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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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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