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HVLA Technique: Addressing Myths
In the annals of chiropractic history and literature, and in the imagination of the public, there is one manual adjusting technique that can produce a wide range of responses, both from patients and casual observers.
University of Bridgeport Acupuncture Students Make Rounds at Sisters of Notre Dame
Nuns are not stereotypical acupuncture patients, Dr. Jennifer Brett acknowledges with a laugh. But then again, acupuncture has gone mainstream, just like cappuccinos and recycling. "It's changed a lot from the '70s and '80s," said Brett.
The Lung Official
The Lung is known as the "Official Who Receives the Pure Chi From the Heavens." The act of breathing in, known as inspiration, brings oxygen into the body from the atmosphere. Each exhalation or expiration removes and releases carbon dioxide, a waste product of the body, into the atmosphere.
Forward Head Carriage and the Feet: What's the Connection? (Pt. 2)
Clinical evaluation of standing posture using relatively low-tech tools has been confirmed as valid and reliable by several studies. The original device used to evaluate posture was the plumb line, which served as a reference line for the effects of gravity on body alignment.
Putting POLITE Into Practice
First came the acronym RICE (Rest, Ice, Compression, Elevation), which eventually became PRICE (Protect, Rest, Ice, Compression, Elevation). Then in 2015, we started hearing POLICE (Protect, Optimal Loading, Ice, Compression, Elevation).
Acupuncture Earns BLS Unique Code
The United States Bureau of Labor Statistics recently announced that acupuncturists will have their own unique occupational code in the 2018 BLS Handbook. The new Standard Occupational Code (SOC) is 29-1291, will be included in the next edition of the BLS Occupational Handbook, which will be published in 2018.
Sacroiliac Joint Fusion: Where's the Wisdom?
We should be very skeptical of the purportedly less invasive version of the already defrocked sacroiliac fusion surgery, "minimally invasive" sacroiliac joint fusion; and concerned this procedure simply represents the device manufacturer's attempt to find yet another new market.
Patience vs. Patients
How long have you been in practice? I began my journey more than 20 years ago and opened my first acupuncture clinic in 2008. Just like you, I've learned a lot over the years. Recently, I sat in an interview and was asked what made me successful.
Why We Need to Fix the Mechanoreceptors (Part 2)
The muscle spindle, a particular type of mechanoreceptor, is located deep within the muscle belly, encapsulated in fascia made up of intrafusal fibers, all within the extrafusal muscle fibers.
We Get Letters & Email
Our Medicare Challenges Aren't an Education Issue; Passion to Succeed: More Pivotal Than GPA?
Six Things Every Chiropractor Should Know About Opioids
An increase in addictions and deaths due to opioids has raised significant concern and media attention. We offer this brief overview on this important public health problem for the practicing chiropractor.
Letter to the Editor
On December 7, 1999, the U.S. FDA reclassified the status of acupuncture needles from class III (investigative devices subject to investigative device exemptions...) to class II (special controls).
Case Study: 2-Year-Old Suffering From Urinary Reflux
A19-month-old female child presented to my office for treatment. Her mother reported the child had been diagnosed with urinary reflux and associated urinary tract infections, recurrent bouts of otitis media and inability to sleep.
NBCE Fumbles Computerized Testing Process
Imagine being a student again, about to take one of the four tests required to become a doctor of chiropractic. You've studied almost nonstop for the past few weeks. You can feel your anxiety level rise as you sit down in front of the computer screen.
Physical Examination in an Evidence-Based World
I have always had a fascination with physical examination procedures, particularly orthopedic tests. The origin of my fascination began just after graduation when I began the chiropractic orthopedics program.
News in Brief
F4CP MEmbership Milestone Reached; ICA Challenging New California Vaccine Law; TCC Names New President; New Provost at UWS.
Dealing with a Pain in the Butt
The patient came into my office with the classic antalgic stoop. She was bent over almost to ninety degrees, leaning on her husband for support and staggering to walk. She had been under supportive care for a long time, but this new pain scared her.
The Most Important Vitamin You've Never Heard Of: K2
Imagine if one in every three patients who walked through your door was afflicted with a debilitating, yet completely preventable and treatable disease.
Concerns Regarding CDC Guidelines for Pain Management
In response to the epidemic rates of opioid and heroin addiction, the Centers for Disease Control and Prevention (CDC) set new guidelines for physicians regarding treatment for pain.
Acupuncture's Essential Role
Acupuncture should play a more prominent role in U.S. healthcare during and after this post-Affordable Care Act era when chronic care and population health management are key concerns for all healthcare providers.
Infertility: Managing Irregular Menses
Infertility is an area where Chinese medicine is particularly helpful. In the main, in women below the age of 38 without organic disturbance, the success rate using TCM (Traditional Chinese Medicine) should exceed 85%.
The Drug Epidemic: Are You Guilty, Too?
Attention-deficit / hyperactivity disorder (ADHD) has become epidemic among children in the United States. According to the Centers for Disease Control and Prevention (CDC), the percentage of school-aged children diagnosed with ADHD has grown from 7.8 percent in 2003 to 11.0 percent in 2011.
