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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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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."
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.
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.
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.
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.
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.
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."
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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