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Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
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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