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TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
September, 2005, Vol. 05, Issue 09
The Inside-Out Paradigm: Small Facts, Big Implications
By Dale G. Alexander, LMT, MA, PhD
Why do the human neck and back experience pain so often? Because much of what sustains our lives is suspended forward from them. The basic principle is that tensions in the front of the body are transferred to the posterior aspect of the human spine, where the sensory nerves register the strain and stimulate the muscles of the back and neck to contract.Our bodies valiantly endeavor to distribute this strain. Eventually, clients present with musculoskeletal problems that do not resolve, but instead, emerge and persist. Quality of life starts to diminish.
Let's begin at the top. The esophagus is tethered from a slip of fascial tissue that bridges the sphenobasilar junction, right behind your eyes. Contraction, contracture or spasm of this connecting tube between the cranium and the upper abdomen pulls the head down upon the neck, and eventually pulls it forward and down. Wherever the head goes, the rest of the body must follow. The strain might be felt into the neck, upper-back or mid-back regions.
During our embryonic development, the heart and the diaphragm muscles begin their descent from the 2nd cervical segment. During this same descent, the pericardial sac of the heart becomes welded to the diaphragm muscle. Our lungs also hang from the neck via Sibson's fascia, which interdigitate with the scalene muscles as far up as the 4th cervical segment. This has many implications; consider two of the most obvious. Breathing difficulties of all varieties and cardiac dysfunction of any kind will inevitably and literally pull the human neck and upper back forward and down toward the pelvis.
Let's return to the esophagus again. The heart has an indentation for the passage of this muscular swallowing tube between itself and the spine. What might be the effect of contracture of the esophagus on heart function? How might the body attempt to distribute this strain? Where will it be felt? The clinical principle here is that where clients report pain is rarely the true source of its origin.
The colon is suspended from the space between the 9th and 10th ribs and is anchored into the hip bones internally. Consider a contracture of the ascending colon on the right side of the body. Might this exert a strong influence for the spine to side-bend to the right and rotate left, resulting down the kinetic chain in the common observation of a short left leg?
Even less appreciated is the fact that the mesenteric root of the small intestine is suspended forward from the 3rd lumbar vertebra. Given that the length of this crucial organ of digestion is approximately 8-12 feet long and that its weight may exceed 50 pounds, it is little wonder that low back dysfunction is a leading source of diminishing quality of life.
What all these small facts lead to is a need to shift our therapeutic perception to working from the "inside-out." What is happening internally is where the real action is. Our organ systems are what replenish our energy and cleanse our bodies. This does not negate the influence of traumatic incidences that "flash freeze" the body's sense of balance in relation to gravity. Rather, internal relationships and their dysfunctions predispose the lines along which trauma tends to fixate the system. Any locking of the system will progressively reduce the body's ability to allocate its resources of oxygen and nourishment to all of its systems. Aggregately, this creates a breeding ground for all varieties of chronic problems to emerge, and even for pathology to develop.
Our task as massage therapists is to stem this tide - and if possible, to help turn the boat toward assisting the body to redistribute its strain and reallocate its resources more equitably. This is perhaps a functional definition of physical healing.
Click here for more information about Dale G. Alexander, LMT, MA, PhD.
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