Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
Preaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
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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