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Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
September, 2004, Vol. 04, Issue 09
Metabolic Syndrome: A New Way of Thinking About Long-Term Risk
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
The votes are in, and metabolic syndrome is the choice this month. This condition is not really a specific illness. Instead, it is a collection of features that, individually, are not great, but not particularly alarming.Together in various combinations, however, diabetes and cardiovascular disease are almost a certainty. Since cardiovascular disease and its corollaries (heart attack, stroke, heart failure, aneurysm, etc.) are responsible for nearly 40 percent of deaths in the United States, it behooves massage therapists and other bodyworkers to be familiar with this health-risk profile.
What makes metabolic syndrome especially interesting, in my opinion, is that it is a proactive approach to dealing with disease risks. Identifying when a person has some of the components of metabolic syndrome gives a person the chance to undo those processes before they progress to a more advanced and serious disease state. This idea of identifying and treating an illness before it creates significant problems is unusual in our allopathic medical community; however, this shift indicates good changes in the future.
Demographics: Statistics for the incidence of metabolic syndrome vary. Some researchers suggest it affects some 16 million Americans (about .06 percent), the majority of which are unaware of its existence. The Cleveland Clinic Department of Endocrinology, Diabetes and Metabolism indicates that the incidence is 22 percent, or about 47 million people. The National Cholesterol Education Program suggests that up to 44 percent of all people over 50-years-old meet the diagnostic criteria for metabolic syndrome. These inconsistencies may have to do with the age of the target group studied, differing diagnostic criteria, geographical region and other variables.
Metabolic Syndrome Features: Most of the features of metabolic syndrome are silent and go undetected without the appropriate blood work.
Metabolic syndrome is diagnosed when at least three of these five features are present. Therefore, while a person may have a large waist, if the other components are absent, the risk of cardiovascular disease is low. Other features sometimes seen with metabolic syndrome include a high risk of blood clotting, and polycystic ovary disease in women.
Treatment: The first, best option for a person with metabolic syndrome is to exercise and lose weight. Reducing body weight by 5 to 7 percent (this is only 10-14 pounds for a 200 pound person) significantly reduces the risk of complications due to insulin resistance; exercise improves insulin action and decreases blood glucose. Limiting alcohol use and quitting smoking are other important steps. If these lifestyle changes are insufficient to control this disorder, medications that improve insulin uptake and/or stimulate more insulin production may be prescribed, along with agents that work to lower blood pressure and/or cholesterol.
The role of the massage therapist who works with clients that are not perfectly healthy is to maximize the benefits of bodywork, while minimizing risks. This may mean changing tactics or adapting techniques to accommodate for the fragility of a client with a compromised circulatory system.
One way to make this determination is to get an idea of the client's activities of daily living (ADL). Does the client exercise regularly? Is it safe for the client to elevate his or her heart rate? Does the client huff and puff while climbing the stairs to the massage clinic? Has a doctor suggested avoiding aerobic exercise? This data informs the decisions about what kinds of bodywork are most appropriate. Techniques that focus on fluid movement may be less tolerated by a client whose circulatory system is challenged, but energetic or reflexive techniques that don't focus on fluid flow may be safe and welcome.
Metabolic syndrome patients who exercise rigorously and successfully control blood glucose, hypertension, and other features, are likely to be fine candidates for more vigorous circulatory-based techniques like Swedish or sports massage.
For next time: I have recently received a surprising number of letters requesting an article on contagious skin diseases like warts and herpes. Because I usually teach this material whenever I go on the road, I'd gotten it into my head that most therapists were pretty much at home with these topics. Clearly, I am mistaken! Unless I hear otherwise, I plan to focus my next column on herpes simplex. Do you have any stories you'd like to share? Let me know, so we can all benefit from your experience.
Until then, many thanks and many blessings.
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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