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Hip Flexor Contractures & LBP in Above-the-Knee Amputations
Patients with above-the-knee amputations (AK or AKA) are particularly prone to developing hip flexor contractures. Not to be confused with muscle tightness, contractures are a permanent shortening of tissues which cause deformity or distortion.
Finger (Pad) Pointing: Repetitive-Use Injury Waiting to Happen
"My wrist and hand hurt. I spend all day working on computers and then I come home and spend more time on a computer, usually playing video games."
Discovery: Finding Insights and Each Other in Different Disciplines
Recently I've been thinking about all sorts of things which are hidden from our daily direct experience. That general category is what links nearly everything that catches my attention and then demands some kind of investigation.
Prostate Cancer Risk
A large study published in January 2016 in the American Journal of Clinical Nutrition showed that men who are vegans had a 35% lower risk of developing prostate cancer compared to non-vegan men. The study followed more than 26,346 men who are part of the Adventists Health Study-2.
Distal Style Treatment of Neurogenic Pain
Treat locally or distally? This question has frequented my thoughts for the treatment of pain throughout my acupuncture career. Each style has strengths and weaknesses, thus the versatile practitioner would do well to forgo dogmatic adherence to any one style in deference to the needs of the individual patient.
One of the most common trends to see in clinical medical practice and public health is the cycles of health "buzzwords." These come and go depending upon the current cultural zeitgeist. One year, "parasites" are causing all the issues, and the next year it's "candida."
How to Reach Your World With the Chiropractic Message
My latest effort to share chiropractic occurred in mid-May while I was sitting at an introductory parent information night for high schoolers. The IT instructor informed us that each student would be receiving a computer for all their studies.
Streamline Your Front Desk
Your front office can be your greatest source of efficiency or it can be a constant bottleneck. Increasing the productivity of this area, while not sacrificing the quality of patient interaction, can be a little tricky. However, with some focused effort and intention, your front desk can keep your practice running smoothly.
Constructing Our Reality, Part 2
My last article discussed perception and its relationship to the primary channels. Before we get to the channels most commonly used to treat sensory disturbances, the small intestine and triple heater, we should first talk about the bladder channel.
Sleepless nights, anxiety, mood swings, euphoric energy bursts, obsessive thinking, and a strange feeling in his chest. That is what Matt was experiencing when he first entered my practice. Rather than being concerned, he was loving every minute of it.
Living Well: Lessons From Our Oldest Old
Aging is a significant public health problem, important to chiropractors in practice and important to DCs who teach students training to become chiropractors.
News in Brief
NYCC Aggregates Degree Programs in New School; Palmer Chancellor Receives Education Award From ICA; Oklahaven Announces "Have a Heart" Winners.
Keeping Malpractice Allegations at Bay
It has been suggested that in the litigious environment in which we live, the practice of chiropractic should be defensive and practitioners should constantly be watching their backs. An element of defensive practice is a good idea.
A Whole-Body Approach to Chronic Tension Headaches
Nearly every day in our practices, we see patients with chronic headaches that have not responded to traditional treatment. They present in our offices with a feeble hope that "maybe" a chiropractor can help.
Low Fat vs. Low Carb & the Power of Protein
A science-based website recently posted a nice summary of 23 randomized, controlled trials from peer-reviewed journals pitting low-carb diets against low-fat diets.
In This Current Age of Anxiety
Anxiety, also referred to angst or hysteria, goes by many names. One, popularized by the sagacious Zhang Zhong Jing, who many practitioners of Chinese Medicine may be familiar with, is known as Restless Zang/Fu disorder.
A Different Way of Looking at It
The way you and your chiropractic colleagues access information has changed over the past decade. According to a recent survey conducted by Dynamic Chiropractic, almost half (48 percent) of DCs read online articles on their personal computer or laptop daily.
The Need for Standards
ISO-TC-249: You may look at these letters and numbers and wonder what they are and what they might mean. They turn into: International Standards Organization- Technical Committee – 249. There is a global organization called The International Organization for Standardization.
Holistic Skin Care and Modern Technology
Anti-aging is a concept that we hear in reference to skin rejuvenation and growing older on a daily basis. Aging begins as soon as we are born; therefore "pro-aging" is embracing all stages of life gracefully, with vitality, wisdom, joy, and gratitude as the goal.
Parker University Embraces New Era
Change is in the air at Parker University, which recently announced the selection of both a new president and a new consultant for its seminar program.
Understanding Levels of Evidence
The concept of levels of evidence is a cornerstone of research literacy and a great starting point for understanding basic principles of how research works.
Billing Timed Services
Q: I do not always use physical medicine services but in my state I do have a scope of practice that allows me to provide many of these services. I am trying to understand what "direct one-on-one patient contact" means in relation to physical medicine services.
With Low-Back Pain, Sometimes Little Things Matter
Typical treatments for low back pain involve large muscles like the quadratus lumborum, iliopsoas, and piriformis. However, there are situations when a very small muscle, the multifidus, can play a significant role in the diagnosis and treatment of low back muscular or spinal injury.
Billing One-on-One, Direct Patient Contact
This is often misunderstood and leads to trepidation when documenting and subsequently billing timed services.
Transforming Las Vegas
On a warm spring day in Las Vegas, Sonia Kim, clinic front desk staff, is busy preparing for a full day of intern shifts at Wongu Health Center. She greets patients, makes sure documents are properly signed, and lets the interns know that their patients have arrived.
