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Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
February, 2010, Vol. 10, Issue 02
Communicating the Importance of Frequent Sessions
By Ben Benjamin, PhD
Question: How do you get a person to come two or three times a week to work on an injury? It's often tough to get a client to come once a week.
Answer: I am often asked this question by practitioners who are new to orthopedic massage. Working on people who have pain and injury problems is quite different from performing relaxation massage. Relaxation massage therapy might be effective if the client comes once a week, twice a month, or even once a month -- depending on the degree of stress the person's body is under.
In order for orthopedic massage to be effective, the client usually must come a minimum of twice a week, and sometimes more frequently. However, the sessions often can be shorter in duration; they are frequently just 30 minutes long.
If you take the time to set the context of your work, getting someone to come two or three times per week is not that difficult. What do I mean by setting the context of your work? Most therapists are anxious to get the client on the table and start working on them right away. When dealing with a pain problem, that's not the best way to begin.
Before doing any hands-on work, it's important to establish the therapeutic relationship -- take a slow and thorough history, do an assessment with whatever testing methods you use, talk to the client about the type of treatment you suggest and give the person plenty of time to ask you questions. This is all I do in the first session. At that point, I tell the client I want them to think seriously about whether or not they want the treatment. I tell them that it's a big commitment. I also explain that I don't take on any client unless I believe I have a good chance of being able to help them. Then I outline how I expect the treatment to progress.
For example, I might recommend the client come for one-hour sessions twice a week for six to eight weeks. Once they start to show improvement, I'd cut the sessions down to 45 minutes. As they continue to show improvement, I'd see them once a week for a while, and then once every other week. Meanwhile, I would be teaching the client exercises to do on a daily basis, and in certain cases, I might suggest they see a nutritionist for some dietary counseling.
After providing all of this information, I ask the client to think about their decision for a few days and then give me a call. Only if the person has absolutely decided to get treatment and insists on making an appointment right away, do I go ahead and give them an appointment at the end of the initial assessment session. Proceeding in this way helps to ensure that before clients begin treatment, they fully understand and agree to the time commitment that is necessary to enable their injury to heal. If an individual has a financial constraint, I will, in certain cases, take the person on for a nominal fee. If my life doesn't permit me to do that at the moment, I will refer them to someone else trained in orthopedic massage.
Click here for more information about Ben Benjamin, PhD.
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