Lost A Sale, But Initial Phone Consultations — A Big Part Of Brilliant Customer Service
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Rethinking Musculoskeletal Pain – A Public Health Perspective
The American Public Health Association (APHA) is the world's oldest and largest association of its kind, founded more than 140 years ago and boasting over 25,000 members.
Acupuncture in the U.K. Today: A Personal View
When asked to write a short piece on the current state of the U.K. acupuncture profession, my first response was to say it has all been relatively quiet.
Our Biggest Challenges to Compete in Wellness Care
In the first article in this four-article series [May 1 DC], I made the case that chiropractors should either embrace offering lifestyle wellness in their practices or face the possibility of losing their place in the wellness care marketplace.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients in May 2014, researchers showed that drinking the equivalent of 2-4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
Green Tea Improves Cognitive Function in Elderly Subjects
Publishing their results in the journal Nutrients, in May 2014, researchers showed that drinking the equivalent of 2 to 4 cups of brewed green tea (or bottled tea) daily improved cognitive function or reduced the progression of cognitive dysfunction in elderly subjects.
First Do No Harm?
There's no questioning the frightening nature of breast cancer, which strikes one in eight women in the U.S. – eclipsed only by skin cancer in terms of prevalence.
A Poor Choice for Pain Relief
Acetaminophen is the most popular pain reliever in the U.S., accounting for an estimated 27 billion annual doses as of 2009. With 100,000-plus hospital visits a year by users, it's also the most likely to be taken inappropriately.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 2)
As we noted in our previous article, with a positive Derifield (+D), the doctor observes the reactive (shorter) leg in the prone position that becomes longer or "crosses over" in the flexed position.
Marijuana, Apathy and Chinese Medicine, Part 2
A talented young woman presented herself with emotional mood swings, which included being nervous, anxious and jittery.
Professional Credentialing and Board Certification: An Ethical Faux Pas
Because of the Affordable Care Act, health care systems are coordinating care through accountable care organizations (ACOs) in order to reduce the cost of care and improve quality of care.
Reducing the Autogenic Inhibition Reflex: Making Weak Muscles Strong
The autogenic inhibition (AI) reflex is a sudden relaxation of a muscle in response to excess tension.
Calculating Billable Units
I recently learned of an office that was audited based on the number of acupuncture sessions performed in one day. Is there a maximum number of sessions that can be performed in one day?
Use Technology to Gain New Patients and Improve Efficiency
From the smartphone in your pocket to your microwave oven, advancements in technology have made almost every aspect of our lives easier.
The Nectar of Plants: Essential Oils and Chinese Medicine
Essential oils are a very hot topic these days, especially with the likes of the Ebola virus and the resurgence of measles lurking in our awareness, but when I first became interested in Chinese medicine, essential oils weren't on the radar screen for acupuncturists.
Giving Vets the Care They Deserve
The Department of Veterans Affairs (VA) administers the largest integrated health care system in the United States.
ACA or ICA: Which Best Represents You?
Last June, I was honored to represent Texas ICA members as their representative assemblyman at the ICA Annual Meeting in Kansas City.
What Does Success Mean to You?
Recently, I was asked to speak to young, budding businesswomen about running a successful business — and at first I thought, "Me? You want me to speak to others about success?!"
Acupuncture and the Pulse
In 1991, I attended a martial arts workshop hosted coincidentally by Sung Baek, a martial artist and the head of his lineage as a Korean trained acupuncturist. I was enamored by the details Sung could attain from the pulse, as told to me by some of his apprentices.
The Source-Luo Point Combination
The luo collaterals are part of the acupuncture channel system presented in the Su Wen and the Ling Shu (The Nei Jing). The function and clinical application of the luo mai are primarily presented in chapter 10 of the Ling Shu, however, they are also found in others chapters in the Su Wen and the Ling Shu.
The Modern Acupuncturist
You studied ancient Chinese medicine, but I'll bet you don't practice it! Contrary to popular belief, our medicine has evolved A LOT over the years. Let's take a brief walk through history and discover the differences between ancient and modern acupuncturists.
Spieth Thanks His Chiropractor After Historic Masters Win
Jordan Spieth didn't just capture the hearts of golf enthusiasts worldwide with his record-setting, wire-to-wire victory at the 79th Masters Tournament.
We Get Letters & Email
A House Divided? (May 1 issue) provoked significant response from readers. Here are several of the surprisingly similar comments we received.
TMF 2015 Scholarships
The Trudy McAlister Foundation (TMF), a nonprofit organization established to support students who are on track to make contributions either to clinical practice and/or to the understanding of the role of Traditional Oriental Medicine, has announced the 2015 scholarship recipients.
