Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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A Chiropractor's Guide to Yoga
"Doctor, can I continue to do yoga while undergoing your care?" "Is it OK for me to go back to yoga while I'm getting my back treated?" "It is safe to start my yoga classes again after my neck pain improves?"
Fish Oil: A Key Component of Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 2
In the last issue of Acupuncture Today, the first part of this article introduced the topic of trauma and resilience, and their relationship to the autonomic nervous system response and the concept of the spirit being grounded in the body, and suggested the importance of mindfulness as a tool for healing.
More Chiropractors Required
An intriguing study published in the Journal of the American Board of Family Medicine examines how "chiropractic care affects use of primary care physician (PCP) services."
Surprising Reasons for Orthotic Efficacy
Clinical outcome studies show orthotics are effective in the management of a wide range of injuries, including plantar fasciitis, Achilles tendinitis and patellofemoral pain syndrome.
Improving Communication Between AOM and Biomedical Providers
How comfortable do you feel talking to Western medical providers? If you are like me, you may not feel as comfortable as you would like. Some of my interactions with MD's haven't been the fruitful steps toward integrative medicine for which I had hoped.
Fertility and Poly-Unsaturated Fatty Acids
Starting or expanding one's family is a major milestone. It's something that more and more people seek out health care advice and support for.
Acupuncture Rising: From Acupuncture Anesthesia to Assisted-IVF, Part 1
Acupuncture's cultural and historical roots go back to the emergence of Chinese civilization. For more than 2,000 years, acupuncture needling has been continuously practiced on the largest population in the world.
Patient-Centered Care vs. Payer Restrictions: Your Ethical Obligation
Do you have an ethical obligation to evaluate your patients, make a diagnosis and provide evidence-based, patient-centered health care, irrelevant to the payer restrictions?
Harvard Health References Flawed AHA Position Paper
In its special health report, "Stroke: Diagnosing, Treating, and Recovering From a 'Brain Attack,'" Harvard Health Publications includes information from the American Heart Association's 2014 position statement on cervical manipulation and cervical dissection – a statement the American Chiropractic Association emphasized in a letter to Harvard Health mixes "scientific facts with half-truths."
Dorsiflexion Dysfunction: Evaluation & Manipulation Techniques
Almost every condition from the foot to the hip can be attributed to the inability to dorsiflex the ankle mortice and other joints that participate in dorsiflexion. Let's start by understanding normal versus abnormal dorsiflexion.
Change Lives by Supporting Chiropractic Research: Are You In?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fund-raising campaign to support chiropractic research.
The Food Conversation: Nutrition and Your Practice
It's morning and your first patient rolls in with a triple espresso steaming in one hand and a frazzled, desperate look in her eye. "You gotta help me, doc, I am constipated unless I drink one of these, and I am exhausted and anxious all the time."
Practice Policy (Gone Bad): The Sign
Every once in a while, you see something and think to yourself, That's a really bad idea. Case in point: I went to see my medical doctor the other day. Just after being "roomed," as they say, the nurse checked my vital signs. Then she left.
Help: A Need at Every Level
One of the great gifts of training in acupuncture is the ability to take good care of oneself. I recently had a bout of frozen shoulder — an inflammatory syndrome which can be debilitatingly painful and take years to resolve.
The Short Leg Dilemma
When evaluating a new patient, it is common to note a relative shortening of one leg to the other. Some patients will even tell you they have one, and then pull out the store-bought heel lift they read about online.
Modernization of Chinese Medicine
Language – written, spoken, signed, or otherwise is learned as a means to express our individualized perceptions about the world around us. Language is designed to communicate our personal experiences.
Practicing with Authenticity
To extrapolate from the above quote, patients love healthcare providers they can trust. One way to earn the trust of your patients is by practicing with authenticity. What does that mean, exactly?
Nuts Reduce Risk of Heart Disease, Cancer and Other Health Problems
Several recent studies suggest regular consumption of nuts may provide a significant degree of protection against certain types of cancer, heart disease, possibly type 2 diabetes and some neurodegenerative diseases.
News in Brief
Call for Abstracts Announced - Parker Las Vegas 2016; Logan Adds Doctorate Degree; New Role for Dr. James Edwards.
Getting a YES: An Effective Strategy for Overcoming Patient Objections
Patients make more excuses for declining care from an acupuncturist than perhaps any other type of doctor. Various reasons hold them back from making a commitment to care.
Oriental Medicine on the World Stage
"Let me win. But if I cannot win, let me be brave in the attempt." This simple, yet powerful statement was lived out time and time again by so many of the athletes from around the world during the Special Olympics World Games in Los Angeles.
