Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Breath: The Movement of Oxygen and Energy
I remember with surprising clarity the first time a patient started crying during an acupuncture treatment I was giving. This is now quite a long time ago, back in 1999, when I was a student.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
June, 2008, Vol. 08, Issue 06
Age-Related Changes and Conditions, Part 1
By Ann Catlin, LMT, NCTMB, OTR
Older adults make up a growing clientele for massage therapists. According to the 2006 AMTA consumer survey, the use of massage among older adults has tripled in the past 10 years. Serving clients who are over age 65 requires that you have a basic understanding of age-related changes and the conditions many older adults are living with.While no two older adults are exactly alike, there are more or less typical changes that occur in physical and mental condition and function as we age.1,2
Vision: Changes in eyesight often are one of the first noticeable signs of aging. The eye lens stiffens, making focusing on close objects harder and seeing in dim light more difficult. The eyes produce less fluid, making the eyes feel dry. Depth perception can be impaired as the number of nerve cells decrease.
Hearing: Many people experience a decreased ability to hear high-pitched sounds, including consonants, making it difficult to understand words or certain tones in music.
Taste: The sense of taste is duller because the taste buds decrease in number and are less sensitive.
The skin tends to become thinner as the fat layer under the skin thins. The body produces less collagen and elastin (the fibrous tissue that makes skin strong and flexible) resulting in skin that tears more easily. Circulation in the deeper layers of the skin decreases, making the skin slower to heal when injured. There are fewer nerve endings in the skin, leading to diminished sensitivity to pain, temperature and pressure. Blood vessels become more fragile and the skin is more easily bruised. The skin also might be more vulnerable to chemical irritation.
Changes Affecting Physical Activity
Bones and Joints: Bone density tends to decrease somewhat in both men and women; however bone loss increases in some women after menopause due to lower estrogen levels. Less synovial fluid in the joint capsule is produced, leading to stiffness and decreased joint mobility, especially in weight-bearing joints such as the hips, knees and spine. The tendons and ligaments around the joints become weaker and stiff. The joint cartilage might erode.
Muscles: Muscle mass and strength decrease due in part to changes in hormones that regulate muscle development. The degree and impact of muscle loss is affected by the activity level of the individual. Those who do some form of weight-bearing exercise lose less muscle mass.
Balance: Unsteadiness might be a problem when structures in the inner ear that help regulate balance deteriorate. Some people experience dizziness upon standing because the heart pumps less blood to the head, and blood pressure is less able to respond to a change in position.
Changes in Mental Function
The number of brain nerve cells tends to decrease; however, the brain can compensate for this loss by establishing new pathways and connections. Levels of neurotransmitters change and blood flow to the brain decreases. There might be mild decline in some mental abilities such as short-term memory, recalling words, the ability to learn new material or performance under pressure. However, these normal changes do not greatly impact the person's daily functioning.
The motility of bowel contents slows, increasing the risk of constipation. Liver cells tend to decrease in number, decreasing blood flow through the liver, and liver enzymes work less efficiently. The liver then might eliminate toxins less effectively.
The kidneys become smaller and they remove wastes from the blood less efficiently. The bladder holds less urine, causing the need for more frequent urination. For some, this might interrupt restful sleep. The urinary sphincter may be weaker and less able to prevent urine leakage.
Immune System Changes
Immune cells tend to function more slowly, contributing to greater susceptibility to infectious disease such as pneumonia or influenza.
Massage therapists have much to offer older adults living with these changes. Aging, like massage, is a holistic event, not just a physical one. Physical changes are accompanied by psychological, social and spiritual alterations and adjustments as the gradual process of aging unfolds over time. For the older adult receiving massage, the benefits include decreased physical discomfort, greater ease of movement, an improved immune system, emotional support, spiritual acknowledgement and the empowerment of self care.
In Part 2 of this article, common conditions and disease in older adults will be explored, along with considerations for assessing the needs of older clients.
Click here for more information about Ann Catlin, LMT, NCTMB, OTR.
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