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The Wisdom of the Second Office Location (SOL)
There are some things I never want to do again, like riding a motorcycle 100 mph. I call these things my "negative bucket list." Other things I have on that list include water skiing, riding a roller coaster and eating habanero peppers.
Overcoming Barriers to Exercise Compliance
One of the most common questions other practitioners ask me is, "How do I get patients to do their exercises?" I am not frustrated by my patient compliance, as many doctors are; in fact, I am actually happy with my patients' involvement and commitment.
Billing for Same-Visit Extraspinal and Spinal Manipulation
Q: I have always been under the premise that when billing 98943, extraspinal chiropractic manipulation, on the same visit as spinal manipulation, 98940-98942, that the extraspinal manipulation requires modifier 51.
A Dream Come True for Chiropractic: Funding Prevention and Public Health
Back in 2005, Sen. Tom Harkin (D-Iowa) said: "Let's face it, in America today we don't have a health care system, we have a sick care system.
Is the EHR Ship Setting Sail Without Us?
The numbers are in: As of July 2014, 10,253 doctors of chiropractic have received $123,059,868 in EHR stimulus funds – and yet that represents less than 15 percent of our profession.
Women's Health: Herbal Formulas to Help Patients With Dysmenorrhea
Chiropractors have long treated women for menstrual pain (dysmenorrhea). Since roughly 60 percent of all chiropractic patients are women and 30-50 percent of women have a history of menstrual cramps, the vast majority of doctors of chiropractic will inevitably see patients with dysmenorrhea.
State by State: Comparing Chiropractic Scope of Practice
"The issue of 'scope of practice' has been a bugaboo ever since our early quests for legal recognition for chiropractic," according to Dr. Claire Johnson, editor in chief of JMPT and National's other two chiropractic journals.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
News in Brief
Major Organizations Announce Joint Conference; Fighting for Section 2706; New Vice President of Chiro. Program at Parker; Two Families, One Chiropractic Dynasty.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
The Art of Day-to-Day Assessment and Treatment: Clinical Pearls
Let's focus on the day-to-day process of assessing and treating the patient. I am proposing a particular attitude; a way of looking at the patient. This often evolves over a few treatments and then changes as you figure out what is significant.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Defending With Vitamin D: Helps Prevent Progression to Diabetes
A 2014 clinical trial published in the American Journal of Clinical Nutrition provides additional evidence that optimal vitamin D nutritional status may be important in preventing the progression of prediabetes to diabetes in prediabetic adults.
We Get Letters & E-Mail
Not All Evidence Is Equal; An Abundance of Misinformation; A Well-Researched Decision; Far Too Dangerous.
Love a Nurse – and They'll Love You Back
According to various sources, there are about 3 million registered nurses in the U.S., and according to the American Nurses Association, they are under serious pressure in today's health care reality.
Are Your Work Orders in Order?
There are times when a patient's occupational duties will delay or prevent them from recovering. These circumstances create the need for the doctor to recommend modified duty or remove the patient from work.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
June, 2011, Vol. 11, Issue 06
Is Dancing a Way To Beat Alzheimer's?
By Sharon Puszko, PhD, LMT
We all know that dance is fun. Even those of us with two proverbial "left feet" have a hard time resisting the universal foot-tap or leg-shake when certain music comes on. As it turns out, that involuntary physical response to music is deeply rooted in our evolution as human beings.Examining the relationship between music and dance takes us back to the beginning of both. Researchers today believe that dance began as an early form of communicating, before our vocal chords were sophisticated enough to produce any type of language. In its earliest form, "dance" consisted of hand clapping and foot-stomping, to create a pattern or rhythm. People began attaching things to their arms or legs (beads, shells) that made noise when they moved to help keep tempo and voila! music was born. Of course, it wasn't that simple or quick, but the point I am trying to make is that music and dance have been instrumental to the evolution of our species. Our emotional and physical response to both are not things we should fight or restrain, but rather embrace as a necessary and healthy element of who we are. In addition to making us feel good or keeping us active, examining the science of dance can also help us as practitioners.
