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Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
March, 2006, Vol. 06, Issue 03
Sports Massage in the Spa Setting
By Michael McGillicuddy, LMT, NCTMB
I recently attended an American Massage Therapy Association Council of Schools conference. In one of the organized sessions, a question was asked about what aspect of the profession drives the profession the most.Is it the massage therapists, the schools, the continuing education providers, the employers, or the product manufacturers? I really think the answer is that a little bit of influence from all the groups changes the profession on a daily basis.
Late last year, I had an opportunity to provide an in-service training at a beautiful destination spa in St. George, Utah. The Red Mountain Spa is an ideal place for active people to enjoy a vacation while learning and maintaining a healthy lifestyle. They offer hiking, mountain biking, kayaking, rock climbing, golf and many exercise classes. While you're there participating in all the physical activities, you have to eat healthy, so the chefs prepare delicious and balanced meals. The Spa at Red Mountain is rated one of the best according to Spa Finder Magazine.
So, does Red Mountain drive the massage profession, or does the massage therapist working at the spa enhance the experience of those enjoying Red Mountain? I would say a little of both. Red Mountain shows great insight in providing their therapists with the proper training to keep their guests completely satisfied with the treatments given.
While I was there, I went on an intermediate hike and mountain biked up Red Mountain. I wanted to know from experience what the guests would feel like after participating in those particular activities. During the hike, I learned that a lot of the hiking is done in soft sand. Walking in soft sand causes the heel of your foot to sink lower than the toes, which means your shins work overtime pulling your body out of a hole. During the bike ride up the mountain, I realized that for a Florida boy, the air going up the mountain gets a little thin. It makes you feel a little lightheaded and weak. I also learned that riding down the mountain is a lot more fun than riding up the mountain.
The massage therapists working in the spa need to know those kinds of things in order to treat the guests properly. Knowing which activities the guest has participated in, and what parts of the body those activities affect the most, are extremely important in providing great massages.
Many guests might not be in the greatest shape to participate in the type of activities they offer at the resort, so they probably will experience DOMS. DOMS means delayed-onset muscle soreness. It's caused by participating in activities that cause microtrauma to the muscle tissue, which increases pressure and sensitivity due to swelling. Deep-tissue massage or heavy-handed sports massage techniques during DOMS would not make the guest feel very happy due to the discomfort.
Just teaching sports massage technique and sports massage routines does not properly prepare a massage therapist for providing effective and safe treatments in a destination spa with highly active guests. They must understand the physiological effects exercise causes in the body and what massage techniques are most effective for treatment.
Spas know they must train their massage therapists to provide safe, effective and enjoyable massages to their guests, or it's not good for business. So employers, educators and massage therapists in a cooperative effort will continue to push massage therapy to a constantly evolving, new and better place. What could be better than practicing sports massage in a beautiful place like Red Mountain!
Click here for previous articles by Michael McGillicuddy, LMT, NCTMB.
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