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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
September, 2004, Vol. 04, Issue 09
Of Cabbages and Kings
By Ralph Stephens, BS, LMT, NCTMB
The elections are coming, the elections are coming! Once again, a majority of the minority who vote will decide our fate for another few years. The candidates say it is the most important election of their lifetimes. Well of course they think that! How often does one get to run for president of the United States? They are trying to make this a very emotional election. Voting should never be emotional; it should be logical and rational. I want to share an e-mail I received from my 93-year-old Aunt Lynnette. She's not a "spammer." She sent the following bit of philosophy:
Where do you think we are now? My guess is number six or higher. You have the opportunity to make things better. Get involved in the upcoming election - vote. If you don't vote, don't complain. Better yet, get out and meet the candidates. Let them know that alternative-providers vote. Try to get them to promise to protect our right to practice and the people's rights to come to us, especially in any government-care program.
If you believe in herbs and supplements, you might want to urge the candidates to keep the government (the Food and Drug Administration) out of the supplement business, and protect our rights to purchase supplements and remedies freely. If you don't agree with me, urge them to do whatever you desire - just get involved. And remember, legislators write and pass laws; governors and presidents just sign them. Legislators are much easier to meet and talk to.
Both presidential candidates have their proposals to solve the "health care crisis." Neither of their proposals address the 700,000-plus people killed by the current "health care" system each year. Both candidates' proposals will increase this number by making more people dependent on the existing "traditional medical system." Only alternative health care providers offer true health care, and this will be lost if we are "integrated" into the traditional medical monopoly, either voluntarily (as is happening now) or by some government program.
If you think health care is expensive now, just wait until it is free. The government that controls the health of its people controls its people. Politicians will never bring about peace or health - they benefit from neither. Both peace and health begin in the heart of the individual and spread from there. Peace and health are individual responsibilities (not rights). Politicians are a reflection of the state of our society. Until individuals change, society and its politicians will not change, and violence will rage on.
So do not put much hope in any politician or party. Have faith in yourself and your fellow man. Study health (not sickness) care, and implement its principles. Learn the ways of peace and live them. Your example to those you touch can change your community; community by community, the world is changed. A yearly conference to help facilitate this movement has been organized. For information about it see: www.himalayaninstitute.org/slconference. Unfortunately, the ways of peace take time, so in the meantime, get out and participate! First think, and then vote.
The Medical Massage Debate
The term "medical massage" has become a popular subject lately. What I have seen recently in the pages of Massage Today, with the exception of Vivian Madison-Mahoney's excellent column in the July issue (www.massagetoday.com/archives/2004/07/09.html), is nothing more than individuals trying to gain control of the current "hot term" for their own individual gain. They are either trying to catch the wave or steer it. It's all about money and ego, and a form of "King of the Hill." Don't buy into it. What's the big deal about using the term "medical" in front of massage anyway? Could it be that massage doesn't kill enough people to be worthy of the term?
The last thing we need right now is another lowest-common denominator certification program. Therapists who are studying advanced techniques to better serve their patients do not need to be impeded by the political agendas that accompany every certification program I have seen in this profession. They do not need to have fear put into them, they need to be encouraged and commended. Further, other than a state license where available/required, nothing should be promoted as a credential for insurance billing. Whoever wants to work for an insurance company should be allowed to. They will more than earn their money. Anyone who tries to restrict access to insurance reimbursement by promoting phony-baloney credentials and certifications does not have the interests of massage providers or patients in mind. That's it in a nutshell.
Try This: The densely innervated fascia, which also has imbedded smooth muscle fibers, is really an actively adaptive organ, very much alive and quite responsive to massage techniques. Anatomy Professor J. Staubesand, University of Freiburg, Germany, states, "Any intervention on the fascia is also an intervention on the autonomic nervous system."
Last time, I suggested you add tangential pressure to help release a stubborn tender point or trigger point. In addition to the Ruffini endings that are responsive to lateral stretch, the fascia also contains Pacini and Paciniform mechanoreceptors (nerve endings), which respond to vibration. Their response is a Parasympathetic, or relaxation, response to the vibratory stimulation. So, if sustained pressure does not bring about the desired response in your patient's tissue, try adding vibration, either subtly while you hold the point, or as a separate stroke (stimulus) between applications of sustained pressure. See you in November.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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