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Work Stress and Musculoskeletal Health: Do Your Patients Get the Connection?
Most people underestimate the impact their job has on their health, especially if that job isn't particularly physically demanding. Big mistake.
Less Time Than Required
Q: When is it appropriate to use a modifier -52? Can I use it for a timed service when I do less than the time required by the code?
International Congress on Integrative Medicine
"Bridging Research, Clinical Care, Education and Policy" was the theme for the International Congress on Integrative Medicine and Health 2016 (ICIMH).
A Study of Relationships
Sa-Ahm's five element acupuncture method is known to be one of the most effective acupuncture techniques in Korea because it gives an instant response at the time of treatment and has a high success rate in resolving chronic problems.
The National Institutes of Health (NIH) lists more than 80 common autoimmune diseases including asthma, Crohn's disease, Guillain-Barré syndrome, multiple sclerosis, myasthenia gravis, psoriasis, rheumatoid arthritis, and lupus.
The Professional and Practice Benefits of Political Activism
Welcome to election season, a vital part of our American culture. Every two years, without fail, we are bombarded with TV, print materials and phone messages seeking our vote.
Analyzing Acupuncture Case Studies
Confirm the answer quickly by the elimination method. Take this case study as an example. After two treatments for back pain, a patient presents for a third session complaining of rapid breathing and wheezing that is made worse during cold weather.
Adventures with the Pericardium
My previous column on the San Jiao deserves equal time for SJ's loving partner, the pericardium. I nicknamed SJ the travel meridian – but pericardium can also play a crucial role in air travel.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
Illuminating the Hidden, Freeing the Source
Amongst the Primary Channels, from a classical point of view, the small intestine is perhaps the most important channel to understand. It is one of the least used acupuncture channels in modern acupuncture, yet it within it can be found a wealth of theories from the Ling Shu.
Guidelines for the Use of Modifier -52
Modifier -52 identifies that a service or procedure has been partially reduced or eliminated at the physician's discretion. This is to indicate the basic service described by the procedure code has been performed, but not all aspects of the service have been performed.
What's New in the NCCIH Strategic Plan
The NIH National Center for Complementary and Integrative Health (NCCIH) released its draft strategic plan 2016-2021 for public comment in early spring of 2016.
Overuse Injuries in Young Athletes (Part 1)
More than 45 million children ages 6-18 participate in some form of organized athletics, and 75 percent of American families with school-aged children have at least one child participating in organized sports.
MPA Media Wins More Publishing Awards
The American Society of Business Publication Editors (ASBPE) has honored Dynamic Chiropractic with a national award and two regional awards for editorial excellence, and sister publication DC Practice Insights with two regional awards for graphic design excellence.
Don't Ignore the Lower Half of the Pelvis (Part 1)
When your patient complains of lower back or pelvic pain, but your usual treatments are not getting the job done, what do you examine and treat? You may be missing important structures in the lower half of the pelvis.
Time to Fight for Your Medicare Right
I have heard a lot of noise and a lot of debate about what is going on with Medicare. As an ACA delegate, I often get asked: 'What is the ACA even doing?'
Chiropractic in the Eyes of the Public: 2nd Gallup-Palmer Poll
The second Gallup / Palmer College poll has been completed, yielding significant additional data regarding Americans' experiences with and perceptions of chiropractic care.
Let's Talk About Biceps Injuries at the Elbow
While most muscles cross over only one joint, the biceps crosses two joints: the elbow and the shoulder. Injuries to the lower biceps cause considerable elbow pain. Here's how to assess and treat an injury to this area conservatively.
Are Probiotics Doing More Harm Than Good?
Considerable controversy exists concerning the efficacy of probiotic supplements. Very few human studies show any real positive impact on the microbiome or health. The "promise" of probiotics is based on the few animal studies that suggest a positive effect.
Traditional Chinese Herbal Medicine in Taiwan Hospitals
This spring, a team of Western medical doctors and TCM practitioners from Cleveland Clinic traveled to Taiwan to visit Kaiser Pharmaceutical Co. (KP), and China Medical University (CMU), Taiwan's leading integrative medicine hospital.
What are the Meridians?
The meridian and collateral system (jing luo, hereinafter referred to as "Meridians") is comprised of the main meridian channels (jing mai) and the collateral vessels (luo mai). Jing takes from meaning of the Chinese word pathway (also jing) and are the main branches of the system.
June, 2011, Vol. 11, Issue 06
Let's Talk about...Lunging
By Ben Benjamin, PhD
Lunging was an essential movement for the survival of our ancestors hundreds of thousands of years ago — and it's still a very important movement for people to master today. It should be a staple in every client's strength, conditioning or rehabilitation program.The lunge is an exaggerated form of walking that involves longer, higher and multi-directional use of the gait pattern. Instead of taking a normal step (like when walking), the lunge involves a longer stride, higher knee drive and can be done in any direction (forward, backward, laterally and at an angle).
From an evolutionary perspective, lunging was probably most important when carrying large building materials (trees, stones, etc.) or game meats through the woods back to the village. The terrain 100,000 years ago was much different than today's nicely paved sidewalks, floors and roadways. It was unpredictable and at any moment could change from dry to wet, high to low, or even become impassable. When a person was carrying a heavy load on this kind of topography, the ability to stabilize the trunk, hips, knees and ankles over the base of support was critical — otherwise, a person could injure one or more of those body parts and be immobilized, and therefore, a prime target for a bear or other predator.
Today, the lunge is a primary movement for many everyday activities and sports, though probably not carrying rocks or meat. Going up and down stairs, hiking, throwing a ball and sprinting all involve components of the lunge pattern. Identifying dysfunctions in movements of the lunge can be helpful for understanding why individuals hurt themselves doing specific activities involving that movement. For instance, the inability to execute a lunge properly gives the trainer or therapist valuable information about an individual's overall flexibility, neural function and mechanical viability and should always be assessed before prescribing a rehabilitation or performance program.
Let me explain what we mean by mechanical viability. For example, if a client has difficulty maintaining an upright torso while lunging, two or more things could potentially be happening. First, the psoas, rectus femoris or rectus abdominis might not have the length, with the back leg extended, to allow the trunk to remain tall. Therefore, the trunk flexes to avoid excessive stretch or discomfort. Second, the extension-ability of the spine (i.e. the mechanical ability of each vertebral segment to extend) might be limited because of misuse, poor training habits or postural abnormalities, thereby prohibiting the client from maintaining an upright position. This condition is only noticeable with the back leg in extension or while transitioning from one leg to the next during a lunge. The first condition requires very specific stretches, the second very specific mobilization techniques. In some cases, both might be necessary.
When lunging, the front foot should be flat and as parallel as possible with the knee aligned over the second and third metatarsal. The back knee should gently touch the floor; the spine should be erect and in a neutral position with the trunk stacked nicely in the vertical plane. A standard lunge, along with variations and common faults, can be viewed in the video below, compliments of IMAPTraining.com.You can see the video at www.benbenjamin.com/lunge.
Click here for more information about Ben Benjamin, PhD.
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