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Billing and Coding for Moxibustion
Q: I am trying to locate a code for cupping and moxibustion, and have had various fellow acupuncturists indicate that they bill using the existing codes for heat, 97010 hot packs or 97026 infra-red for moxa and 97016 vasopneumatic device for cupping.
Chiropractic Around the World: WFC Country Reports December 2015
The following country updates are reprinted with permission from the December 2015 World Federation of Chiropractic (WFC) Quarterly World Report. Information is excepted for space and edited to DC-specific style guidelines.
Forgotten Options for Musculoskeletal Health
Challenges with musculoskeletal health are of tremendous concern for many people today.
Changing the Cultural View of Medicine
Many hospitals in the U.S. are incorporating integrative clinics that include Traditional Chinese Medicine. Cleveland Clinic has led the charge for adding a traditional Chinese herbal medicine clinic to their existing acupuncture program.
Taking Another Step Toward a Secure Future
In 2008, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) released a literature review on chiropractic care for low back disorders.
Integrative Medicine Can Shape the Profession
As the AOM profession struggles to define the role of "integrative" medicine within their practices their schools and organizations, students, faculty, alumni and administrators at schools wrestle with discussions of how much, where, how, and what to "integrate."
How to Humanize Your Content to Create Stronger Relationships
Content marketing is about building relationships, whether that is through updates on social media, offers on your website, blog posts, email campaigns, or even printed material. Now days a business needs to make a human connection.
The MRI: What to Do With the Results
As I wrote in my previous article on this topic, it is my goal for you, the doctor, to be an expert in interpreting MRI images yourself; and to be able to independently make decisions based upon a combination of clinical presentations and findings, followed by the MRI images.
From Antiquity to Modernity: Huang Qin Tang at Yale Medical School, Part 1
Traditional Chinese medicine is a coherent medical system with several unique characteristics: it originated almost 3,000 years ago; in its area of origin, it has been practiced without interruption since its inception.
The Roots of Insomnia
One of the most common clinical presentations is insomnia. Next to digestive disorders, sleep disorders are one of the most common complaints the clinician will encounter in daily practice.
Asking the Insurance Rep the Right Questions
One of the first or last questions a potential patient often asks is: "Do you take insurance?" An ill-informed or optimistic, "yes" can result in delayed or non-payment. Instead, just say: "Let me check if you are eligible first."
Window of the Sky Points
The acupuncture points known as Window of the Sky are a modern creation. There is no reference in Chinese medical texts for an acupuncture point category called Window of the Sky.
Treating Pain: The Hypermobile Coccyx
When I write about the coccyx, I recognize that I am talking about a relatively small subset of patients. When I write for Dynamic Chiropractic, I am trying to reach 60,000 chiropractors.
Yo San University Helps Make LA Communities Healthier
An element of healthcare training often overlooked is the residual benefit to communities served by Acupuncture and Oriental Medicine (AOM) schools nationwide.
Ethics: The Glue That Holds Us Together
Kudos to the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for creating a code of ethics for the nationwide profession and for deciding to make courses in ethics a requirement for certification renewal.
The Clinical Versatility of Milk Thistle (Part 2)
Evidence is growing that the silymarin complex of flavonolignans from milk thistle can impact serum ferritin and iron overload in various clinical circumstances.
Do Doctors Lie to Patients? (Do You Lie to Yours?)
In a previous column ["When Patients Lie (Bribe or Flatter)," Oct. 1, 2015], I discussed the issue of patients lying to doctors, and the many reasons why this can occur.
Diet, Nutrition and the Context of Risk (Part 1)
Food and supplement safety is a topic that often comes up when I speak to chiropractors for CE relicensing, even when it is not the advertised subject.
Interprofessionalism: What it Means and Why You Should Care
Interprofessionalism in education and in practice is a growing trend across health care in the United States. The idea that team-based care and collaborative practice can improve health care has been around more than 50 years.
Lab Rats (Roaming the Streets)
The title of this article is an accurate description of American consumers (regardless of age) in the modern era.
Percussion Therapy: An Experiment
My study of qi began more than 20 years ago — long before my study of TCM, points or pathways. It all started with an awareness in my hands and physical manifestations in the way of blockages while working on clients.
RAND Study Recruiting DCs
Dr. Ian Coulter, RAND / Samueli chair for integrative medicine and senior health policy researcher for the RAND Corporation, has issued a call for participation, recruiting doctors of chiropractic for a practice-based research study that will examine "the impact of evidence, outcomes, costs and patient preferences on the choice of treatment for chronic low back pain and neck pain."
East Meets West
Gung Hay Fat Choi. Welcome to the year of the Monkey. There will be fireworks for both January and February this year. What great celebrations.
Enhancing Performance in Cross-Fit Athletes
Cross-fitness centers are expanding in number and increasing in popularity. To remain relevant to this growing portion of society, practitioners need to learn about the exercises and injuries common to this group.
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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