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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
February, 2008, Vol. 08, Issue 02
Helping You Choose Wisely
By Angie Patrick
In my years of experience in the massage-supply business, I have had the tremendous opportunity to meet and speak with literally thousands of massage therapists. I often am asked questions about professional-grade products and how to know when it might be time to make a change. When I began in the industry years ago, there were only a couple of major players in the lubricant field, so the choices were not so difficult to make. But now, as our industry has grown and prospered, so have the choices in lubricants. My intent in this article is not to promote any specific brand, but rather give you some pointers so you can make the right decision for your own practice.
My first piece of advice: Always use professional-grade products designed and manufactured for professional massage therapist use. Products found in drug stores, discount chains and grocery stores are typically not designed for use on a professional level. Keep in mind you will be in contact with this product every day, with your hands immersed. You want to make sure the products you choose are designed for this type of extended exposure to skin and that it's not irritating to your skin after prolonged exposure.
Changes in skin-care technology have prompted many changes in lubricant markets. Manufacturers have become far more savvy in the ingredients they use and the overall effect the products have on the skin. In other words, it's OK to branch out and try something new because there is so much out there now. It's just a smart idea to stay in touch with new ideas in lubricants. Here are a few tips on how you can try new products without breaking the bank.
When looking for new products, it's always smart to ask your supplier if they happen to have any samples. Manufacturers sometimes will supply their distributors with sample-size products to try. In the event there are no samples, I would suggest you buy the smallest available size of the product in order to give it your evaluation. In most cases, once you break the seal on a product, it cannot be returned. This is the best reason I know to buy the smallest size on the first try. You can always buy a larger size if you like the product. Even if you have used the same lubricant for years, it never hurts to branch out a bit and see what else the market has to offer.
How should I care for my lubricants? This is a question I get asked all the time. I have to say, it's always best to avoid extreme temperatures. I have heard of therapists who have left their products in their cars for months during searing heat and bitter cold, and then wonder why it separated or smelled "funny." You should care for your lubricants by providing them storage in a temperate location not prone to climate changes. Oils like the dark, so a cabinet or closet works well. Avoid prolonged exposure to sunlight.
How do I know when my lubricant has "gone bad?" Most manufacturers provide information regarding the shelf life of their products. In some cases, you may even see an expiration date printed on the bottle or jar. You will want to avoid using any product that has an undesirable odor. Oils can sometimes have a faint "cooking oil" smell when they begin to turn. Lotions and crèmes can give an unpleasant smell that somewhat resembles "plastic," for lack of a better descriptive. Of course, should you see any discoloration or growth on the inside of the container or cap, you should discard the product immediately.
One way you can help inhibit the growth of bacteria in your lubricants is to avoid cross-contamination of the product. Never use your hands to dip product from a larger container to a smaller one. Always use a clean spoon or spatula. This will prevent bacteria that live on your skin from being transferred to the product.
Whether you decide to use an oil, lotion or crème, it's always important to make sure you have asked your client about any allergies they may have. Occasionally, you will have a client who may have a pronounced allergy to an ingredient found in your lubricants - most commonly nuts. Be sure you have asked the proper questions on your intake form so you can avoid your client having an uncomfortable reaction.
This brings us to the question, "Which lubricant type will work best for me?" This will depend largely on the type of massage you want to perform. Each type of lubricant has its own special properties that aid the therapist in treatment. Oils can be used for any modality in which you will need extended glide. Oil provides the least amount of friction and is widely utilized for Swedish massage. Seed oils and nut oils are widely used; however, I would again stress the importance of making sure your client has no allergies to the ingredients in the oil you use. Lotions and crèmes are better suited for modalities that do not require a great deal of glide but instead utilize grip. You will want a product that will allow you enough glide to warm the tissue, but finish with enough grip as to allow you to work the tissue below the skin.
Finally, "How do I clean my sheets and avoid staining?" This is a concern for therapists and spas alike. Once your sheets are stained, you really cannot use them again because your clients will have the impression they are unsanitary. So, how do you care for them? There are detergents on the market made especially for the removal of oils, creams and lotions. You can surf the Web site of your favorite massage-product supplier and find a number of eco-friendly and lubricant-specific detergents designed to break down and remove the residue. Also, many manufacturers are using ingredients that make the products "water-dispersible," which certainly helps when it comes time to do laundry!
I encourage you to check out all your options and begin your journey of exploration. There are so many wonderful and exciting things appearing on the market every day; you owe it to yourself to stay in the know and be informed about the newest advancements and product breakthroughs in the industry. It's a big sea of options out there; happy fishing!
Click here for more information about Angie Patrick.
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