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2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
June, 2011, Vol. 11, Issue 06
Are we all on the same playing field?
By James Waslaski
I just returned from attending an incredible seminar sponsored by Performance Health. Manual therapy participants included industry leaders and pioneers from the fields of Chiropractic, Physical Therapy, Occupational Therapy, Athletic Training, and Massage.Many of the participants had multiple certifications, such as chiropractors that also had degrees in physical therapy and personal training That was followed the very next week by teaching a seminar in Drogheda Ireland, just outside Dublin, to an international group of manual therapists.
The awesome thing is that most of the people, from both groups, left their titles and egos aside, to learn and share manual therapy techniques that would benefit all of our patients. Presentations were designed to bridge the gap within the manual therapy profession, for the best interest of every client that walks though our door suffering from a musculoskeletal problem.
So this article has been written to not only help bridge the gap between all manual therapists in the health care system, but bridge the gap and give respect to all advanced disciplines in the massage industry.
This year we are releasing a book with Pearson Publishing to share the work that has positively changed the lives of thousands of patients throughout the world with musculoskeletal pain. Therapeutic work that blends multiple advanced massage therapy modalities, with other manual therapy disciplines. We avoided the word medical massage in the title, because we felt a need to honor other great advanced modalities that have an amazing effect in eliminating complicated medical conditions including: Posturology, Myoskeletal Alignment, Visceral Manipulation, Lymphatic Drainage, Cranial Sacral Therapy, Structural Integration, Anatomy Trains, Myofascial Release, Neuromuscular Therapy, Energetic Therapy, and this list goes on.
We realized that although the term medical massage is one of the biggest buzz words in the massage industry, it is also one of the most controversial words in our industry. Some industry leaders would tell you we are not doing medical massage unless the client we are treating is referred by a physician. That would mean that the majority of the clients that recovered from complicated musculoskeletal medical conditions from my work in the past 20 years did not get medical massage. At least one state has told their therapists they cannot call what they do medical massage unless they are certified in neuromuscular therapy. I love neuromuscular therapy, but there are a whole lot of medical conditions that respond better to other modalities. What good can we do if the medical client has a visceral, lymphatic, and/or cranial problem if we limit our work to just one modality?
So, to respect the many great advanced disciplines in the massage therapy industry, we chose to call our new text book Clinical Massage: A Structural Approach to Pain Management. Throughout, it stresses the importance of combining science, with presence in therapy, intention, and intuition. We also talk about the importance of knowing when to refer certain clients to therapists in other modalities, and to medical practitioners in other disciplines. Since I have received advanced training over the years in many other modalities such as Functional Assessment, Posturology, Myoskeletal Alignment, etc., I realize the importance of blending multiple modalities and multiple disciplines to better treat the wide array of medical conditions we see in our offices and clinics.
I also found out that the more we know, the more we realize we don't know. We need to align with leaders in the manual therapy industry for the best interest of each client. We also need to combine eastern and western philosophies of medicine. Clinically based practitioners need to stop putting down energy healing, just because of their lack of knowledge, or insufficient training in that particular area. There is a lot of scientific proof out there in regard to our negative thoughts and negative energy creating pain, disease, and illness all the way to the level of the DNA.
It really bothers me when I hear a massage therapist say things like "What does the doctor or physical therapist know?" Or that energy work is "woo woo stuff." It is time we all put our egos aside, and work together in the best interest of the clients we serve.
In summary let me share a medical condition we see with our clients. Let's look at a client that presents with thoracic outlet or adhesive capsulitis (frozen shoulder). Is that a neck problem, a shoulder problem, compensation from a true leg length discrepancy problem, or an emotional problem? Will it benefit more from manipulative therapy, posturology, massage, or energy work? What muscle groups are pulling bones onto nerves and blood vessels? Will the client benefit more from a flexibility program or a strengthening program? Should we work on balancing the muscle groups of the neck and shoulder first, or release the fascial adhesions in the joint capsule? What modality or discipline will have the greatest effect on resolving the clinical symptoms? Can the client completely recover if they just get treated with manipulative therapy, and not have the muscles in the neck and shoulder balanced out? Is there an emotional component to this condition that could benefit from energy work?
The training with Performance Health, and the six day training in Ireland, focused on function, form, balance and movement. Assessment and clinical reasoning was important. Blending of disciplines was important. It was also crystal clear that each manual therapist had to teach the client better postural awareness and proper ergonomics. The client needed to get involved in a self care program to help themselves.
I have always encouraged therapists to constantly blend multiple massage modalities and manual therapy disciplines. Even just in the area of Orthopedic Massage, Whitney Lowe and I have decided to blend our uniquely complimentary certification programs in Orthopedic Massage, to raise the bar, and make a Master Level Orthopedic Massage Certification available. It will still be just considered one branch of the medical massage umbrella. It scares me knowing our industry is moving towards an advanced certification in massage. I wonder which advanced manual therapy disciplines will make it into the exam. Maybe we should back up a bit and first come to agreement on what medical massage is?
The time has come that manual therapists need to be on the same page when treating clients with complicated clinical conditions. I believe if we took all the incredible healing modalities in the massage or manual therapy profession and put them in one big toolbox, we would revolutionize medicine.
For now, let’s work together in the manual therapy profession, without turf wars. Stop criticizing other medical practitioners and start sharing the brilliant modalities they got in medical or PT school for the best interest of clients who have been given no hope for pain-free living.
Artwork furnished by Pearson Publishing from the book Clinical Massage Therapy: A Structural Approach to Pain Management.
Click here for previous articles by James Waslaski.
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