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Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
March, 2008, Vol. 08, Issue 03
Help Your Client Achieve a Natural Labor: Four Simple Tips for Pain Relief
By Michelle C. Larson, MAc, BA, LMT
Most women are nervous about labor pain whether their goal is an unmedicated labor or not. Pain is part of the right of passage into motherhood, but there are many simple things you can do to make it more comfortable and assist your body in the natural process of birth.
As massage therapists, we have a wonderful opportunity to assist expectant moms in creating the best birth experience possible. Over the last year and a half, I studied natural pain relief techniques for labor and delivery. Using my background as a massage therapist, acupuncturist and labor doula, I applied the principles of hydrotherapy, massage and acupressure to find the most effective and fundamental techniques.
My goal was to decrease anxiety, keep labor progressing and decrease pain. The following are four procedures you can use with your clients to make labor and delivery less stressful:
Hot Foot Bath
Place her feet in hot water, deep enough to cover the feet and come above the malleoli. This will not only feel relaxing, but also will help to draw energy downward and promote descent of the baby. By relaxing the muscles in the feet and legs, her pelvic floor also will relax. As she relaxes her mind, she will find a decrease in pain during contractions.
Many hospitals will have plastic tubs you can use for this purpose. Simply ask the nurse. This also is a great treatment to use at home in early labor before you head to the hospital or birth center. If you like, you can add essential oils such as rosemary or lavender to enhance the energetic effect of the hot foot bath and add a wonderful aroma. Keep in mind some women are very sensitive to scents during labor.
"Mind over matter" works. Here is a tried-and-true meditation you can guide her through at any stage. Have her close her eyes between contractions, ask her to take her mind deep inside. "With every inhale imagine breath in life and energy. Each breath is as nourishing and energizing as your favorite dinner. You are drawing in energy from the world around you, filling yourself. Even though you are tired, you are becoming more and more energized. With every exhale allow your pelvic floor to relax and open, exhaling out any tension, fear and anxiety. Focus on the relaxation."
Starting the next contraction with this new-found relaxation will make it more productive and less painful. The pressure and stretching of the pelvic floor can be very frightening. This fear will cause a woman to tense these muscles which will delay labor and make it more uncomfortable.
Here are three simple, very effective acupressure points. You can use them at any stage of labor, but not during pregnancy. These points have a very strong, energetic action and are not to be used during pregnancy. Have her talk with her primary care provider to decide when she is ready for labor to begin, because these acupressure points can stimulate contractions.
With all of these techniques, the key is to communicate. Invite her to let you know what seems to work and what doesn't. Application of pressure over these points can be done with thumbs, hands, elbows or massage tools. You can use these points as little or as often as you'd like. As long as it feels good to your client, keep going.
Essential oils are a wonderful way to relax and ease tension. Not only is the scent therapeutic but also the application of the oils on the skin. Most oils are not to be used during pregnancy because they have a strong moving effect and can stimulate contractions. During labor, however, this is exactly what you want.
You can use a few drops of your favorite essential oil in a diffuser to scent the entire room, or place a few drops on a tissue to enjoy a light fragrance. A drop of essential oil applied to your fingertips during an acupressure massage will enhance the effect of the treatment.
Keep in mind that a scent she really likes normally may not be pleasing during labor. It's best to use the oils in such a way that you can easily remove them from the room or take the scent away if you find it becomes aggravating.
Lavender is one of the most commonly used essential oils. It provides very relaxing, nourishing feminine energy and helps to sooth pain.
Rosemary is very invigorating and uplifting. If labor has been slow and you find energy fading, the lively scent of rosemary is a huge help. This is also a good one to use during acupressure to stimulate the points.
Orange is a sweet smell that also is very invigorating. Use orange as you would rosemary for an extra energy boost or during your acupressure massage.
Massage therapists often are asked to assist a regular client during labor. This can be very intimidating, especially if you have never been through the birth experience. Use these simple techniques to feel empowered to confidently assist her. And remember, not all births go as planned. A successful birth ends with a healthy mom and a healthy baby; the process is unique and can never be planned.
Michelle Larson is a certified massage therapist with a masters degree in acupuncture and a bachelors degree in holistic health. As a faculty member of the Cortiva Maternity and Infant Massage Program, she travels nationally teaching continuing education for professional massage therapists.
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