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Another Step Forward for Chiropractic
Chiropractic is now available to 86,000-plus Latter-Day Saints missionaries and you are invited to become a provider. LDS membership in not required; our only concern is that our missionaries get the best quality care available.
Five Branches University Has First Hospital TCM Residency
Established in 1984, Five Branches University (FBU) has campuses in Santa Cruz and San Jose, Calif., which serve the communities of Santa Cruz, the Monterey Bay, and Silicon Valley.
The Case Report: A Valuable Tool
Case reports are a valuable form of descriptive research. The most basic form of practice-based research, a case report is a detailed account of the history, presenting symptoms, assessment, observations, treatment and follow-up of an individual patient, discussed in the context of prior and potential future research.
We Get Letters & Email
Our Country Needs Us Between Elections, Too; Continuing Care: We Aren't There Yet; Our Associations Need to Do More.
News in Brief
Updated Neck Pain & Whiplash Guideline; Attention, IHS DCs; New VP of Institutional Advancement At Palmer; N.J. DC Interns At U.S. Olympic Training Center; Chiropractic Society Of R.I. On The Front Lines.
Nutrition for Menopause: Front-Line Therapy for All Phases
Of all the changes women experience during their reproductive life, there is no doubt the most dreaded are the three phases of menopause. This is not surprising since all of the symptoms associated with menopause are replete with unpleasantness.
Low Back Pain in Running Athletes
After 7 million years of adapting to upright postures, the lumbar spine and pelvis have become remarkably adept at managing ground-reactive forces associated with running.
Let's Clear Up the Collection Confusion
This is an often-misunderstood practice swirling with misinformation. First, a few basics: Insurance is a contract between the patient and the insurance company. The insurance company is simply making a payment for services or care on behalf of the patient.
Crow Like the Rooster
As we welcome in the Year of the Rooster, we look at some of its major characteristics: confidence and communication, which suits the image we have of the Rooster...strutting in the farmyard, crowing to the others that it's time to wake up.
A New Year and Vision for the ACA
Inadequate pain management coupled with the epidemic of prescription opioid overuse and abuse has taken a severe toll on the lives of millions of people in the United States. Every day, more than 1,000 people are treated in the ER for misusing prescription opioids.
Scar Reduction With Acupuncture & Microneedling (Part 2)
Protocols and treatment Timing: A course of treatments should be performed over a period of 12 weeks if possible. Microneedling should be performed once every two weeks.
Prepare for the End, From the Beginning: Wealth Building and Retirement with the Tao
Yin and yang flow into and out from one another continually. Beginnings become endings and endings become beginnings again. Wholeness and cycles are the nature of Tao.
The winter season is upon us and offers unique challenges for the clinician and patient alike. To effectively navigate through the winter season there are two main TCM medicinals, Huang Qi and Gan Jiang, to consider, as well as two important formulas which feature these two TCM treasures.
Anti-Aging With Dr. Ping Zhang
Jennifer Waters, TCM practitioner and writer of the Acupuncture Today column, "Talking With the Masters" sat down with Dr. Ping Zhang to discuss aniti-aging with acupuncture.
Flirting With Alternative Therapies
There are about as many adjunct therapies being marketed to acupuncturists as there are acupuncturists. While some may remain purist in their application of traditional Chinese medicine, others choose to explore new horizons of treatment.
An Opportunity & a Responsibility
Nearly 80 Americans die from an opioid-related overdose every day, and spine-related pain is one of the principle drivers of opioid use. This unfortunate situation creates both an opportunity and a responsibility.
Acupuncture Points: Broadening Our Scope and Diagnostic Work
As every practitioner knows, the correct diagnosis is everything. Most healing disciplines rely on the use of symptomatology for their treatment implementation. Beyond symptomatology, we have clinical tests to provide more objective findings.
An Education in Gluten Sensitivity
A relatively new syndrome officially documented as non-celiac gluten sensitivity (NCGS) or gluten sensitivity (GS) was officially recognized and published in the new list of gluten-related disorders in 2012.
Qigong for Substance Abuse
It is commonly believed that substance abuse, in addition to harming one’s physiological state, hurts the spirit. There is also a belief that one’s spirit does not weaken due to substance abuse, but rather, the person finds solace in addiction due to an already weak spirit.
The Acupuncture Channel System (Part 1)
The earliest Chinese reference to channels is in the Mawangdui Medical Manuscripts,1 which are dated to the Warring States period of the Zhou Dynasty (475 BC-221 AD). The text presents 11 channels. There are no acupuncture points listed in those channels.
True Practice Mobility for the Chiropractic Profession
When natural disasters occur, chiropractors can literally travel to the other side of the world to offer humanitarian relief in less than a day. The chiropractor's license to legally practice, however, can't make it past the state line.
