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What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
January, 2007, Vol. 07, Issue 01
Non-Contagious Skin Rashes, Part 1: Contact Dermatitis
By Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President
I frequently am surprised by what people request or respond to after they read my Massage Today columns. The things I often think will generate a lot of interest or discussion land with a thud (for instance, avian flu and whooping cough), and the topics I think must be old-hat and overdone for massage therapists generate an enormous amount of interest.Such has been the case for my articles on herpes simplex, warts, psoriasis and superficial cysts. So, to keep to the skin diseases trend, I offer the first of a two-part article on dermatitis and eczema: common, confusing, and frequently overlapping conditions that many massage therapists see and deal with on a daily basis.
The terminology around dermatitis and eczema is extremely confusing, largely because there is no universal consensus on what each term really means. If interested readers pursue this topic to get more information, they might be frustrated to find that some resources seem to use the word eczema to be synonymous with atopic dermatitis, while others (including this one) differentiate atopic dermatitis as a subset of eczema. Welcome to the world of pathology research!
In all the reading I have done on these topics, this is how I have ultimately organized the dermatitis/eczema hierarchy. (This is not the only way to organize these concepts, but can be a useful tool to see how these conditions relate to each other.)
For this discussion, we'll pick the simplest of these skin conditions: contact dermatitis. This is, as the name implies, inflammation of the skin where it has been touched by an allergen or irritating substance. This is different from skin rashes related to reactions that are not from direct skin contact: hives related to stress, or psoriasis, which involves skin cells that reproduce too rapidly.
Contact dermatitis comes in two forms: as a result of irritating or damaging exposures, or from a localized allergic reaction.
Once in a while, we can afford to damage our skin in this way. It heals fast, after all, and all is well again within a few days. However, if a person submerges their hands in caustic, irritating chemicals, or even just water, over and over again, the skin may sustain longer-term damage: contact irritant dermatitis. It's distinct from contact allergic dermatitis because everyone who scrubs their tub without gloves damages their skin, while not everyone has an allergic reaction to latex or nickel.
One group of allergic contact dermatitis outbreaks is probably familiar to most people: reactions to poison oak, poison sumac and poison ivy. The allergen in these plants is an invisible oil called urushiol, and about 75 percent of the population has a reaction to it. Urushiol is significant because not only can it remain potent even after months on tools or other surfaces, but it also can disperse in the air when plants are burned, leading to allergic reactions on the skin and possibly even in the respiratory passages of people nearby.
Massage for Contact Dermatitis?
If a client has contact dermatitis, it's important to identify what the triggers are and to avoid them in a massage setting. In other words, if this client is allergic to almond oil, it's important to have alternate lubricants available. (Many lotions contain almond oil, so read labels carefully.) But if a client has a red scaly mark where the button on their jeans hits, or around their wrist where their watch lies, this is not a significant issue for massage - we certainly won't catch the condition and we won't spread it (unless we use the watch as a massage tool!).
If a client has contact irritant dermatitis because of exposure to harsh chemicals or other substances, massage with lubricant might speed the healing process. Be aware, however, that massage brings blood to the area, and we want to avoid making itchy spots itchier. Also, we want to be careful about any scratching or blisters that might compromise the shield of the skin to invite infection: these make any kind of contact dermatitis a local contraindication.
For Next Time
In my next column, we will continue this discussion of non-contagious skin rashes with an exploration of eczema. In the meantime, if any pathology issues come up for you and your clients, feel free to let me know: What's on your table?
Many thanks and blessings!
Click here for previous articles by Ruth Werner, LMP, NCTMB, Massage Therapy Foundation President.
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