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The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
November, 2006, Vol. 06, Issue 11
By Elaine Stillerman, LMT
I was sitting at the airport waiting for a connecting flight when I noticed a young mother wearily pushing a baby carriage. She found a seat facing me and sat down with a sigh. She glanced over at her sleeping newborn, adjusted the baby's blanket and closed her eyes for a much-needed nap.About 10 minutes passed and the mother's head dropped forward as she fell into a deep sleep. Suddenly, the baby began to fuss and mom woke with a start. As her baby's cries got louder, two large stains appeared on the front of her blouse.
Touching, hearing, seeing, smelling or even thinking about your baby can stimulate milk let-down. Breast milk is absolutely perfect for babies and its benefits are well-documented. Breast milk provides numerous advantages to the infant's general health, growth and development and, at the same time, significantly reduces the risk for numerous acute and chronic diseases.1 Research in the U.S., Canada, Europe and other developed nations cite a decrease in the incidence and severity of diarrhea,2-4 lower respiratory infections,5-6 ear infections,7-9 urinary tract infections,10 allergic diseases,11 possible sudden infant death12 and many other physical benefits among breastfed babies. Other studies suggest breastfeeding might help boost IQs and cognitive development.13-15
Nursing mothers also reap numerous benefits to their recovering bodies and emotional health.16 To begin with, breastfeeding increases the levels of oxytocin (the maternal hormone or the hormone of motherly love), resulting in less postpartum bleeding and faster uterine involution or healing.17 There also is evidence that nursing helps new mothers lose their pregnancy weight faster.18 There is improved re-mineralization during postpartum for those women who nurse19 and a reduced risk of ovarian cancer20 and premenopausal breast cancer.21 Breastfeeding seems to really make a difference with regards to breast cancer risks. Data on 150,000 women from 30 countries established that each year of breastfeeding reduced a woman's lifetime breast cancer risk by 4.3 percent.22 In the U.S., this could mean reducing the number of women with breast cancer by 7,500 annually.23 Other studies showed that nursing mothers are a third less likely to be depressed.24
Equally important is the emotional bond between mother and child that nursing fosters. Breastfeeding provides a unique intimacy between a mother and her child, offers comfort to a fussy baby and is an incomparable method of communication. There are some practical advantages, too: Breastfeeding doesn't cost anything, the milk is available at all times, provides the appropriate nutrition and always is the perfect temperature.
Massage for Healthy Breasts
A gentle massage will help keep the breasts healthy, reduce or treat engorgement, keep the milk ducts unblocked and the milk flowing. A professional massage practitioner might offer this care or teach the new mother how to do it for herself. The following steps will guide you in giving breast massage:
There are several acupuncture points that can ease breast soreness and engorgement and encourage milk let-down. For example:
Another wonderful recipe for engorgement is the ginger compress. Grate one cup of peeled ginger root and secure it in a cheese cloth. Place the ginger in 1 quart of water, which you bring up to the boiling point. Turn off the heat once the water starts to boil and leave the ginger in the heated water for about a half hour, or until the water takes on a yellow tinge. Let the water cool enough before placing two washcloths in the liquid. Wring them out (make sure the water is a comfortable temperature) and place a washcloth on each breast. When the cloths cool, put them back into the water.26
Nipple care also is an important part of healthy breasts. If the nipples crack after the first few days of nursing or if there is pain while nursing, the new mother should try a different nursing position and speak with her doctor, midwife or a lactation consultant for more advice. Avoid using soap while bathing and express a few drops of milk on the nipples to keep them supple. Or, rupture the veins of a cabbage leaf and wear them in the bra. Old tea bags also work, but they can stain your clothing. One drop of rose oil is very effective, but the nipples must be cleaned before nursing. Lansinoh, an over-the-counter product, also is a wonderful remedy for sore or cracked nipples, but cannot be used by women with lanolin allergies. After each feeding, the nipples should air dry before mom gets dressed. Make sure the wet nursing pads are replaced to avoid discomfort.27
For Those Who Can't or Won't
This seemingly instinctive behavior is a learned behavior. Not every new mother can or chooses to nurse and not every baby can easily nurse. The important concept is that the baby is fed, loved and nurtured. While it commonly is accepted that "breast is best," the choices a new mother makes about her body and her child need our support and respect.
Click here for previous articles by Elaine Stillerman, LMT.
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