resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
September, 2008, Vol. 08, Issue 09
Straight Talk on Scoliosis
By Ken Piercy, MTI, CST-D; guest author for John Upledger, DO, OMM
Editor's Note: Dr. John Upledger has asked guest author Ken Piercy to write this month's column.
Scoliosis is an abnormal lateral curvature of the vertebral column, most often found in younger girls and women.It's generally considered either "fixed," as a result of muscle or bone deformity, or "mobile," usually as a result of unequal muscle contractions.
It's important to note that mobile scoliosis can lead to fixed scoliosis, since unequal muscle contractions can cause alterations of the internal architecture over time, especially in weight-bearing structures. This is known as Wolff's Law. As a muscle pulls on a bone, it can draw the bone in the direction of the strain. The longer this process continues, the more pronounced it becomes. Fixed scoliosis can be the result, which is why it's critical to catch this condition early.
Understanding the Underlying Architecture
As human beings, we essentially are upright bipeds. That's who we are and what we do. We stand up and walk. Hardly a news flash, yet understanding the architecture is important to resolving scoliosis. We each have two legs, hips, a sacrum and a vertebral column tethered together. Structurally speaking, look at the hips and sacrum as the top of an arch and the legs as the support; with the vertebral column or spine centered on top of the arch like a tower. We have a complex structure we generally take for granted.
Numerous muscles and ligaments attach the hips and sacrum to the vertebral column. In tower terminology, these would be "guy wires." They pull and hold the tower upright. If the base of the tower (sacrum) shifts or if some of the muscles get too tight, the tower begins to lean. As we get off-center, the wires attached further up the tower pull us back toward the center. The body is a self-correcting mechanism. It wants to be an upright biped, but now we have a curvature of the spine.
The bodies of young women go through significant changes preparing them for the future endeavors of the female anatomy. As teenagers, they're also having the time of their lives in gymnastics, dancing, cheerleading, volleyball and basketball, playing around with all kinds of activities that can be stressful to the architectural structure.
Think about dropping an arch on one support with the center tower balanced up one side, much like jumping up to spike a volleyball and landing on one foot. A structural engineer would say, "Oh no, you can't do that. If you drop an arch on one side, the tower will lose its structural integrity and collapse." But the volleyball coach would say, "Great job!" Add to this the fact that the hips are expanding and the attached ligaments (wires) are stretching and this might be a good time for structural concern.
Helping Amelia Avoid Surgery
A 13-year-old girl, "Amelia," came to my office after being diagnosed with scoliosis by her pediatrician. He indicated she might need surgery and would likely be wearing a back brace 23 hours a day. The doctors said she had a spinal distraction 20 degrees to the right and 10 degrees to the left. They told her she didn't need surgery just yet, but they wanted to keep an eye on her to see if the condition worsened. At 30 degrees, she'd be a candidate for surgery. They also referred her to a neurologist for her headaches and dizziness.
As a soft-tissue practitioner, I don't have an X-ray machine and I rarely carry a protractor. But I could see her lower thoracic spine was pulled laterally about 1.5 inches, and her cervical spine went about .75 inches the other way. For headaches and balance issues, it should be noted that the cervical spine connects directly to the cranial base, including the temporal bones that house the inner ear, semi-circular canals and vestibular system. Tension from the muscles attaching the base of the skull to the neck can impede balance and produce headaches.
After I performed a CranioSacral Therapy 10-step protocol, Amelia was visibly more relaxed. She reported her headache was gone. You also could see the lateral distortion in her spine was now less than half an inch. As the tower/spine begins to straighten and the muscles/wires release the tension needed to hold the body upright, the cranial vault functions improve, diminishing headaches and enhancing balance.
Amelia also was pleased to notice she could see the curve of her waist on her right side, something she could only see on her left before that session. The right side of her torso, which had been a straight vertical line, now had more of a tapered shape.
After a second session, Amelia took two weeks off to go on vacation and a week-long dance camp where she studied classical ballet. Upon her return, at the beginning of her third session, she reported she had a headache. I also could see a slightly increased lateral distortion of her vertebral column. At the end of that session, Amelia was headache-free once again and the lateral distortion of her spine was visibly diminished. Since then, her mom reports Amelia's self-esteem has soared. I think that's significant in a 13-year-old girl.
A few more sessions should alleviate Amelia's condition and a watchful eye will be far more productive than surgery. Before they brought her to see me, Amelia's family paid $23,630 to conventional medical doctors to treat her scoliosis and headaches. The cost of her CranioSacral Therapy: $300. A mother's relief: Priceless.
Click here for previous articles by John Upledger, DO, OMM.
Ken Piercy, MTI, CST-D is a diplomate-certified CranioSacral therapist with a thriving private practice in Dallas. To learn more visit www.kenpiercy.com.
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