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U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
January, 2007, Vol. 07, Issue 01
Massage for Cancer Patients: Indicated or Contraindicated?
By William C. Handley Jr., LMT, Oncology Massage Therapist
Years of constant research have developed numerous new treatments to eradicate cancer or at least prolong the quality of life of a person living with cancer. As a cancer survivor, I can give firsthand testimony that most cancer patients feel abandoned in the time they need the most support."You have cancer" will be some of the scariest words you will ever hear in your life!
Most of the family members and loved ones of a person diagnosed with cancer will tell that person they will be with them and support them all the way through their battle with the disease. I'm sure, without a doubt, that their intentions are true. But in the eyes of the person living with the cancer, the support usually comes from a distance. Due to fallacies and myths, most people that are intending to support a person living with cancer actually will distance themselves from the person fighting the disease. These fallacies, myths, and lack of education and facts can lead the supporters to think they can hurt a person battling cancer by touching them, hugging them, or even that they can catch the cancer by being in contact with them. This simple distance is more noticeable to the person living with cancer because they need the close support and touch of their loved ones. When you have a life-threatening disease, a touch or hug develops a lot more meaning than just contact.
Massage therapy is one of the most relaxing forms of touch available. Massage therapy also has many health benefits, but there have been concerns that massage therapy actually can cause the cancer to spread. Most massage therapy schools taught that cancer was a contraindication for massage. The two main concerns of how massage therapy could spread cancer involved its effects on circulation and the cancer tumors. Research continues to dispute the original concerns that massage therapy can spread cancer. The support to dispute this myth grows each year through credible experts and numerous studies.
Oncology massage therapy actually is a combination of many styles of massage incorporated into one session. The differences in the styles and techniques used with cancer patients are noticeable, both visually and physically. Oncology massage is a non-invasive technique, specifically adapted for individuals of all ages and types of cancer. Cancer patients should only receive massage therapy from a therapist educated in oncology massage. A therapist uneducated in the adaptations of these styles and proper techniques actually can cause the cancer patient to develop different conditions and even cause the death of the patient. There are contraindications and precautions for a cancer patient to receive massage therapy. This list has grown over the years to become more complete and ensure that those who are educated in oncology massage also are educated in what they should not do and what they should be cautious of.
Acceptance of massage therapy for cancer patients from medical professionals has been a continuing educational process for the medical institutions, physicians and the oncology massage therapists. The medical institutions require credentials and protocols for treatment and procedure manuals. This means a massage therapist must be able to produce documentation and certification that he or she has had education in massage for cancer patients, in addition to the standard education in massage therapy. The therapist also must have detailed protocols for treatment that give an outline of the therapy plans for each stage of cancer, such as: pre- and postsurgical protocols, chemotherapy and radiation protocols, lymphedema protocols and scar tissue protocols. The therapist also must provide a correctly formatted procedure manual under the requirements of a joint commission.
The physicians must be educated in the benefits of oncology massage and how to properly refer patients with a correct prescription and diagnosis. This is another educational responsibility of the oncology massage therapist - to meet with these physicians and provide them with hard, undeniable evidence of medical studies. The best evidence has been patient testimony after a physician sends their first referral.
The oncology massage therapist must obtain additional education and training through qualified instructors. There are now several classes available in this modality of massage therapy. Cheryl Chapman and Tracy Walton offer very informative continuing education classes. Gayle MacDonald recently joined with Dr. Sandy Canzone and developed a 300-hour certification course in oncology massage. Sloan-Kettering Memorial Cancer Center also offers a continuing educational course in oncology massage therapy. Courses such as these are vital and should eventually be mandatory for a massage therapist to be able to provide massage therapy for those living with or surviving cancer. Mandatory requirements will help give a more credible recognition and acceptance of this therapy.
Standard massage therapy performed by a generally licensed massage therapist and without additional specialized education in cancer should be considered a contraindication for cancer patients. However, oncology massage therapy provided by a properly educated oncology massage therapist is a definite indication for those living with or surviving the disease.
William Handley Jr. currently heads up the oncology/mastectomy massage therapy program at Cabell Huntington Hospital in West Virginia and is the director of Tranquility Massage Therapy. He is a cancer survivor and the first certified cancer/mastectomy massage specialist in W.V., where he developed and implemented the state’s first oncology/mastectomy massage therapy program.
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