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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
February, 2007, Vol. 07, Issue 02
Incorporating Whole-Body Health Into Your Massage Practice
By Moriah Petrini, LMT
As massage therapists, most of us have encountered a similar challenge when dealing with chronic injuries such as shoulder, neck or spinal pain: You push, pull and even dig into your client, and yet they never truly experience that "whole body" release.If you are like me and really care about your clients, unsatisfactory results are not an option. In fact, after years of giving deep-tissue massage, I started having arthritic symptoms myself. I constantly was stiff and in low-lying pain, which then created a snowball of ailments, including irritability, stress and fatigue. Finally, I decided to investigate a solution. The results might surprise you: Nutrition plays a much bigger roll in our practice than you can imagine.
After investigating tons of pain-relief agents - both pharmaceutical and alternative - I found that most relieved the system temporarily, but never got to the root of the problem. And, as most of you know, many of the pharmaceutical drugs have harmful side effects.
One day a client of mine recommended that I read a popular health book by Jon Barron called Lessons From the Miracle Doctors. It became painfully obvious that the root of the problem is that you can't look for a magic bullet when it comes to pain, but an entire host of health issues, including detoxing, pure water, good fats, exercise, nutrients and much more. The book does mention one critical factor that could drastically help my massage practice: Help clients reduce systemic inflammation.
Systemic inflammation is largely caused by the fact that we cook our food and destroy the food's natural enzymes, which are needed to digest food and allow the nutrients to be absorbed in the body. When this happens, the body has to work overtime to replace these digestive enzymes and the pancreas diverts its focus from making other enzymes for the body, such as ones needed to purify our blood. These are called proteolytic enzymes.
The topic of enzymes should not be taken lightly. Your digestive system, immune system, bloodstream, liver, kidneys, spleen and pancreas, as well as your ability to see, think, feel, and breathe, all depend on enzymes. All of the minerals and vitamins you eat and all of the hormones your body produces need enzymes in order to work properly. In fact, enzymes govern every single metabolic function in your body: your stamina, energy level, ability to utilize vitamins and minerals, immune system, and more.
I found that applying all this to my massage practice was essential. First, you need proteolytic enzymes to increase the flow of "good" nutrients into the muscles, reduce scar tissue and help remove lactic acid out of the muscles. Second, inflammation is a natural response of the body to injury; however, most people suffer from excessive inflammation that actually retards the healing process, making our jobs as therapists almost impossible.
How Proteolytic Enzymes Work
To understand how important proteolytic enzymes are to the massage, let me explain how they work. According to research, proteolytic enzymes reduce inflammation by neutralizing the biochemicals of inflammation (bradykinins and pro-inflammatory eicosanoids) to levels at which the synthesis, repair and regeneration of injured tissues can take place.1 Reducing inflammation can have immediate impact on improved heart health, circulation, and to help speed up recovery from sprains, strains, fractures, bruises, contusions, surgery - even arthritis. Trials have shown that supplemental proteolytic enzymes can help reduce inflammation, speed healing of bruises and other tissue injuries, and reduce overall recovery time when compared to athletes taking a placebo.2,3
After several weeks of using proteolytic enzymes, I first noticed that my own back pain and arthritis began to subside. I was more capable of truly focusing on my clients and actually enjoyed the experience of giving massage again. More interesting was the response from my clients! Overall, I found that the ones that used proteolytic enzymes had incredible results. Shoulders were getting a larger range of motion, sensitive backs and swollen knees were subsiding and the natural structural alignment of their bodies moved with ease. Some mentioned later that they were sleeping better and that my massage efforts were lasting over a longer period of time.
What was even more remarkable was that it helped me to massage the sensitive lymph areas since proteolytic enzymes digest organic debris from the circulatory and lymph systems. With great surprise, some of my clients who had only set out to reverse and/or eliminate painful chronic issues found great healing among other systems of the body, including reducing allergies, sinusitis and asthma.
The Massage Therapist-Client Relationship
Although this all sounds good, it's important to note that it's very difficult to recommend nutrition to clients when many clients simply just want a massage. We also have to be careful to not pretend to "diagnose or cure" any client of any disease. I found there is a gray area where, just as we encourage clients to "drink plenty of water" after a deep therapy massage, we can mention proper nutrition. Information is power and if we simply give clients options to their health, I find they usually appreciate it and recommend me to others. Quite simply, we stand out as true healers and not as someone that is just manipulating muscle to some peaceful tunes.
I also found that most clients were actually starving for real information about natural health remedies. Due to the confusion in the market, they all had the same question: "With so many products and differing opinions, who can you trust?" I simply remind them to talk to their doctor before taking any supplement, but that, just as I had found incredible resources, there is a ton of unbiased information available online.
In the end, the more we help our clients, the more they help us. To provide true healing for our clients, we need to look at the body as a whole system and approach the massage, as only one aspect of a client's true healing process. Simply put, our body needs nutrition to accept the benefits of a good massage and the benefits of nutrition are enhanced when the body is not stressed and relaxed from a good massage. The bottom line: Nutrition and massage are perfect complements to each other.
Moriah Petrini has been a massage therapist for more than five years and is located in Fremont, Calif. She holds certifications in a variety of massage specialties, including deep-tissue massage, reflexology, structural massage and stone massage.
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