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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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
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.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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).
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%.
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.
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.
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.
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.
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.
May, 2005, Vol. 05, Issue 05
Parkinsonism Redux: The Movers and the Shakers of the World
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
My last article on Parkinsonism generated more feedback than usual, and it was wonderfully supportive of the positive influence massage can have on the lives of people who live with this disorder (www.massagetoday.com/archives/2005/03/14.html).I heard from so many people with such wonderful things to offer that I decided, instead of moving on to another topic, I'd recap what some of they had to say. The fact that I am listing these resources and techniques is not an endorsement, and I haven't explored them myself; however, I encourage interested readers to get more information from the organizations provided here. My heartfelt thanks to all those who wrote, and in particular to the people quoted below, who quickly and enthusiastically gave me permission to use their letters in this article.
I have worked with many people over the years with Parkinson's and other chronic illnesses both in my private practice, and as part of my work as supervisor of the massage therapy program at HospiceCare of Boulder and Broomfield Counties in Colorado. Through this work I have developed a particular style of bodywork called Comfort Touch, which is safe and appropriate for the elderly and the ill, and easily adapted for those in medical settings.
I demonstrated on a volunteer as she sat in a chair, explaining the rationale behind the techniques I use (slow, broad, encompassing pressure directed into the center of the part of the body being touched, e.g., nurturing acupressure), and then I had the participants practice a simple sequence - shoulder, arms, hands - on each other. They were all so enthusiastic about the work. Those receiving the touch felt it to be very relaxing, and the givers of Comfort Touch felt it enjoyable to give. In just a few minutes, they felt calmer, more grounded, and a bit more hopeful in coping with their disease.
Mary Kathleen Rose, BA, CMT
I am surprised that you did not mention Daybreak Geriatric Massage Institute in your article. This would probably be of interest to some of the readers. We have been the certified geriatric work modality since the early 90s, and have published many articles on working with many challenges, including Parkinson's and ALS. We teach beginning and advanced levels of classes. I, along with four other teachers (all are RNs or OTs, as well as massage therapists), teach about 60 workshops per year both nationwide and internationally.
Sharon Puszko, PhD, CMT
Shortly before my husband was diagnosed, I took several short-term training courses in massage therapy. I began giving him regular weekly massages. Not much happened. He felt a lot better after the massages, but not really that much better than you or I would feel.
About a year later, I took a weeklong massage course, where in the process of the training, I gave and received a massage every day. It was that daily massage that made an impression on me. I felt so much better after seven days of regular massages that when I got home, I told my husband that was the program I felt he should go on - daily massage (by the way, my husband takes no chemical drugs to treat his condition). As I am sure you can guess, the daily massages I gave him brought about remarkable changes, including restoration of facial expression; 90 percent elimination of tremor; sleep patterns returned to normal; handwriting improved; aches and pains almost completely reduced; and continued improvement of joint movement.
Although the PD was still progressing, we both felt that we had slowed its progression down. I continued with the daily massages for one year, after which time I discovered the FSR. (Forceless Spontaneous Release put forth by the Parkinson's Recovery Program in Santa Cruz, Calif.) In the early days of his condition, the daily massages made all the difference. I know they helped him and he knows they helped him. There were three factors that were essential that I would like to share with you: 1) Deep work was detrimental; 2) Very slow movements were essential; and 3) One massage a week didn't do a thing. He needed at least one massage a day.
My mother is one of many Parkinson's patients undergoing treatment. There is discussion online at , which can be browsed, joined or queried. They have found that studies indicate in Parkinson's the brain areas thought to be dead are dormant, with undifferentiated cells, which can be brought back and the patient becomes "symptom free," undiagnosed as having Parkinson's - the best one can say, because the medical establishment categorizes Parkinson's as "incurable." This categorization itself is quite debilitating for people who have the condition, which the practitioners at pdrecovery.org prefer to call "reverse of the stomach channel."
I was a massage therapist for 21 years. When I moved back into my parents' home to help them; one of the reasons that help was needed was my father's Parkinsonism. His lower legs and feet were in great need of massage but were exquisitely sensitive. I began by working gently on his quadriceps, which let him understand the pressure and motions that would eventually be used on his calves and feet.
I proceeded after a week to "shank work" and finally incorporated his feet. He was happily surprised at how his tolerance for touch increased, and I cherished the half-hour sessions for all that I received during them.
Thank you for your article in Massage Today. In addition to informing your readers, it led me down a lovely memory trail. PWP rely upon a sense of humor to help them meet challenges. As "they" like to write in their listserv group: always remember, "People with Parkinson's are the real movers and shakers of the modern world!"
Deanne Charlton, retired massage therapist
To all of these contributors, I owe great thanks for their generosity and dedication. I am humbled to be in the same business with all of you.
Readers: Next time I will continue in the CNS dysfunction vein with an article on amyotrophic lateral sclerosis, or Lou Gehrig's disease. I'd like to hear from anyone working with clients who live with this disease to share your experiences with other readers. Please write to me and let me know what you do and why, if it works, and why you think so.
As always, many blessings,
Ruth Werner, LMP, NCTMB
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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