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Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
News in Brief
Investigating the Cellular Impact of Mechanical Force; National Board Seats (Not-So) New Officers at Annual Meeting.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
February, 2008, Vol. 08, Issue 02
By Ben Benjamin, PhD
Question: If taking a deep breath causes pain in the chest area, what are the three most likely musculoskeletal problems?
Answer: Intercostal muscle strain, a fractured rib or thoracic ligament sprain.
Whenever there is pain in the thoracic region, it's important to have the client see a physician quickly. Damage or disease of the organs in the thorax region - including the heart, lungs, spleen and gall- bladder - can produce pain in the chest that mimics a musculoskeletal problem. The pain often also extends into the middle or upper back.
When a musculoskeletal problem is to blame, pain on inhalation most likely is caused by a tear of the internal or external intercostal muscles. These muscles are used in breathing; more tension is placed on them as the chest expands. Intercostal muscle tears can cause sharp, debilitating pain, but they heal fairly quickly when treated by friction therapy followed by massage. Locating the injury generally is quick and easy; gently run your index finger over the muscles in the grooves between the ribs in the painful area.
The second possible cause is a fractured rib. This usually is quite painful and likely will be picked up by a doctor's examination or by an X-ray. Any time a client reports pain resulting from a physical blow to the chest, think rib fracture and get the person to a doctor. When a rib is fractured, the pain is felt right at the location of the break. There is no significant referred pain. With this injury, even gentle touch will be quite painful and the pain caused by a deep breath, cough or sneeze will be sharp and intense. It often feels as though the person is being stabbed in the chest. Breathing will be very shallow and there may even be some discoloration in the injured area. The physician may tape the area to diminish movement and often will prescribe pain-reducing medication if the pain is very severe. Fractured ribs generally take six to eight weeks to heal.
A third common cause of chest pain is ligament sprains in the thorax, usually between T2 and T10 (see illustration). On a deep inhalation, these refer pain into one side of the chest or from the mid-back through the body to the chest. The pain may range from mild to severe, and also will occur during rotation of the torso. Remember that this is referred pain, not local pain, so treating the painful area will not be effective. Only identifying and treating the damaged ligament or ligaments will provide relief.
Click here for more information about Ben Benjamin, PhD.
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