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Meshing TCM With Environmental Pediatrics: Where's the Overlap?
Pediatrics has a long history within Chinese medicine dating back to the late Han dynasty (i.e., the late 200s CE), with the two primary areas of emphasis being herbal medicine and xiao er tui na (pediatric massage).
2016: A Year in the Life of Acupuncture
Happy Holidays, may you, your family and friends have peace, joy and blessings throughout this special time of year. As 2016 comes to a close, we can look back and celebrate the many events and accomplishments for the profession of acupuncture.
Assessing Core Stability and ROM: 5 Basic Checks
One of the first steps in addressing core stability is assessing static posture, ranges of motion, and motion of the pelvic bones, sacrum, femurs, lumbar spine and thoracic spine.
All Fiber Is Not Created Equal
Sometimes the best place to start is at the end. So, the conclusion of this article is that all fiber is good ... but some fiber is better. Let's break it down. There are two main types of fiber: soluble fiber and insoluble fiber.
A First for the Profession: CCE Accredits First Chiropractic Residencies
The Council on Chiropractic Education (CCE) has awarded accreditation to all five chiropractic residency programs currently administered at Veterans Administration facilities, "the first residency programs in the nation ever to be awarded this distinction, a significant advancement in the evolution of chiropractic education," according to a VA press release announcing the milestone.
A Simple Protocol for Holiday Stress
It's winter, a time when we should be deep in reflection, eating warming foods and sleeping long hours. Following nature's rhythms, we restore our bodies and minds in preparation for the renewal of spring.
A Q & A About Updated Codes
Yes, indeed there was an update to ICD-10 on Oct.1, 2016. This is a regular update to the diagnosis coding system and this type of update will occur every Oct. 1, just as it did when the ICD-9 system was in place.
Herbs for Digestion: The Power of Bitter
Many cultures (and indeed herbal clinicians) around the world have long respected the role of bitter herbs and foods for promoting digestion. For example, aperitifs – drinks consumed before a meal to stimulate appetite and digestion – were originally derived from bitter herbs.
Overuse Injuries in Young Athletes (Pt. 2)
Most overuse injuries are benign, but there are some high-risk injuries that, if unrecognized or inappropriately treated, can result in significant loss in time from the sport or even require leaving the sport.
Dedicated to Defending Chiropractic
Whether you're a veteran DC or a first-trimester student, the name George McAndrews should be part and parcel of your professional vernacular, as familiar as the word chiropractic.
End of an Era Looms at NYCC
New York Chiropractic College recently announced that Dr. Frank Nicchi will retire in August 2017 after 36 years with the college, the past 17 as president.
Southwest Acupuncture College Brings It to Division 1 Athletes
When Michael Phelps' photograph with the distinctive round marks left by cupping went viral, the Division 1 student athletes treated through the Dal Ward Athletic Center at the University of Colorado (CU) could relate.
DVT: Know the Signs and You Could Save a Life
I lost a friend several months ago. He died from a pulmonary embolism (PE) secondary to a deep-vein thrombosis (DVT) that originated in his lower leg. Bobby was in his mid-60s, soft-spoken and had a big heart.
Molecular Motors: Tiny Machines Behind the Rhythm of Life
In the clinic, we aim to restore healthy patterns of movement for qi that has gotten trapped or misdirected, or may have even collapsed. We may be focused on freeing stagnation, releasing heat or redirecting counterflow qi, but it often comes down to helping re-establish a flow of sorts.
Branding: Set Your Practice Apart
Dr. Brad started his practice seven years ago on a shoestring budget. He created his generic logo in five minutes using a website because he didn't have the time to figure out how to make something special.
Chiro School Reunion: Whatever Happened to...?
I opened the door to the closet slowly, carefully, since I knew it contained a large number of precariously stacked file boxes. It also held numerous outdated gizmos with electrical cords of various lengths that could trip or strangle a person.
News in Brief
New President / CEO Takes Office at Yo San University. Electroacupuncture for Constipation?
Little Sticker, Big Impact
It's the end of an election year. Hilary Clinton and Donald Trump were the subject of conversation for everyone, everywhere for the entire 2016 calendar year. I don't think any of us can deny that this election affected us all very deeply on a personal level.
A Letter to the Profession from the New President at AAAOM
Volunteering for a national, nonprofit organization brings with it such highs, lows, and accomplishments, as well as a steep learning curve.
