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New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
August, 2004, Vol. 04, Issue 08
Stuck With Positioning in Seated Massage?
By Lee Chaffee
I feel a need to address the subject of client positioning during seated massage. I hurt for those clients I've seen in airports, malls, and wherever chair massage is administered, who are positioned with necks over-contracted, shoulders up to their ears, and severely arched low backs.No wonder there aren't lines of people waiting to jump aboard! Just as a client cannot be expected to climb onto a massage table, lie down, and have everything "comfy," a seated massage takes some adjusting. It takes being familiar with your chair and "sizing up" the client.
Get familiar with your massage chair. Open and close it several times, and position your friends and family in it, adjusting for different body builds, before you attempt to sit a paying client in it. As clients enter your room, notice their height, weight and proportion. Sizing up clients will become easier with practice. For the comfort of the client, the neck muscles need to be elongated, not contracted. This position also gives you the ability to get your hands in between the upper traps and base of the occipital ridge.
Observe the positional needs of the client throughout the massage, since it can change based on the amount of pressure applied. Usually, asking the client to put his or her chin a little closer to the chest will correct any loss of position. If the neck is contracted after a few moments of applying pressure to the back, the client will usually end up with a headache. Would you want to pay a minimum of one dollar a minute to obtain that result?
This is how I help direct clients sit comfortably in my massage chair: First, I tell them to sit, then kneel on the kneepads and place their hands on the armrests. Then, with me standing in front of the chair with all levers unlatched (no matter what brand of chair I'm using), I ask them to put their chin to the chest and aim their forehead for the top of the hole in the face cradle, applying a little weight until they feel comfortable. Then I lock the face cradle in place.
Next, I check the client's shoulders to make sure they are not too high or low. I also make sure that the traps are not too contracted or over-stretched, and will raise, lower, or angle the chair's arm rest accordingly. If the chest plate is adjustable at an angle (as well as for height), make sure it is not pushing in on the diaphragm. Doing so can cut off a client's breath and may cause them to faint. I prefer a 45-degree angle, if possible.
The position of the knee rest is up to the clients, as to whether they feel comfortable with their feet touching the floor or not. Usually, if they are not comfortable with their toes touching the floor, they can slide their knees forward. On some chairs, the knee rest comes off.
On some chairs, the seat adjusts but not always to my height. If possible, and if it does not disturb the client's comfort, I prefer the seat of the chair to be a bit higher than my knee. I have found that this height works for any modality. Experiment with this aspect of chair adjustment so that you and your clients are as comfortable as possible.
With a little adjusting, clients can also sit face-forward in a massage chair. I have used the chair this way when clients want work done on their face, head and shoulders. The client carefully sits backward on the seat and leans back against the chest rest, while the headrest is brought up as far forward as it will go. Most chairs have an added adjustment to bring them forward for larger clients. I hope these suggestions have helped. Happy seated massaging!
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