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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.
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?
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
June, 2007, Vol. 07, Issue 06
Some Good News About Breast Cancer
By Elaine Stillerman, LMT
A friend of mine dropped the bomb at lunch a few months ago - a mutual friend had breast cancer. That made four women in our circle who have been afflicted by this dreaded disease. The good news is that all of them are now cancer-free, none of them lost a breast and all were able to tolerate the surgery, debilitating chemotherapy and radiation treatments that eventually saved their lives.None of these women were taking hormone replacement therapy (HRT). So when the front page news covered the dramatic decrease in breast cancer rates, attributable to the decline in HRT, I was delighted. However, I was concerned it wasn't the whole story.
According to a Dec. 15, 2006, article in The New York Times, the rates of the most common cause of breast cancer, tumors stimulated by estrogen (estrogen-positive tumors), dropped by an incredible 15 percent. Science writer Gina Kolata also wrote that the greatest decline came to women between 50 and 69 years of age. The reason is believed to be that millions of women stopped taking HRT for menopausal symptoms. This information was based on a report by the National Cancer Institute.1
Nearly 85 percent of breast cancer originates in the mammary ducts.2 The remaining 15 percent develops in the lobules (small lobes).3 Breast cancer usually grows very slowly and is detected only after many years of growth.4 Breast cancer can either be an invasive cancer which develops when abnormal cells break out into the surrounding tissues or beyond, or carcinoma in situ, meaning that it has not spread.5 This disfiguring disease is the second leading cause of death among women, killing as many as 40,000 women a year.6
When it comes to estrogen-positive tumors, researchers have understood that these tumors have estrogen receptors on their cell surfaces. So, if a woman stops taking estrogen-replacement medications, the tumors would stop growing. Or at least that is the hypothesis: Starve the tumor of its food source and it won't get any worse. (The pharmaceutical companies are understandably distressed by this news and caution that more studies are needed.) While this is a tremendous discovery in breast cancer, that is only one of the numerous risk factors associated with this disease. For those women who have given up on HRT, this could indeed be lifesaving.
However, stopping the hormones doesn't mean that women are out of the woods. There are quite a number of risk factors that also have to be considered. A woman's age is a huge factor. Unlike cervical cancer, breast cancer risks increase with age. Rates usually are low in women under 40 years old and start to escalate at age 41. In the U.S., 95 percent of women diagnosed with breast cancer are 40 or older.7 The highest rates are in women over 70. Other factors include: inherited genetic mutations, family history, high breast density on mammogram, radiation exposure in youth, benign breast disease, elevated levels of estrogen, menopause at age 55 or older, first period before age 12, not having children or having the first child after age 35, high bone density, being overweight, Ashkenazi Jewish heritage, alcohol consumption, use of birth control pills, being tall, and finally, not breastfeeding.8
Monthly self-breast exams still are recommended to detect any changes in the breast tissue. Performing this exam around the same time each month after your period familiarizes you with what is normal and what is an unusual mass. Getting annual mammograms also is a good defense.
The news about the tremendous decline in breast cancer occurrence is something to celebrate for certain, but women should not become complacent about their health. Instead, we should continue to take care of ourselves, eat well, exercise regularly and spend a few minutes every month to ensure that all is well.
The photographs that accompanied my last Womankind article, "Pregnancy Leg Massage" (April issue, Vol. 7, No. 4) do not reflect the facts expressed in the piece or the protocol I teach in my MotherMassage® workshop. Artwork often is included in articles and when the author isn't consulted, the artwork can prove to be incorrect. This is what happened here. I apologize for any misinformation these images might have given the readers.
Based upon the dynamic changes and adaptations to the circulatory system during pregnancy, ischemic compression techniques (those that provide digital pressure and quick release) are contraindicated after the first trimester. These pictures appear to represent this technique. To be on the safe side, avoidance of these bodyworks throughout the entire pregnancy (and for at least three months postpartum) will prevent dislodging potential thrombi. Pregnant women produce four to five times more clotting factor as a safeguard against hemorrhages during labor. These clots are more likely to appear in the deeper vessels of her legs and calves - the iliac, femoral and saphenous veins which would indicate lymphatic drainage as the most appropriate choice for the gravidas' legs.
In addition, the increase of interstitial fluid (another adaptation) often causes legs and feet to swell. Again, the most appropriate bodywork technique to enhance lymphatic absorption is lymphatic drainage. This is done with 5 to 7 grams of pressure, starting at the proximal joint supporting the direction of the flow towards the heart.
These pictures also demonstrate floor lying positioning that places a pregnant woman flat on her back. This position is absolutely contraindicated during pregnancy for more than 3-5 minutes (if she can even tolerate it for that long). In this position, the weight of the uterus compresses the inferior vena cava and aorta, decreasing maternal blood pressure (often resulting in pregnancy-induced hypotensive syndrome) thereby cutting off blood and oxygen to the fetus. Anyone who has taken my workshop knows how concerned and insistent I am about recumbent or semi-sitting positioning. The pregnant woman's upper body (from the hips) must be comfortably elevated at no less than a 45-degree angle to no more than a 70-degree angle with her hips slightly tilted to the left with a small wedge and her legs elevated.
I am glad for the opportunity to clarify the mistakes made by the inclusion of these erroneous photos as a companion to my article and I thank Massage Today for letting me set the record straight. I trust that students interested in studying prenatal massage will avail themselves of the essential hands-on supervision of a professional instructor and not the casual display of unfortunately poorly-chosen pictures.
Click here for previous articles by Elaine Stillerman, LMT.
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