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Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
September, 2005, Vol. 05, Issue 09
Consumer Reports Survey Shines Positive Light on Massage Therapy
Public Gives Massage Consistently High Marks
By Editorial Staff
Twelve years ago, a groundbreaking study co-authored by Dr. David Eisenberg took a hard look at the use of alternative medicine in the United States.1 Published in The New England Journal of Medicine, Eisenberg's study found that one out of every three adults in the U.S.had used some type of "unconventional therapy," with massage ranking as the third most-popular therapy in the study. Subsequent studies by Eisenberg and other researchers have found that the use of alternative therapies has remained relatively stable, and that massage is being used to treat a wide variety of conditions, ranging from back problems to fatigue, arthritis, and muscle sprains.
As these reports indicate, "alternative medicine" has become something of a misnomer. Just as the scientific world has investigated the use of alternative medicine by the American public, so have more mainstream media outlets. A case in point is Consumer Reports, a monthly magazine with a subscription base estimated at more than 4 million. In late 2004, Consumer Reports surveyed its readers regarding their use of both alternative and conventional therapies. The results of that survey, published in the August 2005 issue of the magazine, reveal that massage is one of the most popular forms of alternative care on the market, with both doctors and patients finding it extremely valuable in the treatment of certain conditions.
More than 34,000 readers participated in the survey, which asked them to rate the effectiveness of both conventional and alternative forms of care for their two most problematic health conditions experienced during the past two years. Readers were asked to rate each treatment depending on whether it helped "a lot," "somewhat," "a little," or "not at all." Respondents based their opinions of the effectiveness of care on personal experience, rather than scientific measurements.
Forty-seven percent of the respondents reported trying at least one alternative remedy in the past two years, a figure slightly higher than reported in the Eisenberg studies, yet in keeping with other national surveys on alternative medicine use. In addition, women were more likely than men to have tried, and liked, "hands-on" treatments such as massage, chiropractic and acupuncture.In terms of managing individual conditions, deep-tissue massage ranked first out of five methods of treating fibromyalgia (deep-tissue massage, prescription drugs, general exercise, physical therapy, and over-the-counter drugs), and first out of 10 methods of treating osteoarthritis (deep-tissue massage, prescribed exercise, physical therapy, general exercise, prescription drugs, chiropractic treatment, acupuncture, special diet, glucosamine, and over-the-counter drugs). Specifically, for both conditions, more readers said deep-tissue massage "helped me feel much better" than any of the other treatment strategies. Over-the-counter drugs finished last in both categories.
Massage also received high ratings among readers who turned to alternative treatments for back and neck pain. In both categories, deep-tissue massage ranked a close second to chiropractic treatment, with nearly three-fourths of readers saying massage either "helped me feel much better" or "helped me somewhat."
In another sign of massage therapy's popularity and effectiveness, massage appeared to have the approval of many of the doctors Consumer Reports' readers spoke with. Of those readers who had used an alternative therapy, approximately 75 percent told their doctors about it. Twenty-five percent of those readers told Consumer Reports their doctor suggested the alternative treatment in the first place. In fact, massage was the second most frequently recommended alternative treatment by the readers' doctors, ranking just behind the combination of glucosamine and chondroitin.
In a review of the Consumer Reports survey, published on WedMD.com, Dr. Tiffany Field, director of the Touch Research Institute in Miami, Fla., observed that the right amount of pressure applied to the body's muscles and soft tissues could produce a "cascade" of biological effects responsible for the positive sensations associated with massage.
"We are finding that moderate pressure is essential for any of the effects we see from massage," Field said. "That may be one way chiropractic works, because typically a chiropractor applies moderate pressure. So does just about any sport that you do - or any self-massage exercises like yoga. Anything that stimulates the body's pressure receptors will help."
It has been 12 years since the publication of David Eisenberg's landmark study on "unconventional medicine." While the Consumer Reports survey can't be considered in the same vein (scientifically speaking) as that study, several important points from the survey's results are evident - and in some ways, just as relevant. First, alternative medicine is continuing to increase in popularity; nearly half of those taking the survey reported using at least one form of alternative treatment in the previous 24 months. Second, the American public is relying more and more on alternative forms of care such as massage therapy to help them. And third, the survey shows what millions of Americans already know: Massage is popular, safe and extremely effective for a variety of complaints and conditions.
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