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ITB Syndrome: Treat the Tensor Fascia Latae
Iliotibial band syndrome is usually the result of repetitive knee flexion, such as in runners or cyclists. Pain may be experienced in the knee and/or the hip. The patient may express a sense of the hip dislocating, popping or snapping.
Pediatric Footwear: Function Over Fashion
As practitioners, it is not uncommon for parents to bring us their children to treat or ask us questions related to the pediatric population. Children's feet tend to be a perplexing region for parents and practitioners alike.
Six Things Every DC Should Know About the Zika Virus
The Zika outbreak continues to spread across the continental United States and U.S. territories. We offer this brief overview on this important public health problem for the practicing doctor of chiropractic.
National Board Apologizes for Testing Issues
The National Board of Chiropractic Examiners (NBCE) has issued a formal apology following a series of computer-based testing malfunctions that impacted two separate examinations (March and June 2016) and caused "widespread confusion and frustration" to the nearly 1,500 examinees taking the tests.
Upgrade to "Parker 2.0" in Las Vegas
Continuing your education and refining your practice: two key elements of a successful chiropractic career. Parker Seminars promises both as it celebrates its 65th anniversary in Las Vegas next February, according to Parker University President, Dr. William Morgan, and seminar consultant Dr. Mark Sanna.
Four Ways to Attract Patients
Acupuncturist A has been in practice for six years and has struggled since day one. She spends as much time and money on marketing as she can, but since her practice is slow, her budget isn't that big.
Going Beyond Just Feeling Good
We all know that most patients come to us for some pain complaint: neck pain, back pain, sciatica, carpal tunnel, etc. We also all know that acupuncture is a great first-line care for these issues, as well as supporting overall health and wellness.
Update from the International AIDS Conference
The 21st International AIDS Conference in Durban, South Africa, brought together more than 15,000 of the world's leading scientists, activists, funders, policy makers, and consumers from 153 countries.
U.S. Olympians Have a DC in Their Corner
It's probably old news to you that doctors of chiropractic play an increasingly prominent role in treating athletes, from youth sports participants to weekend warriors, to elite / professional competitors.
Decoding the Mystery of Medical Insurance Acceptance
In the constantly evolving profession of acupuncture, one of the least understood areas is medical insurance acceptance. The profession is filled with controversy surrounding this topic: Is it ethical?
Dysautonomia: The Medical Condition You May Already Be Treating
TCM practitioners have spent thousands of years healing patients without knowing or needing the names of their diseases as defined by allopathic medicine. We have syndrome names that are both poetic and efficient.
Treating Peripheral Neuropathy: Multi-Faceted Approach Including Laser Therapy
Peripheral neuropathy affects at least 20 million people in the United States1 and nearly 60 percent of all people with diabetes suffer from diabetic neuropathy. Many suffer from the disorder without ever identifying the cause.
Pediatric Asthma: A Case Study
I have had very good success with pediatric asthma, combining acupuncture with Chinese herbal products. Treatment is given over four to eight months, twice monthly, with herbal formulas rotated every month.
Natural Cancer Prevention: Pomegranate for the Prostate
In recent years, the ingestion of pure pomegranate juice (8 ounces per day) has been shown in clinical studies with human subjects to slow, and to some degree, reverse, the progression of prostate cancer – the second leading cause of cancer death in North American men.
Using the Lens of Chinese Medicine
One of the most common medications I see in clinical practice on a daily basis is fluoxetine or Prozac. Consequently, I hear many complaints concerning the side effects of this medication and am frequently asked by patients to help manage these side effects with acupuncture and Chinese medicine.
Treatment Success at the Won Institute
According to the World Health Organization's 2003 report titled, "Acupuncture: Review and Analysis of Controlled Clinical Trials," acupuncture has been shown to improve many physical, emotional, and mental conditions.
Integrative Cancer Care: Chiropractic for Chemotherapy-Induced Hiccups
Hiccups (singultus) are a frequent occurrence during cancer treatment. The cause of the hiccups may be the chemotherapy drug itself, such as Cisplatin; or the prophylactic use of corticosteroids such as Decadron, which is used to prevent nausea and/or vomiting.
First Annual ICD-10 Updates Take Effect
Yes, there was an update to ICD-10 codes on Oct. 1. It was a regular update to the diagnosis coding system and will take place every Oct. 1, just as it did when the ICD-9 system was in place.
Power to the Patient
Against a backdrop of splintered political parties, polarizations within nations, civil unrest, and distrust of established government (such as the growing anti-Washington, D.C. sentiment) comes the not-so-surprising finding that health care authorities and practitioners (with perhaps the exception of insurers) are turning over more and more powers to the individual patient.
Workers' Back Pain: Causes, Costs & Solution
You will want to share two important papers published in the past several months. Why? When read separately, each provides valuable information relevant to your patients, community and practice; together, they tell a compelling story.
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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