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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!
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.
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.
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.
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."
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.
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.
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.
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.
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.
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.
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.
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.
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...
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.
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.
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.
Interpersonal Skills 101: Enhancing the Value of Our Patient Interactions
Recently, I read an interesting article in our local newspaper titled "The Value of Human Interaction." The article presented comments from a senior editor for Fortune magazine who discussed "Civility in the Business World."
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.
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.
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.
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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