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Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
What's New in Phytonutrition: Mangifera Indica, "The King of Fruits"
One hundred percent pure Indian green mango fruit (mangifera indica), harvested at a special degree of ripeness for efficacy and taste, can now be concentrated as a phytonutrient nutraceutical powder.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
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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