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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%.
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.
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).
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.
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.
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.
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.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
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.
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.
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.
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.
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.
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.
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.
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.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
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.
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.
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.
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.
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).
April, 2008, Vol. 08, Issue 04
Misperceived Headache Pain
By Ben Benjamin, PhD
Q: True or false: Headache pain can be referred to the head from injuries to the C5, C6 and C7 ligaments.
A: False. Only the upper cervical ligaments refer pain to the head.
Headache pain frequently is referred to the head from injuries to the C2 and C3 supraspinous and intertransverse ligaments. Among the many causes of headaches and neck injuries, these may be the ones most often misunderstood.
Headaches have plagued humans since the beginning of recorded history. As many as 50 million people in the U.S. regularly suffer from headaches. An additional 26 million people suffer from migraines. Some headaches are debilitating, while others simply are annoying. People whose primary complaint is a severe headache account for 18 million visits to the doctor each year.
Headache pain may be felt at the back of the head, at the forehead, in one or both temple areas, localized in one or both eyes, or even behind the eyes. A headache may appear as a band-like pain around the head just above the ears or over the top of the head. The pain may be throbbing or stabbing, eyesight and hearing may be altered, and if head pain is severe, thinking processes may be affected. All of these head-pain patterns can be the result of referred pain from injured upper cervical ligaments.
Head pain caused by ligament injury may feel like a muscle tension headache. It takes a skilled assessment to differentiate a headache caused by stress and tension from one caused by ligament sprains. Some headaches are the result of both excess muscle tension and ligament sprains.
Headaches usually are multifactorial, meaning many factors combine to bring about the headache. For example, a headache can be the result of a concussion, more than 200 diseases, allergies, chemical sensitivity, or exposure to fluorescent lights. Only when the causes of a headache are clearly identified can the pain be successfully treated.
Some headaches due to head or neck injuries may begin a few weeks after the injury is sustained, as in the case of whiplash. Often, the injury has been forgotten or is not associated with the headache because the neck no longer hurts. A whiplash injury frequently causes referred head pain due to damaged muscles, tendons and ligaments in the neck. (See Fig. 1 and Fig. 2)
Adhesive scar tissue usually is the primary factor in causing this type of referred pain headache (see Fig. 3 for the referred pain patterns). When the muscles, tendons or ligaments of the neck are injured, the torn fibers often heal in a matted scar. When normal movement pulls upon this adhesive scar tissue, it tears again and again, causing more referred pain and ridding the body of unwanted scar tissue. The unwanted tissue can be discarded through friction therapy combined with massage, together with appropriate exercises, and the pain cycle can be broken.When you eliminate the poorly formed scar tissue and re-establish free movement in the neck, an injury-related headache usually disappears.
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