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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Sell Out: Using Research for the Wrong Reasons
The above chorus is from the ska band Reel Big Fish's 1997 hit song, "Sell Out," from their album, "Turn the Radio Off." In the song, the singer sarcastically relates the plight of a musician who is tired of "flipping burgers" and is willing to get "lots of money" by playing "what they want you to hear" in order to get a recording contract.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Do You Teach Patients How to Breathe Properly?
Spinal manipulation often produces quick results in terms of pain alleviation and improved range of motion. Unfortunately, once the patient is no longer in pain, they may discontinue therapy, only to be plagued by the same complaint at a future date.
The MRI: When and Why to Order One
As I lecture around the country to both chiropractors and medical specialists, it's clear one of the main disconnects between the two professions is that of an accurate diagnosis.
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
News in Brief
A Winner in and Out of the Office; Ready for the "Have-A-Heart" Campaign? New Integrative Medicine Journal.
The Future of Functional Neurology
Functional is the hot buzzword in health care these days; witness the rising popularity of functional medicine, functional testing and yes, functional neurology.
The Amazing Clinical Versatility of Milk Thistle (Part 1)
Most of us know that the standardized extract from the seeds of milk thistle (Silybum marianum) is probably the best-proven herb for protecting the liver from chemical and inflammatory damage.
We Get Letters & Email
In the Dec. 1, 2015 issue, we have Donald Petersen reporting on "the adapting chiropractic practice," which includes multidisciplinary practice as an option; a ChiroPoll indicating 59 percent of DCs are seeing at least 21 patients per day and 27 percent are seeing more than 40.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Elevated Shoulder? Check the QL
As you know, posture reveals a great deal about the body. Posture is a unique mental and physical landscape revealing compensations and adaptations to life. It's a classic mind-and-body story.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Top 10 Fitness Trends for 2016
The American College of Sports Medicine (ACSM) published its annual fitness trend forecast in the November / December 2015 issue of ACSM's Health & Fitness Journal.
Osteoporosis Isn't Always the Case
What is your diagnosis? The patient is a 58-year-old female with back pain. I am sure all of you see the compression fracture at L2; however, there are some findings that suggest this is not a compression fracture due to osteoporosis.
Preventing ACL Injuries in Female Athletes
For female athletes, the key to optimal athletic health lies in preventing ACL injuries. In medical terms, the anterior cruciate ligament (ACL) is the primary restraint to the anterior displacement of the tibia on the femur at all angles of the knee flexor.
Spine Surgery: A Tale of Greed and Corruption
All too often, where there's substantial money to be made, greed and corruption inevitably follow.
July, 2005, Vol. 05, Issue 07
Plastination Reveals the Craniosacral System
By Julie McKay
Author's note: This article is for educational purposes only. I have no financial connection to or other vested interest in the Body Worlds exhibit. I only encourage others to take advantage of the exceptional educational opportunity it offers.
For those of you who would love to attend a dissection class to explore the craniosacral system, this article is for you.If you have already seen the Body Worlds exhibit of perfectly preserved cadavers created by Dr. GŸnter von Hagens, you may have realized that it is even better than a dissection class. If you have yet to see the Body Worlds exhibit, I have three words for you: Go see it! Body Worlds is an exhibit of perfectly preserved human anatomy specimens using a technique called plastination. The exhibit features whole bodies, individual anatomical specimens and transparent slices.
I have been practicing CranioSacral Therapy (CST) since 1998. It's the work that I love. As a CST teacher's assistant and study group leader for the Upledger Institute, anything pertaining to the craniosacral system gets me excited. When my husband, who is also a massage therapist, told me about the Body Worlds exhibit, I had no idea how much I would learn about the anatomy of the craniosacral system by attending.
The exhibit is currently on display at the Chicago Museum of Science and Industry and takes about two hours to go through. I realized within the first five minutes of walking into Body Worlds that something amazing was about to be revealed to me. After seeing the exhibit the first time, I had to tell everyone interested in the craniosacral system or CST to see it. Why? Dr. von Hagens has preserved delicate anatomy that is rarely done justice in anatomy texts or dissection classes. This exhibit displays many wonderful views of exposed cranial bones; intra- and extra-cranial membranes, including dural tubes, dural nerve sleeves, tentoriums and falxs; and lots of cranial nerves.
Around the exhibit entrance is a display of horizontal body preserved by epoxy resin. The item that caught my attention was the sagittal slice of the cranium and neck allowing an unusual view of the orientation of the occiput, atlas and axis. Once in the exhibit area, cases and upright specimens are on display with over 200 specimens in all. The first full plastinate is "Cartilage-Ligament Skeleton." (623)* Walk around to the back and stand on your tiptoes. You will see your first up-close look at the falx cerebri and tentorium of the intracranial membrane system. Also easily viewed are the sagittal and straight sinuses.
