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Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
The Acupuncture Now Foundation: What Our Profession Needs
Although acupuncture is growing in popularity it continues to be underutilized due to misunderstandings about its true potential. Only a fraction of those who could be helped by acupuncture know enough to seek it out.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Following the Thinking of the Classics
I have heard about the "best time of day" to carry out certain examinations or therapies. For example, I remember making a note years ago that early morning is the best time to take someone's pulses.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
The Power of Mu Xiang to Treat Irritable Bowel Disease
Bloating and gas pain is something that everyone has had to deal with at one point or another; however, that's usually reserved for holiday dinners and other large gatherings.
Meat in the Middle
Have you ever wondered what's the truth about meat? Is it really as bad as many people think?
Chinese Medicine: The Natural Way to Children's Wellness
As a child, I did not like going to the doctor. For the most part, when I had to go I wasn't feeling good to begin with, and I was heading into a sterile environment to be awkwardly probed by a man in a white coat for a very short, impersonal period of time.
Micro-Needle Dermal Roller Use in the Treatment Room
Recently micro-needle dermal rollers have been getting a lot of media attention. As a practitioner who specializes in acupuncture facial rejuvenation, I know that skin needling with a dermal roller (also known as collagen induction therapy), promotes the natural reproduction of collagen and elastin, making the skin feel smoother and tighter.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Capturing the Essence of Tai Chi
Over the last 12 years, I have been working on one of the few documentaries about Tai Chi. It's called The Professor: Tai Chi's Journey West and it's about Cheng Man-Ching who moved to New York in the 1960s.
Peer Points: Promoting TCM Knowledge
When Elaine Wolf Komarow, LAc, received her first acupuncture treatment in 1989, she said it changed her life. "I felt more aware, calmer, and happier. I was so fascinated by the changes that I began to learn everything I could about the underlying philosophy of Chinese medicine," said Komarow.
Introduce Your Patients to Collagen Induction Therapy
Cutaneous (skin) aging generally occurs from either intrinsic or extrinsic processes. Intrinsic aging results from natural skin tissue damage and degeneration.
Inspire Your Patients to Make Healthy Choices
Have you tried to get your patients to change their eating habits or their diet and couldn't get them to succeed? Were they confused and unsure of what the right thing was to eat? You are not alone!
Chronic heightened emotional states create a perfect breeding ground for illness. Through my practice I noted the increasingly obvious relationship between one's mental focus on negative thinking, emotions, resistance to experiencing feelings and disease.
Treating Chronic Depression with Acupressure
In Traditional Chinese Medicine there already exists a comprehensive theory linking the body and mind.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Acupuncture Detox as Part of Drug Rehabilitation
In the U.S., more than 2,000 alcohol and drug rehabilitation programs have added ear acupuncture to their practice. The development of the protocol was determined by Lincoln Hospital as it delivered 100 acupuncture treatments daily.
Implications of Section 2706: The Non-Discrimination Provision Survey
In late April 2014, NCCAOM diplomates received an email survey with the subject line: "End discrimination against acupuncturists" polling CAM practitioners for a Request for Information from the Department of Health and Human Services, released in mid-March.
It Pays to be a Foodie
If there is an inner foodie in you, just waiting to burst out—this article is for you! Do you want to know how I know? I'm that girl. My middle name might as well be "Foodie." I love food! And if my patients are any indication, many of them do as well.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
Home Safety: Help Families Avoid Common Injury Hazards at Home
These days, many parents childproof their homes before a baby is even mobile. You will see an array of electrical outlet covers, bumpers on the corners of the coffee table and safety latches on the cupboards.
Five Element Acupuncture Can Enhance Your Practice
For eight years I have been teaching and supervising TCM students at an acupuncture college in Colorado, in Five Element acupuncture.
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
April, 2005, Vol. 05, Issue 04
By Keith Eric Grant, PhD, NCTMB
Last time, we explored factors that lead to business survival in the practice of massage ("Meaning Business," Feb.2005, www.massagetoday.com/archives/2005/02/07.html). What I emphasized were the skills of attitude, business, presentation, niche identification that provide a focus for work, and a stream of clients to work with. This time, I'm focusing on factors that allow you to physically stay in practice. Some of these are mostly within your control and planning; others - like the direction of the wind - can only be known and contended with.
To survive physically, respect massage as a body-based endeavor. Our bodies have their rules as to training and accommodating to new stresses. One of the cardinal rules of increasing sports training is to increase activities by no more than 10 percent per week.3
Physiologically, the ability to increase use is partly due to the effects of super-compensation on muscle strength and endurance discussed in my article, "Training Effects." (June 2003, www.massagetoday.com/archives/2003/06/08.html).
The structural accommodation of bone and connective tissues to stress, over time, is conceptually captured in Wolf's and Davis's laws, respectively. Increase your use of a given body area too fast and it can't accommodate before it breaks down. Respect your body, and its time for adjusting in your enthusiasm for doing the work.
Apart from controlling the rate of ramping up the total amount of massage you do, it's important to control both how the massage is done and the cumulative after-effects. Less stress is placed on your body when you vary the means of applying pressure, alternating the work you are doing between different body surfaces - fingers, palms, open fists, knuckles and forearms. Just as important, is learning to work equally with both sides of your body rather than always using a dominant side.
As your work becomes deeper, the additional pressure should come more from your weight and stance rather than your hand and arm muscles. Having a table that is about fingertip high is one measure of height I use for sports or deep-tissue massage. Another measure is having a table at a height that allows me to place a flexed knee on its surface with my other foot flat on the flow, while still being able to freely lean forward to apply weight. Using a stance with one foot in front of the other will allow you to push your body forward and back from your legs in a rocking motion, rather than pushing from your shoulders. Movement training from tai ji or qigong can help in getting the feel of moving your body with intent. Squeezing petrissage that intensely uses hand and forearm muscles can be supplemented or replaced with rolling the tissue as you rock forward. Finally, both getting massage for yourself and using body-care techniques, such as those given by Sharon Butler and Lauriann Greene, can increase your professional longevity.4,7
Staying in the massage business goes beyond just doing the work. In the United States, provision of health insurance is largely gained through employer plans (or by marriage to an employed person). Distinctions are made between individual plans, small-business plans covering two to 50 persons, and larger employer plans. Planning for health care can be vital to both your family and business finances. A recent review of 1,771 bankruptcy filings revealed that 52 percent of them resulted from medical costs.9 The study showed that involuntary lapses in health coverage can be financially devastating. Even when people had medical insurance coverage, the co-payments and deductibles for serious health crises coupled with loss of income accumulated overwhelming debt.
While there is little you can do outside of politics to change the structure of health insurance provisions, there are a number of resources you can use to learn about small business health insurance, including coordination with the new, pre-tax, health savings accounts (HSAs).1,2,8,11,12
In looking through the state health insurance guides by Georgetown University8 and the coverage offered by organizations, such as the National Association of Female Executives (NAFE),10 I noticed much of the provision was done through a single Internet broker.5 May the days of your practice be long and fulfilling.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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