What's Chiropractic Research Worth to You?
The Palmer Center for Chiropractic Research (PCCR), in celebration of its 20th anniversary, has announced it is spearheading a fundraising campaign to support chiropractic research.
Do Some Good and Grow Your Business with Cause Marketing
Cause marketing is truly one of the best ways that you can promote your services as a acupuncture professional. Cause marketing refers to a type of marketing where a business partners with a non-profit organization to help bring awareness to a charitable cause.
The New Age of Communication
In the age of technology, everyone, including the patient, is seeking faster, easier ways to communicate. With a wealth of social media, blogs, websites and videos, we are constantly barraged with information – to the point of overload.
The Zen Art of "One Point"
We were always told in our Zen Shiatsu training (by Japanese and Japanese American instructors) that our ultimate aim was to to find that "One Point." To be so focused we could touch just one point to transform Qi throughout a client's body.
September, 2007, Vol. 07, Issue 09
Acid Reflux and Hiatal Hernia
By Don McCann, MA, LMT, LMHC, CSETT
Everybody knows about the "little purple pill." Why? The answer is quite simple. The majority of Americans over the age of 40 are experiencing, the symptoms of acid reflux, which are very uncomfortable.Many people experience acid reflux as a result of hiatal hernias of the esophageal hiatus, which is even worse.
Unfortunately, since many massage therapists aren't aware that there are effective soft-tissue treatments that can eliminate these symptoms without drugs or invasive medical procedures, they have not developed the skills to treat these conditions. In order to be able to effectively treat hiatal hernia and acid reflux, you must first understand how tension in the soft tissue from stress and structural imbalance contributes to them.
One form of hiatal hernia is a tearing in the diaphragm that allows a portion of the stomach to protrude through the tear. There also can be damage to the esophageal hiatus where the esophagus empties into the stomach. When this sphincter valve of the esophageal hiatus is affected by stress or structural imbalance, it is not able to function properly. This improper function allows the contents from the stomach to flow back into the esophagus (acid reflux). This is especially troublesome when a client is prone or supine or has a full, actively digesting stomach. Acid reflux also can occur even when there is no significant damage to the esophageal hiatus. This can be due to overactive digestion taking place in the stomach resulting from spicy food, overeating or the presence of excess stomach acid. How can massage therapy effectively treat these conditions? Let's look at where the stomach is located and what muscles have a major effect on the esophageal hiatus and the stomach.
The esophageal hiatus is located in the center of the diaphragm at the top of the stomach. The diaphragmatic muscle attaches on the sternum and lower ribs, and extends all the way around to the back including the thoracic vertebrae. This makes it extremely reactive to any structural distortion. If the musculoskeletal system is distorted, the resulting misalignment is reflected in contractions and distortions throughout the diaphragm. Stress affecting the sympathetic nervous system can add to structural distortions that affect the diaphragm. If you add extra weight to the structure, you have yet another distortion factor for the diaphragm. When the esophageal hiatus is constantly stressed by these distortions and imbalances, it reacts like an "o" ring with unequal pressure on all its sides, which does not allow it to close effectively. This usually results in acid reflux or a hiatal hernia.
To resolve hiatal hernia problems, massage therapists need to be able to address both the structural distortions and the stresses that involve the diaphragm. My three-step approach to working with deep tissue will treat this area effectively starting with the surface tissue and moving progressively deeper with successive strokes. It is important to remember to follow the principle of "the deeper you go, the slower you go!" As you work deeper into the abdomen, apply just enough pressure to sink in slowly, and only move deeper as the client relaxes and the resistance decreases.
The intent of these abdominal strokes is to release the tension in the diaphragm and stomach allowing the rib cage to expand upward while reducing the distortion and stress on the diaphragm. In releasing the diaphragm, you are releasing the stresses that have accumulated from both the sympathetic and parasympathetic nervous systems. This often results in a calming of the stomach and reduction in the hyperacidity found with acid reflux, nervous stomach and ulcers.
Applying these massage techniques to release the stresses on the diaphragm will treat hiatal hernias and acid reflux very effectively. A relaxed diaphragm allows the esophageal hiatus to function efficiently, which will prevent acid reflux by keeping the contents of the stomach where they belong. A relaxed diaphragm also will allow a tear to heal so the stomach can no longer protrude upward through it. This often is not an overnight solution, but clients usually experience additional relief with each session. This is a great chance to assist your clients with proper therapeutic massage techniques.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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