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Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
Day in the Life of an Advanced- Practice DC (Pt. 2)
Let's continue our Q&A with Stephen Perlstein, DC, APC, chair of the New Mexico Chiropractic Association PAC and president of the American Academy of Chiropractic Physicians. Part 1 of this interview appeared in the May 1 issue.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
February, 2011, Vol. 11, Issue 02
NMT: Two Versions Defined
By Leon Chaitow, ND, DO
When I was studying osteopathy and naturopathy in London in the late 1950s, I was taught neuromuscular technique (NMT) as part of our soft-tissue assessment and treatment course. The version of NMT that I learned had been developed in the 1930s by my father's cousin Stanley Lief, ND, DC, assisted by his cousin (my uncle), Boris Chaitow, ND, DC.Lief had modified a traditional Asian technique, taught by a Dr. Varma, an Ayurvedic physician working in Paris. It may be of peripheral interest to know that among the people who contacted Varma at that time was Ida Rolf; although, whether she incorporated any of his work into hers is not known.
Varma believed that his manual treatment method (he called "Prana-therapy") was capable of identifying and treating local areas of obstruction to the free flow of energy, using finger or thumb strokes and pressure.
In contrast, Lief used modifications of Varma's approach - which he called NMT - to assess and treat soft-tissue dysfunction, preparing joints for mobilisation or manipulation. And this is why we were taught NMT in our training at the then British College of Naturopathy and Osteopathy (now, the British College of Osteopathic Medicine).
At the time of my training,the early work of Janet Travell was available and we began to speak of trigger points as one of our targets in NMT assessment and treatment.
Simultaneously, the work of Raymond Nimmo, DC, was becoming more widely known. Nimmo had worked in parallel with Travell (and subsequently, David Simons) in describing localised soft-tissue changes that could generate local and distant pain. His terminology was different to Travell's, as were his treatment methods (which he called "Receptor Tonus Technique"). He came to England to teach briefly in the early 1960s and I was privileged to attend his classes.
Lief's (European) NMT incorporated this knowledge into a superbly effective soft-tissue assessment and treatment protocol, usually directed at Lief's original objective of mobilising soft tissues prior to joint mobilisation as well as for locating and deactivating trigger points. The delicacy of the finger or thumb strokes used in Lief's NMT allows for extremely fine work to be performed involving intelligent contacts that do not overwhelm restrictions, but insinuate ("melting") their way into them, teasing and releasing, rather than aggressively forcing change.
In the United States, neuromuscular therapy evolved in a direction that was far more focused on myofascial pain in general (influenced by Travell, Simons and Nimmo), and trigger points in particular.
The modalities used in American NMT comprise soft-tissue methods developed by practitioners of massage therapy, osteopathy, chiropractic, physical therapy, manual medicine, naturopathic medicine, and others. These include methods such as effluerage (gliding strokes), trigger point release (compressive force), myofascial release, muscle energy technique, positional release, cranial manipulation and others.
Both forms of NMT utilise standard orthopedic assessment approaches, as well as their own individual methods of assessment. Additionally, both forms of NMT incorporate moving and stationary pressures to tissues in both assessment and treatment modes, using variable pressures to achieve objectives, including inhibitory (ischemic) compression, cross-fibre friction, gliding and stretching methods.
NMT's Broad Perspective
Despite its predominently physical/biomechanical approach to treatment of pain and dysfunction, American NMT has broad objectives. For example, in conditions involving pain and dysfunction, attention is given to adaptation demands resulting from a wide variety of influences, including:
Note: While therapists using NMT techniques aim to take account of biochemical and/or psychosocial features, such as those listed - insofar as they may impact on the condition of the individuals consulting them - there is no suggestion that NMT is appropriate in treating these.
Two Versions Combined
In the mid-90's, in an attempt to marry these transatlantic NMT cousins, Judith (Walker) DeLany and I decided to put together a textbook. Four years later, Volume 1 (Upper Body) of our textbook Clinical Applications of Neuromuscular Techniques (Churchill Livingstone 2000) appeared, with Volume 2 (Lower Body) arriving in 2002. A revised and expanded second edition of Volume 1 appeared in 2008, while the revised Volume 2 will be published in mid-2011.
Also published in 2000 (and republished in its 3rd edition in 2010) was my book, Modern Neuromuscular Techniques, which evaluates and describes Lief's NMT alongside the modalities used in American NMT - incorporating a chapter on this by Judith DeLany. The rationale for writing this book (Modern NMT) was that there was a need for a more compact description, since the combined Clinical Applications texts run well over 1,000 pages. For more on NMT, see other resources listed below.
Click here for more information about Leon Chaitow, ND, DO.
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