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A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
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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