resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
Business Lesson #1: Adapt or Else
My wife and I recently enjoyed an excellent meal at a restaurant recommended by some friends. We often have concerns about restaurant recommendations, as many have been disappointing.
News in Brief
A Moment of Silence for Dr. Stephen Press; New ACA President Elected; F4CP Offers New MemBership Benefit.
The IME System: A Current Public Health Risk and Solutions That Are Working
I strongly believe in the independent medical examination (IME) system. There are far too many doctors in every profession who are not following E&M protocols and never claim MMI (maximum medical improvement) has occurred for their patients, which has caused financial stress for many private and public carriers.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Essentials of Assessment: The Squat
The squat is a simple, fast and functional tool to evaluate patient symmetry and function. As simple and easy as it is to implement, it can yield considerable amounts of valuable, clinically relevant information.
How to Find and Fix TL Nerve Impingements
The thoracolumbar junction (TLJ) and the peripheral sensory nerves that exit from it are frequent, important and rarely recognized sources of lower back, pelvic and hip pain. Let's outline a clear exam protocol for diagnosing the problem.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Recording and Appropriate Billing of Timed Physical Medicine Services
There is a common misunderstanding about timed therapy services and although you do have some knowledge of timed service documentation, based on your comment on the 8-minute rule, your understanding is correct, but incomplete.
Roots in the Community, Branches Far Beyond
The Jung Tao School of Classical Chinese Medicine (JTS) was founded in 1998 by Sean Christian Marshall in Sugar Grove, North Carolina, a small community near Boone in the state's westernmost mountains.
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Vitamin D Fails to Help Knee OA? The Proper Perspective
The March 8, 2016 issue of JAMA includes a study about vitamin D supplementation for osteoarthritis of the knee. This is a really weird study.
The Power of Eccentric Exercise: Hamstring Injury Prevention and Rehab
For almost 20 years, I've worked with professional athletes who make a living by running really fast. It goes without saying that hamstring injury (HSI) prevention and rehabilitation is a big part of what they expect from a sports chiropractor.
Musculoskeletal Disorders Take Center Stage
Looking for the latest on the musculoskeletal pain epidemic and the increasing premium placed on preventive strategies including chiropractic? Check out The Impact of Musculoskeletal Disorders on Americans – Opportunities for Action.
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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