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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?
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.
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.
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.
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."
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?
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.
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.
Advice for Young Doctors
When I began practice, I was just shy of my 25th birthday. I was young and I looked it. I had been told this would be a problem when starting a practice – and it was. Older patients often paused when they entered for care.
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.
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.
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.
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.
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.
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.
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.
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.
Resolving Medial Arch Suspicions: The Navicular Drop Test
Healthy feet have three distinct arches: medial longitudinal, lateral longitudinal and anterior transverse.
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.
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.
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.
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Click here for more information about Rita Woods, LMT.
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