Building Bridges with Discipline
As practitioners of traditional Chinese herbal medicine, our role is to educate patients and medical practitioners about the various safety aspects of our medicine. Medical doctors that embrace Chinese medicine want to collaborate and include Chinese herbal medicine in more aspects of clinical care to support their patients.
March, 2011, Vol. 11, Issue 03
What About My Brain? Part 2
Bulking Up Your Brain
By Sharon Puszko, PhD, LMT
There is so much we can do to keep our brains healthy, I had to create a part two to share the wealth of the information I came across when researching this topic, including such diverse activities as volunteerism, the study of foreign languages, working with essential oils and meditation.While each of these separately do not have a lot in common, research now shows us that they can help the brain to function at optimal levels.
I discussed some of the many ways we can attempt to delay Alzheimer's in my previous article (MT, December 2010). This information complements those ideas, and proves that the brain is not static. It can be shaped, and it can change for the better; even in senior years, the time when most people (let's face it) give up on change of any sort. Well, I'm here to tell you: DON'T! Doing fun, simple things can really help keep your brain stay young and active longer than anyone might have thought possible.
More Chatter = Brain Matter
We've all been told that being or becoming bilingual is beneficial for job hunting, but it also makes us smarter, literally. Not only are people who learn a second language before the age of five more fluent than those who learn later in life, but they also have denser gray matter in their brains. In 2004, researchers at University College London conducted a study on gray matter in three groups of people: those who learned a second language prior to turning five, those who became bilingual between the ages of 10 and 15, and those who only spoke one language.
The results showed those who spoke a second language had denser gray matter than those who did not. Specifically, the younger a person was when becoming bilingual, the more advanced their gray matter was. So it really does make a difference when children start learning a foreign language in school. It also means that it is never too late to learn a new language, as the study also shows that gray matter was denser even in those who were adults when they became bilingual.
Good Samaritan = Good Brain
Research recently published from Johns Hopkins University demonstrates that seniors who participate in volunteer activities can improve their brain function. This study, published in the Journal of Gerontology: Medical Sciences, followed two groups of senior women: one who signed up for Experience Corps - a national program in which older adults volunteer to tutor school children - and another group who was put on a wait-list for Experience Corps. After six months, fMRIs (functional magnetic resonance imaging) of the brain were performed on both groups. The fMRIs showed enhanced abilities in the regions of the brain dedicated to planning and organizing daily activities in the volunteer group. While preliminary, this research supports the idea that volunteering and being socially active is necessary in order for seniors to maintain their mental health.
Since retirees are the largest growing group of people in the United States, it is crucial that we take their well-being seriously. On a personal note, I was excited to learn about the results of the volunteers in Experience Corps, since most of my professional work revolves around the aging population. I know how common it is for them to suffer from depression and Alzheimer's, and I am always looking for ways to help address those issues. While none of this information will "cure" ADD or Alzheimer's, it does give hope that we will continue to find ways to help us make choices that will lead to healthier, more satisfying lives.
Good Smells = Good Smarts
Smell this! As practitioners, most of us are familiar with the benefits of using essential oils and aromatherapy during massage. What I found interesting was the fact that essential oils can also be used as a treatment for ADD (attention deficit disorder) and ADHD (attention deficit-hyperactivity disorder). This is a growing problem in the U.S., with an estimated 20 percent of children suffering from one of these two conditions. For those who seek an alternative treatment to prescribed medication, certain essential oils have proven to calm people down and increase concentration. In 2001, Dr. Terry Friedmann conducted a study, in which he treated three groups of children with ADD/ADHD with three different essential oils: lavender, cedarwood and vetiver.
According to the reported study, "Vetiver was found to be the most effective in observations and brain wave scans - showing improvements in 100 percent of subjects. Cedarwood essential oil was 83 percent effective, and lavender 60 percent." Even if one does not have ADD or ADHD, using some of these oils that can cross the blood-brain barrier can help brain function.
Focus: It Does a Brain Good
Richard Davidson, PhD, a professor at the University of Wisconsin, conducted a study in 2004 that confirms meditation alters the chemistry and physical makeup of the brain. Using students who were not trained in meditation as the control group, and Buddhist monks with years of practice meditating as the experimental group, Davidson used brain scans and electroencephalographs (EEGs) to examine the brain while meditating.
In particular, Davidson was interested in the activity of gamma waves, important electrical impulses that produce the highest frequency. The gamma wave activity of the monks was some of the highest ever recorded, showing a correlation between years of meditation practice and strength of gamma waves. Gamma wave activity increased slightly in the control group of students, but movement of the waves through the brain in the monks was far better organized and coordinated than in the students. The monks also had more gamma wave activity than the students prior to starting the meditation.
Davidson believes this illustrates that meditation can permanently change the way the brain functions, and hopes future research will confirm this belief. His research confirms that the brain is "elastic", and can be trained to function more efficiently. It also supports the saying, "It's never too late to learn"!
Of all the fascinating articles I read on recent research on brain function, I found Davidson's article on meditation the most promising. After all, meditation does not require you to buy anything or go anywhere; it can be done wherever you are, whenever, and without money or wearing any particular outfit.
As long as you can find a place to sit quietly - or at least somewhere you can focus - you can practice meditation.
To maintain acuity - keep your brain stimulated. Involve new approaches in as many of the senses as possible. "Mental muscle" improves with exercise, so put your brain through its paces as often as possible. Select brain exercises that are challenging and fun, and try 20 minutes of exercise three times daily. Brain exercises can be found at Web sites such as Braingle.com or Billsgames.com/brain-teasers.
With these suggestions in mind, this is just a gentle reminder to take care of your noggin as well as your body.
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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