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Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
News in Brief
NBCE Launches Computer-Based Testing Era; California Chiropractors Get Expanded DOT Exam Privileges; New Jeff Hays Documentary.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
July, 2007, Vol. 07, Issue 07
Why Should I Learn Assessment?
By Whitney Lowe, LMT
Musculoskeletal disorders (MSDs) are one of the most pervasive health care issues in the United States. These conditions include a wide array of soft-tissue problems such as strains, tendinosis, sprains, myofascial trigger points, nerve entrapment, and the ever-present host of biomechanical problems resulting from chronic muscle tightness.MSDs are the second most common reason for seeing a family practice physician, with infectious conditions like the common cold being first.1 It's interesting that even with the high incidence of MSDs in our medical system, their importance as a health care concern seems undervalued.
Many different medical disciplines are involved in the treatment of MSDs. Orthopedists are the specialists whose primary focus is on disorders of the musculoskeletal system. However, most orthopedists' practices are limited to more serious conditions, such as those that might require surgical intervention. Consequently, the large majority of physician visits for MSDs are handled by family practice physicians.
MSDs account for millions of office visits with physicians each year. Yet most people would be astonished to realize that medical school training for most physicians does not prepare them to address these disorders at all. In fact, almost half of the medical schools in the U.S. do not require any clinical or basic musculoskeletal course prior to graduation.2
The lack of training in musculoskeletal medicine has been reflected in physician knowledge in several other studies as well. Dr. Elizabeth Matzkin and her colleagues administered a basic cognitive examination on musculoskeletal medicine to 334 medical students, residents and staff physicians.3 Seventy-nine percent of the participants failed the exam. The most common reason given for the lack of confidence in performance by the participants was that their training in musculoskeletal medicine was inadequate.
Adding to the problem of training deficiencies in musculoskeletal medicine, traditional Western medical care has not had a great track record when it comes to effectiveness in treating the plethora of MSDs. The ineffectiveness of many treatments could result from the deficiencies in training and preparation. However, it's more likely due to the fact that these conditions are largely functional, soft-tissue disorders that do not respond well to drugs or surgery, the two primary treatment tools of most physicians.
Ineffective results in traditional medical treatment for MSDs have driven millions of Americans to seek better care through complementary and alternative medicine (CAM) approaches, such as massage therapy. In their comprehensive 1998 study on alternative medicine use in the U.S., Eisenberg noted that there were an estimated 114 million visits to massage therapists each year.4 This number is likely to be higher in the coming years with the increasing popularity of massage. A study on the practice patterns of massage therapists in 2005 found that about 60 percent of visits to massage therapists each year were for musculoskeletal symptoms.5 That means a conservative estimate would suggest more than 68 million office visits to massage therapists each year to address MSDs! This number is likely to increase significantly with the aging of the baby boomer population.
Like our physician counterparts, we have gaps and deficiencies in our basic training related to MSDs. While there are a host of continuing education opportunities available for massage therapists that teach advanced skills and techniques, the large majority of these courses focus on treatment techniques. Consequently, we have all kinds of opportunities to learn how to manipulate the soft tissues in various ways to improve our outcomes. Yet, there are few training opportunities that help us develop the cognitive evaluation and reasoning skills that help us figure out the nature of our client's complaint. Wouldn't it make sense to expend appropriate effort properly identifying the nature of these MSDs?
Assessment is the systematic process of gathering information in order to make informed decisions about treatment. We must be able to tell if the client's condition is something that should be referred to another health professional or if it's something we can address. If we decide the client's condition is something that can be treated with massage, our use of all those treatment techniques we have learned will be far more effective if we understand why we are doing what we are doing. That is what assessment is all about. With more than 68 million office visits to massage therapists each year to address MSDs, shouldn't we also be looking at what we can do to best serve our clients? Massage therapy has tremendous potential to fill this critical gap of care for MSDs in the U.S. health care system, but as responsible health care providers, we really must know what we are doing. Learning and practicing effective client assessment is a key step in this process.
Click here for more information about Whitney Lowe, LMT.
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