Shoulder Rehab: Start With the Scapula
The scapula is an incredible display of elegance and movement within the biomechanics of human motion. It's evolved for mobility and stability in the scapulo-thoracic region, giving us the ability to do things that are uniquely human, such as throwing with accuracy.
December, 2004, Vol. 04, Issue 12
Medical Massage for Jaw and Joint Disorders
By Boris Prilutsky, MA
"Stay in Touch With..." is a periodic column designed to provide an overview of a particular technique or modality. If you would like to contribute to this column, please e-mail .
As a result of a tremendous exposure to stress, the development of temporomandibular joint (TMJ) disorders has reached pandemic proportions.TMJ sufferers experience high-intensity headaches, difficulty with chewing, painful joint clicking and popping, and other symptoms. With the progression of the pathology, individuals may even develop sleep disorders.
TMJ Anatomy: The TMJ is formed by the temporal and mandibular bones. Attached to the mandibular condyle is a fibrocartilage meniscus or articular disk, which allows the mandible to move smoothly. The masticatory muscles (temporalis, masseter, lateral pterygoid, and medial pterygoid) are responsible for movement and stabilization of the TMJ.
Bruxism: Due to stress, people often develop bruxism. Bruxism is a pathological clenching and grinding of teeth that usually occurs during sleep. Bruxism is caused by the hyperactive contraction of the masticatory muscles. Imagine any other muscles in our support and movement system kept under tight contraction for seven hours. Pathological hypertonus in these muscles will be formed, followed by restriction of range of motion, trigger point development, and other symptoms. With time, hypertonic condition in the masticatory muscles leads to the development of osteoarthritis in the TMJ, including negative effects on the articular meniscus. In such a case, the above-mentioned TMJ pathology starts producing severe headaches and painful "clicks."
Massage therapy and Post-Isometric Relaxation Techniques for TMJ Disorders: Massage therapy should be focused toward the reduction of tension in the masticatory muscles, releasing tension in fascia, and elimination of trigger points. Post-isometric relaxation is an extremely important tool for the restoration of the range of motion. Massage therapy steps for TMJ:
Mechanisms of Trigger-Point Therapy: A trigger point is a localization of pain. It can be found in muscles, periosteum, tendon attachment points to bone, as well as near muscle-tendon junctions. Even given the fact that most typical trigger points are developed in the middle of the muscle belly, at the place of nerve-muscle junction, I recommend two ways for discovery of trigger points: First, ask the patient to point to the exact localization of pain (trigger point); second, at the time of performing kneading and myofascial tissue release, ask your client to let you know if they feel a sharper level of pain under your fingers, which will be the trigger point.
The main mechanism of trigger point therapy is ischemic compression. Automatically, we can assume that in the area of the trigger point, arterial blood supply is significantly decreased. By gradually compressing the trigger point and reaching the threshold of pain, we additionally decrease this blood supply to the point. After 10 seconds of this ischemic compression, we ask our client to report their ability to tolerate additional compression (please do not overdo this pressure; stop at a pressure that your client indicates is sufficient, and do not increase it.
Do not increase the pressure if muscles demonstrate protective contraction to the pain sensation.) After 20 additional seconds of compression, quickly withdraw your fingers. While performing ischemic compression of trigger points, arterial blood will accumulate around the compressed point. With the fast withdrawal, arterial blood will rush to the area of the trigger point, and a vasodilation reflex will be awakened.
Mechanism of Post-Isometric Relaxation: One of the factors responsible for the restriction of range of motion is an energetic unbalance inside of the muscles, which is expressed in the form of different tension levels in the fibers of the same muscle. Imagine that in the same muscle, a portion of the fibers is in pathological hypertonus and the rest is in normal tonus. Every movement will increasingly overload the contracted part of the fibers.
This, of course, will cause a higher level of pathological accumulation of tension. At the time of isometric contraction, the fibers of the muscle are actively stretched, which leads to a balancing of the tonus between different fibers in the muscle. After 30 seconds of isometric tension following post-isometric relaxation (stretching), Golgi organs are activated, which in turn will contribute to normal tonus in muscles. In such a case, the muscle will be able to produce adequate energy during contraction and relaxation. The above-mentioned positive changes in muscular tissue will help to restore normal range of motion.
Full-Body Stress-Management Massage: As mentioned before, stress is the main cause of the development of bruxism and TMJ disorders; therefore, it is very important to those who suffer from TMJ disorders (in addition to the protocol which I offer you in this article) to receive full-body stress-management massage. From my experience, the phenomenon of bruxism can be reduced within five full-body stress-management massage treatments given on a weekly basis. Elimination of bruxism is an extremely important factor that will allow the masticatory muscles to be restored to normal metabolism and prevent re-accumulation of tension in the muscles.
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