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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...
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
January, 2007, Vol. 07, Issue 01
Your Services Are Sorely Needed
With so many suffering from chronic pain and dissatisfied with allopathic treatment, is a new era of pain management on the horizon?
By Julie Engebretson
The Centers for Disease Control and Prevention (CDC) has released its 30th annual report on the health status of the nation, Health, United States, 2006.This document, prepared by the Secretary of the Department of Health and Human Services for the President and Congress, frames a general picture of health and trends in health care utilization, resources and expenditures. While the overall health of the nation seems to be improving or holding steady in many areas, results from the National Health Interview survey highlight the need for appropriate management of one particular condition: pain. Pain was such a prevalent complaint among those interviewed, researchers devoted a special section of the 2006 report solely to this condition. Titled "Special Feature: Pain," this section of the report focuses on pain as it affects various anatomical locations, including the low back, head, neck, face and joints.
As noted, the health of the nation continues to improve in several respects. This kind of improvement is attributable in part to the significant resources devoted to public health programs, research, health care and health education. All in all, life expectancy in this country is continuing a steady, upward trend. But as Americans are living longer, the question remains, "Are they living well?" Between 1999 and 2002, more than 25 percent of Americans over the age of 20 reported suffering pain, of any kind, that persisted for longer than 24 hours. Nearly 60 percent of adults older than 65 who reported pain indicated their pain lasted for an entire year or longer.
Adults 18 years and older were instructed to report whether they had experienced any of four types of pain during the three months prior to interview: low back pain, migraine/severe headache, neck pain, and facial ache in the jaw or joint in front of the ear. Respondents were asked to report only pain in the above-listed regions that lasted an entire day or more, excluding minor aches and pains. Low back pain was the most commonly reported of the four types of pain, the most common cause of job-related disability, and a leading contributor to missed work and reduced productivity. Though the percentage of adults reporting low back pain has remained stable in recent years, women of all ages, race and ethnicity groups and income levels reported experiencing low back pain more frequently than men. According to a 2003 study in the Annals of Internal Medicine, more than 100 million people suffer from low back pain and approximately $25 billion a year is spent in search of relief. This study showed that massage therapy provided better results and reduced the need for painkillers by 36 percent, as compared to other therapies.
The second most frequently reported chronic pain type in the CDC survey was severe headache and/or migraine. "In 2004, 15 percent of adults reported migraine/severe headache and 15 percent also reported neck pain. Adults 18 to 44 years of age reported migraine/severe headache pain almost three times as frequently as adults 65 years and older." The survey also revealed that severe headache pain was particularly prevalent among women still in their reproductive years. According to an August 2006 study in the Annals of Behavior Medicine, people receiving massage therapy exhibited fewer migraines and better sleep quality during the weeks they received the therapy, as well as three weeks following their massage therapy treatments. Study participants who did not receive massage therapy did not fare as well in finding relief for their migraine headaches. Massage also is believed to increase serotonin levels, which help to regulate sleep, mood and appetite.
Overall, the prevalence of severe joint pain increased with age. The knee was the site of joint pain most commonly reported, followed by the shoulder, fingers and hips. According to the report, "almost one-third of adults age 18 years and over and one-half of adults age 65 years and over reported joint pain, aching, or stiffness (excluding the back or neck) during the 30 days prior to interview." Results varied also by race and income. On a related note, the number of hospitalizations to replace painful hips and knees has increased substantially since 1992 and 1993.
The prevalence of pain among U.S. adults also was measured by the use of prescription narcotics. The numbers are quite shocking. According to the report, "Between 1988-1994 and 1999-2002, the age-adjusted percentage of women reporting narcotic drug use in the month prior to interview increased by almost one-half, from 3.6 percent to 5.3 percent. During this period, use of narcotic drugs rose by almost 75 percent among women 45-65 years of age, to 5.7 percent; and by more than 50 percent among women 65 years and over, to 6.8 percent."
The impact of pain, particularly chronic pain, is far-reaching. It can affect everything from one's day-to-day activities and quality of life to the level of employee productivity at America's most powerful corporations. Conventional treatment of chronic pain is time-consuming and often very expensive, particularly over the course of several years. In a recent survey conducted by the American Massage Therapy Association, 98 percent of Generation X respondents believed massage was an effective way to relieve pain and 37 percent of those already have used massage therapy to ease and relieve chronic pain. In fact, pain is such a prominent health care issue that the 106th U.S. Congress passed Title VI, Sec. 1603, of H.R. 3244, declaring the period between Jan. 1, 2001 and Dec. 31, 2010 the "Decade of Pain Control and Research."
As Americans are living longer, frustration with conventional approaches to pain management is evident. In fact, the CDC report speculates that pain among older adults often goes unreported due to many simply giving up, "and skepticism about the beneficial effects of potential treatments." With so many Americans in pain and dissatisfied with conventional treatment options, massage therapists may have a real opportunity to take the lead in a new era of pain management.
For a copy of Health, United States, 2006, including the section, "Special Feature: Pain," please visit www.cdc.gov/nchs/hus.htm. For a copy of the 2006 AMTA Consumer Survey, visit www.amtamassage.org.
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