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A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
February, 2008, Vol. 08, Issue 02
Charting Your Progress: Visuals for Success
By David Kent, LMT, NCTMB
Whether you perform massage in a medical, clinical or spa setting, it's important for clients to feel they are benefitting from treatment. Using visual aids is an excellent way to chart and evaluate a client's progress and charting allows you to show a client their progress. It also helps you and the client stay focused on which course of treatment to pursue.
In my last article, "The Power of the List," I presented my goal-setting questions and a Power List to help you kick-start the process of identifying and achieving your goals for your practice and all areas of your life. Below are tips for using visual aids for your client's benefit, no matter the type of massage setting in which you work. I also describe how I use visual aids in my own practice. These tips will help you gain, maintain and increase the momentum you need to attain your professional goals while you subsequently help your clients.
Few goals are ever achieved in one step, and one massage therapy treatment is rarely going to resolve the core cause of a client's stress, pain or dysfunction. Many clients want instant gratification - the "magic bullet" or the one-treatment fix that will immediately solve their problem. However, it's incumbent upon us to educate our clients about the accumulated benefits of a series of treatments versus a single treatment here and there. Clients who make a commitment to regular treatment often are quickly amazed at the positive impact it has on their quality of life.
Here's a brief quiz. Imagine you are driving down the highway and the "low oil" warning signal displays on the dashboard. You take the next exit and drive to the nearest gas station where you check the oil level and see that the engine is low by two quarts. Should you:
Obviously, the best answer to the question is "E." You need to schedule the car for service, not only for a filter and oil change, but for a complete checkup. You make this decision on simple information that would be obvious to any person. It's not too hard to see that the car in this scenario is a stand-in for the human body. And this valuable machine needs attention and care to run correctly and last for the long run. Ultimately, it's cheaper to maintain the body's health than to pay for a complete breakdown in the long run in the form of lost work, doctor bills, medication, pain and a reduced quality of life.
The point of this exercise is to demonstrate the importance of gathering information the right way at the right time. For example, a client complains of headaches that occur three to four times a week and require prescription medication. However, even with increasing medication, the client frequently misses work. This client also has secondary complaints of neck, shoulder and upper back pain that disrupt sleeping patterns. In this example, my short-term goals are to reduce the headaches and the neck pain intensity, frequency and duration, as well as to improve sleeping patterns.
Here is where I start collecting my visuals to create my starting point of reference so I can measure the client's progress from this point forward. To begin, I have the client fill out intake forms, questionnaires and a pain-scale chart before and after treatment. Other aids I use to establish a baseline include documenting range of motion; conducting muscle and orthopedic assessments; using trigger-point charts; taking postural analysis photos; and evaluating gait.
Depending on your massage therapy setting, you probably will adjust which visual aids you use in your practice. Most clients, regardless of the setting, find it both useful and comforting when the therapist uses charts and models to describe their condition and note their progress.
Lastly, we all need a little encouragement to produce the results we want in our lives. Often, however, we have no one around to motivate us. Every day, I list the things I am grateful for, as well as the things I did to move myself closer to my goals. I also ask my clients to do the same. A client with chronic headaches might be grateful for finding you, the massage therapist and, thanks to continued treatment they might be grateful for missing less work and sleeping better at night. This client might be following your recommendations and stretching and exercising every day as a means of reducing the frequency of the headaches.
As for me, I am grateful for my health and my practice. Whether it's learning a new skill, following innovative practice-management techniques or using visual aids, I make a point of doing something every single day that will help me reach my professional and personal goals.
Click here for previous articles by David Kent, LMT, NCTMB.
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