Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
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.
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.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
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!
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
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.
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.
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
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.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
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.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
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.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
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.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
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.
June, 2004, Vol. 04, Issue 06
Newsweek Validates Complementary and Alternative Therapies for Back Pain
By Editorial Staff
Chalk up one more point for the publishers of Newsweek. The magazine devoted nearly half of its Dec. 18, 2002 issue to "The Science of Alternative Medicine," a series of articles that looked at the most popular forms of complementary and alternative care, and the April 26, 2004 issue goes one step further in its promotion of alternative therapies in treating back pain.
In a cover story, "The Great Back Debate," editor Claudia Kalb explores the role back pain has played in American society.While the article examines some surgical options used to treat back pain, it also gives a favorable review of massage, chiropractic, acupuncture, and other forms of alternative care.
Back pain is a universal problem; according to the article, an estimated 80 percent of the U.S. population will suffer from back pain at least once, making it the second most common reason for seeing a doctor, following coughs and other respiratory infections. Between medical bills, disability payments, and lost productivity and time at work, the costs of back pain add up to more than $100 billion per year.
One of the reasons back pain is so common, Kalb asserts, is because of the spine's delicate nature. "Like an expensive, but temperamental sports car, the human spine is beautifully designed and maddeningly unreliable," she writes. To complicate matters further, myriad conditions can cause back pain, including physical injuries like degenerated discs, compressed nerves, muscle tears and spasms, and ligament or tendon injuries, as well as psychological issues like depression and anxiety. Small wonder, then, that Kalb labels back pain a "mystifying mix of physical symptoms and psychological underpinnings."
Americans try invasive and costly remedies to treat their pain. The article notes that between 1996 and 2001, spinal-fusion surgery procedures (which cost approximately $34,000 each) increased by 77 percent. In 2001 alone, more than 250,000 spinal-fusion surgeries were performed, the vast majority employed to treat disc problems; however, fusion surgery was originally developed to correct serious instabilities and deformities of the spine, not to treat damaged or herniated discs. As a result, Kalb notes, "many of these procedures simply don't work." The lackluster results seen in spinal-fusion cases and other types of surgery have caused some practitioners to consider simpler, less invasive forms of care.
We've come to the point where we have to think out of the box," said Dr. David Eisenberg, the head of the Osher Institute at Harvard Medical School. "The time is now." Even experienced spine surgeon Dr. Jeffrey Goldstein of the New York University Hospital for Joint Diseases has cautioned that doctors need to be more selective about choosing candidates for spinal fusion surgery, and that "not everyone who has disc degeneration should have an operation."
So, what's a person with back pain to do? For millions of Americans, the choice has become some form of complementary and alternative medicine, including massage. According to the article, "Massage has seen an increasing number of addicted patients...research shows it can help knead out persistent pain; one study even found that patients took fewer medications during treatment."
The Hospital for Special Surgery in New York employs a variety of alternative health care options, including massage therapy, chiropractic, acupuncture, tai chi, personal trainers and rehabilitation specialists; providers work together for the good of the patient. The facility, which sees about 13,000 patients a year, many of them with bad backs, uses "any noninvasive approach they can find" to relieve pain.
As alternative forms of back pain care have increased, so has the amount of research into these therapies. Dr. Dan Cherkin, a researcher at the Center for Health Studies in Seattle, Wash., has conducted several large trials on the effectiveness of chiropractic, massage and acupuncture for back pain.
And Dr. Eisenberg is leading a study funded by the National Institutes of Health, using chiropractors, acupuncturists, massage therapists, neurologists, orthopedists and other practitioners, to see if there are more efficient and cost-effective ways of treating back pain from a multidisciplinary perspective."
After centuries of agony, humanity could certainly use some relief" from back pain, Kalb concludes. "But more important than the success of any given treatment is the good news that both back pain sufferers and the medical establishment are embracing bold new ways to think about that most exquisite and frustrating work of art: the spine."
If nothing else, the Newsweek story illustrates the value of complementary and alternative therapies in the treatment of back pain.
According to the World Press Group, Newsweek is one of the most widely read publications in the world; it is distributed in more than 190 countries and six languages, and has a weekly circulation of approximately 4.4 million (3.85 million in the United States).
Read "The Great Back Debate" Online
If you didn't pick up a copy of the April 26 issue of Newsweek at your local newsstand, fear not: The magazine has a partnership with the Microsoft Network and NBC that allows people to view its stories on the Internet via www.msnbc.com.
Copies of "The Great Back Debate," along with interactive features such as online polls and audio clips, are available www.msnbc.msn.com/id/4767268/
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