How One Little Symbol (#) Gets You More Patients
Are you struggling to get more fans or followers for your acupuncture practice? Or are looking for ways to simply connect with your patients? Or do you just want to know how to keep them engaged (comments, retweeting, liking and sharing)?
The Year to Make Things Happen
It is hard to believe that the Year of the Ram – 2015 is half over. Time seems to be moving especially fast. This is the year for things to happen for the acupuncture profession.
July, 2010, Vol. 10, Issue 07
Research: Sport, Pelvic Pain and Associated Symptoms
By Leon Chaitow, ND, DO
There is abundant research linking pelvic pain, and associated urinary tract symptoms, with various sporting activities. The studies reported on in this brief review are offered as a caution - particularly against excessive training and sport in early life.
In contrast however, with a few notable exceptions, evidence largely supports the benefits of athletic activities, and the negative long-term effects of inactivity.
Sport and CPP in Men: Pudendal Nerve Issues
Antolak et al (2002) report that chronic pelvic pain (CPP) syndrome is a puzzle that may be explained partly by pudendal nerve entrapment (PNE), which causes neuropathic pain. In men with PNE may involve aberrant development and subsequent malpositioning of the ischial spine as a result of excess athletic activity during youth. The changes appear to occur during the period of development and ossification of the spinous process of the ischium.
Common causative activities include "flexion activities of the hip (sitting, climbing, squatting, cycling, and exercising) induce or aggravate urogenital pain, chronic pelvic pain, or prostatitis-like pain."
Specific sports incorporating these activities involving teenagers and/or young adults include: American football, weight-lifting and wrestling.
Antolak et al suggest that hypertrophy of the muscles of the pelvic floor among young athletes, causes elongation and posterior remodeling of the ischial spine, leading to the sacrospinous ligament rotating, so that the sacrotuberous and sacrospinous ligaments become superimposed over each other. During repetitive squatting activities, or during sitting and rising, stretching of the pudendal nerve occurs over the sacrospinous (SSp) ligament or the ischial spine, with shearing forces on the nerve.
The piriformis muscle may also be involved. Antolak et al note that: "The pudendal nerve exits the pelvis at the inferior aspect of this muscle. In the athlete, flexion and abduction of the thigh are common motions, and they may lead to hypertrophy of the piriformis muscle, causing compression of the pudendal nerve against the posterior edge of the SSp ligament. Pain that suggests this process includes ... that induced during sports activity such as that of a baseball catcher (squatting and then rising to throw the ball - motions that require extension of the gluteus muscles and abduction and extension of the hip)." They suggest that the same principles be investigated in women with pelvic pain, in case their symptoms are "misdiagnosed and inappropriately treated."
Cycling and Genitourinary Symptoms in Men and Women
Leibovitch and Mor (2005) have reported on bicycling related urogenital disorders. They note the following pertinent facts:
Andersen and Bovim (1997) applied a questionnaire to 260 participants in a Norwegian 540 km bicycle race.
Thirty-five of 160 responding males (22%) reported symptoms from the innervation area of the pudendal or cavernous nerves. Thirty-three had genital numbness or hypaesthesia after the race. In 10, the numbness lasted for more than one week. Impotence was reported by 21 (13%) of the males, lasting for more than one week in 11, and for more than one month in three.
Both genital numbness and impotence were correlated with weakness in the hands after the ride, a complaint that in some cases lasted up to eight months. It is suggested that changing hand and body position, restricting the training intensity, and taking ample pauses, may all be necessary to prevent damage to peripheral nerves.
LaSalle et al (1999) reported that the hardness of bicycle seats, and years of cycling, influence lower urinary tract symptoms in women. "The hardness of the bicycle seat increased the incidence of incontinence and other urinary symptoms in females....[possibly] related to the neurologic and vascular stress that hard seats produce on the perineal area."
Sports That Appear to Increase Urinary Incontinence
Thyssen et al (2002) surveyed a total of 291 women with a mean age of 22.8 years. Of these 151 women (51.9%) reported having experienced urine loss, 125 (43%) while participating in their sport and 123 (42%) during daily life. The proportion of urinary leakage in the different sports was:
The activity reported as being the most likely to provoke leakage was jumping.
Osteitis Pubis and Running
Strakowski and Jamil (2006) report on osteitis pubis, "an uncommon cause of pelvic pain in runners". This condition presents insidiously with pain in the hip adductors aggravated by running or pivoting on one leg. The adductor muscles are usually noted as hypertonic, with pain on resisted hip adduction. Tenderness over the pubic symphysis will also be evident. Plain film radiographs commonly reveal sclerosis of the pubic bones, with occasional widening of the symphysis. (Harris and Murray 1974) Treatment includes use of NSAIDS and corticosteroid injections into the symphysis, along with stretching of shortened adductors.
Click here for more information about Leon Chaitow, ND, DO.
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