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Help Update the LBP Practice Guideline
The Council on Chiropractic Guidelines and Practice Parameters has announced the release of an updated Clinical Practice Guideline for Chiropractic Management of Low Back Pain for stakeholder review and comment.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
A Well-Kept Secret: 5 Element Acupuncture, Part II
Supervising acupuncture interns at a TCM college, it has always struck me how funny it is to hear the clinic manager tell the patients that the Five Element clinic specializes in treating emotions, as if patients with physical pain have no emotions!
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
Avoid Random Treatment of Trigger Points (Part 2)
We must acknowledge that the fascia, which surrounds literally everything in our bodies, including every muscle fiber, is more than just a covering.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
Primary Spine Care: Addressing Concerns & Criticisms
The Dec. 1, 2013 issue of Dynamic Chiropractic included an article describing the implementation of a training program for primary spine practitioners (PSP) within a metropolitan region and supported by a large BC/BS plan.
Atypical Femoral Fractures and Bisphosphonate Use: What to Watch For
Bisphosphonates (BP) are popular drugs, with more than 8 billion in sales in 2008; however, profits have declined as patents began expiring. Nonetheless, BP remain the most commonly prescribed drugs for patients at risk of osteoporotic fractures, with several million prescriptions written every year.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
A Reality Check – and a Chance to Educate
Imagine working in the public relations department of nutrition retailer General Nutrition Corporation (GNC) and reading the The New York Times announce...
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
B Vitamins Improve Memory, Prevent Brain Atrophy
The 2010 OPTIMA study showed that the accelerated rate of brain atrophy in elderly with mild cognitive impairment could be slowed via supplementation with homocysteine-lowering B vitamins, which included folic acid, vitamin B12 and vitamin B6.
Low Back Pain: Posture and Movement Analysis
When performing static and dynamic movement analysis of the lumbopelvic hip area, begin with standing visual posture analysis of the pelvis, and then perform lumbar range of motion and assess what you might see during normal versus abnormal lumbar flexion motion.
Expanding Access, Branch by Branch
The big news coming from Capitol Hill isn't merely the recent introduction of a pair of bills designed to expand chiropractic services in the Veterans Affairs and military health care systems; after all, similar legislation has made its way through Congress before, never reaching the Oval Office for presidential signature.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
Impacting Chiropractic's Future With Technology
When it comes to electronic health records (EHR), Robert Moberg and Dr. Steven Kraus are two of the leading industry experts on the topic.
September, 2008, Vol. 08, Issue 09
Hitting Your Target
By Rita Woods, LMT
Recently, my brother Lee won the Triple Crown in bow shooting. This event hosts hundreds of expert shooters from around the country and is fiercely competitive. As you might have surmised from the "Triple Crown," it means he won the three events which make up the 'Triple Crown." It is indeed a high honor to win this event.You might be wondering what this has to do with massage. Plenty.
Life is about experience and the application of our gained wisdom and knowledge. This is what makes us good in our profession. It is practice, studying and more practice that determines if we will be mediocre or expert therapists. In fact, many therapists practically reinvent themselves every few years. For some of us, as we get a little older or wear out our thumbs or develop wrist pain, we need to be creative in finding alternatives that allow us to stay in the field we love but do it with less physical intensity. For others, the new younger and stronger therapists, looking to more aggressive techniques and physically demanding therapies might be the path they follow.
It's about transition for all of us. As we constantly seek to find our most comfortable place, it can be seen as always trying to find our perfect posture. What best supports us with the least amount of harmful stress. We develop a new career posture by learning new things. Just as our clients take our advice on such things as proper stretching, we must learn to give and accept our own advice about doing something new, even if that stretch is uncomfortable at first. It will take time and practice but as Will Rogers once said, "Even if you are on the right road, you'll eventually get run over if you just sit there."
So I was thinking about my brother winning the Triple Crown and how he did it. Pulling back on the bow and letting the arrow fly is only the tip of a very big iceberg. It's the end result of his years of practice and study in this sport. But it's that work that allowed him to hit the target. One room in his house is dedicated to physical training. He works out to have the strength and stamina to perform. I can't even pull the string back on the bow! It's like lifting a 50-lb. weight with two fingers. As therapists, we, too, must keep fit and healthy to perform our work and let's face it, to be an example to our clients.
If we want to be good at something, we must do it a lot. Lee built an indoor shooting gallery so he could practice all year, no matter the weather. For us, the more bodies we touch, the better we become. I remember in massage school asking one of my instructors, "How long do you think it will take us to gain the experience we need to feel confident." She said "About 200 bodies." I remember thinking she cleverly answered in terms of experience. Time didn't matter; practice and experience did. Even if you have to do volunteer work, do it to gain the experience. For our growth and evolution on this planet, now is not the time to hold back. Go after what you really want. If you can think it, you can do it.
Nothing is an event and everything is a process. I don't use the words never or always very often. But I will say with confidence, "Never is an event, an isolated incident. There are always choices and decisions that culminate in a result." These results build upon themselves in our life, and this is what makes our world as we see it.
I receive phone calls and e-mails from many therapists and the most common theme is about them changing their career posture. They are looking for ways to offer an innovative new service and keep working without the physical demands. If you are a therapist looking for more manipulative clinical work, someone like David Kent might be your next phone call or e-mail. The fact is there are many educational options available to everyone. Decide on your target and begin the process.
I recently found a great book on facial reflexology by a French physician who has unearthed some surprising information. Based on Korean reflexive medicine, there were charts and correlations of reflex points on the face to the rest of the body. As I continue my research into the whole-body benefits of my face work, I was thrilled to find this and even more thrilled to have an immediate application. A friend who gets regular acupuncture shared with me that her circulation/sex meridian was almost always in need of work at every visit. She also has developed severe facet arthrosis and L5 S1. I found a point on the face for arthrosis and recommended she massage it. Much to her surprise, she told me just two days earlier she discovered that exact point was sore to touch but had no idea why. And much to the surprise of both of us, that point also relates to the circulation/sex meridian. Hmm...
As I have mentioned in previous articles, I have begun serious study into the CNS responses to face massage techniques. While in Florida at the annual massage convention, I had the honor of having Dr. Tiffany Field watch me work as I performed mini face sessions to raise money for the Touch Research Institute. I mentioned to her how I have noticed a deep state of relaxation and apparent whole-body benefit from this work. Dr. Field gave me direction to further my own study and offered to assist with my research. For those of you familiar with her internationally acclaimed research on touch, you might imagine how I felt by her suggestions and offer.
I share this with you to let you know these encounters don't come by chance. They will come to you as a result of your choices and decisions. Do your homework, volunteer, practice, set your sights on a target and practice hitting it. I have heard luck is the point where preparation and opportunity intersect. I think there is valuable truth in that for all of us. Are you feeling lucky?
Click here for more information about Rita Woods, LMT.
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