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Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
August, 2009, Vol. 9, Issue 08
Massage Today Reader Discovers "Anything’s Possible"
By John Upledger, DO, OMM
Terri, a normally healthy 62-year-old woman, was recently scouring the Internet for help when she ran across a Massage Today article that she said "literally saved my life." She was suffering from severe anemia that doctors at two different hospitals couldn't explain.
Her health had started degrading a year earlier when she found herself dramatically short of breath. "I couldn't get dressed in the morning without having to sit down and rest," Terri said. "I couldn't even walk to the bathroom from my desk at the office."
Doctors suspected Terri had a rare form of asthma, but that didn't sit right with her. "I wasn't wheezing at all. I just had shortness of breath." Nonetheless, they put her on a steroid for six months to try to clear it up. "It didn't do anything except make me gain a lot of weight," she said.
Then last November, Terri's right foot and big toe went numb and turned blue. She immediately checked into the hospital, but this time she was told she probably had peripheral artery disease. The surgeons began preparing for an angioplasty. "In the process, they asked me to sign a release that gave them permission to amputate my foot!" she exclaimed. Fortunately for Terri, her intuition told her that something wasn't quite right with this picture. So against doctor's orders and pleas from her daughters, she signed herself out of the hospital and found her way to a different doctor, one she hoped would finally listen to her.
After a battery of tests ruled out plaque around the heart, doctors gave Terri a new diagnosis. "Your big toe is broken," they said. "What's wrong with that?" she asked. As it turned out, plenty. She was also suffering from something the other doctors hadn't mentioned: severe anemia.
Anemia occurs when you don't have enough healthy red blood cells, or when the red blood cells don't have enough hemoglobin to transport oxygen to the organs. For men, a count of less than 14g per deciliter is worrisome. In women, anything less than 12g is a problem.
By the time Terri went back to the hospital five days later, her hemoglobin was at an 8. But she still wasn't prepared for what her doctors recommended next: a blood transfusion. "I was shocked. I had no idea it was that bad," she said. "But it was all too much. I told them I had to go home and think about it."
Unfortunately, within a of couple days, her hemoglobin had dropped to the dangerous level of 6 and she collapsed.
Back at the hospital, Terri received four consecutive blood transfusions. "They say one every few months is the norm. But that's what it took to get my hemoglobin level back up to an 8," Terri said. Assuming she must have been bleeding internally, the doctors ordered another round of tests. Everything came up negative.
By January Terri's hemoglobin was back down to a 7, but the doctors still didn't know what was wrong. So they gave her another transfusion. Finally, they told her it was just too dangerous to continue doing that. They were going to wait until it got down to a 6 before giving her any more.
"I was playing with my life," Terri said. "I thought, at this rate, I might just not wake up one day." Her doctors agreed and actually advised her to get her affairs in order. "They still didn't know what was causing it. They even suggested chemotherapy just in case it was a cancer they couldn't find."
When Terri went home that day, she decided to take her health care into her own hands. She started by searching for clues on the Internet. The last time she had looked, she was reviewing the prosthetics she thought she'd need after her foot was amputated. But this time she was determined to "sit there for 24 hours if that was what it took to find some kind of treatment for anemia."
She began Googling. That's when she found a Massage Today article called "Unwinding Meridians to Reverse Anemia" by Dr. Kenneth Koles (April 2009 issue). In it, Koles talks about combining acupuncture with CranioSacral Therapy to treat a woman named Helen who was suffering from anemia like Terri was.
CranioSacral Therapy rang a bell with Terri. "I have a friend who's a massage therapist and she was trained in cranial work, too," she said. So she quickly called Laura Gomez, Ms.T. Coincidentally, Laura had just read the same article, and she immediately drove to Terri's for her first treatment.
"It didn't feel like any massage I'd ever had," Terri said. "It felt more like acupressure to me. It was strange, I remember hearing in my right ear the sound of blood flowing. It sounded like the ocean." Laura continued to work on her for two hours, coming back several times in seven days.
Terri went to her doctor to have her blood checked once again. "I was so depressed. If this didn't work, I didn't know what I was going to do." To her surprise, her hemoglobin count actually went up two-tenths of a point. "That doesn't sound like a lot, but normally I'd go down five-tenths every week. So to me, that was more like seven-tenths of an increase!"
Hopeful for the first time in months, Terri had two more CranioSacral sessions the following week. Her next blood test was even more promising. She was up to a 9.3. "It went up six-tenths of a point! And my iron levels went up one whole gram, and I wasn't eating spinach or anything. I had just started taking iron pills, but the doctor told me they wouldn't have started working for months."
"My doctor said it's a miracle," Terri said. And when she told him about CranioSacral Therapy, he commented, "I suppose anything's possible." Fortunately for Terri, with the help of hands-on therapy, he's right.
Click here for previous articles by John Upledger, DO, OMM.
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