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Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
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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