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New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
News in Brief
ACA Adopts New Governance Model; ACA 2017 Awards; CCA Helps Calif. DCs "Share the Love"; $1 Million to Help Advance the Profession; D'Youville Raises the Bar on Anatomy Education; ErRatum.
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
December, 2010, Vol. 10, Issue 12
What About My Brain?
Staying Mentally Fit
By Sharon Puszko, PhD, LMT
Being a massage therapist, I am aware of how my body sometimes feels, in terms of muscle soreness, fatigue, illness or general aches and pains, since all of these symptoms can affect my ability to work.Recently, after an extended period of traveling in which I became quite sleep deprived, I began to focus on the other aspects of our health: the mental component of it. After all, without our brain functioning properly, none of our muscles would function properly, either. Information on keeping our brain healthy has increased dramatically over the past 10 years, as advances in medical equipment have helped scientists learn more about how this mysterious organ works. Recent research has demonstrated that one's exercise, diet, sleep, and career can impact the health of one's brain. There is also growing consensus in the medical community that certain choices about exercise and diet can impact the likelihood of being challenged with memory problems and Alzheimer's disease.
Sleep On It
A study headed up by Matthew Walker, PhD, director of the Sleep and Neuroimaging Lab at the University of California, Berkeley, examined how sleep, specifically, REM (rapid eye movement) sleep, impacts our ability to read emotions in other people's faces. In the study, recently reported in Time magazine, 36 adult volunteers were asked to interpret the facial expressions of people in photographs, following either a 60-minute nap, 90-minute nap or no nap at all. Participants who had reached REM sleep (when vivid dreaming mostly occur) during their nap were better able to identify expressions of positive emotions like happiness in other people than participants who did not achieve REM sleep or did not nap at all. In fact, those volunteers who did not experience REM sleep, were more sensitive to negative expressions such as anger and fear.
According to Walker, dreaming (REM sleep) allows the brain to sift through that day's events, process any negative emotion attached to them, then strip it away from the memories: "(REM sleep) tries to ameliorate the sharp emotional chips and dents that life gives you along the way." Walker continues, "Sleep not only rights the wrong of prolonged wakefulness but, at a neurocognitive level, it moves you beyond where you were before you took a nap."1
So, what does all this mean to you? Our success as massage therapists largely depends on our ability to perceive and connect with our client's emotional state during a massage. If a client does not feel a "connection" with his therapist, he is less likely to benefit from the massage, and less likely to return to that therapist. Likewise, the more connection a client feels with his therapist, the more likely he is to become a repeat client, and the more likely he is to recommend massage to someone else. Therefore, going to bed one hour earlier, or taking a quick nap during the day really can have an impact on the success of your business.
We all know the importance of exercise for maintaining a healthy weight and healthy heart, increasing the longevity of life and improving the quality of sleep. It now appears that exercise also effects the brain, in particular the regions that relate to Alzheimer's. In August 2010, the University of Illinois at Urbana-Champaign published findings from research led by Dr. Art Kramer at the Beckman Institute for Advanced Science and Technology. The research team was interested in examining the effect of exercise on neural connectivity between regions of the brain that function together in a kind of "network". For example, the default mode network (DMN) is responsible for people passively engaging with their environment, such as day-dreaming. The DMN and other similar networks seem to lose activity with age, and Kramer's research has shown that the brains of people with Alzheimer's, schizophrenia, and older adults struggle to control the DMN. This study demonstrated that just moderate exercise (40 minutes a day, three times per week), can increase connectivity in the DMN, which aids with planning, strategizing and multitasking.2
It is beginning to seem like the benefits of exercise are endless! While some are vigilant about exercising regularly, others are easily bored by it. For those of you who aren't fans of working out in the traditional manner, there are plenty alternative activities that will not only exercise your body, but ALSO your brain! The following are some great activities (found in a recent article "Everyday Ways to Stay Sharp"):
To Read or Not to Read?
That is the question. There seems to be good reason our educators thrust British Literature upon us in high school. We have known for a long time that reading keeps the brain active and encourages good writing skills. However, we now know that reading Shakespeare has a particular effect on the brain that goes beyond the normal benefits. New studies link Shakespeare's linguistic technique known as "functional shift" (e.g. using a noun to serve as a verb) with positive brain stimulation. This process causes a sudden peak in brain activity and forces the brain to work differently in order to fully understand what Shakespeare is trying to say.
According to Philip Davis, an English professor at the University of Liverpool, "The brain reacts to reading a phrase such as 'he godded me' from the tragedy of Coriolanus, in a similar way to putting a jigsaw puzzle together. If it is easy to see which pieces slot together you become bored of the game, but if the pieces don't appear to fit, when we know they should, the brain becomes excited."4
With that information in mind, I would recommend inquiring at your public library about any Shakespeare book clubs. If you have the financial means, and a community college nearby, you could consider taking a literature class on Shakespeare. OMG, there is so much I can do to work on my brain! There are many more things one can do to keep the brain healthy and active: switch hands when writing or play sports, do crossword puzzles, eat well, journal, and just play.
We have just recently begun to understand the relationship between our external environment and its effect on the brain. It is an exciting area of study, especially when thinking about the connection between wellness and brain function. I look forward to learning more about the link between massage and brain function, and the possibilities it will lead to in our profession.
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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