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The Tao of Gender
If you think gender is as simple as having a new client check off the "male" or "female" box on your intake form, we hope this article will expand your understanding and thus the reach of your health care.
Managing Today's Fertility Patient
I recently received an email from one of my fertility patients: "Got my lab results back. FSH is 11, AMH is 0.7. My doctor said these numbers aren't good. I guess I'm infertile. Just as a thought. Just set up an appointment to speak with an adoption agency."
Make Low-Level Laser Therapy Part of Your Evidence-Based Practice
Low-level laser therapy (LLLT), also referred to as photobiomodulation, has been increasingly utilized in the clinical setting over the past decade.
Solving the Pain Puzzle
Legendary former New York Yankees baseball player Yogi Berra once said, "You can observe a lot just by watching." He would have been a great chiropractor. We are trained to become experts with our hands: palpation, adjusting, soft-tissue release, etc.
The Wonders of Light Therapy: An Interview with Wes Burwell
I first met Wes Burwell in 2011 when he was teaching a class on light. Since then, every time I hear him speak, his understanding of the benefits, function and capacity of light has evolved.
Jingei Diagnosis: An Effective and Powerful Diagnostic
I graduated from the Kotatama Institute under the direction of Drs. Masahilo and Katsuharu Nakazono in 1984. As a student, I was exposed to the practice of most of the various theories and modalites of Oriental Medicine.
AOMA Strengthens Leadership Team
AOMA Graduate School of Integrative Medicine, a leading college of acupuncture & herbal medicine, announced the appointment of Donna LaPoint Hurta, MBA as the new VP of Finance & Operations this Fall.
News in Brief
Life to Open Branch Campus in Italy; Northwestern Research Arm Benefits From Big Donation.
Are You Ignoring the 10,000-Hour Rule?
Having trained interns and mentored new practitioners, it has been my observation that their No. 1 clinical concern is adjusting skills. Their second clinical concern is their ability to read X-rays. Physical diagnostic skills are a distant third.
Treating Acute and Chronic Neck Pain With Ischemic Compression and Exercise
There are many reasons not to manipulate the neck with cavitation: the patient is too old, their neck is too tight, etc. But the most common reason is that plenty of patients are afraid of "the crack," mostly because of the bad publicity about that procedure.
The Heart Protector
On the physical level, the Pericardium is a double-layered sac of fibrous tissue that envelops the Heart. The space between the layers is filled with serous fluid that protects the Heart from external shock or trauma and lubricates to allow for normal Heart movement.
Are You Ready for the 2016 Patient?
In October, Apple released its iOS 8 operating system for the iPhone and iPad. The new system includes Health, a new app that will interface with an ever-growing number of other apps.
Lime Jello on Morphine
Taste is in the eyes... actually the mouth... of the beholder. My food preferences have changed, lightening from the food of my youth. My parents loved heavy eastern European cuisine and I loved it as a child. Now I enjoy leaner, healthier whole foods.
Why Drugs and Supplements Can't Cure Disease
Chronic diseases are the outcome of disease-promoting, goal-oriented behaviors. So, the notion that diseases can be cured with drugs or supplements should be abandoned. Hypertension is the best example of this.
Simple Ways To Find True Happiness
Patients in our clinics are always seeking happiness. As their health advocate, we need to ensure we inform them that in order to find happiness, they have to make sure to identify what makes them happy in the first place.
Pulse Diagnosis: What We Know
I am still finding pearls of wisdom from the books and papers that I inherited from my pulse diagnosis mentor Jim Ramholz.
We Get Letters & Email
Is It Time for a Popeye Moment? The Flaw in Recommending Chiropractic as a Career.
Healing With TCM at San Quentin State Prison
For the prisoners at San Quentin State Prison, life-sentences are the reality of every day life. It is not often that prisoners get the opportunity to use alternative medicine to deal with common ailments they encounter behind bars such as, depression, anxiety and pain.
Step by Step: Long-Term Treatment of Soft-Tissue Injuries Combines Skill and Care
Treating soft-tissue injuries with long-lasting results starts the moment an individual enters the office. When it comes to pain, the only thing that matters to the patient is relief.
Managing Patient Expectations About Acupuncture
Last year, I attended the Pacific Symposium in San Diego for the first time in six or seven years. It was the 25th anniversary of this event, and on one evening there was a panel discussion with the title; "What is Qi?."
DC App – The Next Generation
According to a survey by technology firm CDW, health care professionals gain approximately 1.2 hours per day in productivity simply by using a tablet computer in practice.
Avoiding "Just a Pop Doc" Syndrome
Yes, it's harsh. Patients don't like to admit it. They have an unspoken plan when they first visit you: to come one time, get rid of their pain and then get rid of you. They know it's unrealistic, but they'd like to pay nothing for this service.
Foundation for Chiropractic Progress Announces First Group Member
The Michigan Association of Chiropractors has joined the Foundation for Chiropractic Progress as its first group member.
To The Finish Line With the Help of TCM
When acupuncturist Eddy De Smedt pursued a career in Traditional Chinese Medicine, he knew he wanted to make a difference.
