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Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
September, 2007, Vol. 07, Issue 09
Help Grow a Pearl
By Ralph Stephens, BS, LMT, NCTMB
Despite several dark clouds hanging over the profession of massage therapy/bodywork, there is reason to be quite optimistic. The public demand for soft-tissue therapy continues to increase.The public patronage of venues providing relaxation massage also continues to increase. If a critical mass is reached before universal health care is forced upon us, it will be difficult for the politicians to take massage away. Relaxation massage will probably be unaffected.
Massage therapists, as first-door health care providers, will survive if our professional associations stand up for us. If our associations do not, and they seldom have, therapeutic massage will be put under the gatekeeping control of allopaths, where it will exist in some form. Not to despair, if you don't want to work under the thumbs of the allopaths. You can do a lot under the guise of relaxation if you are careful about the words you use. Just never treat a condition. This is simple. Only specifically address the tissue in spasm, reduce tender and trigger points, restore circulation and range of motion, and if the condition goes away it's not your fault, right? Of course not. Posture analysis and alignment are strictly for cosmetic purposes, right? So those who learn "how to rub" as Hippocrates called it, instead of just learning how to push lubricant around, will still be able to make a good living helping a lot of people. As Shakespeare wrote in Hamlet, "There is nothing either good or bad, but thinking makes it so." Everything is an opportunity, and ours to make the best (or worst) of.
The organic food industry has become the target of a hostile take-over by the agribusiness/government cartel. People want clean, safe food that tastes better and that makes them feel better after they eat it. They are willing to pay a premium for it. The people who started many of the brands you have come to know and trust are reaching retirement age. One of the large agribusiness conglomerates makes them an offer they can't refuse, so they sell out and retire as millionaires. You can't blame them really. It's scary how one of the large food conglomerates now owns almost every major health food brand. Have they come to their senses and decided to provide better products? Hardly; they have bought up the organic food industry and are now using their millions and their lobbyists to corrupt and dilute the organic standards. Why? For profit, of course. They can get more money for chemically laced crap if they call it organic. It is called "greenwashing." This is having a negative impact on small, sincere organic farmers and companies who can only compete if organic standards actually mean something. The FDA and the USDA are doing everything they can get away with to destroy organic standards for the benefit of the large agrichemical and food companies. Are you concerned about the quality of the food you eat, the environment and organic standards? Does the survival of natural alternatives in health care and access to quality supplements, herbs, homeopathy, even massage, mean anything to you? If so, you need to get involved. A phone call and one letter a month would make a huge difference; even better, one a week. A good source of information is www.organicconsumers.org.
A more radical group - not in a bad way - that really lays it on the line is www.healthfreedomusa.org. Believe that you, as one person, can make a difference, because you can. The letters and e-mails to these bureaucrats are making a difference. Several dastardly initiatives and power grabs have been turned back. The price of freedom is eternal vigilance. Become an irritant - help grow a pearl!
It's fascinating how the microcosm of the massage profession reflects the macrocosm of American society at large. In this case, large career colleges bought up the largest and most successful massage schools whose owners were at or near retirement age, and now are using their millions and their lobbyists to dilute our professions education standards.
Along these lines, what's left of Iowa's massage law is now under attack by the "cosmo schools," among others, who want no standards for instructors or a required curriculum. No standards or accountability means more profit, but a poorer product be it food or therapists.
As our organic food standards are lost, it will become best to shop at farmer's markets for food from local growers who still care. As our massage education standards are lost, it will be best to go to locally owned schools operated by therapists who have successfully made a living at massage. If you can't, or haven't, made a good living at it, you shouldn't be teaching it. This is a huge problem with education in America in general. The motto, "Those who can't do, teach" is a major reason why our education system turns out so many illiterates and incompetents.
The muscular system of the body is not a bunch of separate parts (muscles). It's really one huge muscle, "The Muscle." Inseparable from fascia, "The Muscle," or the myofascial system, is such that tension anywhere in the system is tension everywhere in the system. Look for "chaining" patterns of muscles in the body. For example, the abdominal obliques interdigitate into the anterior serratus, which continues into the rhomboids and levator scapula, creating a spiral connection from pubis to C-1. How about the rectus abdominis merging into sternalis, continuing on to sternocleidomastoid? When one muscle in a "chain" won't relax, maybe it can't because of the tension placed on it from the rest of the chain. Examine the other muscles in the chain, treat (relax) them and see if the problem muscle then responds better to your treatment.
Out of ink, so I have to stop. See you in November.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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