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Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
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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