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News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
May, 2008, Vol. 08, Issue 05
Simple Answers Create Positive Results
By David Kent, LMT, NCTMB
Addressing the pain and discomfort associated with trigger points is one of the most common complaints massage therapists deal with in the treatment room. It's not uncommon, for example, to palpate a trigger point in the upper trapezius, sternocleidomastoid or suboccipital muscles, which produces a referred phenomenon to a completely different area of the body, such as the head.
When trigger points refer into the head, the phenomenon often is described as pain, headache, pressure, tingling and/or numbness. Although clients often are surprised at this phenomenon, most are thrilled when I am able to isolate and treat the trigger point. Occasionally, however, a client might show distress at this discovery and say something like, "I'm all screwed up," "I'm wired wrong" or "I'm weird." In this article, I will share simple solutions for addressing these types of comments in ways that will help empower your clients to have a more positive attitude and take a more proactive approach to their health care.
The mental image we have of ourselves is important, especially when it comes to our health and well-being. I don't want my clients to believe they are "screwed up" or "wired wrong." To help transform this negative mindset, I educate my clients to help them establish a new understanding about the processes taking place inside their bodies. Part of this includes suggesting more appropriate labels to describe what is happening. For example, I might say, "You are not all screwed up or wired wrong. The patterns you're experiencing are typical of many people with trigger points." Then, as I explain to the patient how trigger points are formed, I simultaneously use laminated trigger-point charts to demonstrate the path and the pattern of the trigger points. I always use a wet-erase marker to circle the trigger point patterns right on the chart. This is an easy method, and the marker can be wiped off using a wet paper towel (Figure 1).
Since "a picture is worth a thousand words," postural photos are another useful visual aid. Postural photos allow both the client and the therapist to see and assess the client's posture patterns and identify specific problems, such as a high-shoulder or forward-head posture (Figure 2). Photos show clients the structural stress placed on their muscles; this also usually corresponds to the presence of trigger points in the same musculature.
Offering a thorough explanation while using a visual aid helps the client achieve a greater understanding of the body's physiological reactions and causes of their pain. Additionally, clients who can "see" their problem via a chart or a photograph will not only understand it better; they also will have the knowledge to influence their situation and take an active role in their health care. For more about using visual aids, read my article, "Charting Progress: Visuals for Success," in the February 2008 issue of Massage Today, where I share how to integrate visual aids into any massage environment, whether it's a medical, clinical, spa or outcall setting.
Simple Solutions for Empowering Your Clients
The next time one of your clients says they feel "all screwed up" or "wired wrong," try using one of the following quotes to help create a more positive outlook:
Finally, create a positive environment and maintain a positive attitude for your clients. Let your clients know they are not alone; that many people suffer from conditions similar to theirs; and that you have successfully helped many before them. While we as massage therapists may clearly understand what a client is experiencing, we can't assume the client has the same level of understanding. Remember to communicate openly and with compassion. This can work wonders on a client's mental outlook and also can help make them more comfortable in the treatment room.
Obviously, there are going to be situations we can't help. Perhaps a client's condition is structural, too advanced, genetic, etc. In these cases, we just do the best we can by providing the best treatment we know how and educating our clients about the importance of self-care, such as drinking water, getting quality sleep, eating nutritious foods, exercising, maintaining good posture and keeping a positive outlook. While we might not be able to help everyone in every situation, those we can help within the scope of our training will sincerely appreciate our efforts.
Click here for more information about David Kent, LMT, NCTMB.
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