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Patient Retention Techniques
When talking about techniques to grow your business, we tend to focus on the "large" aspect of the patient base, that is, on strategies to attract new patients. However, it is important to remember that "loyal" is equally, if not more, important.
ASA Ready to Impact Profession
The American Society of Acupuncturists (ASA) is a 501(c)6 (pending), not-for-profit collaboration among state based, acupuncturist professional associations.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Teaching Qi Gong to Children
Many of us have come to embrace Qi Gong or Tai Chi practice as a regular part of our lives. Qi Gong has been a stabilizing factor in my life for the last twenty years.
Healing the Core: AWB Nepal Earthquake Relief Project
With almost 9,000 people killed during the earthquakes in April and May, another 23,000 suffering injuries, hundreds of thousands left homeless when entire villages collapsed, and many sacred sites destroyed, no one in this country of approximately 28 million has been left untouched by the disaster.
Integrative Sports Medicine
One of the most rewarding and challenging clinical scenarios is the treatment of athletes.
ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Online Marketing Basics: Website Creation
The various online marketing options make it a challenge, especially when all you want to do is help your patients feel better. With such a broad topic, I'm going to share some basics you should know about website creation.
An Unexpected Superfood: All About Eggs
About 40 years ago, excessive dietary cholesterol was labeled a public health concern. Specifically, it was thought that there was a causal link between consumption of cholesterol-laden foods and increased risk of heart disease.
Healing Trauma: Cultivating Resilience and Presence Through Mindfulness, Part 1
All humans, by the very nature of being human, will experience moments of trauma and suffering. What, then, makes the difference in how the individual who experiences trauma, suffering, and spiritual loss reacts to such experiences?
Peaching to the Choir: How to Extend Our Reach Beyond the CAM Community
Professional conferences offer unique opportunities to network, be exposed to cutting-edge innovators, share your interests and work, and be inspired.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Acupuncture Treatment of Trauma in the Canine
From 1972 until 1976, John Ottaviano and I were treating dogs at five different veterinary clinics in the Los Angeles county area. Usually, we were at a clinic for seven to eight hours.
What to do When Today Sucks
Have you ever had one of those days when nothing went the way it should have? The patient with migraines got worse instead of better from a treatment similar to one you've effectively used on him before.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
Relationship Marketing: A Modern Approach
Remember when you used to get real letters in the mail? Not the automated type, but the real deal, hand written with a personal message just because someone was thinking about you? You know what I'm talking about.
Exercise Recommendations for Healthy Aging
Aging is inevitable, but how you age is not. Common physical signs of aging include decreased muscle mass, decreased muscular power, increased body fat, and decreased aerobic (lung) capacity.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
It's Time to Wake Up
It is time for this profession to wake up and tell someone about the healing benefits of acupuncture. This is the time for Asian Medicine. Its popularity, growth and unusual acceptance is nothing short of amazing.
Learning the Transformative Language of the Channel System: The Sinew Channels
The Chinese medical classics describe the energetic terrain of the body in much detail. The acupuncture channel systems, as presented in the Ling Shu illustrate the various expressions our qi energy can take.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Fish Oil: A Key Component to Positive Clinical Outcomes
Patients seem to be presenting with more complex problems, and many are responding to care more slowly or have completely unexpected results. Why?
The Ethics of Herbal Prescribing
While teaching ethics classes, I often encounter licensed acupuncturists who are surprised that our use of herbs and supplements has a specific section in the material. It is often an aspect within ethics that clinicians don't think of in practice.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
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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