, we had the privilege of meeting and working with Benjamin Kimutai from the Kenyan team. In addition to being a premier distance runner, Benjamin is also a massage therapist. He came prepared with his stretching rope, ready to be an active participant in his own treatment. This was only his second marathon, but he finished just behind the winner.
In a post-marathon media interview, he stated that regular massage therapy is an important part of his preparation and training. One never knows how far-reaching touch can be. Did the massage team for elite runners at the Boston Marathon have something to do with the addition of sports massage at the Kenyan training facility? I'd like to think so. Just like I believe that our touch had a lot to do with the athletes being able to "get down" on the dance floor six hours after completing the grueling event.
During the week I spent in the elites' massage therapy room, athletes of all nations came in for some kind of treatment. Clearly, there are no language barriers in massage therapy. People of all nations have been on our tables - literally, "in our hands" - and have plainly made their needs understood. This helped me realize that the touch of massage therapy can undeniably transcend language barriers and reach across to other nations.
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