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A Long-Overdue Win for Oregon Medicaid Patients - and the Implications for Other States
Beginning July 1, 2016, Oregon Medicaid patients with spinal pain (cervical, thoracic, lumbar, pelvic) who are determined to be low risk based on a biopsychosocial assessment tool (STarT Back – Keele University) can receive four chiropractic visits per episode.
Treating Hip & Groin Pain With Abdominal Release of Upper Lumbar Nerve Impingements
Have you encountered patients with groin and hip pain you can't seem to solve? You know it's not a worn-out hip; you suspect the pain is somehow connected to the spine. But somehow, you just can't help them break through.
An Emerging Partnership Model
Maryland University of Integrative Health (MUIH) has educated integrative health and wellness practitioners for the last 40 years, originally as an acupuncture clinic and school. The institution's transformative, relationship-centered programs integrate traditional wisdom with contemporary science
The Pertinent Negative
We all have to perform evaluations on patients. Most of us don't like doing it – exams take time, and worse it takes even more time after the evaluation to put together a narrative summary of the findings. Sometimes, this process becomes downright tedious.
Chronic Pain: Become Part of the Solution
I have lectured to more than 7,000 chiropractic physicians over the past five years regarding the chronic pain and opioid epidemic in this country.
Three Tips to Help You Analyze the Acupuncture Case Studies of the NCCAOM Exam
Confirm the answer quickly by the elimination method. Case study:
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.
Insuring Quality Control in Herb Importation: An Interview with Wilson Lau
Wilson Lau is the vice president of Nuherbs, a Chinese herb importation company based in San Leandro, California. Before joining Nuherbs, he trained as a lawyer specializing in FDA law.
Beating the Odds: Interview With Para-Powerlifter Adeline Dumapong-Ancheta
Since October 2015, the FICS Foundation, the charitable organization affiliated with the International Federation of Sports Chiropractic (FICS), has been supporting disabled athletes internationally.
Increasing the Value of Spine Care: CMS Approves New Low Back Pain Registry
The Centers for Medicare and Medicaid Services has approved the Spine IQ Low Back Pain Registry as a qualified clinical data registry for the Physician Quality Reporting System (PQRS) in 2016.
Believe it or not, an estimated one-third of your patients have eaten some form of fast food within 24 hours of their appointment with you.
How to Stay Sane During the Elections: Understanding Through the Lens of Chinese Medicine
In Chinese Medicine philosophy, everything consists of Yin and Yang. The law of polar opposites – one cannot exist without its opposite.
Introducing the Acupuncture Today Digital Edition
In response to the changing habits of our readers, Acupuncture Today will introduce a digital edition of the publication (in addition to our print edition) beginning with the August 2016 issue.
What You Say Isn't Always What Patients Hear
A few years ago, my aunt Edna (name changed for the purpose of this story) suffered a stroke. After a short hospital stay, she was transferred to a nursing home for rehabilitation. When she arrived at the nursing home, Edna requested a private room.
An MD Who Understands the Opioid Epidemic
Doctors of chiropractic have an important role to play in ending the opioid epidemic and dealing with chronic pain by conservative means (see our top story in this issue) – but who's to blame for opioid dependence and abuse in the first place?
Acupuncture Muscle Trigger Point and Oriental Medicine Sports Therapy
It is difficult to ascertain the internal condition of professional basketball player Lebron James during game one of the 2014 NBA finals, in which he developed debilitating muscle cramps that led to his premature removal from the game.
Tai Chi Documentary Premier
First Run Features recently announced the world theatrical premiere of Barry Strugatz's documentary The Professor: Tai Chi's Journey West, which premiered last month at the Laemmle Music Hall in Los Angeles.
AOM Hospital-Based Practice: A Future Reality?
The natural evolution of health care on the planet is integrative health. We may have some challenges ahead, but based on my research, all indicators are pointing in a positive direction. There seems to be an evolving consciousness among our patient population that is "getting it."
Kansas Achieves Licensing Law
Kansas Governor Sam Brownback signed House Bill 2615 into law on Friday, May 13, 2016. HB2615 includes provisions for the licensure of acupuncturists in the state of Kansas.
Acupuncture's Impact on the World
For several years, I have been hearing about the town of Rothenburg, Germany. It seemed just a dot on a map until I arrived. It is the home of the TCM Kongress which began in 1968. It has been held annually for 47 years and it has only missed one year.
Sit or Stand? Analyzing a Mixed Message
I'm more than a bit confused. At my age, that seems to be a rather common occurrence. However, today more than ever, I'm getting a mixed message.
Adventures with the San Jiao
Those of us who have been in practice for several decades relish the way meridians and points reveal new diagnostic clues and new insights. I love to encourage my students to see this as an adventure that goes way beyond the textbooks.
Multivitamin Supplement May Reduce Breast Cancer Recurrence
There is a great deal of controversy regarding the value of multiple vitamin supplements in cancer prevention.
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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