resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
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.
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.
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.
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.
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.
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.
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.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
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.
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.
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.
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.
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.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
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.
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.
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."
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.
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.
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."
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.
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.
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.
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.
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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