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Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
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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