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The Acupuncture Success Express
Time is passing very quickly these days. We are atoms half the way through the year of the horse. You could call it "horse racing season" for this profession. Perhaps it is time for reinvention during this time.
Hazards in the Environment Making Your Patients Sick
Working both separately and together, Western and Chinese medicine have many successes in the treatment of the myriad diseases that afflict human beings in modern times.
Getting Athletes Back in the Game: Low-Level Laser Therapy for Sports Injuries
Sports injury rehabilitation is all about getting back in the game quickly and with optimal health. A relatively new tool for the treatment of sports injuries is finding global success, and it is doing so in a fast, efficient way.
The Gluteal-Knee Connection
The underlying causes of knee pain and dysfunction are rarely isolated to the knee. The knee is a relatively stable joint with limited intrinsic ability to adapt to aberrant motion.
Looking For Answers In Many Places
I am sure we have all heard the old adage: "When the only tool in your toolbox is a hammer, everything starts to look like a nail."
Spotlight on Acupuncture Research at IRCIMH
Acupuncture and Traditional Chinese Medicine were well-represented at the International Research Congress on Integrative Medicine and Health (IRCIMH)- 2014 which took place in Miami from May 13–16.
Not Another Typical Drug Company Lawsuit
It's becoming more common to see drug manufacturers negotiate "false claims" settlements for millions and billions of dollars.1-2 Most of these settlements have to do with violations in the marketing of the drugs they produce and sell.
F4CP: New Campaign to Promote Chiropractic as a Career
The F4CP has announced a "targeted cooperative campaign" that will engage doctors of chiropractic and chiropractic students, as well as chiropractic colleges, chiropractic media, state associations and vendors, to encourage DCs to recommend a chiropractic career to patients, family and friends.
The Kidney Official
The Kidney is known as the Official Who Controls the Waterways. In Western medical terms, a major function of the Kidneys is to filter the blood. Every day, a person's kidneys process about 200 liters of blood to sift out about two liters of waste and excess water.
Inside Liver Failure, Cirrhosis and Cancer
The Liver belongs to Wood in Five Element Theory and is in charge of Dispersing and Expanding which means all the processing and detoxifying of harmful substances such as medications and chemicals require the efforts of the Liver.
Super Bowl Chiropractor
With opening night of the 2014 National Football League season only a month away, what better time to talk to Dr. Jim Kurtz, team chiropractor for the defending Super Bowl champion Seattle Seahawks?
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
Healing With Simple, Healthy Food
When it comes to your health, there is no better way to take control and create positive outcomes than by focusing on diet and lifestyle. As chiropractors, you know the power that regular self-care has for your patients.
Talking to Skeptical MDs: "Just the Facts, Ma'am"
The first lesson in public speaking is to know your audience. This is particularly applicable when talking to skeptical medical doctors about chiropractic. You have to understand where they are coming from and speak the language they understand.
Post-Concussion Patient Care: Relevance of the Chiropractic Adjustment
There is a widespread understanding within the profession of the general guidelines for care of the concussion patient. These include guidelines for physical and cognitive rest, return to normal activities and so forth.
Offline Marketing Techniques: Opportunities to Help Grow Your Business
In a world becoming increasingly dominated by connected devices, when we think of marketing, we often think of online and social media marketing. Considerable attention is given to Facebook and Twitter, as well as CPC [cost-per-click] advertising.
Deciphering The New CMS 1500 Claim Form
Q: I am confused on using the new 1500 form, particularly Block 14 and Block 15. What is required and how do I properly fill these out? And do I actually have to use this new form or may I continue using the old version?
Looking Back: Abstracts From Chiropractic History
D.D. Palmer's Technique for the Posterior Apical Prominence; An Early Attempt to Achieve Consensus on Subluxation; Chiropractic Subject Headings: Past, Present and Future; Mabel Palmer: A History of Chiropractic That Almost Wasn't.
Primary Lateral Sclerosis: A Condition With a Chiropractic Connection
Primary lateral sclerosis (PLS) is a slowly progressive, adult degenerative disease of the upper motor neurons characterized by progressive spasticity or stiffness. It is a clinical diagnosis that has been avoided because it is (largely) a diagnosis of exclusion.
Healing With Hope
Ella is a Gulf War veteran and a survivor of military sexual trauma. Like hundreds of veterans, Ella was on 11 different medications for depression, anxiety, insomnia, irritable bowel syndrome and chronic pain.
Medical Qigong for the Heart: Part II
Chinese Medicine is rich in commentary regarding the emotions and how they affect our qi.
Best Practices for Website Success
If one asked 10 years ago whether a website was relevant I was the first to suggest no. Yet as the world moves increasingly towards electronic information there is a dire need to have a website for your practice. Your website is actually your electronic calling card.
July, 2008, Vol. 08, Issue 07
Ligaments vs. Discs
By Ben Benjamin, PhD
Q. How do you tell the difference between a disc and a ligament injury?
A. Disc and ligament injuries present differently in the following areas: nerve-specific weakness, asymmetrical limitation of movement, distal reference of pain, one-sided pain and reflex changes.
The answer to this question is complex. It's a physician's role to accurately diagnose which type of injury is present. The more knowledge you have, the better - but it's not necessary to be able to make such a diagnosis. Below are some areas you should be cognizant of when someone comes in with neck or low back pain.
Different movements of the arm and hand are controlled by different nerves. For example, resisted extension is enervated by the C7 nerve, resisted flexion primarily by the C6 nerve and resisted medial rotation by the C5 nerve. Therefore, if a nerve root is compressed by a protruding disc at the C7 level, the triceps will be weakened. If the C6 nerve is compressed by a disc, the biceps will be weakened, and so forth. If there is only a ligament injury, the muscles will not be weakened.
Distal reference means pain is referred peripherally. For instance, the pain from a nerve compression in the neck usually is felt in the lower arm and hand. With a ligament injury, the pain usually is felt more proximally, which in the case described, would mean the pain is located near the neck in the shoulder, upper arm or upper back.
Asymmetrical limitation means the person can move in one direction but not in the opposite direction. For example, the person can rotate the neck to the right, but is very limited in rotating the neck to the left; or the person can bend forward at the waist easily, but can't bend back. When a disc is affected, the pain does not switch from the right to the left; it stays on one side. In cases of ligament injury, it's common for the pain to switch from one side to the other. Pain also will come and go with a ligament injury, but not with a disc injury.
Reflexes in the arm or leg diminish with disc injuries but do not with ligament injuries. Similarly, disc and ligament injuries cause different types of numbness and disturbances in sensation.
As with most diagnoses, a practitioner needs to know the complete range of a patient's symptoms in order to make sound conclusions about their injury and appropriate treatment. In the case of disc and ligament injuries, it is easy to mistake one for the other in the absence of the appropriate knowledge. For more information, see www.benbenjamin.com, Neck and Low Back Series.
Click here for more information about Ben Benjamin, PhD.
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