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Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
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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