CE Regulations Are Hurting Chiropractic
During my 35 years in the chiropractic profession, I have been forced to attend available continuing-education programs that were occasionally incredibly beneficial, but frequently not worth my time.
Comparing Costs of Care: DCs, MDs or PTs - Who Costs More?
In a health care era where evidence is increasingly the benchmark for insurance coverage, patient care and even cultural authority, we get plenty of it courtesy of a retrospective cost analysis spanning 10 years, more than 660,000 "covered lives" and nearly 7.5 million claims from Blue Cross Blue Shield of North Carolina.
November, 2010, Vol. 10, Issue 11
The Ugly Quilt Grows
By Ralph Stephens, BS, LMT, NCTMB
Another patch has been added to the ugly patchwork quilt of massage regulation. This time the great state of New York has passed an amendment to their massage law restricting free trade and interstate commerce in continuing education.The Alliance for Massage Therapy Education and National Certification Board for Therapeutic Massage and Bodywork did the right thing by opposing it. American Massage Therapy Association lobbied in favor of it.
I hope all you New York therapists feel you get your money's worth out of the new mandatory continuing education fee of $45 at each renewal. (SB 5431, Section 6)
Further, to become a sponsor of continuing education in New York, one will have to pay a fee of $900. It will depend on how the administrative rules are drawn up if each presenter has to pay $900 or if one sponsor can host multiple presenters. Either way, but especially if the former, the fee along with the administrative expenses of the inevitable paperwork will all be priced into the cost of seminars in New York. Why would you do this to yourselves?
I loved New York. They had the guts to have a higher entry-level standard and to administer their own licensing exam. Plus, they required no continuing education for renewal. This is the way it should be. Therapists should take continuing education because they want to learn more skills to help more people, not because they are coerced to. The public is not being harmed because therapists do not take continuing education. The public is just being underserved. While this is causing a backlash against our profession and among other things keeps us from reaching our potential, the problem is really at the entry-level which is way too low and for the most part poorly executed. Treating the symptoms by legislating continuing education at a mere 12 hours a year is an allopathic approach and will be about as effective at elevating our profession as allopathic health care is at achieving wellness in the general population.
I still love you New York and all my colleagues there. The real point is: When is our profession going to stop punishing itself with poorly written, dysfunctional, punitive laws? The only hope I see is the Federation of State Massage Therapy Boards development of a model massage law. This is a huge project and will take more time than it should because of the egos of this profession and the tyranny of the minorities, but it will be worth the wait. Until then, except for administrative necessity, the massage profession should stop adding to the patchwork quilt of lousy laws. When we have a well-written, model law that actually benefits our profession, while of course protecting the public, we can then go forward with a united effort, as most other alternative professions have done, and achieve beneficial regulation with portability and consistent standards.
Stop Politics as Usual
He who robs Peter to pay Paul will always have Paul's support. However, our society cannot go on indefinitely under the faulty assumption that everyone can live at the expense of his or her neighbors. This can only lead to an eventual catastrophic financial collapse - and that is well under way now. How's your business and family budget? The ruling class creates the current economic malaise, deliberately. If we keep sending them back to Washington they will continue to do the same thing - consolidate power and wealth for themselves and their major campaign contributors at our expense.
The American Republic will endure until the day Congress discovers that it can bribe the public with the public's money.
Alexis de Tocqueville
It is believed that Professor Alexander Tyler, a Scottish history professor in the 1700s wrote: "The average age of the world's greatest civilizations from the beginning of history, has been about 200 years. During those 200 years, these nations always progressed through the following sequence:
From bondage to spiritual faith;
Where do you think we are on this scale now? Many believe we are on the next to the bottom rung, or near the "apathy to dependence" phase of the professor's theory with over 30 percent of the nation's population already having reached the "governmental dependency" phase.
The only hope to turn this around is to get rid of the ruling class. The only peaceful way to do that is to vote out every incumbent at every election until we have working citizens instead of party hacks of the ruling class running our country. It will be painful, but not nearly as painful as the eventual alternative - tyranny.
What does this have to do with massage? The reality is that your patient's freedom of choice in health care, their freedom to chose to come to you, can only exist in a free society. Tyrants want control of your health care because the government that controls the health of its people controls its people. The existence of massage as therapy, delivered by independent first-door providers depends on preserving freedom of choice in health care. That freedom is in great jeopardy at this moment. Do your part to preserve it. Throw out the ruling class - vote against every incumbent, forever.
As of November 2, the election season is over. I promise not to beat this drum again for two years.
On a much happier note, the Holidaze will soon be upon us. As the Beatles sang - "Every year it's Christmas at the end of every year." Every major faith has a holiday during the 7 Sacred weeks. Wouldn't it be wonderful if we could all celebrate this time with respect, tolerance, love, and peace? My wish is that we can all be reading this column next year in a more healthy, prosperous, peaceful world. My sincere thanks to all of you who read this column. Happy shopping and may you sell lots of gift certificates - but remember, it's about something bigger than that.
Click here for more information about Ralph Stephens, BS, LMT, NCTMB.
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