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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.
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.
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.
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.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
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."
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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 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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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.
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.
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.
June, 2006, Vol. 06, Issue 06
By Whitney Lowe, LMT
A strain, sometimes referred to as a pulled muscle, is a muscle injury produced by excessive tensile stress that causes fibers to tear within the tissue. A muscle strain does not usually result from excess stretch alone, but from a combination of tension and contraction.Muscle strains can develop when excess tension is placed on a muscle while it's also in contraction. Due to muscle mechanics, strains are more likely while the muscle is in eccentric contraction than concentric or isometric.1,2
There are three grades of muscle strain: first degree or mild, second degree or moderate, and third degree or severe. In a first-degree strain, few muscle fibers are torn. While there might be some post-injury soreness, the individual usually returns to normal levels of activity quickly. With second-degree strains, more fibers are involved in the injury. There is a greater level of pain with this injury and a clear region of maximum tenderness in the muscle tissue.
A complete rupture of the muscle-tendon unit occurs with a grade-three strain. Some strains are classified as third degree even though the muscle still has some fibers intact because the damage is extensive. There is likely significant pain at the time of the injury. Pain can be minimal afterwards, because the ends of the muscle are separated and limb movement does not cause additional tensile stress.
Third-degree strains generally require surgical repair. In some instances, surgery is not performed because the muscle does not play a crucial role and the potential dangers of surgery outweigh the benefits. Ruptures to the rectus femoris are an example because the other three quadriceps muscles make up for the strength deficit caused by the strain.
The muscles most susceptible to strain injuries are multi-articulate muscles, which are those that cross more than one joint. The more joints crossed by a muscle, the greater is their vulnerability for strain injury. All involved joints cannot achieve full range of motion at the same time due to limited extensibility of the muscle tendon unit. If the muscle is stretched across multiple joints at the same time, it's more susceptible to tearing from excess tensile stress.
Strains can develop in any part of the muscle, but usually occur at the musculotendinous junction.3 The junction of muscle and tendon places one tissue with higher pliability (muscle) directly adjacent to another with limited pliability and more tensile strength (tendon). As a consequence, the point of interface between the two tissues becomes a site of mechanical weakness where the strain occurs.
Muscle strains generally arise from acute injuries. However, there might be repetitive tensile forces on the muscle that cause small degrees of fiber tearing, producing a chronic strain. In most cases, the client can recall a specific movement or accident that produced the strain. Swelling might occur in the area immediately after the injury, but is likely to subside after the initial inflammatory phase (an estimated 72 hours).
Strains, both acute and chronic, are increasingly common where they have previously occurred. Scar tissue that repaired the original strain is a weak point in the muscle's continuity, and therefore a location vulnerable to re-injury. It's important to find out whether the client has suffered a previous injury to the area.
Following a strain, resting from offending activities for several weeks provides the body time to heal damaged tissue. Another primary goal of treatment is tension reduction in the affected muscle. Tension is reduced with massage techniques such as effleurage, stripping, broad cross-fiber sweeping, etc. In addition, it's important to help develop a functional scar at the site of tearing and prevent scar tissue from adversely binding adjacent fibers. Deep transverse friction massage is used to develop a healthy, functional scar. Muscle strains are a common soft-tissue injury and massage is an excellent treatment option to help in the management of these conditions.
Click here for more information about Whitney Lowe, LMT.
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