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ICD-10 Is Not Scary (and Not About Billing)
In my 13 years of consulting with doctors on billing and coding matters, ICD-10 has aroused the biggest combination of misguided fear and ignorance I can remember.
Online Marketing Basics: Google Ranking, Part 1
We all know there is so much opportunity with online marketing. And, let's face it, if you don't have a presence online with a website and social media, you are probably not where you want to be.
Medicine as Metaphor
The practice of medicine is both an art and a science. We study and learn the system so that when the time comes to apply it, there is a greater possibility of successfully helping others.
Colon Health and TCM
I still remember many years ago, the loud "Yuck" from my wife at the time when we were together watching the Chinese movie "Last Emperor."
Abdominal Acupuncture for Eye Healing: The Sacred Turtle and Ba Gua Map
Our ideas about western medicine have shifted in recent decades, while the public is asking more from health care providers.
Adding Microneedling to Your Clinic for Results and Profit
Microneedling has taken the beauty world by storm over the last 10 years. Under the names dermaroller, microneedling or skin needling you will see these treatments listed in the services of nearly every fashionable beauty salon and day spa in the country.
Making Public Health a Chiropractic Priority
As highlighted in this edition's News in Brief, Rand Baird, DC, MPH, FICA, FICC, editor and occasional author of our long-running column, "Chiropractic in the American Public Health Association", was recognized by the organization recently for 40 years of membership.
Can Acupuncture Treat Knee Pain?
Recently, an article in the Journal of the American Medical Association concluded that, "neither laser nor needle acupuncture conferred benefit over sham for pain or function" among older chronic knee pain patients.
Treating LBP in Golfers: Beyond Basic Assessment
The drive to master the most efficient swing demands a tremendous amount from the lower back. Maintaining stability in a flexed posture, supporting torso rotation and repetitively supporting the golf swing all put the lower back in a vulnerable position.
Melatonin: A Promising Natural Agent in the Prevention of ALS
A number of years ago, experimental studies suggested melatonin could block key steps in the development of Alzheimer's disease, primarily by acting as a brain antioxidant and inhibiting the build-up of beta-amyloid plaque in the brain.
A War You Can Help Patients Win
The average American consumes approximately 60 percent of calories from sugar, flour and refined oils. A donut is a good example of a so-called "food" that represents these calorie sources.
Data: The New Frontier in Health Care
Your practice is empowered with the data you need to improve patient health, run a more efficient (read: profitable) practice, get paid in timely fashion and help show the efficacy of chiropractic on the national stage in the midst of sweeping changes in health care!
The Roots of TCM in Depression Treatment
In traditional Chinese medicine, there is historical precedent for the treatment of so-called "Shen" (Heart-Mind) disorder, or disorder/dysregulation of the spirit, which is also considered as distinct but not separate from the cognitive function of the brain.
Lower-Extremity Overuse Injuries: Primer on Causes and Corrections
From ankle sprains to stress fractures, shin splints to plantar fasciitis, the research is clear: These common overuse injuries of the lower extremities – among dozens of others – may be related to abnormal foot function in your patients.
The Art of Creating a Healing Space
I always advise my graduates to examine their group practice or treatment rooms with fresh eyes after they leave my CE workshops. I tell them, "Ask yourselves - is your space qi filled, welcoming and healing? Or is it cold and clinical?"
The Source-Luo Point Combination, Part 3
Dr. Nguyen Nghi (NVN) was born in Vietnam and is one of the most important scholars, writers, teachers and practitioners of modern time. Many of his theories and applications are the source of modern teachers from Europe and the United States.
The Integrative Medicine Puzzle: Putting the Pieces Together
The conversation is changing in the broader healthcare community with patients actually moving the discussion toward more integrative topics. Patients today want to know their options.
Technology Meets Practice: Chiropractic Every Day
About a year ago, I had an interesting conversation with a DC who made house calls. When I asked why, she was quick to explain she learns much more about her patients when she sees them at home than she could ever observe in the office.
News in Brief
Support of F4CP Continues With Latest Donations; Walter Reed Honors Dr. William Morgan; Recognizing 40 Years of Public-Health Activism; Allstate Decision Reversed.
Aetna Updates 97140 Policy
In a development the Association of New Jersey Chiropractors is calling "a resounding victory for chiropractors nationwide," Aetna Insurance Company has updated its national reimbursement policy regarding 97140 (manual therapy), reaching an agreement two years after the association filed a declaratory judgment suit in federal court against the insurer.
Exploring and Learning from the Gift of Life
I'm grateful to have had the opportunity to teach cadaver dissection classes and workshops with Stephen Cina at the New England School of Acupuncture over the past seven years, first through the Sports Medicine Acupuncture Program and later as a NESA elective course.
Treat Every Patient as an Athlete
Frontal-plane movement pattern dysfunction can set the stage for musculoskeletal injury. Frontal-plane stabilization is essential during the normal activities of daily living: think single-leg stance and gait cycle.
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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