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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.
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.
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.
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.
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.
Lessons from Functional Neurology
Chiropractic neurology, also known as clinical neuroscience or functional neurology, is moving the chiropractic profession forward by leaps and bounds.
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.
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?'
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).
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.
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.
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.
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.
Code Connection: 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.
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.
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.
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.
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.
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.
Know Your Research: Tips for Evaluating Literature Reviews
Clinical and experimental studies are not the only types of published research we might encounter as we look for evidence to inform our practices. One of the most useful types is the literature review, which summarizes a group of studies.
October, 2011, Vol. 11, Issue 10
The Benefits of Reconstructive Proliferant Therapy
By Ben Benjamin, PhD
Millions of people live in pain and don't know what to do about it. Something profound changes for these sufferers. The pain makes it hard to think, work or play. It saps energy and enthusiasm for life. Frequently, depression sets in. Many of these clients come to us for help. Some we help and some we don't.
For many years, I felt helpless to ease the pain of clients that I and all my colleagues could not help. As my practice grew, I saw people from all around the country who had tried every conceivable therapy, from surgery, to physical therapy, to chiropractic, to osteopathy, to massage therapy, to structural integration and movement modalities like Alexander technique and Feldenkrais practitioners. These people had also tried medication, exercise and meditation. Every treatment had failed for these individuals. Many of the people I saw had been in pain for 15 to 20 years.
When I discovered reconstructive proliferant therapy, I felt like I'd found the golden key to helping many of the clients with intractable pain that I, and everyone else I knew, couldn't seem to help. In my experience, 85 to 90 percent of those for whom nothing seemed to work got well with this therapy if treated by an experienced and skilled physician.
What is reconstructive proliferant therapy and how does it work?
Reconstructive proliferant therapy (also called prolotherapy) is a technique that stimulates the body's ability to repair itself when that process does not occur naturally. Just as a cut or scratch initiates the skin's regenerative processes, a proliferant causes the production of new tissue by stimulating cell reproduction in the connective tissues. Until proliferants were discovered, it was believed to be impossible for connective tissues to regenerate in this way.
The proliferant is injected into the affected ligaments, tendons or joints, and causes local inflammation. This controlled inflammation triggers an accelerated wound-healing process, resulting in new collagen and fibroblastic proliferation (fibroblasts are the cells that actually grow the ligaments and tendons). The new collagen shrinks as it develops, which tightens the structure and makes it stronger.
What kinds of cases respond best to prolotherapy?
Prolotherapy has been shown to be very effective at reducing or eliminating chronic pain in cases where injuries have resulted in painful adhesive scar tissue and/or laxity or weakness of ligaments, tendons or joints. This treatment is especially effective in treating chronic pain in the neck, low back, thorax, shoulders, elbows, wrists, hips, knees and ankles. It also strengthens weak joints by shortening and thickening the ligaments supporting those joints. For example, if a ligament in the knee is damaged and permenantly stretched, it cannot effectively hold that joint in place, and therefore leaves the structure more vulnerable to further injury. The proliferant strengthens the integrity of the joint by tightening the ligament so it can do its job more effectively.
What can a client do to get maximum benefit from prolotherapy?
During proliferant therapy, it is vitally important for the patient to do gentle exercises several times a day, to ensure that the healing and new tissue development take place in the presence of a full range of motion. This can make or break the effectiveness of the treatment. Each area of the body requires particular exercises to make sure the healing is effective. When clients do their exercises daily and don't return to stressful activity too soon, the results are usually excellent.
How long does the treatment process take?
Proliferants are usually slow-acting because they stimulate the body's ability to heal itself. They are most active in the first 3 to 7 days but keep working for months at a slower pace. The number of treatment sessions depends on the part of the body and the severity of the case, ranging from two or three sessions for a wrist to eight or so for the low back. Individuals heal at different rates depending on their age, strength, flexibility, level of stress and nutritional health, so there is some variation in the number of sessions needed by specific clients.
What are the side effects?
Unlike many medicines, proliferants have no side effects and have a lower drug content than aspirin. While there are many different proliferant formulas in use, the most frequently used solution (the Ongley solution developed in 1960) contains common chemical substances that have been tested for safety and effectiveness. The Ongley solution includes dextrose (a pure sugar that serves as the main irritant stimulating connective tissue production), Xylocaine (the numbing medicine your dentist uses), glycerine (to help in blood clotting), and phenol (a proliferant that prevents infection).
How can I connect my clients to prolotherapy professionals?
Since this is a relatively unknown treatment in the United States, it may be difficult to find doctors who are experienced in reconstructive proliferant therapy. Once you have located one, see if he or she has been doing it for at least 5 years. Ask if you can speak to several of the doctor's patients to learn what their experience has been. If you would like a recommendation to an experienced physician, feel free to contact me either by phone (617-576-0777) or email at .
Click here for more information about Ben Benjamin, PhD.
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