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Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
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Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
May, 2005, Vol. 05, Issue 05
By Ralph Stephens, BS, LMT, NCTMB
It spring again, at last! Daylight savings time is upon us. Flowers are blooming and legislatures are in session. Exciting times. There is so much news about so much sickness and the lack of insurance.I am amused that there is so little news about how insignificant the flu epidemic was this year, without enough vaccine. We should hope for another contamination "crisis" in the vaccine industry next year.
Preventive maintenance is recommended for your car, but not for you. Just live life until your health fails and then see your friendly neighborhood allopath (medical doctor). Vitamin and mineral supplements are recommended for animals but not for you. All humans need to do is eat a balanced diet of chemical encrusted, GMO foods.
The wellness model seems to be fading. As our profession frantically scrambles for acceptance by insurance companies and allopathic physicians, the focus seems to be turning more to crisis management. Accidents happen and soft-tissue injuries generally are best addressed by massage and stretching; however, the focus should be on getting people well and then keeping them there. We should be about health, not catastrophes. Of course we should handle injuries when they occur, but an ounce of prevention is worth a pound of cure. How much pain and injury could be eliminated if people were educated about posture, movement and proper soft-tissue care? The wellness, holistic care paradigm needs to be taught in all massage schools and promoted to the public. We, and our alternative health colleagues, have a better mousetrap, and the public is beating a path to our door. Already, more people pay out-of-pocket to see alternative providers than to see allopaths. If we could promote personal health savings accounts, the number would increase in our favor.
Where are our beloved associations on this? Talk about creating opportunities for their members! Why are we squandering our resources trying to prove that what we do works in order to gain the acceptance of the allopaths who accidentally kill between 200 and 2,000 people a day? (Estimates vary but are still ahead of any other cause of death, including wars.) The allopaths say we are unproven and quacks. Let's see, maybe 50 people have died from a chiropractic manipulation in the last 50 years, a few dozen from supplements, and none I am aware of as the result of massage.
Allopaths kill more people in a day - at the low estimate - than all alternative providers have in over 50 years. Who are the quacks? Who's dangerous? The only thing I can see that's proven about what the allopaths do is that it's damn dangerous. We should be educating the public to this incompetence and promoting our alternative. Who should have to prove what is safe and effective? Allopaths should have to prove medicine is safe and that it is not the biggest killer on the planet or be relegated to second-tier providers. Look at the number of causalities. Where is the outrage? Wouldn't the public be much better off with alternative providers as the gatekeepers, except at the emergency room?
There is such an opportunity for massage and other alternative professions to upset the allopathic applecart, once and for all. Other alternative professions such as acupuncture and chiropractic are positioning themselves for this step. They are fighting for larger scopes of practice and higher standards of education. The massage profession is fighting among itself as to whether 300-500 hours is too much because not everyone can afford to go to a longer program, and schools couldn't make as much money if programs were longer and besides it's "just a massage."
The massage profession needs to step up to the plate and take advantage of the opportunity at bat before we are relegated to slave labor under the thumb of other alternative providers, or worse, the allopaths. How about we begin to call for a nationwide boycott of health insurance programs, by everyone - patients and providers? If no one had insurance, health care would quickly become affordable. We would be a bargain. If no providers accepted insurance, the public would stop buying it. Where would they go - to the most cost-effective providers.
That's us, and other alternative providers. Radical? You bet! But it's spring, time for rebirth, new ideas, new beginnings, hope and idealism.
What's wrong with proposing any idea that might end the reign of death and disease resulting from allopathic medicine's control of health care? What's wrong with wanting to promote health, wellness and awareness, not to mention increased opportunities for massage therapists? It's spring again, at last! Exciting times!
Try This: Remember when treating elbow and wrist conditions, such as medial and lateral epicondylitis (Golfer's and Tennis elbow) and carpal tunnel syndrome, the muscles involved run from the elbow to the fingers. If you do not get the resolution of the complaint when you only treat at the point of the discomfort, the lateral epicondyle, for example, treat the entire length of the muscle, from elbow to hand with both massage and stretching. Compression with engagement has been found to be very effective.
After warming up the tissues with myofascial and massage techniques, engage (compress) a spot on the problematic muscle with your thumb or finger and as you hold, have the patient flex and extend their wrist. After two or three cycles of flexion/extension, begin moving your thumb or finger in a circular motion (circular deep friction) as they continue to move through two or three more cycles. Release and move about an inch and repeat. Continue until you have treated the entire muscle or the entire forearm. I have found I get slightly better results when working from distal to proximal. It will take some time, but it will bring dramatic results. More next time (July).
Correction: In my March column, while discussing our scope of practice I wrote, "Due to poorly written laws, in some states, CranialSacral Therapy cannot be practiced by massage therapists." I was referring specifically to Mississippi; I have recently been advised by the Upledger Institute that this dark moment of our history has ended: "As of Dec. 17, 2004, The Upledger Institute was approved as a Continuing Education Provider by The Mississippi State Board of Massage Therapy to teach CranioSacral Therapy to massage therapists in Mississippi." At this time there are no states preventing the practice of CranialSacral Therapy by massage therapists. I am most happy to stand corrected. Congratulations and thanks to The Upledger Institute for fighting for our scope of practice.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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