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A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
March, 2008, Vol. 08, Issue 03
Medial Wrist Pain
By Ben Benjamin, PhD
Question: If passive radial deviation causes pain on the medial side of the wrist, what structure is likely to be injured?
Answer: The ulnar collateral ligament of the wrist.
The wrist joint is located at the junction where the bones at the base of the hand meet the two long forearm bones, the radius and the ulna. The small bones of the wrist are uniquely shaped and fit together like a jigsaw puzzle in two rows of four bones each. The row closest to the fingertips is called the distal row; the row nearest to the forearm is called the proximal row. These bones are joined to one another and to the radius and ulna by an intricate network of ligaments. The ligaments provide stability while allowing movement among the individual wrist bones and between the wrist and arm bones.
The ulnar collateral ligament of the wrist, also known as the internal lateral ligament, is a fibrous band of tissue located at the medial side of the wrist. (Be careful not to confuse it with the ulnar collateral ligament of the elbow, an entirely separate structure.) This ligament attaches at the styloid process of the distal ulna and inserts primarily on the triquetrum bone, with some fibers running to the pisiform and hamate bones. It functions to protect the wrist joint by limiting radial deviation (i.e., the side-bending movement of the wrist toward the thumb).
To assess the wrist for damage to the ulnar collateral ligament, grasp the forearm a few inches above the wrist with one hand and grip the medial part of the hand with the other. Stretch the ulnar side of the wrist by moving the hand laterally toward the thumb side, while stabilizing the arm with your other hand. Be sure the client's hand is relaxed. Note whether this produces discomfort at the medial side of the wrist. If it does, the ulnar collateral ligament is likely to be injured. (It is also possible for pain in this region to be caused by a fracture of the triquetrum bone or the styloid process of the ulna, so be sure your client sees a physician to rule out those conditions.)
Although injuries to the ulnar collateral ligament may occur throughout the ligament, they most commonly occur at the attachments - and primarily at the origin. To locate the ligament origin, place your thumb or index finger against the styloid process at the distal edge of the ulna. To locate the distal attachment, move distally to the attachments at the triquetrum and the pisiform bones.
The most common cause of ulnar collateral ligament injury is sudden or repeated trauma. Sudden trauma to the wrist often occurs when we try to protect ourselves by extending our hands to break a fall. Jobs or activities that require using the wrist in repetitive actions for many hours each day (long hours working on a computer, for example) make this area vulnerable to injury. Injuries also can result from performing the repetitive motions involved in playing an instrument without adequate rest and recovery.
Ulnar collateral ligament injury is common in karate students who practice hitting objects with the medial surface of the hand. It is also a frequent problem in massage therapists, drummers, carpenters, construction workers, house painters and athletes who use their wrists in stressful positions.
Click here for more information about Ben Benjamin, PhD.
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