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Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
September, 2006, Vol. 06, Issue 09
Understanding the “E” Word in Bodywork
By John Upledger, DO, OMM
Even in nontraditional healthcare circles, it's interesting to note how uncomfortable some therapists get around the "E" word - energy. They might be intrigued by your philosophy and impressed by your protocols, but mention energy and you can almost feel half of them check out of the conversation.(Ironic, isn't it?)
That's why it's helpful to be reminded of the physics of energy to better grasp why it plays such a central role in bodywork. I have a good friend who is a talented CranioSacral Therapy practitioner and instructor. He also happens to have a doctorate in theoretical physics. Indeed, before Tim Hutton, PhD, LMP, CST-D, became a massage practitioner in 1994, he worked in experimental physics at the Massachusetts Institute of Technology.
Tim spoke at length on the subject of energy at Beyond the Dura 2005, an international health care conference held every two or three years in south Florida. As he pointed out, energy means different things to different people. So, it's worth looking carefully at the term to help therapists find common ground in understanding the concept of energy in manual medicine.
Following is a highly abbreviated version of what Tim shared with more than 300 therapists at the 2005 conference. It serves well to highlight the science behind a concept that might, at first glance, appear unconventional in a therapeutic framework. As you'll see, it is anything but.
As therapists, we define energy as a physical sensation, like the vibration or heat we experience when we work. While we may not all feel the same thing, we can generally agree on when energy is being put into something and when it's being taken out. Energy in bodywork is sense-oriented.
In physics, energy has a precise definition: The ability to do work or to make something change. Energy is conserved - it can never be created or destroyed, just transformed or moved around. This concept of "conservation of energy" unifies every experience in life, from throwing a baseball to boiling water, and it allows you to see the connection.
Along with another concept ("conservation of momentum"), the conservation of energy forms the foundation of modern science and technology. So, to physicists, energy is neither elusive nor sense-oriented, but the fundamental principle from which all of science arises. Everything around us is a result of this dance of energy being transformed. Energy is encountered in several forms: kinetic, potential and heat. Kinetic energy is the energy of motion, like that of a baseball when you throw it. Potential energy is stored energy that has the potential to be used. Heat is the kinetic energy associated with the motion of all the atoms inside an object.
Imagine a roller coaster going over two hills. If the car starts at the top of the first hill and rolls down, it gradually picks up speed until it reaches the bottom. It takes the potential energy it has by being a certain distance from the earth (gravity) and converts it to kinetic energy to accelerate to the bottom of the hill. Then it slows down and continues up the next hill, converting kinetic energy back into potential energy. Because the car started at a higher point on the first hill, it still has enough energy to go over the second one. But energy was not lost or gained in the process, just transformed. So, what if the car starts halfway down the first hill? It accelerates but doesn't have enough energy to get over the second hill, and ends up oscillating back and forth between the two. To get the car over the second hill, energy would have to be added from outside the system to help push it over.
Energy is stored, moved or manipulated by one of three forces: nuclear, electromagnetic or gravitational. Nuclear force holds the nucleus together inside an atom. Electromagnetic forces provide the interaction between atoms. Gravitational force is the mutual attraction between masses. Since humans don't have much direct connection with nuclear force, what we experience in daily life are electromagnetic interactions in the field of gravity.
Physics dictates that anything conducting electricity has an electromagnetic field, including the human body. When you bring your electromagnetic field close to another person, the two fields interact. With training, you can learn to perceive your own field, and through this interaction, the field of another. This forms the basis of energy work.
To better understand this, let's add the concept of entropy - the degree of disorder or chaos in a system. Imagine a game of pool. You take the balls, place them into a triangular rack and set them neatly on the table. Then you strike the rack with the cue ball, scattering the balls across the table. The entropy of the table has increased - there is more disorder.
Globally, the universe tends toward increased entropy, toward chaos. Locally, however, a system that's strongly interacting with its surroundings tends toward equilibrium.
Thus, by putting energy into a system, it is possible to decrease entropy. Consider the pool table. How did you get an ordered state to begin with? By placing the balls exactly where you wanted them. You put energy into the system to increase order on the table.
The human body tends toward order, toward healing. If we cut ourselves, the body tries to knit itself back together. Life is a system for decreasing entropy. So what is energy in bodywork? It's one person adding energy to another through the interaction of electromagnetic fields, helping to decrease entropy in the body and return it to a more ordered state.
Consider that roller coaster with the car stuck at the bottom. You'd have to put energy into the car to move it past the barrier of the hill. In the same way, you connect to help your clients move past barriers toward better health. It's a concept supported by science.
- Tim Hutton, PhD, LMP, CST-D
Click here for previous articles by John Upledger, DO, OMM.
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