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A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
June, 2008, Vol. 08, Issue 06
Massage Your Balancing Act
By David Kent, LMT, NCTMB
In my May column, I talked about how to empower your clients using simple communication skills. It doesn't matter whether you work in a clinic, a spa or as an outcall massage therapist; chances are you have encountered one or more clients who experience feelings of hopelessness and depression because of their physical pain.
Keeping an open dialogue and educating your clients about their bodies, as well as maintaining a positive attitude in the treatment room, are as essential to a client's well-being as the bodywork itself. Sometimes, this is easier said than done - especially when you are in the midst of your own challenges.
As massage therapists, we often are so focused on helping our clients that we neglect our own professional, financial, personal and spiritual lives. So, how does one go about creating balance in all of these areas? I will walk you through five steps that can help you balance and produce positive changes in any area of your life.
If you've listened to the news in the past couple of months, you've heard the buzz about the economy. Prices for basic goods, services and gas continue to rise, and many experts are predicting some tough times ahead. Obviously, some things - like the economy - are outside of our control. And it's not healthy to expend large amounts of energy on the things we can't control. Rather, what we need to do is focus our efforts on those things in our immediate lives we can control, evaluate the challenges and take steps to overcome them.
In addition to running a massage practice, we all perform various juggling acts. I am on the road several weeks a year teaching seminars, as well as running a clinic and continually working to develop new, and improve upon, existing products. This doesn't take into account trying to maintain a social life and my relationships with friends and family. Perhaps you are dealing with similar issues: running a massage practice, trying to devote more time to yourself and your family, and a host of other personal and professional obligations. So, here is rule number one: It's easier to deal with the stresses of life when you are flexible. There is no doubt challenges constantly will be thrown your way. Maintaining flexibility and a willingness to adjust your plans will make dealing with these challenges much easier.
Five Steps to Positive Change
1. Acknowledge that something is out of balance and needs your attention. No one ever improved a situation by looking the other way. No matter how painful, scary or unpleasant the circumstances, it's generally best to face it squarely.
Professional Challenges. Are you worried about increasing volume or just maintaining your massage practice in this unsettling economy? Try one or more of the following:
Check out my article, "Building Raving Fans," in the April issue of Massage Today for a host of additional practice-building tips.
Financial Challenges. Are you making a decent living or barely making enough money to get by? Hire a financial planner who specializes in small-business money management. A financial planner can help you create a reasonable budget you can stick to; help you plan for retirement and unexpected financial emergencies; and help you get organized so you can see the bigger financial picture down the line. Can't afford to pay a financial planner? Consider trading services with one. Or check out your local bookstore - there are plenty of great books that specialize in financial planning and small businesses.
Personal and Spiritual Challenges. You won't be much good to your clients unless you're taking care of your mental and physical health. Exercise, eat healthier and take time out to recharge your brain and do the things you enjoy.
2. Ask empowering questions that include a specific positive outcome. Ask yourself what you can do right now to immediately improve your situation.
Professional Challenges. Empowering questions include:
Financial Challenges. Empowering questions include:
Personal and Spiritual Challenges. Empowering questions include:
3. Implement change by taking action. The empowering questions you asked in step two will help determine the actions you need to take. There is a saying that goes, "The journey of a thousand miles begins with the first step." The key is to start and then constantly move in the direction of the outcome. Don't get frustrated if things don't happen right away. Most things take time to come to fruition - and patience is a virtue.
4. Assess and modify your plan to achieve your outcome. This is where flexibility comes into play. Always prepare for unexpected challenges and try not to get overwhelmed when things don't go exactly right. Instead, ask yourself, "What did I learn today?" When you hit a wall, start at step one and repeat the cycle. Realize there will be occasional bumps in the road. For more about achieving your desired outcomes, check out my article, "The Power of the List," in the January 2007 issue of Massage Today.
5. Maintain a positive outlook. It's important to see the silver lining in everything we do. Most people will never completely understand the challenges we face as massages therapists, but you chose this profession because you wanted to help people. No matter what challenges you are facing, there is always a light at the end of the tunnel. Stay positive. Take the lemons in your very capable hands and make lemonade.
Join me again next month for more valuable information. Until then, stay focused, be positive and enjoy the process.
Click here for more information about David Kent, LMT, NCTMB.
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