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An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
June, 2009, Vol. 09, Issue 06
The Therapeutic Value of Listening
By Sheryl McGavin, MBA, OTR/L, CST-D; guest author for John Upledger, DO, OMM
One of the most critical concepts we learn in CranioSacral Therapy (CST) is the importance of supporting the body's ability to self-correct. Dr. John Upledger teaches us about something he calls the "Inner Physician." This innate body intelligence knows precisely what it needs at any given moment to heal.But to follow the guidance from that intelligence and support the body's self-corrective mechanisms, we must first learn to listen.
Indeed, over many years of practicing and teaching CST, I have come to believe that listening is the single most important skill you can develop to improve your therapy skills, your ability to palpate subtle movements of the craniosacral system, and your ability to help more clients relieve their pain and dysfunction.
When I talk about listening in the therapeutic sense, however, I don't just mean with your ears. I also mean listening with your hands and all of your other senses. It's true that the common definition of listening focuses on the sense of hearing. But think about what happens when we apply that same concept to the sense of touch.
Consider the following definition of listen, taken from Dictionary.com. Then see what happens when you substitute phrases and ideas that show you how the same concept applies to your tactile senses.
Notice the common word in all three of these definitions? It's "attention." Teachers and professionals in a wide variety of areas (i.e. leadership, management, conflict-resolution, etc.) often describe techniques like "focusing attention on" or "attending to the speaker fully" to be able to absorb the information being shared. They also describe specific tactics to improve listening, such as waiting for the speaker to finish, and listening without thinking about other things, formulating your response, or judging what the speaker is saying.
When you listen effectively and give your full attention to the speaker, you're not talking. You're receiving information. And in this information you'll discover what you need to know to respond appropriately. It is in this listening phase of communication that you can truly learn about the other person.
In the same way, when you touch a client's body, it wants to share information with you about its structure, function and health. Use your hands, and abide by the same guidelines you follow when you're listening effectively with your ears. By giving the body your full attention without doing other things, judging the information or formulating a response, you're able to more effectively hear what the body is saying to you. Then you can follow the body's lead and fully support your client's self-corrective healing process.
Click here for previous articles by John Upledger, DO, OMM.
Sheryl McGavin is a certified instructor, international speaker and examiner for The Upledger Institute. She runs a private practice in Palm Beach Gardens, Fla., where she integrates occupational therapy with CranioSacral Therapy for clients of all ages. You can reach her at
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