An article in Scientific American caught my attention when researching this topic, because it discussed what happens in the brain when people are dancing, or observing dance. A team of researchers at University College London conducted a study to examine the brain activity in dancers observing others dance. In particular, they wanted to know if the brain would show a difference in activity when the dancer watched their own specialty and when they watched another form of dance. For example, would the brain of a tap dancer react differently when that person watches someone else tap dancing, versus someone else break-dancing. According to their results: "Investigators have found that when people watch simple actions, areas in the premotor cortex involved in performing those actions switch on, suggesting that we mentally rehearse what we see - a practice that might help us learn and understand new movements. Researchers are examining on how widely humans rely on such imitation circuits. The ability to rehearse a movement in your mind is indeed vital to learning motor skills."
Therefore, the brain of tap dancers watching someone tap reacts differently than when they watch someone break-dance, because tap is what their body and brain has spent the most time learning. It would be helpful to take the results of this study and apply them to massage therapy, since it is also a so-called motor skill. In essence, when we observe someone else giving a massage, we are unconsciously rehearsing the moves in our mind. While actually practicing massage is the best way to teach and learn, this provides evidence that observation also is a valid and useful teaching tool.
Speaking of learning, I came across an article that spoke about the evidence that dancing helps protect against dementia and Alzheimer's Disease. In this study, researchers wanted to see if any physical or cognitive recreational activities influenced mental acuity . They had seniors aged 75 and older participate in certain activities (reading, doing crossword puzzles, bicycling, swimming, golfing and dancing), and measured the reduced risk of dementia these activities produced. The results were surprising: bicycling, golf and swimming offered no protection, the mental activities offered minimum protection, and dance offered the greatest protection of all. They theorize that because dancing - in particular, the freestyle social dancing most seniors participate in - requires rapid-fire, split-decision making skills, it increases our cognitive reserve and builds new neural pathways.
By increasing the number of neural pathways, we are providing our brain with multiple ways to access information, instead of just one way. The key finding here was that teaching yourself how to do anything differently, or learning anything new - whether or not it be dance - helps build these neural pathways, which in the long run, will keep your mind more healthy. I found it fascinating that dancing, an activity that is so much fun, not only makes you physically more healthy, but can also make your smarter.
Another article discussed the theory that dance can serve as a type of falls-prevention tool among the elderly. The results of one study conducted in Italy concluded that an exercise program consisting of dance improved balance among the elderly, which ultimately can help reduce the number of age-related falls. I do not think I need to spend much more time discussing the physical benefits of dancing. We all know it is a fun way to exercise and can help lower blood pressure, improve coordination and balance, lower bad cholesterol levels, and help lower the risk of coronary heart disease. However, did you know that dancing can provide an alternative to the monotony of weight lifting? According to the American Council on Exercise, in addition to being an aerobic activity, dancing is also a weight-bearing sport, with your body weight serving as the load. Therefore, you can salsa or line dance, and build bone density at the same time!
There are psychological benefits to dancing, too. "Engaging in regular physical activity, like dancing, is an important component of overall health and well-being - including psychological health. We know that physical activity helps to alleviate some of the physiological symptoms of depression and the benefits of exercise can help combat the negative impacts of stress. In fact, research has proven that dancing can act as a natural anti-depressant. Serotonin is a neurotransmitter related to mood, and dance has been found to raise serotonin levels in people with depression, which is what anti-depressants are designed to do," said Dr. John Stachula, a professor of psychology at St. Ambrose University. "It can be especially important for people suffering from isolation or loneliness because it also creates a venue for interaction with others because of the intrinsically social nature of dance. This is why it is both a popular and beneficial activity among singles or the elderly: it provides that social connection we desire, and need, to live healthy, satisfying lives." These statements bring me back to the theory that dance and music evolved as an early form of language. Maybe this is why our brain responds so strongly to dance; because we have been hard-wired to associate it with communication and expression for thousands of years.
Whether your preference be tango, tap or line dancing, if you enjoy it, do it. It will tone your body and mind. In the long run, dancing will help you more than you realize, so keep it up as long as you can. And if you wake up sore after a night out dancing, just call one of your colleagues to give you a massage!
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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