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Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Making Sense of Liver Regulation
In Chinese medicine, the liver has the function of moving and storing qi and blood. In its moving function, the liver smoothly distributes qi and blood to the tendons, muscles and flesh through microcirculation.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
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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