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Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
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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