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Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
February, 2007, Vol. 07, Issue 02
Making a Statement About Massage
AMTA advocates consensus conference; ultimate goal is a federal statement declaring that massage provides effective relief of low back pain.
By Meghan Vivo, Associate Editor
The American Massage Therapy Association (AMTA) recently approved financial support for the Integrative Healthcare Policy Consortium (IHPC) to propose that the National Institutes of Health (NIH) hold a consensus conference on massage for low back pain.The IHPC is a coalition of health care professional organizations advocating public policy to ensure access to safe, high-quality medical care for all Americans. The latest survey from the AMTA provides evidence of the increasing popularity of massage for therapeutic purposes and suggests the tides may be changing in favor of insurance coverage for massage.
Massage has been credited with alleviating a wide variety of aches and pains, from migraines and carpal tunnel to anxiety and low back pain. More than 100 million Americans suffer from low back pain, and nearly $25 billion a year is spent in search of relief. In the Centers for Disease Control's 30th annual report on the health status of the nation, Health, United States, 2006, low back pain was the most commonly reported type of pain, the most common cause of job-related disability, and a leading contributor to missed work and reduced productivity.
Medication may still be the most common way to treat low back pain, but increasing evidence suggests it is neither the most effective nor the safest treatment method. The need for more effective solutions to low back pain has led many health care organizations to increase research for alternative treatments such as massage therapy. Although many Gen X and Gen Yers believe massage is not only a luxury, but also a medical necessity, Medicare and Medicaid have not yet supported insurance coverage for massage as a remedy for low back pain. In fact, most existing research ignores massage therapy as a treatment for low back pain altogether, instead focusing on drug therapies and surgery.
With the NIH consensus conference expected to occur in 18 to 24 months, the AMTA hopes to elicit a federal statement declaring that massage is effective for low back pain. Historically, the conference panel's findings have triggered Medicare and Medicaid reimbursement policies which, in turn, have expanded insurance coverage policies. If the conference goal is reached, the AMTA anticipates that massage for low back pain will be widely accepted by the health care community.
The NIH's previous consensus development conference on treatments for low back pain occurred more than 10 years ago. Although the expert panel at the conference concluded that research supported the use of chiropractic care for low back pain, it ultimately decided that too little evidence existed to assess the actual benefits of massage. Similarly, the National Institute of Neurological Disorders and Stroke reports that the best treatments for low back pain include bed rest, exercise and various medications, such as over-the-counter analgesics, anticonvulsants, opioids and some antidepressants - with no mention of massage therapy.
More recently, however, a number of studies have indicated that massage is highly beneficial for people with chronic low back pain. For example, a 2003 study in the Annals of Internal Medicine showed that massage therapy produced better results and reduced the need for painkillers by 36 percent when compared to other therapies, including acupuncture and spinal modification. And with 39 million American adults getting a massage annually, and 30 percent of those adults using massage therapy for medical purposes, recent AMTA consumer surveys continue to show that massage therapy is a growing trend.
As evidence that massage therapy is increasingly on the minds of the public, the AMTA reports that 9 million more people discussed massage therapy with their health care provider in 2006 than in 2001. Moreover, almost twice as many doctors recommended massage therapy to their patients in 2006 than in 2001. When patients inquire about massage therapy, physicians are more likely to recommend it (59 percent), while nearly half of all chiropractors (48 percent) and physical therapists (47 percent) also recommended massage. And nearly 80 percent of 25- to 35-year-olds would like to have their insurance plan cover massage.
Despite lingering pessimism from some in the conventional medical community, an impressive 25 million more Americans each year are getting a massage today than they did 10 years ago, according to the 2006 AMTA study. People 55 years old and up have tripled their use of massage over the past 10 years. Gen Yers have become less reliant on medication to treat low back pain, with 94 percent of 18- to 24-year-olds preferring massage therapy for pain relief.
Today, massage therapy is one of the most common ways people relieve back pain. Research is increasingly showing that millions of Americans regularly use complementary and alternative health care approaches. Because most of this complementary care is paid for by the patients themselves, without any assistance from Medicare or other forms of insurance, it is not accessible to all Americans. Only those who can afford the out-of-pocket costs have access to broader choices in their health care. Massage patients, massage therapists and affiliated health care organizations remain hopeful that the NIH consensus conference will convince the health care community and insurance providers of the benefits of massage therapy - a treatment that already provides much needed relief to millions of Americans.
Editor's Note: In September of 2006, the Associated Bodywork and Massage Professionals also pledged $15,000 in an effort to help gain medical recognition of massage therapy as a treatment for low back pain. The ABMP contribution accounts for about one quarter of the funds needed to advance a review under the auspices of the NIH, Office of Medical Applications of Research. Visit www.abmp.com for more information.
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