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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.
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.
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.
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.
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.
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.
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.
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.
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.
Getting Paid by Medicare Is Getting a Major Adjustment
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) was signed into law to implement a new approach to clinician payments and replace the Sustainable Growth Rate formula.
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?
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.
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.
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.
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.
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.
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.
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.
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.
March, 2012, Vol. 12, Issue 03
Laughter: It Just Might Be the Best Medicine for You
By Sharon Puszko, PhD, LMT
We have all heard this saying before, and I am sure we have all experienced the "pick-me-up" a good chuckle provides when we are feeling down. However, did this adage become common simply due to parents trying to calm their children when sick or angry? Or, is there a more primal, subconscious reason that we associate laughter with feeling better? It was not until recently, when I ran into an acquaintance of mine who has always had a rather serious disposition, that I started thinking more deeply about laughter.
I am sure we all know someone like him, the kind of person of whom we say to ourselves, "He/she needs to laugh more." Therefore, I started to wonder what research, if any, has been done on laughter, and what can we learn from it. After all, when was the last time you read or saw a press release about the latest findings from a NSF or NIH sponsored grant on the benefits of laughing? Probably never, since most people are more interested in research pertaining to cancer, tobacco or AIDS, then on laughter.
As it turns out, the science of laughter is still in its infancy, however what we have recently learned about it is fascinating. In fact, just ten years ago, I would not have had much to say other than the following: We know laughter is an evolutionary vocalization passed down from our primate relatives in order to aid in social communication, and it also seems to be contagious. While we have proven the former to be true by studying the behavior and vocalizations of our primate relatives, thanks to modern science we have also proven the latter to be true. In 2006, researchers at University College London conducted a study to determine why observing laughter usually causes someone to laugh in return.
Using MRI images of the brain, they were able to prove the existence of auditory "mirror" neurons; neurons that cause our body to produce a reaction to something we hear. Just as we have visual "mirror" neurons that activate when we see certain things (when we watch traumatic events, our brain responds as if we are experiencing that event ourselves), our auditory mirror neurons trigger our facial muscles to smile in response to hearing laughter. In fact, the more laughter we hear the more signals our neurons fire, causing us to smile and laugh in return. So whomever first coined the phrase, "Laugh, and the world laughs with you," turned out to be absolutely correct!
What about the theory that laughter is the best medicine? While I cannot assure you that laughter can cure all ills, I can say that it does indeed make you feel better. This past fall, a new study was published addressing this very issue. A group of European scientists studied the pain threshold of people before, during and after watching funny programs, such as a stand-up comedian show and episodes of "The Simpsons" and "Friends." The results revealed that people who laughed during these programs (not just listened to them, but actually laughed) had a much higher tolerance for pain after laughing than before, because laughter triggered the release of endorphins. Endorphins are chemicals which protect us from stress and make us feel good; as you well know, the biological reason massage feels so good is because it, too, releases endorphins. Therefore, while laughter may not be the best medicine, it really does make you feel better. Since it is also contagious and innate in primates, I can understand why laughter is considered one of the most primal methods of social bonding.
Now that we have proven that those serious people would indeed feel better if they laughed more, how can we, as massage therapists, incorporate more laughter into our days? I think the answer to that question will vary according to our own personal preferences. Some of us would rather reserve humor, jokes and irony for our personal lives only, and others will feel more comfortable incorporating laughter into both our professional and personal lives. Robert Provine authored a book on the science of laughter and in it suggests creating a "library" of humor. Start a collection of your favorite funny materials (books, comics, magazine, movies, TV shows, toys, etc), and make them easily accessible in your home or workplace. If you train yourself to reach for them when you start to feel angry or sad, you will notice those negative feelings diminish faster. This "library" is also a great conversation starter for parties and social gatherings, since everyone likes to laugh! Making some of these materials available to clients might help some of them relax more quickly before a session and feel more comfortable. If you choose to share this library with others, just make sure you have materials that represent a variety of humor, since we all find different things funny.
Fortunately, there is a plethora of information available on the internet and in magazines on how to incorporate laughter into your life; I have started listening to funny books and programs on CD while driving, and I can tell you that getting stuck in traffic no longer bothers me the way it used to! In closing, I’d like to remind the reader that just like massage, laughter does not require anything other than your own body in order to make yourself and someone else feel good, so try to do it as often as you can!
Sharon Puszko is the owner/director/educator for Day-Break Geriatric Massage Institute. She may be contacted at
or through her Web site: www.daybreak-massage.com.
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