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Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
September, 2006, Vol. 06, Issue 09
Tingling in the Two Small Fingers
By Ben Benjamin, PhD
True or False: Pins and needles or tingling sensations in the fourth and fifth digits of the hand suggest the median nerve is injured.
Answer: False.This symptom actually indicates an injury to the ulnar nerve.
The median nerve innervates the palmar side of the thumb, the second digit, the third digit and half of the fourth digit, but does not innervate any portion of the fifth digit. The ulnar nerve innervates the fifth digit and half of the fourth digit, on both the palmar and the dorsal surfaces. A person who experiences tingling in these two fingers likely is to have an injury to the ulnar nerve or to the nerve root in the neck where the ulnar nerve ultimately originates.
People commonly sustain minor injuries to the ulnar nerve by banging their "funny bone" - the point on the elbow where the ulnar nerve runs close to the surface of the skin. Hitting this sensitive spot against a hard surface causes sharp tingling running down the forearm into the two small fingers. If the ulnar nerve is bruised, tingling in these two fingers might continue for quite some time. In addition, severe damage to the ulnar nerve can cause weakness in wrist and hand flexion and difficulty with controlled movements of the fingers.
Apart from accidents, there also are other factors that can make a person vulnerable to straining the ulnar nerve. The nerve is located within a protective tunnel known as the olecranon or epicondylar groove. In some people, this groove is congenitally shallow, so the nerve does not lie securely within it. Other people might experience stress on the ulnar nerve due to the specific activities they perform. During elbow flexion, the olecranon groove flattens as the ligament superior to it stretches. Types of work calling for continuous or repetitive full elbow flexion might place continual pressure on the ulnar nerve.
Once the ulnar nerve or its nerve root has been injured, moving the affected area might make the symptoms worse. If the problem originates in the elbow, using the elbow might exacerbate the symptoms; if the problem originates in the neck, movements of the head and neck might exacerbate the symptoms.
Click here for more information about Ben Benjamin, PhD.
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