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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.
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?
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).
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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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.
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.
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.
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.
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.
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?'
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.
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.
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.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
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.
November, 2009, Vol. 9, Issue 11
Manageable Fitness Solutions
By Sharon Puszko, PhD, LMT
A lot has changed in the world of massage therapy since I first started practicing more than 25 years ago. While massage has been used for healing in East Asia for a long time, our attitude towards it in the U.S. has evolved from a practice that simply feels good, into a necessary part of professional sports, and a respected form of alternative healing.
This shift has placed greater demands on massage therapists, often leaving us little time to take care of ourselves. Between seeing clients, presenting at conferences and teaching classes all around the world, sometimes I can barely keep track of what time zone I am in. More and more often, I must remind myself that when the time comes, I will choose to retire. I will not be forced to retire simply because I am worn out. In this hectic world, it is crucial to find a little time to stretch out and take a break.
I have found that as well as it being necessary to take time out for relaxing, recreation and fun, it is also essential to be diligent in daily exercising and stretching while at work. The most manageable solutions and excellent choices for exercising during the working day or working travel are using hand weights, resistance bands and stretching. I make time to stretch between each client appointment, focusing on a different muscle group each time. If there are only one or two breaks during the day, I focus on my upper body and back first, and then the lower body. At the end of the day, always allow yourself a significant amount of time to stretch out your entire body.
To help maintain upper body strength, consider keeping a set of hand weights at your office. Using light weights will keep the focus on building strength instead of muscle mass, and your routine should consist of higher repetitions (10-12) and more sets (2-3). Lunges and squats are good choices for building your lower body strength at work. However, be sure to protect your knees when doing these. This means making sure your knees do not extend past your big toe when you bend down for both a squat and a lunge. To perform a proper squat, from a standing position, imagine you are lowering your rear end onto the edge of a seat, then return to an upright position. Keep your upper body as upright as possible while doing this. Both legs should form a 90-degree angle when performing lunges properly, and the rear knee should not touch the floor. Again, be sure to keep the front knee from extending past the big toe.
One of my favorite exercise aids is resistance bands. They are versatile in that they help strengthen and stretch, and they can be used for both the upper and lower body. They are so portable that I use them during conferences or layovers to get the blood flowing in my legs and lower back. Bands are available in different resistance levels, which makes it easy to find one that is compatible to your level of strength. Research has shown that training with resistance bands improves balance, and balance - physical and emotional - is an essential part of being an effective massage therapist. By spending a little quality time on yourself now, you are providing for a longer and healthier career down the road.
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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