Another Chance to Make a Difference
Just a few months ago, "the worst natural disaster to strike the United States since Hurricane Sandy" hit Louisiana. During this storm, one area experienced 31 inches of rain in 15 hours as almost 7 trillion gallons of water rained down in just one week across the state.
What We Can Learn From Spine Surgery
Patients with lumbar stenosis presumably present for conservative care to improve their quality of life and avoid surgery. However, providing clear guidance to these patients can be difficult for a number of reasons.
6 Steps to Make 2017 Your Best Year Yet
People often ask me what defines success. Success, for me, is simple: doing exactly what you want to do in life. Whether it's the kind of practice you run, your life at home, your hobbies or something else, it's achieving anything you put your mind to.
Can a Multivitamin Reduce Breast Cancer Recurrence?
There is a great deal of controversy regarding the value of multivitamin supplements in cancer prevention. However, with respect to preventing breast cancer recurrence, an important study was published in the Journal of Breast Cancer Research and Treatment in 2011 by Kwan ML, et al.
January, 2012, Vol. 12, Issue 01
Practice Building with Postural Analysis
By David Kent, LMT, NCTMB
Postural analysis photos can be utilized like X-rays, CAT scans and MRIs to evaluate, educate, design customized treatment plans and document progress. They are a great tool for attracting new clients and selling treatment packages and can help you build your practice by taking a quick postural analysis and delivering your objective findings using the technology carried with you daily.
Keep the process simple by using the camera and screen built into smart phones, iPhones, tablets and iPads, as they are powerful assessment and educational tools. They allow you to instantly take and review a series of photos. Showing patients pictures of their posture adds a whole new meaning to the saying "a picture is worth a thousand words" (Photo 1). The impact of patients seeing a picture of their high shoulder or forward head posture is very powerful. A lasting impression is made on the patients of your ability to quickly identify the musculoskeletal cause of their pain, provide visual evidence (objective findings) and provide a logical treatment plan.
Having photos taken can be stressful to anyone, so make patients more comfortable by letting them wear their regular clothing. To show the postural changes caused by wearing high heels, it is sometimes helpful to take postural analysis photos with the patient wearing and not wearing their shoes.
Prior to taking postural photos have the patient complete a health intake form that gives you permission. Photos should be treated as confidential medical records.
Viewing the mid sagital, coronal and transverse horizontal planes against the body makes it easy to spot asymmetries and a logical reason to use a postural analysis chart during assessments. The chart is most effective when used in conjunction with a weight or plumb bob suspended from a line. Hang the plumb line from the ceiling, approximately three feet in front of the posture analysis chart. This distance will allow clients of all sizes to stand between the posture chart and the plumb line without touching either one. The plumb bob should be suspended from the ceiling and hang approximately ¼" from the floor (Photo 2a & 2b). To get the plumb line out of the way and conserve space when not in use, simply hook it over one of the pins holding the chart on the wall. If your chart hangs on the back of a door, hook the plumb line on a hook next to the door frame (Photo 2c).
Position the patient's heels approximately shoulder width apart and equally spaced from the plumb line (center line). The plumb line will indicate the position of the midsagittal plane in the photos. Also be sure the client's heels are the same distance away from the posture chart to avoid creating a twist, torque or rotation in the body. By positioning the feet using the medial and posterior aspects of the heels, the client is free to rotate the lower extremities. Step back, align the plumb line with the centerline of the posture chart and take the photo (Photos 2a).
Position the client so that the plumb line is immediately anterior to the lateral malleolus. This position allows the plumb line to represent the coronal plane to the body. Ask the client to place their hair behind the ears to expose the external auditory meatus: an anatomical landmark used as a reference point to determine the position of the head to the coronal plane. Step back, align the plumb line with the centerline of the posture chart and take the photo (Photos 2b).
One front and side view photo, in many cases, is all that is needed to give a quick overview of your postural analysis findings. Photos make it easy for patients to understand the stresses their musculoskeletal system is enduring as you zoom-in on different postural analysis views and explain how your treatments can help. Reference the tables labeled Anterior View and Lateral View for the relationship of surface anatomy to anatomical structures (photo 4).
Have all the answers at your fingertips with trigger point, joint range of motion and muscle movement charts to explain the myofascial components of the patient's pain. Explain the relationship of your postural analysis and other objective findings to their pain (Photos 3).
Stand out from your competition and market how your assessments and treatments are special. Provide postural analysis as part of a package or to attract new patients. Build your practice by taking a quick postural analysis and delivering your objective findings.
Click here for more information about David Kent, LMT, NCTMB.
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