Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
TCM Codes for the World
I just received an email concerning the ICD-TM11 codes. The World Health Organization (WHO) will be presenting the new ICD-11 codes to World Health Assembly very soon.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
December, 2009, Vol. 9, Issue 12
By Ruth Werner, LMP, NCTMB
In January 2001, the first edition of Massage Today was released, and my first Speaking of Pathologies column was in the inaugural issue.It was an introduction to a new concept: readers could send me their interesting questions and challenges around pathology topics, and I would pull together some information for responses that might benefit the rest of the profession. Since that time I have written more than 50 columns on topics ranging from herpes simplex to bariatric surgery to Ehlers-Danlos syndrome. Most of the time, my articles were stimulated by your input; sometimes I had no direction from readers and simply pursued my own line of interest; this led to a series on neurological conditions including ALS (Lou Gehrig's disease), Parkinson's disease, cerebral palsy and spinal cord injuries, about which I'm still getting letters several years later, and to a lively discussion about student clinics that established great connections with massage educators around the country.
I have saved every edition of Massage Today since the first one. As I look through our recent history, I see headline after headline tracking legislative issues; massage outreach programs to underserved groups; controversies between our trade organizations; reports on educational and political meetings that influence our professions; and, more and more, articles about the science of massage and how it can be applied in the context of clients who live with imperfect health.
This is the long way around of saying that the time has come for me to step aside. My own career is about to make a major shift. Between this and other commitments, along with the fact that Massage Today is now packed with the kind of content that used to be hard to come by, means that this is one obligation that I can let go. I do it with some reluctance. Massage Today has been very good to me, providing a venue through which I have been able to communicate with thousands of colleagues, and I feel a sense of loyalty to it and to the people who work there. However, as we all know, there is a point where our commitments can become overwhelming and our ability to fulfill them can become compromised. Rather than see that happen, I am happy and proud to leave at a time that I know information about massage and bodywork in the context of disease is more accessible than ever before, and that readers who want to find information or guidance about specific conditions won't be left without resources.
When I started as a pathology writer, I would sometimes do internet searches for "Massage and XX," filling in the name of some disorder or condition. Often, there were no results. Just as often, I would find an advertisement for a practitioner who worked with that disease but no information specifically on the science of massage in that context.
Nowadays the options are so much broader! General information about diseases is still available through the old stand-bys (Mayo.com, WebMD.com, CDC.gov and branches of the NIH are some of my favorites), but we have arrived at a point where we can raise the bar to include academic-level research specifically about massage and bodywork. I have three resources that I feel are especially useful in this context, and I would love for readers to keep these for future reference:
The International Journal of Therapeutic Massage and Bodywork (www.ijtmb.org): This is the academic, peer-reviewed publication of the Massage Therapy Foundation. It is published electronically every quarter and is completely free. The IJTMB recently celebrated its first birthday. Because it is just getting started, its archives are not yet deep but I would love for readers to start here in their search for information.
Google Scholar (www.googlescholar.com): This is an easy-to-use resource for gathering technical content while weeding out the majority of websites that are selling products in the guise of offering information.
Pubmed (www.pubmed.gov): This is run by the government and gathers academic articles about health care from all over the world. My last Pubmed search of "massage therapy" yielded more than 9,000 articles in which massage was studied as primary or comparative intervention. The problem with Pubmed is that while the abstracts of most articles are available, the full text of each may be harder to access unless, like articles in the IJTMB, they are made available through an open-source publisher.
Several other great sources for information exist, and I encourage practitioners to explore them and share them with others. Perhaps the most important point to stress is that what it takes to gather value from this information is patience, persistence and possibly a good medical dictionary. My own background and training is emphatically not in the sciences. If a theatre major from a small liberal-arts college can make sense of a Pubmed article, so can every person reading this column.
Massage Therapy Foundation
Which leads to my next point: one reason I am leaving Massage Today as a regular columnist is to serve as president of the Massage Therapy Foundation, starting in March 2010. Massage Today has been tremendously supportive of the MTF, so most readers are probably familiar with the basic idea. The Massage Therapy Foundation is a nonprofit organization that has been created to advance the massage therapy profession through education, community service and research. We accomplish these goals in many ways, but we rely on donations so that we can fund research projects, help massage therapists set up outreach projects for underserved populations, publish the IJTMB, host research conferences (the party is in May 2010 in Seattle at the Highlighting Massage Therapy Research in Complementary and Integrative Medicine conference!), sponsor student and practitioner case report contests, and send educators out to teach principles of research literacy to massage school faculty all over the country. We do this because the future of the massage therapy profession is in research.
Credible, well-designed research that yields clear information about how massage affects human function allows us to build bridges with the rest of the health care community. It allows us to market massage as a self-care strategy rather than an occasional luxury. It supports massage therapy with qualified practitioners as a safe, cost-effective and powerful health care intervention. Not every massage therapist will become a researcher, but we all need to develop some basic skills so that we can find research, interpret it and apply it to our practices. I hope every reader here will use the Massage Therapy Foundation (www.massagetherapyfoundation.org) to help with those goals, and I further hope that every Massage Today reader will consider making an annual donation to the Foundation to help pay for those services.
Writing a reader-led column has richly fed me as a writer and an educator. As I scan my list of articles, I have distinct memories of interactions with some readers:
These questions and experiences, so generously shared by our colleagues, have opened conversations that I hope have benefitted everyone who read the columns they inspired. Those conversations aren't over, but they have to take place in a different setting now.
It has been my honor and my privilege to work with all of you here. Please rest assured that the other Massage Today columnists will, with great talent and skill, seamlessly fill the small hole I leave. Thanks for all of your support over the years, and please know you have my very best wishes. Many thanks and many blessings.
Editor's note: While Ruth Werner says farewell as a columnist, she will not be far from your readership. Ruth will be part of an exciting new online format with Massage Today. Stay tuned!
Click here for previous articles by Ruth Werner, LMP, NCTMB.
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