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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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?
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.
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.
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.
April, 2007, Vol. 07, Issue 04
Feeling Is Believing
By David Kent, LMT, NCTMB
At the conclusion of my last article, I challenged readers to identify a specific muscle, based on several clues from one of my dissection cases. Were you able to figure it out?
The answer is the costocoracoideus.To see a picture of it, visit www.kenthealth.com under the "What's New" section, and click on "Mystery Muscle." If you got it, congratulations!
Feeling Is Believing
Now, let's consider another unique set of circumstances.
I recently took an online survey and was interested to discover that of the five senses, 76 percent of men and 72 percent of women feel that vision is the most important. But while "seeing is believing" to many, Edgar Moon, a blind certified massage therapist from Philadelphia, believes that "touching is seeing and understanding." Edgar, who primarily is a kinesthetic learner, "sees" with his hands.
Edgar became a massage therapist after he lost his sight serving our country in Vietnam. A couple of years ago, he joined me in the dissection lab for a week of training. Following the experience, Edgar expressed both appreciation and excitement for his newfound knowledge, "Now I understand exactly what I am treating on my clients. This experience has been so enlightening and a dream come true."
The level of enthusiasm in the dissection lab truly is amazing. I've seen faces light up with excitement in anticipation of embarking on this incredible exploration of the human body. Yet, at the same time, each person is extremely respectful of the process. All of the participants honor these "silent teachers," since it is through their foresight and planning that we have been given this ultimate gift and learning experience. Additionally, we in the anatomy lab recognize that performing an outstanding dissection and then using that knowledge to benefit our clients is the most respectful way we can honor these exquisite souls.
While Edgar did not use a scalpel to perform the dissection, he did use his hands to palpate every layer, separate the fascial planes, and feel the fascia, muscles, nerves and organs. Additionally, Edgar and his dissection team continually palpated the same structures on 11 different cadavers to compare the shapes and sizes of each. Edgar maneuvered around the dissection lab with confidence. As he approached each cadaver, a team member would place his hands on a bony landmark so that he could identify his starting point. Working with Edgar in the lab reminded each of us how fortunate we are to have the gift of sight. We were all proud that we had the opportunity to "loan our eyes" to a fellow massage therapist so he could follow his passion.
In my last column, I discussed how most of us learn and experience life through the five senses: visual (sight), auditory (speech), kinesthetic (touch), olfactory (smell) and gustatory (taste). While most of us are fortunate enough to have the full use of our senses, each person typically is more reliant on one or two of the senses; these are referred to as the dominant senses. Since the senses affect how we interpret and interact with the world on a daily basis, it is easy to understand how the dominant senses could guide us into a specific profession.
For example, someone whose dominant sense is taste probably would enjoy being a chef, a food taster or a wine connoisseur; a speech-dominant person might gravitate toward a profession in acting, music or politics; and a sight-dominant person might prefer a career as a graphic designer, architect or painter. So, it makes perfect sense that a touch-dominant person would lean toward a career in massage therapy. In fact, when massage therapists are in the process of learning a new technique or structure of the body, it often is necessary for them to see (visual) it, hear (auditory) about it, and, of course, use touch (kinesthetic) to feel or perform it.
It was beautiful to witness Edgar as he began making all of these connections in the lab. Occasionally, while palpating, he would say, "I see." I remember thinking how much more sensitive Edgar's hands are since they play such a dominant role in his life.
As you know, the largest organ in the body is the skin. It provides:
Additionally, it's common knowledge that one square-inch of skin contains about 65 hairs, 100 sebaceous glands, 650 sweat glands, 78 heat sensors, 13 cold sensors, 1,300 nerve endings that can record pain, 9,500 cells, 19 yards of nerves, 19,500 sensory cells and 165 pressure apparatuses for stimuli (touch). The fingertips are very sensitive, making them powerful tools for any massage therapist, particularly someone with an enhanced sense of touch, like Edgar.
But, how does the dissection experience help heighten one's sense of touch and subsequently make one a better massage therapist? Well, with or without the use of one's vision, palpating during dissection provides the therapist with a more thorough understanding of each individual structure, as well as how these structures interconnect to form the whole. A therapist who has received the gift of knowledge thanks to these special "silent" teachers can't help but function in the treatment room with a heightened appreciation and understanding of the human body. And developing these skills takes little more than a heartfelt desire to learn and a willingness to see with your hands what your eyes cannot. Just ask Edgar.
Click here for more information about David Kent, LMT, NCTMB.
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