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Talking to Patients About Lumbar Facet Denervation (Medial Branch Neurotomy)
Lumbar facet denervation, more appropriately termed medial branch neurotomy (MBN), is a procedure that may be considered when patients suffer from recalcitrant non-radicular axial back and/or leg pain.
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!
Low Back Pain in Professional Golf: A Common Muscular Relationship
Every sport creates its own unique demands on the body. Some sports require such a myriad of body positions that assessing pathology is often difficult and unpredictable.
Turning a Blind Eye to History – and Reality
The American Medical Association is taking the Supreme Court's Feb. 25, 2015 decision exactly as it always does – by turning a blind eye to history, legal precedent and reality.
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.
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.
Applying the Thin Skull Principle
The "thin skull" principle, also known as the "you take your victim as you find them" principle, is a legal principle that can be summed up by the following statement.
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.
Optimism = Compassion = Trust
A randomized clinical trial recently published online in JAMA Oncology examined how patients viewed their doctor based upon how the practitioner presented bad news to the patient.
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.
Sleep, Less Sleep or No Sleep?
I had a dream I wasn't getting enough sleep. It was a very realistic dream, even though I was probably slightly awake and not really deep dreaming. Most likely I had been dozing, caught in that twilight of sleep and wakefulness.
A House Divided?
The American Chiropractic Association's House of Delegates voted on 30 resolutions at its annual business meeting in Washington D.C., but two in particular took immediate center stage due to their controversial nature.
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.
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.
A View From the ER
The University of Western States has inked an innovative agreement with local nonprofit health system Legacy Health whereby UWS sports-medicine fellows can experience observational clinical rotations in emergency-room settings within the Legacy system.
Functional Hip Impingement (Part 1)
Every time I sit down to write an article, I realize how much more there is to know about musculoskeletal pain. I also learn something new every time. (I want to give special thanks to Lucy Whyte Ferguson for assisting with this article.)
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.
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.
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.
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.
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."
April, 2004, Vol. 04, Issue 04
By Ben Benjamin, PhD
Author's note: The following article is adapted from "The Ethics of Touch: The Hands-on Practitioners Guide To Creating a Professional, Safe and Enduring Practice," by Ben Benjamin and Cherie Sohnen-Moe.
Projection occurs when a person has a thought or feeling that he or she isn't comfortable with and then "projects" it onto others, or considers it the other person's issue.For example, if a practitioner feels sad, he or she may be experiencing the client's sadness, and ask about it. When a practitioner is unaware of feeling angry, he or she may perceive the client as angry, or angry with the practitioner. The primary danger of projection is that the practitioner may not understand what the client is truly feeling, and will fail to help him or her in an appropriate way. Instead, the practitioner tries to help the client with issues and in ways that the practitioner needs. Keep in mind that projection mostly occurs on an unconscious level.
Example 1: A practitioner has recently lost a loved one and has been grieving for several weeks. A client comes in for a session and isn't as animated as usual. The practitioner makes an assumption that the client is feeling sad, and begins to offer words of comfort, such as "Don't worry, everything will be OK," or "It's OK to feel sad." The practitioner gives the client a reassuring pat on the shoulder. The client responds by saying, "What do you mean? I feel fine." The practitioner then says, "It's normal not to want to admit it when you feel down or sad, but this is a safe environment for you." The client is perplexed and leaves, wondering, "What was up with that practitioner?" and feels uncomfortable returning.
Example 2: A practitioner with a great deal of unresolved anger about a recent relationship sees a client for a session. Throughout the session, the client makes several requests for a change in the manner in which the treatment is carried out. After each request, the practitioner feels uneasy and concludes that the client is dissatisfied and angry with the practitioner. The practitioner also feels hurt and uncomfortable after each request and begins to withdraw and become distant. As a result, the client becomes more demanding, and feels the practitioner is not present. The treatment ends with the client feeling dissatisfied with the quality of the practitioner's work and the practitioner feeling disrespected.
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