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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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
July, 2006, Vol. 06, Issue 07
Pain Under the Medial Arch of the Foot
By Ben Benjamin, PhD
Question: If a person experiences pain under the medial arch of the foot while walking or while rising onto the balls of the feet to reach for something, which structure is likely to be injured?
Answer: The flexor hallucis.The flexor hallucis is a very strong muscle-tendon unit that takes the lion's share of our weight while we walk, stand and rise onto the balls of our feet. The muscle is located in the calf, and its tendon begins just medial to the Achilles' tendon. The tendon passes under the medial heel and travels along the medial arch of the foot to attach distally at the great toe.
Poor alignment makes the flexor hallucis tendon more susceptible to injury. In a normally aligned foot, roughly one-third of the body's weight falls onto the great toe, with one-sixth falling onto each of the other toes. If the feet are turned out while standing and walking, even more weight falls onto the great toe - and therefore onto its flexor tendon. In such cases, strain or tendinitis of the flexor hallucis tendon is fairly common. In cases where poor alignment is placing pressure on the medial arch, there often is a callus at the medial edge of the great toe and/or the medial aspect of great toe joint.
Flexor hallucis injuries occur most commonly in the medial arch of the foot. Injuries to the flexor hallucis tendon at the back of the ankle, where the tendon is running parallel to the Achilles', are sometimes mistaken for Achilles' tendinitis. Injuries to this tendon near the anterior portion of the heel often are mistaken for plantar fasciitis. If a person feels pain not just at the medial arch, but in a wider area under the arch of the foot, this might indicate that the flexor tendons of several other toes also are strained or that a plantar fasciitis is present.
Question: What assessment test would you perform to verify this injury?
Answer: Resisted plantar flexion of the great toe.
First, hold the great toe in slight dorsiflexion (Figure 1) with your thumb and ask the person to push the toe down against you (into plantar flexion). If the injury is relatively severe, this test will be positive (causing a little pain). If the tendon is only mildly strained, you'll need to perform one or two additional tests to place more stress on the tendon.
The second test is performed in a standing position. While holding the client's hands for balance, ask the person to rise onto the balls of the feet (Figure 2). If this reproduces the person's pain, and the pain is in the medial arch, you have confirmed the presence of flexor hallucis tendon strain. If the reproduced pain is in the Achilles' area, you'll need to do further testing to determine whether it's coming from the Achilles' or the flexor hallucis. If this second test does not cause discomfort, move on to the third test.
For this final test, have the client face a wall and lean against it at approximately a 35-degree angle, while rising up onto the balls of the feet (Figure 3). If this causes no pain or discomfort in the offending area, ask the person to transfer most of his or her weight onto the big toes. This places maximum stress on the flexor hallucis tendon.
Click here for more information about Ben Benjamin, PhD.
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