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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
November, 2004, Vol. 04, Issue 11
Survey Shows CAM Popular Among Military Personnel
Massage Therapy Used Most Frequently
By Editorial Staff
In August, Massage Today reported that the National Center for Complementary and Alternative Medicine (NCCAM) released survey results relative to complementary and alternative medicine (CAM) use in the United States.The survey found that 75 percent of respondents had used some form of CAM at some point in their lives, while 62 percent reported using CAM in the previous 12 months (www.massagetoday.com/archives/2004/08/01.html).1
The results of a similar survey published in the May 2004 issue of Military Medicine confirm the results of the NCCAM's survey, with the additional finding that military families are among those that routinely use CAM therapies. Topping the list of most frequently used therapies was massage.2
Researchers distributed 400 surveys to active and retired military personnel and their family members, ages 18 to 83, in four outpatient clinics in the northwest region of the U.S. Surveys were random, anonymous and self-administered, and asked questions related to the frequency of use and effectiveness of 18 CAM therapies: massage therapy, nutritional food supplements, herbal supplements, exercise therapy, chiropractic, music therapy, relaxation therapy, aromatherapy, meditation, magnet therapy, biofeedback, acupuncture, tai chi, yoga, naturopathy, homeopathy, qi gong, and hypnotherapy.
As part of the evaluation, the survey listed several medical conditions and asked respondents to report on whether they used CAM as a method of treatment for any of the ailments. These included lower back pain, stress, weight loss, neck pain, headaches, knee pain, upper back pain, shoulder pain, anxiety, health prevention [preventative medicine], depression, migraines, colds, hip pain, wrist pain, stomach pain, chronic fatigue syndrome, pelvic pain, sinus pain, viral conditions, and fibromyalgia.
Of the 400 surveys distributed, 291 patients responded. The average survey respondent was 39-years-old; 54 percent were men and 46 percent were women. Forty-six percent of the respondents were on active military duty, while 18 percent were retired and 36 percent were family members. Of the total number of respondents, 235 used at least one form of CAM (81 percent). Additionally, CAM users reported they believed treatment was effective between 81 percent and 98 percent of the time, except when treatment included qi gong, magnets and hypnotherapy, which were reported to be effective between 60 percent and 67 percent of the time.
Massage therapy, nutritional supplements and exercise rounded out the top three most frequently used therapies. Table 1 reflects the complete findings.
The study then asked respondents to rate their use of CAM for several conditions; these results appear in Table 2.
When asked whether patients wanted military medical treatment facilities to offer CAM and if they would be willing to pay for CAM services, 69 percent said they would like CAM services offered, but only 24 percent of those would be willing to pay for them. Ten percent of the patients would not want CAM offered, 31 percent of which would not pay for CAM treatment. Lastly, 21 percent and 44 percent of the respondents were undecided as to whether they wanted CAM offered and if they would pay for CAM services, respectively.
The report notes four limitations to the study, including: 1) "the level of past exposure, experience, or influence that each respondent has had with CAM therapies, which may influence their response to the questionnaire"; 2) "... only certain medical conditions were listed on the survey, which limited the patient's choice response"; 3) "... the region in which the survey was taken may have influenced the proportion of CAM use ... there [is] generally a higher use of CAM in the western region of the United States compared with the east, and this survey was conducted in an area that nationally has a higher percentage of CAM providers"; and 4) "CAM users are usually found to be predominantly in higher income brackets, have higher levels of education and are of middle age ... income and education was not measured."2
Study limitations notwithstanding, these survey results clearly show that CAM, especially massage therapy, has made a positive impact on military personnel and their families.
"Active duty soldiers, retirees, and their family members are turning increasingly toward CAM therapies," the authors note. "It is equally clear that in spite of cost (out-of-pocket or subsidized), they would prefer that these services be offered within the military treatment facility...which may clearly reflect a desire by the patient for better continuity of care.
"The need to further investigate CAM therapies and to consider integrating these practices at military treatment facilities should be further evaluated," the report concluded.2
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