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News In Brief
A "Modern" Business Model. Acupuncturists may have a new professional atmosphere to consider, as a new concept is on the horizon - at least for one business.
The First (Only) Choice for Spinal Pain
The study on NSAIDs for spinal pain summarized on the front page of this issue is intriguing on a number of levels, the most obvious being the conclusion that "compared with placebo, NSAIDs do not provide a clinically important effect on spinal pain, and six patients must be treated with NSAIDs for one patient to achieve a clinically important benefit in the short-term."
Good Works at the Canandaigua VA
Faculty and students of the Finger Lakes School of Acupuncture and Oriental Medicine (FLSAOM) of the New York Chiropractic College have provided acupuncture to veterans at the Veterans' Administration Medical Center (VAMC) in Canandaigua, New York since September of 2007.
The Qi Focus: A Guide to Managing Stress
Stress, are you experiencing heightened stress levels? Your own, and your clients? Is Trumpitis getting to you? I recently polled a cluster of acupuncturists, Asian Bodywork Therapists (ABT) and psychotherapy colleagues on the issue.
Scope of Chiropractic Practice: Why Now Is the Time to Expand
In my January article, "Scope of Chiropractic Practice: Is It Time for Change?" I discussed the use of the term primary spine care practitioner, the loss of privileges to diagnose in Texas, and the fact that the definition of "chiropractic" varied from state to state.
What's Bugging You? Probiotics and Your Health
An estimated 100 trillion microorganisms representing more than 500 different species inhabit every normal, healthy bowel. Gut-dwelling bacteria keep pathogens in check, aid digestion and nutrient absorption, and contribute to immune function.
How to Correct a Cuboid Subluxation
Cuboid subluxation is a poorly recognized condition, even though it is not uncommon. It has been described in the literature under various names: cuboid subluxation, cuboid syndrome, locked cuboid, dropped cuboid, cuboid fault syndrome or peroneal cuboid syndrome.
Toxicity & Kids: The Importance of Environmental Intake
The old adage is true that children are not little adults. Traditional Chinese medicine (TCM) has long known that the physiology of children is unique, as are the diseases that plague them.
The Chiropractor's Guide to CRISPR
Science magazine's "Breakthrough of the Year" award for 2015 was described as "the gene-editing tool called CRISPR." CRISPR stands for "clustered regularly interspaced short palindromic repeats."
Treating the Terrain of Chronic Sinus Infections
Chronic sinus infections can be stubborn to treat, but the therapeutic path forward can be simplified when utilizing three distinct treatment principles which take into account the terrain of the body, and the way in which microbes grow.
Chiropractic: A Great Fit for the White House
Dr. Eric Kaplan is a New York Chiropractic College alumnus; a No. 1 best-selling author whose books include Awaken the Wellness Within and The 5 Minute Motivator; a chiropractor for professional sports teams and elite athletes; and even served as an advisor under the Clinton Administration to the President's Council on Sports & Physical Fitness.
Give Your Patients the Ergonomic Advantage
Prolonged sitting contributes to low back pain and is a health risk. When I discuss my POLITE technique practice recommendations with patients, ergonomics may be last, but not least!
Treating LBP the Right Way: Think Natural
An updated clinical practice guideline from the American College of Physicians (ACP) recommends spinal manipulation and other non-invasive, non-drug therapies as first options for acute, subacute and chronic low back pain, rather than pain medications, as stipulated in the original 2007 guideline.
Integrative Cardiology: The Heart of TCM & Western Medicine
Patient centered therapy is a growing trend in hospitals that are expanding to boutique services.
Shedding Light on the Benefits of Heliotherapy
I can't imagine anyone not feeling good strolling in the sun on a beautiful spring day. The sun is responsible for all life on earth and is best illustrated along the equator touting the richest biodiversity on the planet, in stark contrast to the Arctic Circle and South Pole.
Insomnia Treatment Based on the Yu Theory
In recent years, acupuncture has risen in popularity as a form of alternative or supplemental medicine for the treatment of many different types of disorders.
Waist Circumference: A Conversation Starter (Part 2)
Now let's discuss the clinical approach to reducing WC and implementation in today's chiropractic practice. The primary intervention centers around dietary modification and lifestyle habits aimed to reduce adiposity, improve insulin sensitivity and ultimately, diminish systemic metabolic dysfunction.
Caring for Refugees in Greece
At the beginning of 2016 I had no idea what was in store for me, but I was looking forward to a personal retreat on the Greek island of Paros; a graduation gift to myself after 22 years of motherhood, and four-plus years of Chinese medicine school.