The Death of the Travel Card
As long as I have been in practice, the travel card has stood as the primary style of documentation for chiropractic. It is quick, simple and direct. Unfortunately, the rules have changed.
September, 2010, Vol. 10, Issue 09
What About My Feet?
By Sharon Puszko, PhD, LMT
During a recent session with a regular client of mine, we ended up having a conversation about feet. I cannot remember how the topic came up - maybe he was having particularly bad pain in his feet that day - but we ended up discussing what kind of shoes we wear the majority of the time.
The conversation made me realize that for as much time as I spend working peoples' feet, I have not yet written exclusively about feet and massage, or self-care of feet for practitioners.
Massage therapists are one of the groups of professionals who spend most of their time working on their feet; in addition to pulling, pushing, bending, leaning and lifting. We have a rather "physical" job, and after giving five to eight massages in one day, I know my feet have frequently felt the effects of this.
I can also admit I rarely do anything more than stretch my feet out and give myself a mini-pedicure before I go to bed. The following morning, my feet seem to recover, and I go about my day as usual. However, after the aforementioned conversation, I started discussing footwear and lower body pain with colleagues, and I decided this topic would be extremely useful to write about.
According to the American Podiatric Medical Association (APMA), almost 75 percent of people experience foot pain at some point in their lives, and only one out of every six sufferers seeks help from a podiatrist. Research from the APMA also demonstrates that those who spend four or more hours a day working on their feet suffer from chronic foot pain more than any other group of people. Even more important is the fact that nearly 78 percent of Americans suffer from foot pain because they are wearing ill-fitting shoes. So now I'm wondering, have I recently been properly fitted for shoes? In fact, have I ever been properly fitted for shoes? Since we fall into the category of people who stand for more than four hours a day while we work, it is crucial that we pay attention to our feet, and what we are putting on them. Here are some tips from the APMA on how to purchase shoes that will both fit you well and serve you well:
There is one category of shoes that is so controversial I feel like we need to address it all on its own: flip flops. Just mentioning them in front of physical therapists and orthopedic doctors elicits snarls and frowns. At first, I was amused by the reactionary tendencies these summer shoes evoked in the health care community. But after reading up on them, it is clear that frequent use of flip flops can cause long-term foot problems for people, such as tendonitis, blisters, plantar fasciitis and sprained ankles. The more immediate consequences of wearing flip flops in place of other shoes include cuts, bruises and injuries because they do not offer your feet good protection or support. Visit the APMA Web site for their recommendations on finding a good pair of flip flops for the summer. I stress this, because all current research says they should not be worn for work, and should not be worn on a daily basis.
Strength & Flexibility Exercises
Now that we've discussed footwear, I would like to share some stretches with you that I came across on Runner'sWorld.com. They focus on your foot, ankle, and lower leg, and if done daily, will increase your strength and flexibility, which can help prevent injury in the future.
The Monopoly Game: Put 10 small objects on the floor (i.e. marbles or Monopoly pieces) and place a small cup nearby. Using your toes, pick up the pieces one at a time and put them in the cup. Do two sets of 10 with each foot. Compete with your spouse or kids to see who can do 10 in the fastest time.
The Drunk Flamingo: Standing on stable ground, balance on one foot with your eyes open. Once you can do that for one minute, try it with your eyes closed. Master that and then move to an unstable surface such as: a mini-trampoline, foam block, wobble board or Bosu trainer.
Toe Tug: Loop one end of an exercise band around a sturdy table leg or bedpost. Sit with your legs straight in front of you, and loop the other end around the top part of one foot. The band should be anchored straight in front of you, and it should be taut when your foot is pointed away from you. Pull your toes toward you, keeping your leg straight. Go as far as your ankle will let you. Release slowly, returning to the starting position. Do two sets of 20 on each leg.
Bent-Knee Wall Stretch: Runners often forget to stretch the soleus - a muscle deep in the calf that attaches to the Achilles. "Doing a calf stretch with a straight leg hits the gastrocnemius, but that's only half the battle," Schneider says. Here's how to target the soleus: Stand with your palms against a wall, one leg forward, one leg back. Lower into a "seated" position with legs bent. Lean into the wall until you feel it in your back calf. Hold 30 to 45 seconds then switch legs.
Negative Calf Raises: Stand on a step with your toes on the edge and your heels hanging off. Push up with both feet into a calf raise. Lift one leg off the step, and lower your other leg so that your heel drops below the step. Take at least 10 seconds to lower it all the way down - that's the eccentric part of the move and has been shown to help prevent Achilles tendinitis.
Plantar Stretch: Sit down barefoot and cross your right leg so that your ankle rests on your left thigh. Hold your toes and bend them back toward your shin, stretching the plantar fascia. A study showed that people suffering from plantar fasciitis had a 77 percent chance of returning to full activity within three to six months after performing this stretch. Researchers suggest that you do the stretch 10 times at least three times a day (once or twice a day doesn't produce as strong of an effect).
I've always been selective when it comes to buying shoes, and after researching for this article, I am certainly happy for that trait. I am also looking forward to staying up on current research regarding footwear and foot health; I will continue to be careful before I stand on my own two feet!
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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