Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
January, 2005, Vol. 05, Issue 01
Deep Tissue Healing: The Art of Stone Massage
By Bruce Baltz
Stone massage as we know it today has gone through many changes as its popularity has grown from spa sessions to injury treatments. Today, massage therapists have many choices in stone work education, and there are almost as many stone work classes as there are modalities in massage, ranging from home study classes to several day workshops, from Reiki with stones to deep tissue.
With therapists and businesses trying to keep up with the public's demands for stone massage, the industry has run into unacceptable legal setbacks.In my opinion, the blame cannot be put on any one party. Therapists must be held responsible for their actions as well as the businesses that offer any type of service. This means the providing parties need to seek proper knowledge so all necessary steps are taken to provide the best treatment possible. The two elements most stone workshops have in common are the use of heat and application of stones to the body through a drape or directly to the skin.
For this work to be done within a safe range for the therapist and client, specific steps must be taken into consideration, including the ability of the therapist to handle a hot stone and a client's tolerance to heat.
When taking a stone out of hot water, make sure the temperature of that stone is within your tolerance. If it is too hot, your ability to apply that stone with confidence, whether through a drape or directly on the skin, will be greatly hindered, and your client will feel your lack of confidence.
Once you have a stone that you are confident you can handle, you must consider your client's tolerance for heat. Take all necessary precautions to assure your client will have the best treatment you can provide. If a hot stone is being placed on the body through a drape, it should be done through a towel, not a sheet - the sheet will often be too thin. It is essential that you check with your clients to see how the temperature feels to them.
Some techniques require clients to lie on the stones. A client's chances of suffering a burn during this treatment are greater, but the technique can still be administered with proper training. I tell my clients that they are in control of the session, which includes determining temperature - hot or cold - and pressure. If you do not give your clients this permission, they might think to themselves: "You are the professional and I guess this is the way it should feel." We cannot afford to have this thought cross their minds.
If your intention is to apply a stone directly to the skin, you need to make sure the heat stays within the client's tolerance. If the maximum level is 10 and we do not want to be there, we are looking for the seven to eight ranges for deep-tissue work. You will also have to acknowledge that the seven to eight range could be different on each of your clients, with hot, cold, and pressure; this must be respected. The chances for injury to the client are greatly reduced when a properly trained therapist takes these steps.
Day Spas, Resorts and Medical Offices
To add stone massage as a modality to assist in the healing process you need to be aware of the learning curve to apply this technique safely. When therapists come to me for training in the use of hot and cold stones, I ask them to take a stone in their hands and work with it as though it is a part of their hand. It does not matter how long one has been a therapist, the stone will be an equalizer in class because student therapists have to massage with that stone as though it is an extension of their hand.
This process will take time before the stone can be one with the therapist's hand. Therapists will need time to adapt the stone into the flow of their work. When this time is not taken, therapists will not develop the technique properly. Thus, the therapist will not feel comfortable, and the client will pick up on this feeling and not want the treatment again. This will reflect on all stone massage therapists, which will perpetuate a negative feeling for stone massage.
I do not recommend that one therapist attend any workshop, and return to their place of business and train the rest of the staff in what they have learned. This could be a formula for disaster for the client, therapist and owner, and could result in an injury to the client, as well as legal action. Thank you to the businesses that support continuing education for their massage therapists, but allow your therapists the time to perfect their modality whatever it may be. The end result will benefit all involved.
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