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Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
October, 2009, Vol. 9, Issue 10
Hydrotherapy: Water, Water, Everywhere
By Judith DeLany, LMT
Water is indisputably the most essential nutrient for the human body. Adults are composed of approximately 60 to 65 percent water, with somewhat less in elderly and much more in infants. In Job's Body, Deane Juhan jokingly quotes, "A human being is a container invented by water so that it can walk around."2 It is not surprising that the therapeutic application of water - in any of its many forms - is enjoyed throughout the world.
Hydrotherapy is almost as old as the hills from which the water runs. In fact, it has been historically accounted in a number of ancient civilizations, including Russian, Turkish, Chinese, Greek and Native American. Although it serves as a safe, effective and inexpensive treatment, hydrotherapy in modern times is often overlooked as a powerful healing tool.
Massage therapists classically use water therapies in their practices. Hot or cold packs, ice massage, steam (cabinets and rooms), and the massaging jets of a hot tub are just a few common hydrotherapies. Sheet wraps, cold and warming compresses, neutral baths, local immersions and soaks that contain minerals, such as magnesium found in Epsom salts also offer significant benefits.
Heat-based applications engorge the tissues with blood, while cold treatments reduce local swelling and congestion. In Water Therapy, Chaitow notes that while short applications of cold increase circulation, longer applications of cold (more than a minute) reduce the flow of blood to the area by contracting the local blood vessels, and depress circulation and metabolism.1 A short duration of heat increases blood flow with vessel dilation while a longer duration depresses circulation and metabolism drastically. Alternating hot and cold for short durations produces a circulatory interchange, improves drainage and increases oxygen supply to muscles, skin and organs. Chaitow suggests that the final application be cold so as to avoid leaving the tissues in a state of engorgement (potentially leading to congestion).
Practitioners can benefit from self-application, whether this is cold to calm inflammation, heat to increase blood flow to ischemic muscles or contrast hydrotherapy. Plunging the hands and forearms into bins of tolerably hot and then very cold water eight to 10 times, can have extraordinary benefit for these overused (and usually under-treated) muscles. After contrast hydrotherapy, the muscles can be more easily massaged and stretched. This technique requires only a little preparation and very little expense. You will need:
Common sense contraindications include avoiding heat applications on swollen or inflamed tissues, recent wounds and acute injuries. Cold should be avoided on those who are cold-intolerant (as in Raynaud's disease) or who have moderately poor circulation.
One extremity at a time can be treated or, if the pans are large enough, both can be done simultaneously. It is also possible to put one arm in the cold bin while the other is in the hot, then switch them to contrast the temperature. However, be prepared for unusual sensations, as the body is not accustomed to receiving mixed signals from thermal receptors.
Fully submerge the arm in the hot water for two to three minutes. Switch to the cold water and hold there for a similar time. Continue alternating between hot and cold for two to three minutes each. If massage therapy is to be used, the session may end with hot water. The massage strokes will provide a final drain of the tissues. If no massage is to be performed, it is best to end with cold to avoid producing congestion.
Contrast hydrotherapy can be a significant treatment all by itself or it can be a precursor to superficial and deep tissue treatment of the muscles. The muscles can also be stretched much more easily and with less discomfort after contrasting the temperature.
Judith DeLany serves as director of NMT Center, writes textbooks for Elsevier Health Sciences, and lectures internationally in the field of neuromuscular therapy. For more information regarding her work, visit www.nmtcenter.com or call toll-free at (866) 571-7942.
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