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The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
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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