Help Save an Important Chiropractic Landmark
The chiropractic profession has a splendid and varied history. Sadly, many landmarks have been lost to bulldozers and wrecking crews, such as the Ryan Building, Little-Bit-O-Heaven, Spears Chiropractic Hospital, and Clearview Sanitarium.
NSAIDs No Better Than Placebo for Spine Pain
A meta-analysis of randomized, placebo-controlled trials comparing the efficacy and safety of NSAIDs with placebo for spinal pain concludes that among 6,065 spine pain patients, "NSAIDs reduced pain and disability, but provided clinically unimportant effects over placebo."
5 Ways to Enhance Your Family Practice
Every practice has a personality style. A practice that caters to athletes, PI cases or adults, for example, projects differently to patients than a family wellness practice.
December, 2005, Vol. 05, Issue 12
Physician Survey Gives Massage High Marks
By Michael Devitt
A new survey has found that more than half of the physicians questioned consider massage to be a highly effective form of complementary and alternative medicine currently available. The survey also revealed deep divisions on the perceived impact of CAM on the quality of health care in the United States.Despite these beliefs, a majority of doctors have recommended some form of alternative medicine to their patients in the past, and an equal number feel the National Institutes of Health should continue to fund research on alternative medicine.
The 31-question survey was conducted by HCD Research, a New Jersey-based marketing and research firm, and The Louis Finkelstein Institute for Religion and Social Studies, over a two-day period in September 2005. A total of 873 physicians participated in the survey.
In addition to questions on the overall effect of alternative medicine on American health care, respondents were asked to rate the effectiveness of 12 forms of CAM (acupuncture, traditional Chinese medicine, aromatherapy, biofield therapies, chiropractic, dietary supplements, electromagnetic field therapies, homeopathy, hypnosis, massage therapy, mind-body interventions and naturopathy) from two perspectives: both as a standalone therapy, and when used as a complement to conventional medical treatment. Each form was rated on a seven-point scale, with seven considered "highly effective."
Physicians were almost equally divided in their beliefs on alternative medicine. While 39 percent believe alternative medicine has a positive effect on the quality of health care in the U.S., 40 percent believe it has a negative effect; the remainder thought alternative medicine had no affect on the quality of health care.
A slight majority of physicians believe alternative medicine to be beneficial to their patients. Fifty-one percent stated that alternative medicine was "usually helpful" or "helpful to patients in some circumstances." However, 28 percent believe that alternative medicine could be harmful to some degree, and another 15 percent attribute the helpful effects of alternative medicine to the placebo effect.
Despite these strong sentiments, most physicians appear comfortable recommending alternative medicine to their patients. In fact, 65 percent of the respondents report recommending alternative medicine as a complement to their medical treatment at some time, and when asked "Are there any conditions under which you would advise a patient to use complementary medicine?", 63 percent responded, "Yes."
A majority of physicians also support federal funding for complementary and alternative medicine research. When asked if the establishment of the National Center for Complementary and Alternative Medicine was a positive or negative development, 53 percent believe it was positive; only 15 percent replied that it was a negative development. Similarly, most physicians (65 percent) feel that the National Institutes of Health should fund CAM research; only 20 percent feel the NIH should not.
In terms of individual therapies, 57 percent of physicians report that massage therapy can be effective, with 10 percent who thought it was "highly effective." Fifty-nine percent of those surveyed stated that acupuncture can be effective to some extent. Nineteen percent of the respondents thought traditional Chinese medicine was effective. Aromatherapy ranked last, as only 10 percent of the physicians indicated they thought it was effective.In an accompanying press release, executives from The Finkelstein Institute and HCD elaborated on the survey results, and indicated that CAM should not be lumped into one broad category. Rather, each of the therapies that comprise what is considered complementary and alternative medicine - whether they be "useful complements" such as massage, or other modalities that "remain on the fringe" - should be evaluated individually. Ultimately, however, it appears that scientific research and the desire of patients will help determine the future of CAM.
"The one trait that all complementary and alternative therapies share is the fact that they are not conventionally used," observed Glenn Kessler, a co-founder and managing partner at HCD Research. "However, they are not all the same, and as we see in this study, physicians clearly recognize that each therapy must be judged on its own merits."
"The message here is that techniques, like acupuncture, which have made it into the mainstream, are recognized by physicians as useful complements to scientific medicine," added Dr. Alan Mittleman, director of The Finkelstein Institute. "Other therapies remain on the fringe and are viewed with suspicion. Nonetheless, physicians seem willing to let their patients - and future research - decide what has credibility and what doesn't."
The complete results of the HCD/Finkelstein Institute physician survey are available online. To view the survey results, visit http://publish.hcdhealth.com/P1007.
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