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Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
August, 2008, Vol. 08, Issue 08
A Wrinkle in Time
By Rita Woods, LMT
Anyone wanting to get involved in the anti-aging boom must understand wrinkles. While wrinkles certainly are not the only thing with which we should be concerned in any good anti-aging regime, it's what most people think of first.It's what we see everyday. I suppose if we could see our liver or intestines, we probably would approach anti-aging with a new focus. Be that as it may, we see our skin so our "looks" take on greater importance.
As massage therapists, we see all types of skin - from young to old and from healthy to sick. We also know we can tell a lot about a person's health simply by putting our hands on their skin and feeling the underlying tissue. We know if they are properly hydrated, if they smoke, if they are active or inactive, and if they have sun-damaged skin.
Changes in the physiology of the skin dictate the development of wrinkles. Heredity plays a big role in skin health as well. If you've been blessed with good skin genes, congratulations! If your mother, grandmother and great aunt Mildred had no wrinkles when they died at the ripe old age of 93, you're in luck. But for most of us, we have to look at the factors that contribute to wrinkles and try to avoid them. Your clients probably have asked you about this already.
To form a wrinkle you need loose skin. Loose skin comes from physiological changes, toxic influences and from shrinking bones. For instance, after age 70, the bones of the skull begin to shrink, causing even more sagging skin. Wrinkles appear to start in the dermis as changes in the elastin structure cause the elastin to lose its snap. Fibrils of elastin running through the layers of our skin are what help hold the skin and muscles together. When this system can no longer do its job, you will begin to see wrinkles form. Decreased production of both collagen and elastin play key roles in the formation of wrinkles.
If you are doing any facelift massage work, there is some crucial information you need to know to assist you in releasing some of the expression lines. Wrinkles form perpendicular to the long axis of facial muscles. Forehead furrows run horizontally to the vertical axis of the frontalis. Wrinkles around the circular muscles of the eyes and mouth form in a spoke-like fashion; specifically, the crow's feet and upper lip vertical wrinkles in the orbicularis oculi and orbicularis oris.
As with any other muscles in the body, working the fibers in a gentle cross-friction fashion will help to release adhesions and working in the direction of the muscle fiber will help re-educate the muscles for proper positioning and function. Next time you look at a face, really look at it and I'm sure you'll be able to see how the wrinkles have formed. Folds in the skin that run parallel to the underlying muscles are natural crease lines and are not technically wrinkles. They might come from the loss of fat in the underlying dermis or result from severe sun damage. These actually are referred to as "crinkles" by some skin care experts.
These changes are going to happen whether we like it or not. After all, we're only human. However, we can slow these changes and reverse some of the damage. Age isn't the only culprit; research shows the following key factors to aging skin. They all appear to damage the cellular structure in such a way as to alter its ability to perform.
First and foremost is sun exposure. It's the number one "bad guy" on the list. Every sunburn you have ever had damaged your skin, and it might take 15 to 20 years before you see visible signs of that damage. Ouch. The sun's rays denature proteins and enzymes through a cascade of events; even the DNA is changed and the cells undergo profound structural changes. Preventing damage from sun exposure is easy with sunscreen, hat and long sleeves. Remember, a tan now will become a wrinkle in time.
Smoking cigarettes is number two on the list. Surely you have noticed that people who smoke have a lot more wrinkles than people who don't. The damage comes from free radicals. There is growing evidence in the dermatology field that free radicals are one of the major causes of abnormal proteins in the body. These abnormal proteins produce damage to the various tissues of the body. It's estimated that with every inhale of cigarette smoke, there are more than 10 thousand trillion free radicals. That's many times more free radicals than there are cells in the body. I'm sure you've noticed the dull yellowish hue and lack of luster in the skin of a smoker. It is aging at an accelerated rate. Trying to get rid of wrinkles in a smoker is wasting time and money. Telling that to a client might not endear them to you, but you need to know it's a losing uphill battle unless they quit smoking.
Alcoholic beverages also produce a complex set of problems for body tissue. It's toxic to the body at a certain level. Heavy drinkers have a dull, yellow skin tone that is very dry. This shows the ravaging taking place on the underlying tissue. Once again, this situation makes it difficult to achieve good skin care.
Soap-based cleansing products are no doubt a contributing factor to the formation of wrinkles. But why and how much has not been determined. Soap is, however, consistently cited as contributing to dry and prematurely aging skin. Soaps must remove oil and dirt to clean. The drawback is they also can strip the skin of its natural lipids. Natural lipids are essential for maintaining skin integrity and for protection of the dermis. Most soap adversely affects the pH of the skin. That's why a toner is traditionally used after cleansing - to balance the disrupted pH. Just stay away from toners with alcohol. Soaps also adversely react with keratins in the skin, resulting in a dry, tight feeling. There are good cleansers that don't strip the skin but actually hydrate as they clean.
Good luck with your next face massage. Perhaps you'll view it with a different perspective. And when your clients ask for suggestions concerning their skin, remember it's what they don't do, rather than what they actually do.
Share your knowledge.
Click here for previous articles by Rita Woods, LMT.
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