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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
December, 2004, Vol. 04, Issue 12
Menopause, Part II
By Elaine Stillerman, LMT
Editor's note: Part I of this article appeared in the October 2004 issue and can be accessed online at www.massagetoday.com/archives/2004/10/13.html.
Progesterone ranks second to estrogen in its importance as a female hormone.It is made in the ovaries and, to a smaller degree, the adrenal glands. It stimulates the growth of the lining of the uterus to support the fertilized egg, helps in the production of breast milk, and maintains pregnancy. Progesterone is beneficial in decreasing the risks of endometrial cancer and has many metabolic influences. It enhances mood elevation and acts as a calmative, helps reduce premenstrual syndrome and menopausal hot flashes, regulates fluid balance, encourages thyroid hormone activity and normalizes blood sugar levels. Progesterone also plays a role in restoring and maintaining libido, and helps build bone mass. Together, estrogen and progesterone regulate a woman's monthly cycle and prepare the uterus for pregnancy.
The severity of menopausal symptoms vary from woman to woman, but it is safe to say that almost 75 percent of women experience at least some of the symptoms, with hot flashes and vaginal atrophy the most reported. Hot flashes, also known as "power surges," are the classic sign of menopause. Often unannounced, these sudden feelings of intense heat, flushing and copious perspiration, spread all over the body; these symptoms may be followed by chills. In addition to the decreased levels of estrogen, other factors that contribute to hot flashes are hot and humid weather, enclosed spaces, alcohol, caffeine and spicy foods.
Women who have undergone hysterectomies are more apt to have hot flashes. This internal fire lasts from a few seconds to several minutes and can be very uncomfortable and embarrassing. Some women experience hot flashes for just a year or two, while others continue to have them even decades after menopause.
One of the most helpful herbs known to reduce the severity of hot flashes (and memory loss) is black cohosh (cimicifuga racemosa). Native to Eastern North America, this herb is widely used for female reproductive problems from dysmenorrhea (difficult menstruation) to labor stimulation and menopause. There is much research documenting the effectiveness of black cohosh in balancing a woman's glandular system. In a study of estrogen-dependent cancer, black cohosh was given along with Tamoxifen. The herb worked along with the cancer drug to help block the growth of breast cancer cells; it appeared that the combination was more effective than the drug alone (Nesselhut, et.al.1998).
Dong Quai, another powerful emmenagogue (pertaining to women's reproductive health), is used pervasively in China to address women's reproductive problems. It is a natural form of estrogen and proves to be a hormone balancer beneficial to the treatment of hot flashes. Wild yam is another popular herb used to support female reproductive health and treat hot flashes, irritability, depression, insomnia and other menopausal symptoms. And some women get relief from menopausal symptoms with licorice root.
Other ways to address hot flashes are to keep as cool as possible, avoid alcohol, caffeine and spicy foods, and wear natural fibers. Drink plenty of water and cool liquids. A full body massage can help regulate body temperature, and stimulation of Spleen 3, the hormone balancer, along with Liver 3 for water balance is very helpful.
Vaginal thinning can be very uncomfortable, even painful for some women. Since estrogen has a major role in maintaining the health and function of the vagina and surrounding tissues (uterus, urinary bladder and urethra), low levels of the hormone may cause these organs to weaken and shrink. When the bladder is affected, urinary incontinence, infection or painful urination may occur. The thinning of the vagina may result in painful intercourse, dryness and itching. It is estimated that at least 50 percent of women over 60 have some degree of vaginal dryness. The good news is that regular sexual intercourse actually helps keep the vagina moist and toned. Black cohosh can help by improving the thickness and elasticity of vaginal tissues.
Women should be aware of some of the serious consequences of menopause, as well. Bone thinning, or osteoporosis, which occurs naturally in both men and women after the age of 40, is particularly aggressive after menopause. Skeletal bones thin out and become brittle and more prone to fracture, with the bones of the spine, wrists and hips the most susceptible. Hormonal supplementation, especially those rich in estradiol, can help maintain bone mass. A proper diet rich in calcium is also essential to maintaining bone health. Calcium should be consumed from a wide variety of foods to be most beneficial. Weight-bearing exercises not only help to maintain bone health but also are vital to increase bone mass at any age.
The risk for heart disease increases in women after menopause; in fact, it is the leading cause of death among women. Originally, it was believed that hormone replacement therapy (HRT) reduced the risk of heart disease in menopausal women. Since then, we have learned the opposite is more accurate: HRT contributes to higher rates of heart disease, stroke, blood clots and breast cancer.
To lower elevated cholesterol levels and contribute to overall health, a diet rich in phytoestrogens (plant nutrients that mimic estrogen in the body) can be helpful. The major phytonutrients that promote estrogen-like activity are isoflavonoids (genistein and daidzien from soybeans) and lignans (from nuts and flax seeds). This means including soy products, whole-grain cereals, seeds (particularly flax), nuts (walnuts), and many herbs as a regular part of the diet. Soy is not for everyone, however. A connection between soy products and breast cancer is still being investigated, and the results are inconclusive. Cardiovascular exercise is also vital for a healthy heart, elevated mood and general well-being. Exercising, eating well and embracing a wholesome lifestyle will help minimize the discomforts of menopause and promote optimum health.
Menopause is an unavoidable fact of life, but one of the most pleasurable and effective ways to treat many of the discomforts of menopause is massage therapy. A full body treatment can help balance a woman's hormones, encourage the elimination of excess fluid, elevate her mood and make her feel more accepting about the inevitable changes in her body, mind and life.
Click here for previous articles by Elaine Stillerman, LMT.
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