Lost A Sale, But Initial Phone Consultations â€” A Big Part Of Brilliant Customer Service
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Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
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.
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.
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.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
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.
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.
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
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.
Merger Creates New Model of Care
Two San Francisco powerhouses of holistic healing, the American College of Traditional Chinese Medicine (ACTCM) and California Institute of Integral Studies (CIIS), are merging. Together they are building a visionary approach to applied integral health.
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.
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.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
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!
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
December, 2008, Vol. 08, Issue 12
Samples From the Research Stream
By Keith Eric Grant, PhD, NCTMB
In monitoring water chemistry and quality, hydrologists often dip into the flow of a river or stream, collecting samples. Similarly, I've been sampling from the stream of recent research in several areas.First, I want to touch on a couple of samples specific to massage and exercise.
A news release from Ohio State University suggests compressive massage has a positive effect on post-exercise tissue recovery.2 The report notes, "The muscles in animals receiving simulated massage had improved function, less swelling and fewer signs of inflammation than did muscles in the animals that received no massage treatment after exercise." Recovery of muscle strength was also greater. The importance of the research is that it starts to reveal a cellular basis for the positive effects of massage, even though the exact mechanism of how the changes occur is not yet known.
On Tuesdays, The New York Times publishes "The Science Times," which spotlights breaking science news. Among the stories they caught from the forefront of research on exercise physiology was one advancing knowledge on how muscles fatigue: "A popular theory, that muscles become tired because they release lactic acid, was discredited not long ago. ... [The report] says the problem is calcium flow inside muscle cells. Ordinarily, ebbs and flows of calcium in cells control muscle contractions. But when muscles grow tired, the investigators report, tiny channels in them start leaking calcium, and that weakens contractions. At the same time, the leaked calcium stimulates an enzyme that eats into muscle fibers, contributing to the muscle exhaustion."1
It's long been thought that delayed-onset muscle soreness (DOMS), the soreness that occurs 24 to 72 hours following strenuous exercise, was due to microfiber damage resulting in leakage of calcium ions from the sarcoplasmic reticulum. Normally, calcium ions are released from the reticulum to initiate muscle fiber contraction and pumped back into it to end contraction. The microdamage would result in leakage, thereby initiating a process of hypertonicity, inflammation and pain-receptor sensitization. The current research pushes this process back in the exercise-recovery cycle as a process of muscle fatigue.
In late October, I attended several days of the annual Science Writers' Conference, jointly put on by the National Association of Science Writers (NASW) and the Council for the Advancement of Science Writing (CASW). The threads of research I want to sample from the conference change the focus to learning and communication. Among the presenters were Clifford Nass, professor of communication and computer science at Stanford University, and Robert Bloomfield, professor of management at the Johnson School of Management at Cornell University. Along with nuances of computer-human interaction, Nass talked about brain neurology. He noted that the upcoming Internet generation are cognitive multi-taskers in a manner never seen before. While hunter-gatherers had to pay attention to multiple signals from their environment, there was a coherence to the different inputs. In contrast, modern multi-taskers pay attention to multiple windows and streams of input that are unrelated to each other. Nass noted that there is no current psychological model for how the young manage multi-tasking, but manage it they do. Moreover, multi-taskers become bored with linear input. It's likely that different neurological use of the brain has physically changed the neurons retained during development. Nass' observations are consistent with observations made by Marc Prensky, who distinguishes between "digital natives" and "digital immigrants."3 There are some profound implications that the learning style of the upcoming generations will be substantially different than for previous generations. To be effective, education and training will have to adapt.
Robert Bloomfield also gave an interesting presentation on the use of the virtual world "Second Life," both for social research and as a place for communicating remotely. As he gave his talk in the "real world," he also was in front of a podium, located on Muse Isle NorthWest in "Second Life," talking to about 15 virtual listeners. Bloomfield characterized "Second Life" as providing "people, time and tools" for research and communication. As an economist, he was interested in the banking failures that occurred in "Second Life," as a means of seeing real people responding to a simpler economic situation than exists in the real world. As a means of communicating remotely, Bloomfield noted that "Second Life" provides a sense of place. The visual view can emulate locations in the real world known to participants. Those attending a virtual conference have access to audio, visual presentations and texting. Via texting, different subgroups of participants can spin off side discussion with little impact to others. While it would be more difficult to teach a kinesthetic "vocabulary" via such means, "Second Life" could provide a rich environment for conceptual learning and for viewing and discussing videos of technique demonstration. While I don't expect virtual massage clients to exist anytime soon, the world of learning and communicating continues to evolve and change.
Click here for previous articles by Keith Eric Grant, PhD, NCTMB.
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