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The Science Behind Happiness
Are you happy right now? Whether yes or no, there are a myriad of reasons why you feel that way. A whole academic discipline has developed to find out what causes or obstructs happiness, and how to amplify it.
A Commonly Missed Spinal Fixation: The Upper Lumbar Spine (Part 1)
When we think of lower back pain, we tend to think in terms of the lower lumbar spine and the SI joint. These joints and their discs are obviously important. However, we tend to miss fixations that occur just above – in the upper lumbar spine. Three questions come to mind: 1) Why is the upper lumbar spine so important? 2) Why do we miss the fixations here? 3) How can we adjust them?
Help Secure Our Future by Sharing It
The National Board of Chiropractic Examiners (NBCE) conducts one of the most comprehensive surveys of the U.S. chiropractic profession every 4-5 years.
Rethinking GMO: Less Panic, More Context
Some of you may have noticed that after writing parts 1 and 2 of “Genetic Modification of Organisms for Human Consumption” a while back [Nov. 15, 2013 and Jan. 1, 2014 issues], part 3 never appeared.
Get Ready For AOM Day
This year, AOM Day 2014 falls on Friday, (October 24th). This is a great opportunity to make your AOM Day celebration or event even bigger by extending it throughout the weekend!
The Problem With Prolonged Sitting
We need to constantly talk to our patients about spending less time sitting and about what can go wrong with poor sitting postures. The fact is we sit too long in repetitive malpositions.
Healing Community Trauma in Israel and Palestine
It's the beginning of August and Israel and Hamas have just agreed to a 72-hour ceasefire after a month of brutal fighting. In the last four weeks, 1,830 Palestinians and 67 Israelis have been killed.
Let the Patient Tell Their Story
Often when a patient presents with an injury, they want to tell their story. People by nature like to talk about themselves, particularly when they're worried about their health.
A Glimpse Into China's Top Brain Hospital
The sounds of the city pass through the open window are overwhelming the microphone - car horns, construction machinery - and then there's the family at the adjacent bed talking loudly on cell phones, yet you can still hear the faint beep of our patients monitoring equipment.
The Spirit of the Point
After receiving a large amount of positive feedback on my San Zhen Protocols series, I have decided to focus this article on some relevant clinical aspects of acupuncture therapy prior to moving on to San Zhen Protocols III.
Thoracolumbar Syndrome: The Great Mimic
The thoracolumbar junction is a common area of joint dysfunction. The most obvious cause is dysfunctional breathing or lack of diaphragmatic breathing. Treating this breathing problem will ultimately be the long-term cure for the syndrome.
If You Get a Request for Records, Respond!
In our previous two articles, we discussed two of the main reasons for denial when chiropractic records are reviewed by Medicare contractors.
History of Animal Acupuncture: Part II
In Part I of this article, I had gone back to 1969 and tried to describe the atmosphere and events of that year that engulfed many of the younger generation, some who were all the core members of the National Acupuncture Association.
Thoughts to Live By
When speaking to your patients about their health make sure to ponder the following points and have them assess if they are making themselves even more sick by the thoughts they have about life. Are these some of the traits and thoughts that your patients might have?
Improving Our Political Effectiveness
The November 2014 elections are right around the corner; members of Congress, governors and state legislators are all running. Now is a good time to talk frankly about our overall political involvement.
The Truth About Herbs
I appreciate the effort and research put into the article written in the June issue of Acupuncture Today regarding pesticides and Chinese herbs.
When Big Pharma Meets Chinese Medicine
Earlier this year, Bayer made a media splash with their decision to buy the Dihon Pharmaceutical Group Co., a Chinese TCM manufacturer.
Medicalization and Mindfulness
The past several years have seen a veritable explosion of research on mindfulness. Research abstracts we've published in each issue of Health Insights Today under the heading "Mind-Body News" have increasingly reported on studies about mindfulness interventions.
Uncle Sam Needs You
Scrutiny into the Department of Veterans Affairs (DVA) continues to grow after efforts to reform the DVA by the former Secretary of Veterans Affairs, Eric Shinseki, were deemed "a stunning period of dysfunction" by Senate Minority Leader Mitch McConnell (R-Ky.).
A Healthy Dose of Failure is Vital to Your Success
As an acupuncturist I tend to see people after they have already suffered for years and "tried everything." They are so desperate for some relief that they want to know everything about how to get better, right now.
MPA Media Wins Seven Publishing Awards
MPA Media, publisher of Acupuncture Today, among other titles, has been recognized for editorial and design excellence with an unprecendented seven publishing awards by the ASBPE, the nation's largest organization for business-to-business publications.
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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