In the display case (203) the smallest bones of the body are displayed - those of the ear. Seeing them up close allows you to realize why the mechanisms of hearing are so sensitive - it does not take much to affect them, as they are so tiny and light. Their close proximity to the temporal bones allows us to appreciate how a blow to the head can have a negative impact on hearing and how CST can allow the body to restore balance to this delicate mechanism.
Look at the suboccipital region of "Muscle Man with Skeleton." We can get a good visual of the extensive muscles and connective tissue that need to be softened to have access to the atlas, C1, which is used in an atlanto-occipital or cranial base release. "Torso with Severely Deformed Spinal Column" (205) helps us to understand the effects of Wolfe's Law, how bone grows or changes to accommodate the stresses it is placed under. We see that the ribs, vertebrae, illia, and even the coccyx have accommodated the stress of the body, but still allow the internal organs to be protected.
Have you ever seen a wormian bone? A wormian bone is a small, irregular bone that forms along the cranial sutures. Well, take a good look at the lamdoidal suture of "The Runner" (614). At first glance everything looks normal. But upon closer observation you'll realize that there is an extra bone above the occiput and between the parietals. Usually, wormian bones are small but this one is probably the largest one that most of us will ever view. I'd hypothesize that either the infantile occiput did not fully ossify into one bone or at some point in time the occiput was stressed and a "crack" or additional suture developed. The craniofacial nerves can be viewed around the left temporal region of "The Runner." We can also see a wonderful view of the psoas. By seeing where it attaches we realize that doing respiratory and pelvic diaphragm releases can affect this muscle. The view of the brachial plexus helps us realize how restrictions can be released with a thoracic inlet release.
Spend plenty of time observing the intra- and extra-cranial membranes and cranial nerves of "Poised Plastinate of Nervous System" (604). The posterior view reveals the exterior side of the dura mater and the interior side of the arachnoid mater of the dural tube. Additionally, a rare view of the vomer bone is offered.
In the brain specimen cases, there are wonderful views of the ventricles (252) where cerebral spinal fluid is produced. And check out the brain slice of the cerebral cortex showing black marks due to Alzheimer's disease. Viewing this brain slice we can understand that if the cerebral spinal fluid does not optimally flow around the brain, it does not have the opportunity to chelate, pick up, and remove the deposits, which can lead to Alzheimer's disease.
My favorite display is the "Chess Player" (603). The posterior portions of the vertebrae have been removed to reveal the dural tube and spinal cord. You can view where the brainstem ends and the superior portion of the spinal cord begins, as well as the cauda equina, nerve roots and dural sleeves. Looking closely, you may also be able to identify some denticulate ligaments and the termination of the dural sac. Other nerves of note are the sciatic nerve and the left trigeminal nerve. We can better understand the major impact that facilitated segments can have on the body by being able to observe this complex pathway of nerves. I am absolutely fascinated by how intricate our bodies are.
Moving on to the arterial specimens, "Arterial-Skeletal" (351) shows the carotid artery's entry into the head through the carotid canal. The sphenoid, temporal and occipital bones form the carotid canal. Viewing this gave me a better appreciation for how making sure that these cranial bones are properly moving can help improve the delivery of arterial blood to the brain. "Torchbearer" provides a beautiful view of the hyoid bone, the only floating bone in the body, and its muscular attachments. Viewing this specimen can help those who have difficulty locating the hyoid during CST sessions by giving us a visual to reference.
Hanging is "Representative Series of Slices, Female." We can view in these transparent slices how the tentorium attaches to the temporal bones and how the falx attaches to the parietal bones. This allows us to visualize and realize how temporal ear pulls and parietal lifts, respectively, can engage the intracranial membrane system. Toward the end of the exhibit hangs "3-D Slice Plastinate" (620). Examine both sides of the 3rd and 4th slices in particular. The intracranial membrane is visible, particularly the tentorium's attachment to the temporal bones.
Last, but by no means least, is the "Cyclist," an expanded body that provides space to better view the relationship between the bones, organs, and muscles of our bodies. I often feel how big a cyclist looks after receiving a CST session, when a lot of my restrictions have been released. Afterward, I feel bigger on the inside, as if I have more space available to me.
For anyone interested in the workings of the body and what lies beneath our skin, Body Worlds is a must see exhibit! It is well worth making the effort to see regardless of where you live. I hope you enjoy the exhibit and walk away with a better understanding of what lies beneath your hands when you work with your clients. It certainly has opened my eyes and allowed me to better realize what I am affecting when working with my clients, "craniosacrally" speaking.
For more information on Body Worlds, visit www.bodyworlds.com.
*Parenthetical numbers refer to the audio tour discussion for that specimen. I use these numbers as an additional means of identifying a particular specimen. I recommend the advanced level audio tour.
Body Worlds 2:
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