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Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
September, 2009, Vol. 9, Issue 09
Research Goldmines For You and Your Client
By Rita Woods, LMT
As therapists, we see clients with a variety of medical conditions. While their condition may not be directly related to their massage visit, it may impact how we individualize a massage session.Medical information can be complex so it's important to find sources that give an accurate and well-defined explanation without being confusing. It's also nice to find information that you can print and share.
The National Institutes of Health (NIH) is the primary federal agency for conducting and supporting medical research. Helping to lead the way toward important medical discoveries that improve people's health and save lives, NIH scientists investigate ways to prevent disease as well as the causes, treatments, and even cures for common and rare diseases. Composed of 27 institutes and centers, the NIH provides leadership and financial support to researchers in every state and throughout the world. Funded by Congress, the NIH offers information free to the public and to researchers. In fact, if the researchers use federal funds from NIH, they must make their manuscripts available through PubMed Central, a service of the National Library of Medicine. Here, massage therapists will find an absolute goldmine at their fingertips. However, to navigate through the volumes of information, a little understanding of how the departments make their information available is necessary.
MedlinePlus and PubMed are the National Library of Medicine's databases of references to more than 16 million articles published in 5,200 biomedical journals. Most of the articles you will find listed in PubMed (www.pubmed.gov) are written for health professionals. Many of the articles are short summaries (abstracts) and some of them have links to the full article. These tend to be quite technical from a medical/clinical perspective and thus, may not be the best choice for providing information to your client. However, they are helpful if you like to dig deep into the subject. Some NIH departments do offer printable handouts suitable for your clients as well as references in your office.
For the massage professional, one department in particular is very helpful. That is the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) (www.niams.nih.gov). Once at that site, you can search by topic. They offer information in a format called "Fast Facts," which is about four pages long and covers just the highlights of a health topic. They also have "Handout on Health"; these tend to be longer (some as long as 50 pages) and much more detailed with many of them offering anatomical illustrations. Most topics are available online, some include audio presentations, but some topics are only available by ordering the text directly from the NIH. There is an online order form for Handout on Health publications. There is no cost to order information and you can even order multiple copies for health fairs and such. Some information comes as an information packet. (Carpal tunnel syndrome is one example.)
Many of the NIAMS publications are government publications. They are in the public domain and not subject to copyright restrictions. You may make as many copies of these as you wish without permission. Please credit NIAMS as the source.
Let's take a detailed look at how to search and what you might find there. First go to the NIH home page, www.nih.gov. Once there, look for the search box in the upper right corner, and type in "Fast Facts." This will bring up a series of topics that appear as their own Web address. Scroll through to find topics of interest. Fast Facts are easy to read publications for the general public. Examples found there: bursitis and tendonitis, back pain, sports injuries, fibromalygia, sprains and strains, healthy joints for a lifetime, plus over 1,300 more! Many are PDF files that can be saved on your computer for later access.
On the same Web site, you can type in that same search box "Handout on Health." Similar to the Fast Facts layout, you will get a list of topics that appear with their own specific Web page address. If you plan on printing any of these, be prepared to print a booklet. They are long with much more detail and some even include self care recommendations. Many topics are duplicated in the Fast Facts and Handout on Health formats, it just depends on how much information you want.
Another helpful site from the National Library of Medicine is www.medlineplus.gov. MedlinePlus offers easy to understand medical information in everyday language. Here I found interactive tutorials published by the Patient Education Institute. You can even ask permission to link to the tutorials. This could be especially useful if you have your own Web site. They offer over 165 tutorials and I was thrilled to see "massage therapy" included. When you go to the home page of MedlinePlus, look for "Interactive Tutorials" on the right-hand side. Click there to find the list and to view the presentations. These are especially helpful for clients with no medical background. The beauty is that you have something to offer your clients, it is free for you to use and it adds a professional advantage for your business. Searching for topics in MedlinePlus offers additional sites other than the NIH. For example, you may find information sheets from the Mayo Clinic, the Cleveland Clinic, the CDC, as well as associations like the Arthritis Foundation.
All in all, I have to give the NIH two thumbs up for their Web sites and ease of access to the public. It's a good place to go for reliable information, and for us to see what our government dollars are going to in medical research. By the way, the NIH also has the National Center for Complementary and Alternative Medicine (NCCAM); here you will find information of herbs, acupuncture, aromatherapy, massage, Reiki and a whole lot more. Visit www.nccam.nih.gov for more information. An interesting fact: This department has been in existence for 10 years while the NIH can trace its roots back to 1887.
Our clients look to us for information and advice. Often they are asking us questions outside our scope of practice. Even if we know the answer, we should never offer advice that may be perceived as medical advice. Having valuable information at your fingertips allows you to direct them to credible sources and/or offer handouts in your office. Be sure not to attach any personal information to the handout and leave it as originally published.
Stay Cool. Be Happy.
Click here for previous articles by Rita Woods, LMT.
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