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Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
September, 2004, Vol. 04, Issue 09
Healing From the Core: A New Paradigm, Part I
By Dale G. Alexander, LMT, MA, PhD
Since ancient times, we have endeavored to describe the essential elements of how the body and psyche dance together in the healing process. Inherent in my life's purpose is the desire to contribute to this momentum and to ideas that illuminate the many dimensions of healing.Sometimes ideas come together into simple, obvious paradigms that have not been clearly defined. In this spirit, I invite you to consider a new paradigm that reflects my learning over the past 23 years.
Conceive of working with the body from the "inside-out." Imagine a quality of touch that accesses the body's core and assists the discharge of its tensions more effectively. Consider an approach that helps to unravel the body's sophisticated capacity for distributing strain, thus bringing to the surface physiological problems that have been degrading your clients' quality of life for years. Appreciate your sense of satisfaction when clients, whom you have sensed needed additional medical intervention, actually receive this care. Feel confidence in your competence when clients make steady progress in healing from chronic problems. This article serves as an introduction to this "inside-out" paradigm. The short form has four basic tenets:
When a client comes to your office with an acute or chronic muscle spasm, or other problem without evidence of recent injury or illness, the sequence described above has predated its occurrence. Thus, when our attention is focused principally on the extrinsic musculature, we are only working with the tip of the iceberg.
All touch techniques assist the body to "feel" itself, enhancing the feedback loops, which stimulate the body's self-corrective capacities; however, I propose that the models that govern most technique applications are incomplete.
The premise of this new paradigm, which advocates working from the "inside-out" postulates that "healing from the core" involves enhancing the suspension and function of the visceral organs. Their improved efficiency represents the "tipping point" in building momentum toward healing. Without the appropriate absorption of nutrients, oxygen and the timely elimination of wastes, one cannot help but lose ground in the face of traumatic incidents, immunological challenges or the grinding effects of daily stress.
The visceral organs are central to our ability to survive as infants. They are composed of smooth muscle, the first kid on the neocortical block, since the job of a baby is to ingest, digest and excrete during the phenomenal growth of infancy. The functioning of visceral organs is key to an infant's capacity to thrive. Infants have no psychological sense of separation between self and other. They are physically dependent and vulnerable, yet they experience everything around them as an extension of themselves.
Consider how an infant reacts to family tension and conflict. It becomes upset, its body contracts and writhes, it cries and screams. What is happening to the visceral tissues? They are contracting -- it is the smooth muscles that initiate those movements. This does not suggest that the baby's extrinsic musculature has no tone or function; rather, the visceral smooth muscle is predominant.
In my opinion, this is what has been overlooked in our focus on the musculoskeletal system and on structural models that view the human body from the "outside-in," rather than developmentally from the "inside-out." Contracting visceral smooth muscle predisposes the eventual capacity for gross-motor movement.1 It is a simple idea with many implications related to human development.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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