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Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
January, 2006, Vol. 06, Issue 01
Spotlight on Research: Massage Effective in Treating Young Children's Skin Conditions
By Michael Devitt
Editor's note: This periodic column keeps you abreast of the latest research documenting the benefits of massage and bodywork. Published research is summarized, with references to the full study text provided; abstracts of research projects planned or in progress are reproduced verbatim whenever possible.This month we look at the effectiveness of massage in treating young children's skin conditions.
Burns and eczema are among the most common pediatric skin conditions experienced in the United States. The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) estimates that up to 20 percent of all infants and young children suffer from eczema at any given time. While much less common, pediatric burns often are just as painful and, by some accounts, even more stressful; the procedures associated with changing burn dressings can be particularly traumatizing, and might cause anxiety in both children and their parents.
It is well-known that skin conditions such as eczema and burns can be stressful and harmful to children. It's also well-known that while these conditions usually are treated with medications or other standard procedures, a variety of alternative therapies also might be used to treat them, with outcomes similar, if not superior, to traditional care. In a recent issue of Dermatologic Clinics, researchers from Florida examined the use of massage in two studies on pediatric burns and atopic dermatitis. The studies, published as a single article, suggest massage can play a significant role in the treatment of both conditions, and can be a useful complement to standard methods of care.
Massage for Burns
In the first study, 24 children (average age 29.3 months) admitted to a burn unit at a large university hospital were randomized to either a massage therapy group or a control group. All of the children were scheduled to have the dressings on an existing burned changed. Approximately 30 minutes prior to dressing change, 23 of the children were administered an analgesic to help relieve pain.
In the control group, a massage therapist spent 15 minutes with the children prior to dressing change, sitting next to the child's bed and talking with the child. In the massage group, the children received a 15-minute massage from a trained therapist, with strokes applied to areas of the child's body that were not burned, using moderate pressure.
Dressings were changed by nurses unaware of which group each child had been assigned to. To determine incidence of pain between groups, an observer (also unaware of each child's group assignment) recorded a series of six "distress behaviors" in the children just prior to, and during, the dressing change.
Children given a massage before the dressing change "showed only an increase in torso movements" while their dressing was changed. The nurses "also reported less difficulty conducting the procedure" on children who had been massaged prior to dressing change.
In contrast, children who did not receive a massage showed increases in all of the other distress behaviors.
The authors concluded that children who had received a massage prior to dressing change "showed minimal distress behaviors and no increase in movement other than torso movement." They suggested future studies examine the effectiveness of teaching parents to perform massages on their children before burn care procedures, which could help to reduce the stress levels of all involved.
Massage for Atopic Dermatitis
In the second study, scientists recruited 20 children ages 2 to 8, all of whom had been diagnosed with atopic dermatitis, a type of eczema that causes severe itching and a red, raised rash on the skin. The children were randomized into two groups: half received "standard care" (consisting of emollients and topical corticosteroids) from a dermatologist, while the other half received standard care along with a daily massage.
In the massage therapy group, massages were performed by the children's parents. During the first session, a therapist gave the parents a 20-minute massage to familiarize them with massage techniques and how the massage felt. The therapist then demonstrated the same massage techniques on the child. At the end of the first session, the parents were given a videotape and a written description of the massage to take home and review.
The massage consisted of two standardized phases. First, the child was placed in a supine position, with the dermatitis medication applied as a moisturizer to ensure smooth stroking movements. Next, five regions of the child's body (face, chest, stomach, legs and arms) were massaged in sequence, with different techniques performed on different parts of the body. Any severely affected, sensitive areas of the body were avoided. Massages were administered daily for one month, with each massage lasting 20 minutes.
Regions of the Child's Body Massaged in SequenceFace
When compared to the standard care group, children receiving a daily massage showed a "statistically significant improvement" in a variety of symptoms associated with atopic dermatitis over the length of the study period. The only factor both groups showed similar improvements in was scaling.
The daily massage protocol appeared to have a positive affect on both parents and children. Parents who administered massages to their children, for example, showed decreased anxiety levels after the first massage session and by the last day of treatment, and reported their own feelings about their children "improved." Receiving massages had a likewise effect on the children, whose anxiety and activity levels improved throughout the course of care.
While the length of the study was rather brief, the researchers suggested continued massage likely would have improved the children's condition even further, and at worst would have maintained the improvements seen during the initial one-month treatment session.
"Although this study did not assess the long-term effects of the massage intervention, it is hypothesized that the observed improvement in the children's condition would stabilize or continue to improve if the parents continued to administer the massage protocol," they wrote. They added that parental massage "is a very cost-effective adjunct therapy" to standard care for atopic dermatitis, costing an average of $30 for patient.
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