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The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
January, 2005, Vol. 05, Issue 01
We Get Letters and E-Mail
By Editorial Staff
Massage Today encourages letters to the editor to discuss matters relating to the publication's content. Letters may be edited for space and clarity, and published in a future issue or online.Please send all correspondence by e-mail to or regular mail to:
Rave Review for Ralph Stephens
Regarding the article "Of Cabbages and Kings" (Sept. 2004, www.massagetoday.com/archives/2004/09/12.html), this article is so right on. I am using it as my theme for my Eagles Toastmaster meeting. Thank you Massage Today for such compelling articles and most of all to Ralph R Stephens. Ralph: Say hello to your Auntie Lynnette, a wise lady.
Mitzi Zappala Daniels
The 11th Commandment
I would like to add an 11th Commandment of Prosperity to Cary Bayer's article, "The 10 Commandments of Prosperity," (Oct. 2004, www.massagetoday.com/archives/2004/10/07.html): "Thou shalt not let others take advantage of you either emotionally or financially." Being in a healing profession allows our empathy to stand out. Many times people can detect this and can try to use that trait to aid their cause. However, since our skills are honed for the good of our clients/humankind, it's important that we understand our self-worth and have the integrity to say "no."
Nina Hanson, LMT
Editor's note: The following letters are in response to Cliff Korn's October editorial, "Thoughts on Being Part of Medicine" (www.massagetoday.com/archives/2004/10/09.html).
More Thoughts on "Thoughts"
I had the privilege of reading Massage Today from my wife, who is a licensed massage therapist in the state of Ohio. I read your commentary from the October 2004 issue.
I am a licensed osteopathic physician with approximately 30 years of practice. I practice from a traditional osteopathic standpoint. The majority of my practice is dealing with osteopathic hands-on therapy.
As it stands to date, my profession is evolving into an understanding of osteopathy being most appropriate when we can take a patient to their most relaxed state. In this state, it is hoped that there will be a shift in the psyche of that patient to go to a complete state of relaxation and peace, and let go of the grief of their suffering. The idea of specifically focusing on manipulation as a form of specific treatment for specific diseases may begin to take a secondary role in the future.
Therefore, the benefit of relaxation massage whose purpose is to take this patient to a state of peace may have ultimate value as far as being primary for the "medicalization" of massage. I hope your profession never lets go of the thought of relaxation as a form of medical therapy.
One advantage my wife has as a massage therapist is that when a patient comes to her, that patient has made the commitment to let go of their stresses, anxieties and sufferings with the hope that she will take that patient to a state of relaxation and peace. Often times, orthodox medicine cannot do this as part of medical therapy. The concept of taking the patient to a point of peace and stillness within their spirit is an osteopathic fundamental for balancing the autonomic nervous system. The autonomic nervous system is the neurological basis for much control of disease and suffering within the medical milieu.
Kenneth J. Klak, DO
I have been a licensed massage therapist for 15 years with over 300 hours of CEUs. When I took the state board exam, I had to take both a written and a practical exam. Now, all you need is to take a written exam for a hands-on profession. The [massage therapy] CEUs required, in most cases, are so repetitive they are a waste of time and money. My collection of CEUs does not come from any medical source other than the psychiatric realm for stress release. Most of my clients are "little old ladies" with a variety of complaints. A lot are suffering from lack of touch.
I do not want to see a cadaver, cut up and dissected. I do not hurt people with my therapy. I do not choose to be a Rolfer or deal with other musculoskeletal problems. I have been pressed into studying therapies that I will never use, and must pay dearly for them. I refer clients (they are not patients-that is a medical term that we can be sued for using here in the Sunshine State) to osteopathic physicians, chiropractors, and on several occasions, to other LMTs trained in colonic irrigation.
For those who are in the same position as I am, I would like to propose a cap on mandatory CEUs. I feel no need for further instruction, where you can read a leaflet, color in the right circles, and mail it off with over $200. I feel, by personal choice, a total of 100 credit hours of CEUs is enough. If you want to continue more studies, they should not be mandatory, but voluntary. If that does not satisfy you, then, by all mean go to a medical or chiropractic school. I do not choose to!
Alice Paprocki, BS, LMT
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