Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
December, 2008, Vol. 08, Issue 12
Your Clients’ Winter Skin
By Rita Woods, LMT
What can I do about it? In the winter months, this is the question most often asked by my clients. They are talking about their dry and sometimes cracked skin. The skin is the first barrier of defense against millions of bacteria, viruses, molds and fungus. The skin is like the walls of a fortress that protect the interior from invading armies. Intact, healthy skin is vital to our overall health. As a therapist, I always keep extra lotion on hand during the winter because the client's skin will suck it up like a sponge.
Skin is our domain. We see it and touch it on every client. We use it to get to muscles, ligaments, fascia and all that lies underneath it. Just think about it - we work muscles and soft tissue, but never actually get to touch it. We make contact with our target muscles by using the skin. It's important that we offer advice, suggestions and services that will assist our clients, as they depend on us for information. Let's face it, we probably see more skin on a person than their spouse or partner.
Let's first look at why the skin becomes dryer in the winter months. Low humidity is the main cause. The air around us is more dry, so the moisture is wicked out of our body and we receive virtually no moisture from our environment. Other factors contribute to dry skin but dry air will exacerbate an existing problem. When you think about dry skin, you should have two objectives in mind: first, getting moisture into the cells, and second, keeping it there.
One thing you can do is to work with the air around you. Add some moisture to it. When I was a kid I remember my mom putting containers of water on the vents in the floor. She was adding moisture back into the air. That was our humidifier. Grandma had a wood stove and always had a cast-iron tea kettle simmering on the stove. Again, moisture back into the air. In addition to keeping our skin moist and cutting down on static electricity, moist air retains heat better.
If you are dehydrated, drinking more water can help. However, recent studies suggest people who are adequately hydrated do not receive any additional skin benefit from drinking more water.
Now let's look at topical applications. We call these moisturizers, with hand and body lotions being the most commonly used products. There are three types of basic moisturizers. One puts moisture in, one prevents moisture from escaping, and one makes the skin feel smoother. Individual skin varies, so trial and error may be necessary to find the right combination. It's chemistry that make these work, so I'll give you ingredients to look for. There are many substances in each category, but these most often appear in over-the-counter lotions.
Humectants. This is a classification of moisturizer that penetrates the stratum corneum, the top layer of skin, and helps absorb moisture. Humectants are popular in anti-aging products since skin dries out more as we age. The common ingredients in this category include glycerin, hyaluronic acid, panthenol, propylene glycol and sorbitol.
Occlusives. This category works by coating the top layer of the skin to decrease evaporation. Common substances with occlusive properties include lanolin, stearic acid, cetyl alcohol, caprylic/capric triglyceride, mineral oil and petrolatum. I can already hear the moans about using mineral oil or petrolatum. But keep in mind that for many people, their hands, fingers and feet will actually crack and bleed. This is a most unhealthy condition and can be quite painful as well. In this case, they may want to use grandma's beauty secret of smearing a white petroleum product, like Vaseline, on their hands and then donning a pair of white gloves before going to bed.
Emollients. Emollients soften and smooth skin texture. Common substances with emollient properties include cyclomethicone, dimethicone, isopropyl myristate, octyl extenuate, isopropyl palmitate, isopropyl isostearate and jojoba oil.
By knowing the action of different ingredients, you and your client will have the ability to make better decisions about winter skin care. But there is still more that can be done. The skin has a layer of lipids that is vital to healthy skin. This natural lipid component can be stripped away with soaps, harsh cleansers and even hot water. At the very least, try using warm rather than hot water for showering. After showering, pat dry and while the skin is moist, but not wet, apply your lotion; especially a moisturizer or lotion with humectant properties. This can draw moisture from the surface into the skin.
Exfoliates. A lotion or moisturizer works more effectively when the skin is free from dead surface cells. For best results in the winter, use a good nonabrasive exfoliator that contains its own moisturizing properties. A salt scrub may be helpful but can also be drying to winter skin.
The skin is the largest organ of the body and deserves quality care. For many people, winter care may require measures that go beyond their normal routine. Skin care problems should be viewed as any other acute or chronic health issue and be addressed accordingly. The use of products or ingredients that you may normally avoid could be your best defense. I had a friend tell me that when her hands start to crack, she uses grandma's Vasoline-and-gloves regime. She sees it as medicine: It's not to be taken all the time, but she is grateful for it when there is a problem.
Click here for previous articles by Rita Woods, LMT.
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