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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
February, 2009, Vol. 09, Issue 02
By Rita Woods, LMT
I thought that choosing to present information on facial reflexology would be an easy write. I use points on the face in my work and give a lot of credit to the many benefits my clients experience from this work. However, providing you with one workable system would mean ignoring other systems that provide equal or greater benefits so I decided to do what I teach my students - don't worry about naming the points or memorizing what they do; just cover the whole face and you'll get great results! Our focus here is not to treat a specific ailment but to provide whole body relaxation and balance during a massage session.
Most therapists are familiar with acupressure points and understand they are points along a meridian. Acupressure points and acupuncture points sort of go hand-in-hand in our business. There are systems of facial reflexology that use the acupressure points to bring about healing and balance elsewhere in the body. The points used might be Stomach 7 (St 7),which lies about an inch in front of the ear, or Large Intestine 20 (LI 20), which is beside the nostril. There is a system of Chinese facial rejuvenation using such acupressure points; in our facelift massage work, we try to focus on the points specific for that.
There are also systems of facial reflexology that mimic foot reflexology by projecting the soles of the feet onto the face. In this instance, each foot is superimposed over the face with the heels at the chin area and toes extending above the eyebrows. Each foot lies to the side of the nose with the big toes touching in the mid-forehead. In this system, the organs that you normally think of on the soles are now on the face.
In a similar projection, the whole body can be superimposed over the face in another system of facial reflexology. In this case, the torso resides over the bridge of the nose with the buttocks at the end of the nose. The head is in the center of the forehead. The arms warp over and around the eyes with the hands at the outside corners of the eyes. The legs surround the mouth with the knees at the corner and the feet coming together at the base of the chin. You know they say there is truth in a lot of clichés and this projection is no exception. Here's how I remember it: The head is the "third eye," "brown-nosing" places the buttocks at the end of the nose (don't laugh, I said it's how I remember it!), arms around the eyes means to "take it all in" and legs around the mouth means to "walk your talk." This system also allows you to visualize and work various body joints on the face.
Dien' Cham' is a Vietnamese system of facial reflexology that incorporates more than 500 points and claims to successfully treat many common ailments. They divide the face into grids to help locate the specific points and use an instrument such as the rounded end of a ball point pen as a tool to massage the points.
The Chinese also have "microsystems" of the face and head. The entire body can be worked just on the nose alone. Every organ and anatomical feature can be found down the bridge and the sides of the nose. Another microsystem incorporates the whole face for placement of the same anatomy. As an example in this system, the back begins just in front of the ear and runs down the jaw line.
There are still more systems and theories that we just don't have time to include but the point is simple - the face is an area that contains many points and reflex zones that when massaged can have benefits throughout the body. In fact, there are few areas on the face that are not involved with one reflexology system or another. Using the last 10 minutes of a massage for facial reflexology will benefit the client greatly. Next let's talk about how to work these points.
As a general rule, working from top to bottom relaxes and working from bottom to top activates. I like to relax first then, if the client is getting up soon, finish with a few bottom to top strokes to energize them. Along this same thought, short massage/activation of a point (4-5 seconds) typically excites the system while longer massage (45 seconds to several minutes) tones or relaxes the system. Although you are working lightly on the face, the client may still experience some discomfort if a point is sensitive. In this case, intermittent pressure can help calm the point. Some suggest a slight circular movement in clockwise direction for points. Some suggest only to lightly massage the point. Treat each point or area with a deliberate stroke but seam them together as a single movement.
Other things to keep in mind - some female clients won't want you to disturb their make up. If possible, ask your client to wash their face before doing any detailed face work. Use a lubricant that will not clog pores - jojoba works well for this as does a high quality skin care moisturizer. Avoid if rash is present or the client has signs of eczema or psoriasis. Especially if you are not accustomed to dealing with skin issues.
The face and scalp are easy targets for us to get to and offer a plethora of benefits to your clients. And let's face it, it makes for easy work on the therapist. Add a new service to your menu and start offering facial reflexology!
Click here for previous articles by Rita Woods, LMT.
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